Term delivery with preterm labor, second trimester, fetus 1

This code signifies a delivery that occurs at term (37 weeks 0 days gestation or later) in a patient who experienced preterm labor during the second trimester (14 weeks 0 days to 27 weeks 6 days gestation). The preterm labor did not result in a preterm birth, and the delivery ultimately happened at term. This specific code applies to the first fetus in a multiple gestation pregnancy or the only fetus in a singleton pregnancy.

Use this code when documentation clearly indicates a history of preterm labor occurring between 14 weeks 0 days and 27 weeks 6 days gestation, followed by a subsequent delivery at 37 weeks 0 days gestation or later. The medical record should specify the gestational age at which preterm labor occurred and the gestational age at delivery.

• Ensure documentation specifies "term delivery" despite the history of preterm labor.
• Verify the gestational age of the preterm labor episode falls within the second trimester.
• Confirm this code is for the first fetus; use O60.22X2, O60.22X3, etc., for subsequent fetuses.