O60.20X1 — Term delivery with preterm labor, unspecified trimester, fetus 1
Is O60.20X1 billable?
Yes, but O60.20X1 is an unspecified code. O60.20X1 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O60.20X1 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O60.20X1 — the more specific alternatives are listed below.
O60.20X1 at a glance
| Code | O60.20X1 |
|---|---|
| Description | Term delivery with preterm labor, unspecified trimester, fetus 1 |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "1" | fetus 1 |
What does the 7th character "1" mean in O60.20X1?
In O60.20X1, the 7th character 1 means fetus 1. The 7th character is required for O60.20X1 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does O60.20X1 group to?
O60.20X1 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 998—
As a secondary diagnosis, O60.20X1 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is O60.20X1 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O60.20, the nearest indexed parent of O60.20X1. Use them to find the family, then select the specific code.
- Pregnancy › complicated by › preterm labor › with delivery › term (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O60.20X1 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.-)
Excludes1 — never code together — inherited from O60
The conditions below can never be reported together with O60.20X1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 15
Report an additional code alongside O60.20X1 to fully describe the condition. O60.20X1 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 O60.20X1, but a patient may have both at the same time. When documentation supports it, O60.20X1 and the excluded code may both be reported.
How long has O60.20X1 existed?
O60.20X1 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.