October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O31 Complications specific to multiple gestation

All 168 codes in the O31 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

168

Can lead a claim

0

Cannot lead a claim

168

What CMS assigns to O31

None of the 168 codes is assigned a clinical group. None of the 168 is assigned a comorbidity subgroup. None can lead a claim.

Every code in O31

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O31.0 Papyraceous fetus
O31.00 Papyraceous fetus, unspecified trimester
O31.00X0Papyraceous fetus, unspecified trimester, not applicable or unspecifiedCMS: Papyraceous fetus, unsp trimester, not applicable or unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X1Papyraceous fetus, unspecified trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X2Papyraceous fetus, unspecified trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X3Papyraceous fetus, unspecified trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X4Papyraceous fetus, unspecified trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X5Papyraceous fetus, unspecified trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.00X9Papyraceous fetus, unspecified trimester, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01 Papyraceous fetus, first trimester
O31.01X0Papyraceous fetus, first trimester, not applicable or unspecifiedCMS: Papyraceous fetus, first trimester, not applicable or unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X1Papyraceous fetus, first trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X2Papyraceous fetus, first trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X3Papyraceous fetus, first trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X4Papyraceous fetus, first trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X5Papyraceous fetus, first trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.01X9Papyraceous fetus, first trimester, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02 Papyraceous fetus, second trimester
O31.02X0Papyraceous fetus, second trimester, not applicable or unspecifiedCMS: Papyraceous fetus, second trimester, not applicable or unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X1Papyraceous fetus, second trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X2Papyraceous fetus, second trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X3Papyraceous fetus, second trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X4Papyraceous fetus, second trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X5Papyraceous fetus, second trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.02X9Papyraceous fetus, second trimester, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03 Papyraceous fetus, third trimester
O31.03X0Papyraceous fetus, third trimester, not applicable or unspecifiedCMS: Papyraceous fetus, third trimester, not applicable or unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X1Papyraceous fetus, third trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X2Papyraceous fetus, third trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X3Papyraceous fetus, third trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X4Papyraceous fetus, third trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X5Papyraceous fetus, third trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.03X9Papyraceous fetus, third trimester, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.1 Continuing pregnancy after spontaneous abortion of one fetus or more
O31.10 Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester
O31.10X0Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, not applicable or unspecifiedCMS: Cont preg aft spon abort of one fts or more, unsp tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X1Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 1CMS: Cont preg aft spon abort of one fts or more, unsp tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X2Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 2CMS: Cont preg aft spon abort of one fts or more, unsp tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X3Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 3CMS: Cont preg aft spon abort of one fts or more, unsp tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X4Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 4CMS: Cont preg aft spon abort of one fts or more, unsp tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X5Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, fetus 5CMS: Cont preg aft spon abort of one fts or more, unsp tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.10X9Continuing pregnancy after spontaneous abortion of one fetus or more, unspecified trimester, other fetusCMS: Cont preg aft spon abort of one fetus or more, unsp tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester
O31.11X0Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecifiedCMS: Cont preg aft spon abort of one fts or more, first tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X1Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1CMS: Cont preg aft spon abort of one fts or more, first tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X2Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2CMS: Cont preg aft spon abort of one fts or more, first tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X3Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 3CMS: Cont preg aft spon abort of one fts or more, first tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X4Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 4CMS: Cont preg aft spon abort of one fts or more, first tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X5Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 5CMS: Cont preg aft spon abort of one fts or more, first tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.11X9Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, other fetusCMS: Cont preg aft spon abort of one fts or more, first tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester
O31.12X0Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, not applicable or unspecifiedCMS: Cont preg aft spon abort of one fetus or more, 2nd tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X1Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 1CMS: Cont preg aft spon abort of one fetus or more, 2nd tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X2Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2CMS: Cont preg aft spon abort of one fetus or more, 2nd tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X3Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 3CMS: Cont preg aft spon abort of one fetus or more, 2nd tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X4Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 4CMS: Cont preg aft spon abort of one fetus or more, 2nd tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X5Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 5CMS: Cont preg aft spon abort of one fetus or more, 2nd tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.12X9Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, other fetusCMS: Cont preg aft spon abort of one fetus or more, 2nd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester
O31.13X0Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecifiedCMS: Cont preg aft spon abort of one fts or more, third tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X1Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1CMS: Cont preg aft spon abort of one fts or more, third tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X2Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 2CMS: Cont preg aft spon abort of one fts or more, third tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X3Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 3CMS: Cont preg aft spon abort of one fts or more, third tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X4Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 4CMS: Cont preg aft spon abort of one fts or more, third tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X5Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 5CMS: Cont preg aft spon abort of one fts or more, third tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.13X9Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, other fetusCMS: Cont preg aft spon abort of one fts or more, third tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.2 Continuing pregnancy after intrauterine death of one fetus or more
O31.20 Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester
O31.20X0Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, not applicable or unspecifiedCMS: Cont preg aft uterin dth of one fts or more, unsp tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X1Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 1CMS: Cont preg aft uterin dth of one fts or more, unsp tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X2Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 2CMS: Cont preg aft uterin dth of one fts or more, unsp tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X3Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 3CMS: Cont preg aft uterin dth of one fts or more, unsp tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X4Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 4CMS: Cont preg aft uterin dth of one fts or more, unsp tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X5Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, fetus 5CMS: Cont preg aft uterin dth of one fts or more, unsp tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.20X9Continuing pregnancy after intrauterine death of one fetus or more, unspecified trimester, other fetusCMS: Cont preg aft uterin dth of one fetus or more, unsp tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21 Continuing pregnancy after intrauterine death of one fetus or more, first trimester
O31.21X0Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecifiedCMS: Cont preg aft uterin dth of one fts or more, first tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X1Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1CMS: Cont preg aft uterin dth of one fts or more, first tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X2Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2CMS: Cont preg aft uterin dth of one fts or more, first tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X3Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 3CMS: Cont preg aft uterin dth of one fts or more, first tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X4Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4CMS: Cont preg aft uterin dth of one fts or more, first tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X5Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 5CMS: Cont preg aft uterin dth of one fts or more, first tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.21X9Continuing pregnancy after intrauterine death of one fetus or more, first trimester, other fetusCMS: Cont preg aft uterin dth of one fts or more, first tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22 Continuing pregnancy after intrauterine death of one fetus or more, second trimester
O31.22X0Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecifiedCMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X1Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1CMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X2Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2CMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X3Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 3CMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X4Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 4CMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X5Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 5CMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.22X9Continuing pregnancy after intrauterine death of one fetus or more, second trimester, other fetusCMS: Cont preg aft uterin dth of one fetus or more, 2nd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23 Continuing pregnancy after intrauterine death of one fetus or more, third trimester
O31.23X0Continuing pregnancy after intrauterine death of one fetus or more, third trimester, not applicable or unspecifiedCMS: Cont preg aft uterin dth of one fts or more, third tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X1Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1CMS: Cont preg aft uterin dth of one fts or more, third tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X2Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 2CMS: Cont preg aft uterin dth of one fts or more, third tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X3Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 3CMS: Cont preg aft uterin dth of one fts or more, third tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X4Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 4CMS: Cont preg aft uterin dth of one fts or more, third tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X5Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 5CMS: Cont preg aft uterin dth of one fts or more, third tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.23X9Continuing pregnancy after intrauterine death of one fetus or more, third trimester, other fetusCMS: Cont preg aft uterin dth of one fts or more, third tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.3 Continuing pregnancy after elective fetal reduction of one fetus or more
O31.30 Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester
O31.30X0Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, not applicable or unspecifiedCMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X1Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 1CMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X2Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 2CMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X3Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 3CMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X4Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 4CMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X5Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, fetus 5CMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.30X9Continuing pregnancy after elective fetal reduction of one fetus or more, unspecified trimester, other fetusCMS: Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester
O31.31X0Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, not applicable or unspecifiedCMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X1Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 1CMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X2Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 2CMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X3Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 3CMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X4Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 4CMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X5Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 5CMS: Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.31X9Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, other fetusCMS: Cont preg aft elctv fetl rdct of 1 fts or more, 1st tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester
O31.32X0Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecifiedCMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X1Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 1CMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X2Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 2CMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X3Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 3CMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X4Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 4CMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X5Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 5CMS: Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.32X9Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, other fetusCMS: Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester
O31.33X0Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, not applicable or unspecifiedCMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X1Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 1CMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X2Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 2CMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X3Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 3CMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X4Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 4CMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X5Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 5CMS: Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.33X9Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, other fetusCMS: Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.4 Continuing pregnancy after vanishing twin syndrome of one fetus or more
O31.40 Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester
O31.40X0Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, not applicable or unspecifiedCMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X1Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, fetus 1CMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X2Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, fetus 2CMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X3Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, fetus 3CMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X4Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, fetus 4CMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X5Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, fetus 5CMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.40X9Continuing pregnancy after vanishing twin syndrome of one fetus or more, unspecified trimester, other fetusCMS: Cont preg aft vanishing twin syn 1 fts or more,unsp tri,othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41 Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester
O31.41X0Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, not applicable or unspecifiedCMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X1Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, fetus 1CMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X2Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, fetus 2CMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X3Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, fetus 3CMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X4Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, fetus 4CMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X5Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, fetus 5CMS: Cont preg aft vanishing twin syn 1 fts or more,1st tri,fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.41X9Continuing pregnancy after vanishing twin syndrome of one fetus or more, first trimester, other fetusCMS: Cont preg aft vanishing twin syn 1 fts or more, 1st tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42 Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester
O31.42X0Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, not applicable or unspecifiedCMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X1Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, fetus 1CMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X2Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, fetus 2CMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X3Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, fetus 3CMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X4Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, fetus 4CMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X5Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, fetus 5CMS: Cont preg aft vanishing twin syn 1 fts or more,2nd tri,fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.42X9Continuing pregnancy after vanishing twin syndrome of one fetus or more, second trimester, other fetusCMS: Cont preg aft vanishing twin syn 1 fts or more, 2nd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43 Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester
O31.43X0Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, not applicable or unspecifiedCMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X1Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, fetus 1CMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X2Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, fetus 2CMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X3Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, fetus 3CMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X4Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, fetus 4CMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X5Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, fetus 5CMS: Cont preg aft vanishing twin syn 1 fts or more,3rd tri,fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.43X9Continuing pregnancy after vanishing twin syndrome of one fetus or more, third trimester, other fetusCMS: Cont preg aft vanishing twin syn 1 fts or more, 3rd tri, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8 Other complications specific to multiple gestation
O31.8X Other complications specific to multiple gestation
O31.8X1 Other complications specific to multiple gestation, first trimester
O31.8X10Other complications specific to multiple gestation, first trimester, not applicable or unspecifiedCMS: Oth comp specific to multiple gest, first trimester, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X11Other complications specific to multiple gestation, first trimester, fetus 1CMS: Oth comp specific to multiple gest, first trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X12Other complications specific to multiple gestation, first trimester, fetus 2CMS: Oth comp specific to multiple gest, first trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X13Other complications specific to multiple gestation, first trimester, fetus 3CMS: Oth comp specific to multiple gest, first trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X14Other complications specific to multiple gestation, first trimester, fetus 4CMS: Oth comp specific to multiple gest, first trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X15Other complications specific to multiple gestation, first trimester, fetus 5CMS: Oth comp specific to multiple gest, first trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X19Other complications specific to multiple gestation, first trimester, other fetusCMS: Oth comp specific to multiple gest, first trimester, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X2 Other complications specific to multiple gestation, second trimester
O31.8X20Other complications specific to multiple gestation, second trimester, not applicable or unspecifiedCMS: Oth comp specific to multiple gest, second trimester, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X21Other complications specific to multiple gestation, second trimester, fetus 1CMS: Oth comp specific to multiple gest, second tri, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X22Other complications specific to multiple gestation, second trimester, fetus 2CMS: Oth comp specific to multiple gest, second tri, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X23Other complications specific to multiple gestation, second trimester, fetus 3CMS: Oth comp specific to multiple gest, second tri, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X24Other complications specific to multiple gestation, second trimester, fetus 4CMS: Oth comp specific to multiple gest, second tri, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X25Other complications specific to multiple gestation, second trimester, fetus 5CMS: Oth comp specific to multiple gest, second tri, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X29Other complications specific to multiple gestation, second trimester, other fetusCMS: Oth comp specific to multiple gest, second trimester, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X3 Other complications specific to multiple gestation, third trimester
O31.8X30Other complications specific to multiple gestation, third trimester, not applicable or unspecifiedCMS: Oth comp specific to multiple gest, third trimester, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X31Other complications specific to multiple gestation, third trimester, fetus 1CMS: Oth comp specific to multiple gest, third trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X32Other complications specific to multiple gestation, third trimester, fetus 2CMS: Oth comp specific to multiple gest, third trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X33Other complications specific to multiple gestation, third trimester, fetus 3CMS: Oth comp specific to multiple gest, third trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X34Other complications specific to multiple gestation, third trimester, fetus 4CMS: Oth comp specific to multiple gest, third trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X35Other complications specific to multiple gestation, third trimester, fetus 5CMS: Oth comp specific to multiple gest, third trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X39Other complications specific to multiple gestation, third trimester, other fetusCMS: Oth comp specific to multiple gest, third trimester, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X9 Other complications specific to multiple gestation, unspecified trimester
O31.8X90Other complications specific to multiple gestation, unspecified trimester, not applicable or unspecifiedCMS: Oth comp specific to multiple gest, unsp trimester, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X91Other complications specific to multiple gestation, unspecified trimester, fetus 1CMS: Oth comp specific to multiple gest, unsp trimester, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X92Other complications specific to multiple gestation, unspecified trimester, fetus 2CMS: Oth comp specific to multiple gest, unsp trimester, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X93Other complications specific to multiple gestation, unspecified trimester, fetus 3CMS: Oth comp specific to multiple gest, unsp trimester, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X94Other complications specific to multiple gestation, unspecified trimester, fetus 4CMS: Oth comp specific to multiple gest, unsp trimester, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X95Other complications specific to multiple gestation, unspecified trimester, fetus 5CMS: Oth comp specific to multiple gest, unsp trimester, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O31.8X99Other complications specific to multiple gestation, unspecified trimester, other fetusCMS: Oth comp specific to multiple gestation, unsp trimester, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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