2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 11
ICDMENU
11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-677)
ECTOPIC AND MOLAR PREGNANCY (630-633)
Use additional code from category 639 to identify any complications
630 Hydatidiform mole
Trophoblastic disease NOS
Vesicular mole
Excludes: chorioadenoma (destruens) (236.1)
chorionepithelioma (181)
malignant hydatidiform mole (236.1)
631 Other abnormal product of conception
Blighted ovum
Mole:
NOS
carneous
fleshy
stone
632 Missed abortion
Early fetal death before completion of 22 weeks' gestation with retention of
dead fetus
Retained products of conception, not following spontaneous or induced
abortion or delivery
Excludes: failed induced abortion (638.0-638.9)
fetal death (intrauterine) (late) (656.4)
missed delivery (656.4)
that with abnormal product of conception (630, 631)
633 Ectopic pregnancy
Includes: ruptured ectopic pregnancy
633.0 Abdominal pregnancy
Intraperitoneal pregnancy
633.00 Abdominal pregnancy without intrauterine pregnancy
633.01 Abdominal pregnancy with intrauterine pregnancy
633.1 Tubal pregnancy
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
633.10 Tubal pregnancy without intrauterine pregnancy
633.11 Tubal pregnancy with intrauterine pregnancy
633.2 Ovarian pregnancy
633.20 Ovarian pregnancy without intrauterine pregnancy
633.21 Ovarian pregnancy with intrauterine pregnancy
633.8 Other ectopic pregnancy
Pregnancy:
cervical
combined
cornual
intraligamentous
mesometric
mural
633.80 Other ectopic pregnancy without intrauterine pregnancy
633.81 Other ectopic pregnancy with intrauterine pregnancy
633.9 Unspecified ectopic pregnancy
633.90 Unspecified ectopic pregnancy without intrauterine pregnancy
633.91 Unspecified ectopic pregnancy with intrauterine pregnancy
OTHER PREGNANCY WITH ABORTIVE OUTCOME (634-639)
The following fourth digit subdivisions are for use with categories 634-638:
0 Complicated by genital tract and pelvic infection
Endometritis
Salpingo-oophoritis
Sepsis NOS
Septicemia NOS
Any condition classifiable to 639.0, with condition classifiable to 634-638
Excludes urinary tract infection (634-638 with .7)
1 Complicated by delayed or excessive hemorrhage
Afibrinogenemia
Defibrination syndrome
Intravascular hemolysis
Any condition classifiable to 639.1, with condition classifiable to 634-638
2 Complicated by damage to pelvic organs and tissues
Laceration, perforation, or tear of:
bladder
uterus
Any condition classifiable to 639.2, with condition classifiable to 634-638
3 Complicated by renal failure
Oliguria
Uremia
Any condition classifiable to 639.3, with condition classifiable to 634-638
4 Complicated by metabolic disorder
Electrolyte imbalance with conditions classifiable to 634-638
5 Complicated by shock
Circulatory collapse
Shock (postoperative) (septic)
Any condition classifiable to 639.5, with condition classifiable to 634-638
6 Complicated by embolism
Embolism:
NOS
amniotic fluid
pulmonary
Any condition classifiable to 639.6, with condition classifiable to 634-638
7 With other specified complications
Cardiac arrest or failure
Urinary tract infection
Any condition classifiable to 639.8, with condition classifiable to 634-638
8 With unspecified complications
9 Without mention of complication
634 Spontaneous abortion
Requires fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes: miscarriage
spontaneous abortion
634.0_ Complicated by genital tract and pelvic infection
634.1_ Complicated by delayed or excessive hemorrhage
634.2_ Complicated by damage to pelvic organs or tissues
634.3_ Complicated by renal failure
634.4_ Complicated by metabolic disorder
634.5_ Complicated by shock
634.6_ Complicated by embolism
634.7_ With other specified complications
634.8_ With unspecified complication
634.9_ Without mention of complication
635 Legally induced abortion
Requires fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes: abortion or termination of pregnancy:
elective
legal
therapeutic
Excludes: menstrual extraction or regulation (V25.3)
635.0_ Complicated by genital tract and pelvic infection
635.1_ Complicated by delayed or excessive hemorrhage
635.2_ Complicated by damage to pelvic organs or tissues
635.3_ Complicated by renal failure
635.4_ Complicated by metabolic disorder
635.5_ Complicated by shock
635.6_ Complicated by embolism
635.7_ With other specified complications
635.8_ With unspecified complication
635.9_ Without mention of complication
636 Illegally induced abortion
Requires fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes: abortion:
criminal
illegal
self-induced
636.0_ Complicated by genital tract and pelvic infection
636.1_ Complicated by delayed or excessive hemorrhage
636.2_ Complicated by damage to pelvic organs or tissues
636.3_ Complicated by renal failure
636.4_ Complicated by metabolic disorder
636.5_ Complicated by shock
636.6_ Complicated by embolism
636.7_ With other specified complications
636.8_ With unspecified complication
636.9_ Without mention of complication
637 Unspecified abortion
Requires following fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes: abortion NOS
retained products of conception following abortion, not
classifiable elsewhere
637.0_ Complicated by genital tract and pelvic infection
637.1_ Complicated by delayed or excessive hemorrhage
637.2_ Complicated by damage to pelvic organs or tissues
637.3_ Complicated by renal failure
637.4_ Complicated by metabolic disorder
637.5_ Complicated by shock
637.6_ Complicated by embolism
637.7_ With other specified complications
637.8_ With unspecified complication
637.9_ Without mention of complication
638 Failed attempted abortion
Includes: failure of attempted induction of (legal) abortion
Excludes: incomplete abortion (634.0-637.9)
638.0_ Complicated by genital tract and pelvic infection
638.1_ Complicated by delayed or excessive hemorrhage
638.2_ Complicated by damage to pelvic organs or tissues
638.3_ Complicated by renal failure
638.4_ Complicated by metabolic disorder
638.5_ Complicated by shock
638.6_ Complicated by embolism
638.7_ With other specified complications
638.8_ With unspecified complication
638.9_ Without mention of complication
639 Complications following abortion and ectopic and molar pregnancies
Note: This category is provided for use when it is required to classify
separately the complications classifiable to the fourth digit level in
categories 634-638; for example:
a) when the complication itself was responsible for an episode of medical
care, the abortion, ectopic or molar pregnancy itself having been dealt with
at a previous episode
b) when these conditions are immediate complications of ectopic or molar
pregnancies classifiable to 630-633 where they cannot be identified at
fourth digit level.
639.0 Genital tract and pelvic infection
Endometritis following conditions classifiable to 630-638
Parametritis following conditions classifiable to 630-638
Pelvic peritonitis following conditions classifiable to 630-638
Salpingitis following conditions classifiable to 630-638
Salpingo-oophoritis following conditions classifiable to 630-638
Sepsis NOS following conditions classifiable to 630-638
Septicemia NOS following conditions classifiable to 630-638
Excludes: urinary tract infection (639.8)
639.1 Delayed or excessive hemorrhage
Afibrinogenemia following conditions classifiable to 630-638
Defibrination syndrome following conditions classifiable to 630-638
Intravascular hemolysis following conditions classifiable to 630-638
639.2 Damage to pelvic organs and tissues
Laceration, perforation, or tear of:
bladder following conditions classifiable to 630-638
bowel following conditions classifiable to 630-638
broad ligament following conditions classifiable to 630-638
cervix following conditions classifiable to 630-638
periurethral tissue following conditions classifiable to 630-638
uterus following conditions classifiable to 630-638
vagina following conditions classifiable to 630-638
639.3 Renal failure
Oliguria following conditions classifiable to 630-638
Renal:
failure (acute) following conditions classifiable to 630-638
shutdown following conditions classifiable to 630-638
tubular necrosis following conditions classifiable to 630-638
Uremia following conditions classifiable to 630-638
639.4 Metabolic disorders
Electrolyte imbalance following conditions classifiable to 630-638
639.5 Shock
Circulatory collapse following conditions classifiable to 630-638
Shock (postoperative) (septic) following conditions classifiable to
630-638
639.6 Embolism
Embolism:
NOS following conditions classifiable to 630-638
air following conditions classifiable to 630-638
amniotic fluid following conditions classifiable to 630-638
blood-clot following conditions classifiable to 630-638
fat following conditions classifiable to 630-638
pulmonary following conditions classifiable to 630-638
pyemic following conditions classifiable to 630-638
septic following conditions classifiable to 630-638
soap following conditions classifiable to 630-638
639.8 Other specified complications following abortion or ectopic and molar
pregnancy
Acute yellow atrophy or necrosis of liver following conditions
classifiable to 630-638
