ICD-10 O80
Billable / SpecificEncounter for full-term uncomplicated delivery
About ICD-10-CM O80
ICD-10-CM code O80 represents Encounter for full-term uncomplicated delivery. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O80). The 2026 edition of ICD-10-CM O80 became effective on October 1, 2025.
Coding Tips for O80
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under O80. Per CMS ICD-10-CM Tabular 2026.
- Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15.
Use Additional Code
When coding O80, also report these additional codes when applicable.
- code to indicate outcome of delivery (Z37.0)
Medicare LCD Coverage for O80
Local Coverage Determinations (LCDs) from CMS MACs that list O80 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O80.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O80 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O80
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 59400 Vaginal delivery global — uncomplicated delivery, C-section, single liveborn, post-term, preterm labor, premature rupture membranes, small for gestational age, supervision high-risk pregnancy OB/GYN
Convert O80 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| O80 | 650 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To O80
Other codes in section O80-O82 (Encounter for delivery).
ICD-10 O80, Billing FAQ
Is ICD-10 code O80 billable? +
Yes, O80 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to O80? +
ICD-10 O80 includes: Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code from chapter 15..
What CPT codes are commonly billed with O80? +
Procedures frequently paired with O80 include: 59400.
What ICD-9 codes does O80 map to? +
Per CMS GEMs, O80 maps to ICD-9 codes: 650. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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