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O42.0 ⚠ Non-billable

Premature rupture of membranes, onset of labor within 24 hours of rupture

ICD-10-CM · FY2026 · Pregnancy, Childbirth and the Puerperium

Code
O42.0
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Pregnancy, Childbirth and the Puerperium
Source
CMS / CDC NCHS
Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Frequently asked questions

What is ICD-10 code O42.0?
ICD-10-CM code O42.0 represents Premature rupture of membranes, onset of labor within 24 hours of rupture. It is a non-billable header code requiring a more specific subcategory in the Pregnancy, Childbirth and the Puerperium chapter, effective October 1, 2025 – September 30, 2026.
Is O42.0 billable?
No. O42.0 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is O42.0 in?
O42.0 belongs to the Pregnancy, Childbirth and the Puerperium chapter (O00–O9A) of ICD-10-CM.

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