Cardiac arrest or failure following conditions classifiable to 630-638
Cerebral anoxia following conditions classifiable to 630-638
Urinary tract infection following conditions classifiable to 630-638
639.9 Unspecified complication following abortion or ectopic and molar
pregnancy
Complication(s) not further specified following conditions classifiable
to 630-638
COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-648)
Includes: the listed conditions even if they arose or were present
during labor, delivery, or the puerperium
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
Antepartum condition with delivery
Delivery NOS (with mention of antepartum complication during current episode
of care)
Intrapartum
obstetric condition (with mention of antepartum complication during current
episode of care)
Pregnancy, delivered (with mention of antepartum complication during current
episode of care)
2 delivered, with mention of postpartum complication
Delivery with mention of puerperal complication during current episode of
care
3 antepartum condition or complication
Antepartum obstetric condition, not delivered during the current episode of
care
4 postpartum condition or complication
Postpartum or puerperal obstetric condition or complication following
delivery that occurred:
during previous episode of care
outside hospital, with subsequent admission for observation or care
640 Hemorrhage in early pregnancy
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
Includes: hemorrhage before completion of 22 weeks' gestation
640.0_ Threatened abortion
[0,1,3]
640.8_ Other specified hemorrhage in early pregnancy
[0,1,3]
640.9_ Unspecified hemorrhage in early pregnancy
[0,1,3]
641 Antepartum hemorrhage, abruptio placentae, and placenta previa
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
641.0_ Placenta previa without hemorrhage
[0,1,3]
Low implantation of placenta without hemorrhage
Placenta previa noted:
during pregnancy without hemorrhage
before labor (and delivered by cesarean delivery) without
hemorrhage
641.1_ Hemorrhage from placenta previa
[0,1,3]
Low-lying placenta NOS or with hemorrhage (intrapartum)
Placenta previa:
incomplete NOS or with hemorrhage (intrapartum)
marginal NOS or with hemorrhage (intrapartum)
partial NOS or with hemorrhage (intrapartum)
total NOS or with hemorrhage (intrapartum)
Excludes: hemorrhage from vasa previa (663.5)
641.2_ Premature separation of placenta
[0,1,3]
Ablatio placentae
Abruptio placentae
Accidental antepartum hemorrhage
Couvelaire uterus
Detachment of placenta (premature)
Premature separation of normally implanted placenta
641.3_ Antepartum hemorrhage associated with coagulation defects
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
afibrinogenemia
hyperfibrinolysis
hypofibrinogenemia
641.8_ Other antepartum hemorrhage
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
trauma
uterine leiomyoma
641.9_ Unspecified antepartum hemorrhage
[0,1,3]
Hemorrhage:
antepartum NOS
intrapartum NOS
of pregnancy NOS
642 Hypertension complicating pregnancy, childbirth, and the puerperium
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
642.0_ Benign essential hypertension complicating pregnancy,
childbirth, and the puerperium
[0-4]
Hypertension:
benign essential specified as complicating, or as a reason for
obstetric care during pregnancy, childbirth, or the puerperium
chronic NOS specified as complicating, or as a reason for
obstetric care during pregnancy, childbirth, or the puerperium
essential specified as complicating, or as a reason for obstetric
care during pregnancy, childbirth, or the puerperium
pre-existing NOS specified as complicating, or as a reason for
obstetric care during pregnancy, childbirth, or the puerperium
642.1_ Hypertension secondary to renal disease, complicating pregnancy,
childbirth, and the puerperium
[0-4]
Hypertension secondary to renal disease, specified as
complicating, or as a reason for obstetric care during pregnancy,
childbirth, or the puerperium
642.2_ Other pre-existing hypertension complicating pregnancy,
childbirth, and the puerperium
[0-4]
Hypertensive:
heart and renal disease specified as complicating, or as a reason
for obstetric care during pregnancy, childbirth, or the puerperium
heart disease specified as complicating, or as a reason for
obstetric care during pregnancy, childbirth, or the puerperium
renal disease specified as complicating, or as a reason for
obstetric care during pregnancy, childbirth, or the puerperium
Malignant hypertension specified as complicating, or as a reason
for obstetric care during pregnancy, childbirth, or the puerperium
