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

O60-O77 — Complications of labor and delivery

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

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

Codes in range

269

No clinical group

179

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

90 of the 269 codes in O60-O77 group to MMTA - Other. A further 179 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in O60-O77

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in O60-O77

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
O6000Preterm labor without delivery, unspecified trimesterNoneCannot lead a claim
O6002Preterm labor without delivery, second trimesterACan lead a claim
O6003Preterm labor without delivery, third trimesterACan lead a claim
O6010X0Preterm labor w preterm delivery, unsp trimester, unspNoneCannot lead a claim
O6010X1Preterm labor with preterm delivery, unsp trimester, fetus 1NoneCannot lead a claim
O6010X2Preterm labor with preterm delivery, unsp trimester, fetus 2NoneCannot lead a claim
O6010X3Preterm labor with preterm delivery, unsp trimester, fetus 3NoneCannot lead a claim
O6010X4Preterm labor with preterm delivery, unsp trimester, fetus 4NoneCannot lead a claim
O6010X5Preterm labor with preterm delivery, unsp trimester, fetus 5NoneCannot lead a claim
O6010X9Preterm labor w preterm delivery, unsp trimester, oth fetusNoneCannot lead a claim
O6012X0Preterm labor second tri w preterm delivery second tri, unspACan lead a claim
O6012X1Preterm labor second tri w preterm del second tri, fetus 1ACan lead a claim
O6012X2Preterm labor second tri w preterm del second tri, fetus 2ACan lead a claim
O6012X3Preterm labor second tri w preterm del second tri, fetus 3ACan lead a claim
O6012X4Preterm labor second tri w preterm del second tri, fetus 4ACan lead a claim
O6012X5Preterm labor second tri w preterm del second tri, fetus 5ACan lead a claim
O6012X9Preterm labor second tri w preterm delivery second tri, othACan lead a claim
O6013X0Preterm labor second tri w preterm delivery third tri, unspACan lead a claim
O6013X1Preterm labor second tri w preterm del third tri, fetus 1ACan lead a claim
O6013X2Preterm labor second tri w preterm del third tri, fetus 2ACan lead a claim
O6013X3Preterm labor second tri w preterm del third tri, fetus 3ACan lead a claim
O6013X4Preterm labor second tri w preterm del third tri, fetus 4ACan lead a claim
O6013X5Preterm labor second tri w preterm del third tri, fetus 5ACan lead a claim
O6013X9Preterm labor second tri w preterm delivery third tri, othACan lead a claim
O6014X0Preterm labor third tri w preterm delivery third tri, unspACan lead a claim
O6014X1Preterm labor third tri w preterm del third tri, fetus 1ACan lead a claim
O6014X2Preterm labor third tri w preterm del third tri, fetus 2ACan lead a claim
O6014X3Preterm labor third tri w preterm del third tri, fetus 3ACan lead a claim
O6014X4Preterm labor third tri w preterm del third tri, fetus 4ACan lead a claim
O6014X5Preterm labor third tri w preterm del third tri, fetus 5ACan lead a claim
O6014X9Preterm labor third tri w preterm delivery third tri, othACan lead a claim
O6020X0Term delivery w preterm labor, unsp trimester, unspNoneCannot lead a claim
O6020X1Term delivery with preterm labor, unsp trimester, fetus 1NoneCannot lead a claim
O6020X2Term delivery with preterm labor, unsp trimester, fetus 2NoneCannot lead a claim
O6020X3Term delivery with preterm labor, unsp trimester, fetus 3NoneCannot lead a claim
O6020X4Term delivery with preterm labor, unsp trimester, fetus 4NoneCannot lead a claim
O6020X5Term delivery with preterm labor, unsp trimester, fetus 5NoneCannot lead a claim
O6020X9Term delivery with preterm labor, unsp trimester, oth fetusNoneCannot lead a claim
