O42.11
O42.11: Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture
Non-billable headerICD-10-CM
O42.11 is a non-billable header ICD-10-CM code for preterm premature rupture of membranes, onset of labor more than 24 hours following rupture. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Premature rupture of membranes before 37 completed weeks of gestation
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead O42.11
4 child codes. Green means billable.
- O42.111Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester
- O42.112Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester
- O42.113Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester
- O42.119Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester