Effective from
- Inherited rules changed
Other complications specific to multiple gestation
Category — select a more specific code
CDC/NCHS · FY2024code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
supervision of normal pregnancy (Z34.-)
0 — not applicable or unspecified
1 — fetus 1
2 — fetus 2
3 — fetus 3
4 — fetus 4
5 — fetus 5
9 — other fetus
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2024
Effective from
Other complications specific to multiple gestation
Category — select a more specific code
CDC/NCHS · FY2024| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Inherited rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | Inherited rules changed |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | Inherited rules changed |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
supervision of normal pregnancy (Z34.-)
code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
One of the following 7th characters is to be assigned to each code under category O31. 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 category O31 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
O31.8X1Other complications specific to multiple gestation, first trimesterCategory · further specificity requiredO31.8X2Other complications specific to multiple gestation, second trimesterCategory · further specificity requiredO31.8X3Other complications specific to multiple gestation, third trimesterCategory · further specificity requiredO31.8X9Other complications specific to multiple gestation, unspecified trimesterCategory · further specificity requiredOfficial titles and instructions are preserved in their source language. Official sources ↗