O6022X0Term delivery w preterm labor, second trimester, unspACan lead a claim
O6022X1Term delivery with preterm labor, second trimester, fetus 1ACan lead a claim
O6022X2Term delivery with preterm labor, second trimester, fetus 2ACan lead a claim
O6022X3Term delivery with preterm labor, second trimester, fetus 3ACan lead a claim
O6022X4Term delivery with preterm labor, second trimester, fetus 4ACan lead a claim
O6022X5Term delivery with preterm labor, second trimester, fetus 5ACan lead a claim
O6022X9Term delivery w preterm labor, second trimester, oth fetusACan lead a claim
O6023X0Term delivery w preterm labor, third trimester, unspACan lead a claim
O6023X1Term delivery with preterm labor, third trimester, fetus 1ACan lead a claim
O6023X2Term delivery with preterm labor, third trimester, fetus 2ACan lead a claim
O6023X3Term delivery with preterm labor, third trimester, fetus 3ACan lead a claim
O6023X4Term delivery with preterm labor, third trimester, fetus 4ACan lead a claim
O6023X5Term delivery with preterm labor, third trimester, fetus 5ACan lead a claim
O6023X9Term delivery with preterm labor, third trimester, oth fetusACan lead a claim
O610Failed medical induction of laborNoneCannot lead a claim
O611Failed instrumental induction of laborNoneCannot lead a claim
O618Other failed induction of laborNoneCannot lead a claim
O619Failed induction of labor, unspecifiedNoneCannot lead a claim
O620Primary inadequate contractionsNoneCannot lead a claim
O621Secondary uterine inertiaNoneCannot lead a claim
O622Other uterine inertiaNoneCannot lead a claim
O623Precipitate laborNoneCannot lead a claim
O624Hypertonic, incoordinate, and prolonged uterine contractionsNoneCannot lead a claim
O628Other abnormalities of forces of laborNoneCannot lead a claim
O629Abnormality of forces of labor, unspecifiedNoneCannot lead a claim
O630Prolonged first stage (of labor)NoneCannot lead a claim
O631Prolonged second stage (of labor)NoneCannot lead a claim
O632Delayed delivery of second twin, triplet, etc.NoneCannot lead a claim
O639Long labor, unspecifiedNoneCannot lead a claim
O640XX0Obstructed labor due to incmpl rotation of fetal head, unspNoneCannot lead a claim
O640XX1Obst labor due to incmpl rotation of fetal head, fetus 1NoneCannot lead a claim
O640XX2Obst labor due to incmpl rotation of fetal head, fetus 2NoneCannot lead a claim
O640XX3Obst labor due to incmpl rotation of fetal head, fetus 3NoneCannot lead a claim
O640XX4Obst labor due to incmpl rotation of fetal head, fetus 4NoneCannot lead a claim
O640XX5Obst labor due to incmpl rotation of fetal head, fetus 5NoneCannot lead a claim
O640XX9Obstructed labor due to incmpl rotation of fetal head, othNoneCannot lead a claim
O641XX0Obstructed labor due to breech presentation, unspNoneCannot lead a claim
O641XX1Obstructed labor due to breech presentation, fetus 1NoneCannot lead a claim
O641XX2Obstructed labor due to breech presentation, fetus 2NoneCannot lead a claim
O641XX3Obstructed labor due to breech presentation, fetus 3NoneCannot lead a claim
O641XX4Obstructed labor due to breech presentation, fetus 4NoneCannot lead a claim
O641XX5Obstructed labor due to breech presentation, fetus 5NoneCannot lead a claim
O641XX9Obstructed labor due to breech presentation, other fetusNoneCannot lead a claim
O642XX0Obstructed labor due to face presentation, unspNoneCannot lead a claim
O642XX1Obstructed labor due to face presentation, fetus 1NoneCannot lead a claim
O642XX2Obstructed labor due to face presentation, fetus 2NoneCannot lead a claim
O642XX3Obstructed labor due to face presentation, fetus 3NoneCannot lead a claim
O642XX4Obstructed labor due to face presentation, fetus 4NoneCannot lead a claim
