O9A.31UpcomingCategory · further specificity required

Physical abuse complicating pregnancy

Chapters 15 · Inherited instructions

Use additional code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Excludes 1

supervision of normal pregnancy (Z34.-)

O9A.3 · Inherited instructions

Use additional code

code (if applicable):
to identify any associated current injury due to physical abuse
to identify the perpetrator of abuse (Y07.-)

Excludes 2 · 5

Chapters 15 · Pregnancy, childbirth and the puerperium (O00-O9A)

Excludes 2

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

O9A.3 · Physical abuse complicating pregnancy, childbirth and the puerperium

Excludes 2

sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)

More specific codes

O9A.311Physical abuse complicating pregnancy, first trimester O9A.312Physical abuse complicating pregnancy, second trimester O9A.313Physical abuse complicating pregnancy, third trimester O9A.319Physical abuse complicating pregnancy, unspecified trimester

Claims & coverage

When ICD-10-CM is required

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

Code history

Latest recorded change · FY2024

ChangedUnchanged

FY2024

Effective from 2023-10-01

Inherited rules changed

Physical abuse complicating pregnancy

Category — select a more specific code

CDC/NCHS · FY2024

All editions (19)

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

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Chapters 15 · Pregnancy, childbirth and the puerperium (O00-O9A)

Excludes 1

supervision of normal pregnancy (Z34.-)

Excludes 2

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

Use additional code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Note

CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery

O9A.3 · Physical abuse complicating pregnancy, childbirth and the puerperium

Inclusion terms

Conditions in T74.11 or T76.11

Excludes 2

sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)

Use additional code

code (if applicable):
to identify any associated current injury due to physical abuse
to identify the perpetrator of abuse (Y07.-)

More specific codes

O9A.311Physical abuse complicating pregnancy, first trimesterBillable / specific O9A.312Physical abuse complicating pregnancy, second trimesterBillable / specific O9A.313Physical abuse complicating pregnancy, third trimesterBillable / specific O9A.319Physical abuse complicating pregnancy, unspecified trimesterBillable / specific

Official index references (2)

Pregnancy(single) (uterine) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
O9A.32	Physical abuse complicating childbirth	Billable / specific
O9A.33	Physical abuse complicating the puerperium	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗

O9A.31UpcomingCategory · further specificity required

Physical abuse complicating pregnancy

Chapters 15 · Inherited instructions

Use additional code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Excludes 1

supervision of normal pregnancy (Z34.-)

O9A.3 · Inherited instructions

Use additional code

code (if applicable):
to identify any associated current injury due to physical abuse
to identify the perpetrator of abuse (Y07.-)

Excludes 2 · 5

Chapters 15 · Pregnancy, childbirth and the puerperium (O00-O9A)

Excludes 2

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

O9A.3 · Physical abuse complicating pregnancy, childbirth and the puerperium

Excludes 2

sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2024

ChangedUnchanged

FY2024

Effective from 2023-10-01

Inherited rules changed

Physical abuse complicating pregnancy

Category — select a more specific code

CDC/NCHS · FY2024

All editions (19)

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

Code-level instructions

The official Tabular List has no additional instructions at this code level.

Review the instructions inherited from its parent categories below. Inherited instructions ↓

Review the official coding guidelines ↗

Inherited instructions

Chapters 15 · Pregnancy, childbirth and the puerperium (O00-O9A)

Excludes 1

supervision of normal pregnancy (Z34.-)

Excludes 2

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

Use additional code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Note

CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery

O9A.3 · Physical abuse complicating pregnancy, childbirth and the puerperium

Inclusion terms

Conditions in T74.11 or T76.11

Excludes 2

sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)

Use additional code

code (if applicable):
to identify any associated current injury due to physical abuse
to identify the perpetrator of abuse (Y07.-)

More specific codes

Official index references (2)

Pregnancy(single) (uterine) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
O9A.32	Physical abuse complicating childbirth	Billable / specific
O9A.33	Physical abuse complicating the puerperium	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