Is O60.10 a billable ICD-10-CM code?

No. O60.10 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O60.10 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).

What cannot be coded together with O60.10?

O60.10 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O60.10 (O60) and apply to it just the same.

O60.10

O60.10 — Preterm labor with preterm delivery, unspecified trimester

Non-billable headerICD-10-CM

O60.10 is a non-billable header ICD-10-CM code for preterm labor with preterm delivery, unspecified trimester. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

One of the following 7th characters is to be assigned to each code under subcategory O60.1. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.1 that has a 7th character of 1 through 9.

0: not applicable or unspecified
1: fetus 1
2: fetus 2
3: fetus 3
4: fetus 4
5: fetus 5
9: other fetus

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Preterm labor with delivery NOS

Excludes1 inherited from the categories above O60.10

These are not written on O60.10, but they bind it: a note on a category applies to every code beneath it. Billing O60.10 with anything listed here is a denial.

Written on O60 — Preterm labor

false labor (O47.0-)
threatened labor NOS (O47.0-)

Other codes that can never be billed with O60.10

These codes carry an Excludes1 note pointing at O60.10. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O60.10 alone.

O47False labor

Risk adjustment

O60.10 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.

How O60.10 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O60.10.

Delivery›preterm
Premature›delivery
Preterm›delivery
Pregnancy›complicated by›preterm delivery
Pregnancy›complicated by›preterm labor›with delivery
Pregnancy›complicated by›preterm labor›with delivery›preterm

Code history

O60.10 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead O60.10

7 child codes. Green means billable.

Related codes at this level

Codes that share O60.1. If O60.10 is not quite right, the correct code is usually one of these.

Questions about O60.10

Is O60.10 a billable ICD-10-CM code?: No. O60.10 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O60.10 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).
What cannot be coded together with O60.10?: O60.10 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O60.10 (O60) and apply to it just the same.