O642XX5Obstructed labor due to face presentation, fetus 5NoneCannot lead a claim
O642XX9Obstructed labor due to face presentation, other fetusNoneCannot lead a claim
O643XX0Obstructed labor due to brow presentation, unspNoneCannot lead a claim
O643XX1Obstructed labor due to brow presentation, fetus 1NoneCannot lead a claim
O643XX2Obstructed labor due to brow presentation, fetus 2NoneCannot lead a claim
O643XX3Obstructed labor due to brow presentation, fetus 3NoneCannot lead a claim
O643XX4Obstructed labor due to brow presentation, fetus 4NoneCannot lead a claim
O643XX5Obstructed labor due to brow presentation, fetus 5NoneCannot lead a claim
O643XX9Obstructed labor due to brow presentation, other fetusNoneCannot lead a claim
O644XX0Obstructed labor due to shoulder presentation, unspNoneCannot lead a claim
O644XX1Obstructed labor due to shoulder presentation, fetus 1NoneCannot lead a claim
O644XX2Obstructed labor due to shoulder presentation, fetus 2NoneCannot lead a claim
O644XX3Obstructed labor due to shoulder presentation, fetus 3NoneCannot lead a claim
O644XX4Obstructed labor due to shoulder presentation, fetus 4NoneCannot lead a claim
O644XX5Obstructed labor due to shoulder presentation, fetus 5NoneCannot lead a claim
O644XX9Obstructed labor due to shoulder presentation, other fetusNoneCannot lead a claim
O645XX0Obstructed labor due to compound presentation, unspNoneCannot lead a claim
O645XX1Obstructed labor due to compound presentation, fetus 1NoneCannot lead a claim
O645XX2Obstructed labor due to compound presentation, fetus 2NoneCannot lead a claim
O645XX3Obstructed labor due to compound presentation, fetus 3NoneCannot lead a claim
O645XX4Obstructed labor due to compound presentation, fetus 4NoneCannot lead a claim
O645XX5Obstructed labor due to compound presentation, fetus 5NoneCannot lead a claim
O645XX9Obstructed labor due to compound presentation, other fetusNoneCannot lead a claim
O648XX0Obstructed labor due to oth malposition and malpresent, unspNoneCannot lead a claim
O648XX1Obstructed labor due to oth malpos and malpresent, fetus 1NoneCannot lead a claim
O648XX2Obstructed labor due to oth malpos and malpresent, fetus 2NoneCannot lead a claim
O648XX3Obstructed labor due to oth malpos and malpresent, fetus 3NoneCannot lead a claim
O648XX4Obstructed labor due to oth malpos and malpresent, fetus 4NoneCannot lead a claim
O648XX5Obstructed labor due to oth malpos and malpresent, fetus 5NoneCannot lead a claim
O648XX9Obstructed labor due to oth malposition and malpresent, othNoneCannot lead a claim
O649XX0Obstructed labor due to malpos and malpresent, unsp, unspNoneCannot lead a claim
O649XX1Obstructed labor due to malpos and malpresent, unsp, fetus 1NoneCannot lead a claim
O649XX2Obstructed labor due to malpos and malpresent, unsp, fetus 2NoneCannot lead a claim
O649XX3Obstructed labor due to malpos and malpresent, unsp, fetus 3NoneCannot lead a claim
O649XX4Obstructed labor due to malpos and malpresent, unsp, fetus 4NoneCannot lead a claim
O649XX5Obstructed labor due to malpos and malpresent, unsp, fetus 5NoneCannot lead a claim
O649XX9Obstructed labor due to malpos and malpresent, unsp, othNoneCannot lead a claim
O650Obstructed labor due to deformed pelvisNoneCannot lead a claim
O651Obstructed labor due to generally contracted pelvisNoneCannot lead a claim
O652Obstructed labor due to pelvic inlet contractionNoneCannot lead a claim
O653Obst labor due to pelvic outlet and mid-cavity contrctnNoneCannot lead a claim
O654Obstructed labor due to fetopelvic disproportion, unspNoneCannot lead a claim
O655Obstructed labor due to abnlt of maternal pelvic organsNoneCannot lead a claim
O658Obstructed labor due to other maternal pelvic abnormalitiesNoneCannot lead a claim
O659Obstructed labor due to maternal pelvic abnormality, unspNoneCannot lead a claim
O660Obstructed labor due to shoulder dystociaNoneCannot lead a claim
O661Obstructed labor due to locked twinsNoneCannot lead a claim
O662Obstructed labor due to unusually large fetusNoneCannot lead a claim
O663Obstructed labor due to other abnormalities of fetusNoneCannot lead a claim
O6640Failed trial of labor, unspecifiedNoneCannot lead a claim
O6641Failed attempt vaginal birth after previous cesarean delNoneCannot lead a claim
O665Attempted application of vacuum extractor and forcepsNoneCannot lead a claim
O666Obstructed labor due to other multiple fetusesNoneCannot lead a claim
O668Other specified obstructed laborNoneCannot lead a claim
O669Obstructed labor, unspecifiedNoneCannot lead a claim
O670Intrapartum hemorrhage with coagulation defectACan lead a claim
O678Other intrapartum hemorrhageACan lead a claim
O679Intrapartum hemorrhage, unspecifiedACan lead a claim
O68Labor and delivery comp by abnlt of fetal acid-base balanceACan lead a claim
O690XX0Labor and delivery complicated by prolapse of cord, unspNoneCannot lead a claim
O690XX1Labor and delivery complicated by prolapse of cord, fetus 1NoneCannot lead a claim
O690XX2Labor and delivery complicated by prolapse of cord, fetus 2NoneCannot lead a claim
O690XX3Labor and delivery complicated by prolapse of cord, fetus 3NoneCannot lead a claim
O690XX4Labor and delivery complicated by prolapse of cord, fetus 4NoneCannot lead a claim
O690XX5Labor and delivery complicated by prolapse of cord, fetus 5NoneCannot lead a claim
O690XX9Labor and delivery complicated by prolapse of cord, othNoneCannot lead a claim
O691XX0Labor and delivery comp by cord around neck, w comprsn, unspNoneCannot lead a claim
O691XX1Labor and del comp by cord around neck, w comprsn, fetus 1NoneCannot lead a claim
O691XX2Labor and del comp by cord around neck, w comprsn, fetus 2NoneCannot lead a claim
O691XX3Labor and del comp by cord around neck, w comprsn, fetus 3NoneCannot lead a claim
O691XX4Labor and del comp by cord around neck, w comprsn, fetus 4NoneCannot lead a claim
O691XX5Labor and del comp by cord around neck, w comprsn, fetus 5NoneCannot lead a claim
O691XX9Labor and delivery comp by cord around neck, w comprsn, othNoneCannot lead a claim
O692XX0Labor and del comp by oth cord entangle, w comprsn, unspNoneCannot lead a claim
O692XX1Labor and del comp by oth cord entangle, w comprsn, fetus 1NoneCannot lead a claim
O692XX2Labor and del comp by oth cord entangle, w comprsn, fetus 2NoneCannot lead a claim
O692XX3Labor and del comp by oth cord entangle, w comprsn, fetus 3NoneCannot lead a claim
O692XX4Labor and del comp by oth cord entangle, w comprsn, fetus 4NoneCannot lead a claim
O692XX5Labor and del comp by oth cord entangle, w comprsn, fetus 5NoneCannot lead a claim
O692XX9Labor and delivery comp by oth cord entangle, w comprsn, othNoneCannot lead a claim
O693XX0Labor and delivery complicated by short cord, unspNoneCannot lead a claim
O693XX1Labor and delivery complicated by short cord, fetus 1NoneCannot lead a claim
O693XX2Labor and delivery complicated by short cord, fetus 2NoneCannot lead a claim
O693XX3Labor and delivery complicated by short cord, fetus 3NoneCannot lead a claim
O693XX4Labor and delivery complicated by short cord, fetus 4NoneCannot lead a claim
O693XX5Labor and delivery complicated by short cord, fetus 5NoneCannot lead a claim
O693XX9Labor and delivery complicated by short cord, other fetusNoneCannot lead a claim
O694XX0Labor and delivery complicated by vasa previa, unspNoneCannot lead a claim
O694XX1Labor and delivery complicated by vasa previa, fetus 1NoneCannot lead a claim
