O31
ICD-10Non-billable categoryComplications specific to multiple gestation
Official ICD-10-CM descriptor (FY2026)
Complications specific to multiple gestation
O31 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.
Excludes2
Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.
- delayed delivery of second twin, triplet, etc. (O63.2)
- malpresentation of one fetus or more (O32.9)
- placental transfusion syndromes (O43.0-)
7th character
- One of the following 7th characters is to be assigned to each code under category O31. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O31 that has a 7th character of 1 through 9.
Permitted 7th characters
| 0 | not applicable or unspecified |
| 1 | fetus 1 |
| 2 | fetus 2 |
| 3 | fetus 3 |
| 4 | fetus 4 |
| 5 | fetus 5 |
| 9 | other fetus |
More specific codes under O31
- O31.0Papyraceous fetuscategory
- O31.1Cont pregnancy after spon abortion of one fetus or morecategory
- O31.2Continuing pregnancy after uterin death of one fetus or morecategory
- O31.3Cont preg after elective fetal rdct of one fetus or morecategory
- O31.8Other complications specific to multiple gestationcategory
Where this code sits
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ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.