O42.911
O42.911 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester
Billable / specific codeICD-10-CM
O42.911 is a billable, specific ICD-10-CM code for preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester. It is valid for submission on a claim.
Risk adjustment
O42.911 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 O42.91. If O42.911 is not quite right, the correct code is usually one of these.
- 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
Questions about O42.911
- Is O42.911 a billable ICD-10-CM code?
- Yes. O42.911 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O42.911 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).