O42.111
O42.111 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester
Billable / specific codeICD-10-CM
O42.111 is a billable, specific ICD-10-CM code for preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester. It is valid for submission on a claim.
Risk adjustment
O42.111 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Related codes at this level
Codes that share O42.11. If O42.111 is not quite right, the correct code is usually one of these.
- 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
Questions about O42.111
- Is O42.111 a billable ICD-10-CM code?
- Yes. O42.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O42.111 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).