O42.91
O42.91 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor
Non-billable headerICD-10-CM
O42.91 is a non-billable header ICD-10-CM code for preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor. 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
O42.91 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.
Code to one of these instead O42.91
4 child codes. Green means billable.
- O42.911Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester
- O42.912Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester
- O42.913Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester
- O42.919Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified trimester
Related codes at this level
Codes that share O42.9. If O42.91 is not quite right, the correct code is usually one of these.
Questions about O42.91
- Is O42.91 a billable ICD-10-CM code?
- No. O42.91 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O42.91 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).