O694XX2Labor and delivery complicated by vasa previa, fetus 2NoneCannot lead a claim
O694XX3Labor and delivery complicated by vasa previa, fetus 3NoneCannot lead a claim
O694XX4Labor and delivery complicated by vasa previa, fetus 4NoneCannot lead a claim
O694XX5Labor and delivery complicated by vasa previa, fetus 5NoneCannot lead a claim
O694XX9Labor and delivery complicated by vasa previa, other fetusNoneCannot lead a claim
O695XX0Labor and delivery comp by vascular lesion of cord, unspNoneCannot lead a claim
O695XX1Labor and delivery comp by vascular lesion of cord, fetus 1NoneCannot lead a claim
O695XX2Labor and delivery comp by vascular lesion of cord, fetus 2NoneCannot lead a claim
O695XX3Labor and delivery comp by vascular lesion of cord, fetus 3NoneCannot lead a claim
O695XX4Labor and delivery comp by vascular lesion of cord, fetus 4NoneCannot lead a claim
O695XX5Labor and delivery comp by vascular lesion of cord, fetus 5NoneCannot lead a claim
O695XX9Labor and delivery comp by vascular lesion of cord, othNoneCannot lead a claim
O6981X0Labor and del comp by cord around neck, w/o comprsn, unspNoneCannot lead a claim
O6981X1Labor and del comp by cord around neck, w/o comprsn, fetus 1NoneCannot lead a claim
O6981X2Labor and del comp by cord around neck, w/o comprsn, fetus 2NoneCannot lead a claim
O6981X3Labor and del comp by cord around neck, w/o comprsn, fetus 3NoneCannot lead a claim
O6981X4Labor and del comp by cord around neck, w/o comprsn, fetus 4NoneCannot lead a claim
O6981X5Labor and del comp by cord around neck, w/o comprsn, fetus 5NoneCannot lead a claim
O6981X9Labor and del comp by cord around neck, w/o comprsn, othNoneCannot lead a claim
O6982X0Labor and del comp by oth cord entangle, w/o comprsn, unspNoneCannot lead a claim
O6982X1Labor and del comp by oth cord entangle, w/o comprsn, fts1NoneCannot lead a claim
O6982X2Labor and del comp by oth cord entangle, w/o comprsn, fts2NoneCannot lead a claim
O6982X3Labor and del comp by oth cord entangle, w/o comprsn, fts3NoneCannot lead a claim
O6982X4Labor and del comp by oth cord entangle, w/o comprsn, fts4NoneCannot lead a claim
O6982X5Labor and del comp by oth cord entangle, w/o comprsn, fts5NoneCannot lead a claim
O6982X9Labor and del comp by oth cord entangle, w/o comprsn, othNoneCannot lead a claim
O6989X0Labor and delivery complicated by oth cord comp, unspNoneCannot lead a claim
O6989X1Labor and delivery complicated by oth cord comp, fetus 1NoneCannot lead a claim
O6989X2Labor and delivery complicated by oth cord comp, fetus 2NoneCannot lead a claim
O6989X3Labor and delivery complicated by oth cord comp, fetus 3NoneCannot lead a claim
O6989X4Labor and delivery complicated by oth cord comp, fetus 4NoneCannot lead a claim
O6989X5Labor and delivery complicated by oth cord comp, fetus 5NoneCannot lead a claim
O6989X9Labor and delivery complicated by oth cord comp, othNoneCannot lead a claim
O699XX0Labor and delivery complicated by cord comp, unsp, unspNoneCannot lead a claim
O699XX1Labor and delivery complicated by cord comp, unsp, fetus 1NoneCannot lead a claim
O699XX2Labor and delivery complicated by cord comp, unsp, fetus 2NoneCannot lead a claim
O699XX3Labor and delivery complicated by cord comp, unsp, fetus 3NoneCannot lead a claim
O699XX4Labor and delivery complicated by cord comp, unsp, fetus 4NoneCannot lead a claim
O699XX5Labor and delivery complicated by cord comp, unsp, fetus 5NoneCannot lead a claim
O699XX9Labor and delivery complicated by cord comp, unsp, othACan lead a claim
O700First degree perineal laceration during deliveryACan lead a claim
O701Second degree perineal laceration during deliveryACan lead a claim
O7020Third degree perineal laceration during delivery, unspACan lead a claim
O7021Third degree perineal laceration during delivery, IIIaACan lead a claim
O7022Third degree perineal laceration during delivery, IIIbACan lead a claim
O7023Third degree perineal laceration during delivery, IIIcACan lead a claim
O703Fourth degree perineal laceration during deliveryACan lead a claim
O704Anal sphincter tear comp del, not assoc w third degree lacACan lead a claim
O709Perineal laceration during delivery, unspecifiedACan lead a claim
O7100Rupture of uterus before onset of labor, unsp trimesterNoneCannot lead a claim
O7102Rupture of uterus before onset of labor, second trimesterACan lead a claim
O7103Rupture of uterus before onset of labor, third trimesterACan lead a claim
O711Rupture of uterus during laborACan lead a claim
O712Postpartum inversion of uterusACan lead a claim
O713Obstetric laceration of cervixACan lead a claim
O714Obstetric high vaginal laceration aloneACan lead a claim
O715Other obstetric injury to pelvic organsACan lead a claim
O716Obstetric damage to pelvic joints and ligamentsACan lead a claim
O717Obstetric hematoma of pelvisACan lead a claim
O7181Laceration of uterus, not elsewhere classifiedACan lead a claim
O7182Other specified trauma to perineum and vulvaACan lead a claim
O7189Other specified obstetric traumaACan lead a claim
O719Obstetric trauma, unspecifiedNoneCannot lead a claim
O720Third-stage hemorrhageACan lead a claim
O721Other immediate postpartum hemorrhageACan lead a claim
O722Delayed and secondary postpartum hemorrhageACan lead a claim
O723Postpartum coagulation defectsACan lead a claim
O730Retained placenta without hemorrhageACan lead a claim
O731Retained portions of placenta and membranes, w/o hemorrhageACan lead a claim
O740Aspirat pneumonitis due to anesth during labor and deliveryACan lead a claim
O741Oth pulmonary comp of anesthesia during labor and deliveryACan lead a claim
O742Cardiac comp of anesthesia during labor and deliveryACan lead a claim
O743Cnsl complications of anesthesia during labor and deliveryACan lead a claim
O744Toxic reaction to local anesthesia during labor and deliveryACan lead a claim
O745Spinal and epidur anesthesia-induced hdache dur labr and delACan lead a claim
O746Oth comp of spinal and epidural anesth during labor and delACan lead a claim
O747Failed or difficult intubation for anesth dur labor and delACan lead a claim
O748Other complications of anesthesia during labor and deliveryACan lead a claim
O749Complication of anesthesia during labor and delivery, unspNoneCannot lead a claim
O750Maternal distress during labor and deliveryACan lead a claim
O751Shock during or following labor and deliveryACan lead a claim
O752Pyrexia during labor, not elsewhere classifiedACan lead a claim
O753Other infection during laborACan lead a claim
O754Other complications of obstetric surgery and proceduresACan lead a claim
O755Delayed delivery after artificial rupture of membranesACan lead a claim
O7581Maternal exhaustion complicating labor and deliveryACan lead a claim
O7582Onset labor 37-39 weeks, w del by (planned) cesarean sectionNoneCannot lead a claim
O7589Other specified complications of labor and deliveryACan lead a claim
O759Complication of labor and delivery, unspecifiedNoneCannot lead a claim
O76Abnlt in fetal heart rate and rhythm comp labor and deliveryACan lead a claim
O770Labor and delivery complicated by meconium in amniotic fluidACan lead a claim
O771Fetal stress in labor or delivery due to drug administrationACan lead a claim
O778Labor and delivery comp by oth evidence of fetal stressACan lead a claim
O779Labor and delivery complicated by fetal stress, unspecifiedNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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