Billable / Specific Code
ICD-10-CM O42.911 is the diagnosis code for Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, 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 O42.911 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, O42.911 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
O42.911 is the ICD-10-CM diagnosis code for "Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of O42.911 is O42.91 ("Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor"). O42.911 provides a more specific classification within this category.
O42.911 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.
Use O42.911 when the patients documented diagnosis matches "Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, 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, unspecified as to length of time between rupture and onset of labor, first trimester is O42.911.
Yes, O42.911 can be used as a primary diagnosis code since it is billable and specific.
O42.911 is in Chapter 15 of the ICD-10-CM Tabular List.
Yes, O42.911 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.