Billable / Specific Code
ICD-10-CM O42.011 is the diagnosis code for Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester. This code falls under the section "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where O42.011 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, O42.011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
O42.011 is the ICD-10-CM diagnosis code for "Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of O42.011 is O42.01 ("Preterm premature rupture of membranes, onset of labor within 24 hours of rupture"). O42.011 provides a more specific classification within this category.
O42.011 is located in Section O30-O48 — "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 of the ICD-10-CM Tabular List.
O42.011 has 1918 sub-code(s) that provide more specific detail: A00, A01, A02, A03, A04 and more.
Use O42.011 when the patients documented diagnosis matches "Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester is O42.011.
Yes, O42.011 can be used as a primary diagnosis code since it is billable and specific.
O42.011 is in Chapter 15 of the ICD-10-CM Tabular List.
Yes, O42.011 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.