O42.113 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester
Is O42.113 billable?
Yes — O42.113 is billable for FY2027. O42.113 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O42.113 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O42.113 at a glance
| Code | O42.113 |
|---|---|
| Description | Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O42.113 group to?
O42.113 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O42.113 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O42.11, the nearest indexed parent of O42.113. Use them to find the family, then select the specific code.
- Pregnancy › complicated by › premature rupture of membranes › with onset of labor › after 24 hours › pre-term (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O42.113 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O42.113 to fully describe the condition. O42.113 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O42.113, but a patient may have both at the same time. When documentation supports it, O42.113 and the excluded code may both be reported.
How long has O42.113 existed?
O42.113 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the O42.11 family? (3)
- O42.111Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester
- O42.112Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester
- O42.119Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester