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O60 ICD-10-CM Code: Preterm labor

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Complications of labor and delivery (O60-O77)

O60

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Preterm labor

Preterm labor

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O6Complications of labor and delivery (O60-O77)
O60Preterm labor

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O60 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O60 in this effective period.

Related Child Codes

Official
O60.0Preterm labor without delivery
O60.1Preterm labor with preterm delivery
O60.2Term delivery with preterm labor

Includes

Official
  • onset (spontaneous) of labor before 37 completed weeks of gestation

Excludes 1

Official
  • false labor (O47.0-)
  • threatened labor NOS (O47.0-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O60 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O60 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O60 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

O60 is the ICD-10-CM diagnosis code for preterm labor. O60 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering complications of labor and delivery (o60-o77).

Header codes like O60 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O60's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O60 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • onset (spontaneous) of labor before 37 completed weeks of gestation

Excludes 1, Do NOT code together

Child Codes

Code Hierarchy

O60Preterm labor
O60Preterm labor

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