Is O60.23X2 a billable ICD-10-CM code?

Yes. O60.23X2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O60.23X2 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 O60.23X2?

O60.23X2 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 O60.23X2 (O60) and apply to it just the same.

O60.23X2

O60.23X2 — Term delivery with preterm labor, third trimester, fetus 2

Billable / specific codeICD-10-CM

O60.23X2 is a billable, specific ICD-10-CM code for term delivery with preterm labor, third trimester, fetus 2. It is valid for submission on a claim.

7th character "2" — fetus 2

One of the following 7th characters is to be assigned to each code under subcategory O60.2. 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 O60.2 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

Excludes1 inherited from the categories above O60.23X2

These are not written on O60.23X2, but they bind it: a note on a category applies to every code beneath it. Billing O60.23X2 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 O60.23X2

These codes carry an Excludes1 note pointing at O60.23X2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O60.23X2 alone.

O47False labor

Risk adjustment

O60.23X2 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 history

O60.23X2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share O60.23. If O60.23X2 is not quite right, the correct code is usually one of these.

Questions about O60.23X2

Is O60.23X2 a billable ICD-10-CM code?: Yes. O60.23X2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O60.23X2 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 O60.23X2?: O60.23X2 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 O60.23X2 (O60) and apply to it just the same.