642.3_ Transient hypertension of pregnancy
[0-4]
Gestational hypertension
Transient hypertension, so described, in pregnancy, childbirth,
or the puerperium
642.4_ Mild or unspecified pre-eclampsia
[0-4]
Hypertension in pregnancy, childbirth, or the puerperium, not
specified as pre-existing, with either albuminuria or edema, or
both; mild or unspecified
Pre-eclampsia:
NOS
mild
Toxemia (pre-eclamptic):
NOS
mild
Excludes: albuminuria in pregnancy, without mention of hypertension
(646.2)
edema in pregnancy, without mention of hypertension (646.1)
642.5_ Severe pre-eclampsia
[0-4]
Hypertension in pregnancy, childbirth, or the puerperium, not
specified as pre-existing, with either albuminuria or edema, or
both; specified as severe
Pre-eclampsia, severe
Toxemia (pre-eclamptic), severe
642.6_ Eclampsia
[0-4]
Toxemia:
eclamptic
with convulsions
642.7_ Pre-eclampsia or eclampsia superimposed on pre-existing
hypertension
[0-4]
Conditions classifiable to 642.4-642.6, with conditions
classifiable to 642.0-642.2
642.9_ Unspecified hypertension complicating pregnancy, childbirth, or
the puerperium
[0-4]
Hypertension NOS, without mention of albuminuria or edema,
complicating pregnancy, childbirth, or the puerperium
643 Excessive vomiting in pregnancy
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
Includes: hyperemesis arising during pregnancy
vomiting:
persistent arising during pregnancy
vicious arising during pregnancy
hyperemesis gravidarum
643.0_ Mild hyperemesis gravidarum
[0,1,3]
Hyperemesis gravidarum, mild or unspecified, starting before the
end of the 22nd week of gestation
643.1_ Hyperemesis gravidarum with metabolic disturbance
[0,1,3]
Hyperemesis gravidarum, starting before the end of the 22nd week
of gestation, with metabolic disturbance, such as:
carbohydrate depletion
dehydration
electrolyte imbalance
643.2_ Late vomiting of pregnancy
[0,1,3]
Excessive vomiting starting after 22 completed weeks of gestation
643.8_ Other vomiting complicating pregnancy
[0,1,3]
Vomiting due to organic disease or other cause, specified as
complicating pregnancy, or as a reason for obstetric care during
pregnancy
Use additional code to specify cause
643.9_ Unspecified vomiting of pregnancy
[0,1,3]
Vomiting as a reason for care during pregnancy, length of
gestation unspecified
644 Early or threatened labor
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
644.0_ Threatened premature labor
[0,3]
Premature labor after 22 weeks, but before 37 completed weeks of
gestation without delivery
Excludes: that occurring before 22 completed weeks of gestation (640.0)
644.1_ Other threatened labor
[0,3]
False labor:
NOS without delivery
after 37 completed weeks of gestation without delivery
Threatened labor NOS without delivery
644.2_ Early onset of delivery
[0-1]
Onset (spontaneous) of delivery before 37 completed weeks of
gestation
Premature labor with onset of delivery before 37 completed weeks
of gestation
645 Late pregnancy
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
645.1_ Post term pregnancy
[0,1,3]
Pregnancy over 40 completed weeks to 42 completed weeks gestation
645.2_ Prolonged pregnancy
[0,1,3]
Pregnancy which has advanced beyond 42 completed weeks of
gestation
646 Other complications of pregnancy, not elsewhere classified
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
646.0_ Papyraceous fetus
[0,1,3]
646.1_ Edema or excessive weight gain in pregnancy, without mention of
hypertension
[0-4]
Gestational edema
Maternal obesity syndrome
Excludes: that with mention of hypertension (642.0-642.9)
646.2_ Unspecified renal disease in pregnancy, without mention of
hypertension
[0-4]
Albuminuria in pregnancy or the puerperium, without mention of
hypertension
Nephropathy NOS in pregnancy or the puerperium, without mention
of hypertension
Renal disease NOS in pregnancy or the puerperium, without mention
of hypertension
Uremia in pregnancy or the puerperium, without mention of
hypertension
Gestational proteinuria in pregnancy or the puerperium, without
mention of hypertension
Excludes: that with mention of hypertension (642.0-642.9)
646.3_ Habitual aborter
[0-1,3]
Excludes: with current abortion (634.0-634.9)
without current pregnancy (629.9)
646.4_ Peripheral neuritis in pregnancy
[0-4]
646.5_ Asymptomatic bacteriuria in pregnancy
[0-4]
646.6_ Infections of genitourinary tract in pregnancy
[0-4]
Conditions classifiable to 590, 595, 597, 599.0, 616 complicating
pregnancy, childbirth, or the puerperium
Conditions classifiable to 614.0-614.5, 614.7-614.9, 615
complicating pregnancy or labor
Excludes: major puerperal infection (670)
