O71.1Rupture of uterus during labor

O71.1 is the ICD-10-CM diagnosis code for rupture of uterus during labor. It belongs to category O71 (other obstetric trauma), block O60-O77 (complications of labor and delivery) and chapter 15 (pregnancy, childbirth and the puerperium). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within O71 (other obstetric trauma), O71.1 is specifically for rupture of uterus during labor. Related codes cover rupture of uterus (spontaneous) before onset of labor (O71.0), postpartum inversion of uterus (O71.2), obstetric laceration of cervix (O71.3), obstetric high vaginal laceration alone (O71.4), other obstetric injury to pelvic organs (O71.5), obstetric damage to pelvic joints and ligaments (O71.6), obstetric hematoma of pelvis (O71.7), other specified obstetric trauma (O71.8) and 1 more.

Don't report O71.1 together with the conditions in its Excludes1 note: disruption of cesarean delivery wound (O90.0) and laceration of uterus, NEC (O71.81).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 817 (Other Antepartum Diagnoses with O.R. Procedures with MCC, relative weight 2.0534), DRG 818 (Other Antepartum Diagnoses with O.R. Procedures with CC, relative weight 1.2942), DRG 819 (Other Antepartum Diagnoses with O.R. Procedures without CC/MCC, relative weight 0.7739), DRG 831 (Other Antepartum Diagnoses without O.R. Procedures with MCC, relative weight 1.1558), DRG 832 (Other Antepartum Diagnoses without O.R. Procedures with CC, relative weight 0.7585) and DRG 833 (Other Antepartum Diagnoses without O.R. Procedures without CC/MCC, relative weight 0.5002), in MDC 14 (Pregnancy, Childbirth and the Puerperium), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor treats this as a maternity diagnosis, expected only for patients age 9 through 64.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 665.11 (rupture of uterus during labor, delivered, with or without mention of antepartum condition).