O42.12 — Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture
Is O42.12 billable?
Yes — O42.12 is billable for FY2027. O42.12 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O42.12 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O42.12 at a glance
| Code | O42.12 |
|---|---|
| Description | Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O42.12 group to?
O42.12 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 O42.12 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O42.12. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pregnancy › complicated by › premature rupture of membranes › with onset of labor › after 24 hours › at or after 37 weeks gestation, onset of labor more than 24 hours following rupture (single) (uterine)
Inclusion terms
Alternative wording in documentation that is classified to O42.12.
- Premature rupture of membranes at or after 37 completed weeks of gestation, onset of labor more than 24 hours following rupture
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O42.12 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 O42.12 to fully describe the condition. O42.12 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 O42.12, but a patient may have both at the same time. When documentation supports it, O42.12 and the excluded code may both be reported.
How long has O42.12 existed?
O42.12 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.