O42
Header — not billablePremature rupture of membranes
The ICD-10 code for premature rupture of membranes is O42.
O42 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 3 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under O42
- O42.0Premature rupture of membranes, onset of labor within 24 hours of rupturenon-billable header
- O42.1Premature rupture of membranes, onset of labor more than 24 hours following rupturenon-billable header
- O42.9Premature rupture of membranes, unspecified as to length of time between rupture and onset of labornon-billable header
Related codes in this category
- O30Multiple gestationnon-billable header
- O31Complications specific to multiple gestationnon-billable header
- O32Maternal care for malpresentation of fetusnon-billable header
- O33Maternal care for disproportionnon-billable header
- O34Maternal care for abnormality of pelvic organsnon-billable header
- O35Maternal care for known or suspected fetal abnormality and damagenon-billable header
- O36Maternal care for other fetal problemsnon-billable header
- O40Polyhydramniosnon-billable header
- O41Other disorders of amniotic fluid and membranesnon-billable header
- O43Placental disordersnon-billable header
- O44Placenta previanon-billable header
- O45Premature separation of placenta [abruptio placentae]non-billable header
- O46Antepartum hemorrhage, not elsewhere classifiednon-billable header
- O47False labornon-billable header
- O48Late pregnancynon-billable header
- O42Premature rupture of membranesnon-billable header