646.7_ Liver disorders in pregnancy
[0,1,3]
Acute yellow atrophy of liver (obstetric) (true) of pregnancy
Icterus gravis of pregnancy
Necrosis of liver of pregnancy
Excludes: hepatorenal syndrome following delivery (674.8)
viral hepatitis (647.6)
646.8_ Other specified complications of pregnancy
[0-4]
Fatigue during pregnancy
Herpes gestationis
Insufficient weight gain of pregnancy
Uterine size-date discrepancy
646.9_ Unspecified complication of pregnancy
[0,1,3]
647 Infectious and parasitic conditions in the mother classifiable elsewhere,
but complicating pregnancy, childbirth, or the puerperium
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
Includes: the listed conditions when complicating the pregnant state,
aggravated by the pregnancy, or when a main reason for
obstetric care
Excludes: those conditions in the mother known or suspected to have
affected the fetus (655.0-655.9)
647.0_ Syphilis
[0-4]
Conditions classifiable to 090-097
647.1_ Gonorrhea
[0-4]
Conditions classifiable to 098
647.2_ Other venereal diseases
[0-4]
Conditions classifiable to 099
647.3_ Tuberculosis
[0-4]
Conditions classifiable to 010-018
647.4_ Malaria
[0-4]
Conditions classifiable to 084
647.5_ Rubella
[0-4]
Conditions classifiable to 056
647.6_ Other viral diseases
[0-4]
Conditions classifiable to 042 and 050-079, except 056
647.8_ Other specified infectious and parasitic diseases
[0-4]
647.9_ Unspecified infection or infestation
[0-4]
648 Other current conditions in the mother classifiable elsewhere, but
complicating pregnancy, childbirth, or the puerperium
Use additional code(s) to identify the condition
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 640-648 for definitions.
Includes: the listed conditions when complicating the pregnant state,
aggravated by the pregnancy, or when a main reason for
obstetric care
Excludes: those conditions in the mother known or suspected to have
affected the fetus (655.0-665.9)
648.0_ Diabetes mellitus
[0-4]
Conditions classifiable to 250
Excludes: gestational diabetes (648.8)
648.1_ Thyroid dysfunction
[0-4]
Conditions classifiable to 240-246
648.2_ Anemia
[0-4]
Conditions classifiable to 280-285
648.3_ Drug dependence
[0-4]
Conditions classifiable to 304
648.4_ Mental disorders
[0-4]
Conditions classifiable to 290-303, 305-316, 317-319
648.5_ Congenital cardiovascular disorders
[0-4]
Conditions classifiable to 745-747
648.6_ Other cardiovascular diseases
[0-4]
Conditions classifiable to 390-398, 410-429
Excludes: cerebrovascular disorders in the puerperium (674.0)
peripartum cardiomyopathy (674.5)
venous complications (671.0-671.9)
648.7_ Bone and joint disorders of back, pelvis, and lower limbs
[0-4]
Conditions classifiable to 720-724, and those classifiable to
711-719 or 725-738, specified as affecting the lower limbs
648.8_ Abnormal glucose tolerance
[0-4]
Conditions classifiable to 790.21-790.29
Gestational diabetes
Use additional code, if applicable, for associated long-term (current)
insulin use V58.67
648.9_ Other current conditions classifiable elsewhere
[0-4]
Conditions classifiable to 440-459
Nutritional deficiencies [conditions classifiable to 260-269]
NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND
DELIVERY (650-659)
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
650 Normal delivery
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 in the range 630-676.
Use additional code to indicate outcome of delivery (V27.0)
Excludes: breech delivery (assisted) (spontaneous) NOS (652.2)
delivery by vacuum extractor, forceps, cesarean section, or
breech extraction, without specified complication
(669.5-669.7)
651 Multiple gestation
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
651.0_ Twin pregnancy
[0,1,3]
651.1_ Triplet pregnancy
[0,1,3]
651.2_ Quadruplet pregnancy
[0,1,3]
651.3_ Twin pregnancy with fetal loss and retention of one fetus
[0,1,3]
651.4_ Triplet pregnancy with fetal loss and retention of one or more
fetus(es)
[0,1,3]
651.5_ Quadruplet pregnancy with fetal loss and retention of one or
more fetus(es)
[0,1,3]
651.6_ Other multiple pregnancy with fetal loss and retention of one or
more fetus(es)
[0,1,3]
651.7_ Multiple gestation following (elective) fetal reduction
[0,1,3]
Fetal reduction of multiple fetuses reduced to single fetus
651.8_ Other specified multiple gestation
[0,1,3]
651.9_ Unspecified multiple gestation
[0,1,3]
652 Malposition and malpresentation of fetus
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
652.0_ Unstable lie
[0,1,3]
652.1_ Breech or other malpresentation successfully converted to
cephalic presentation
[0,1,3]
Cephalic version NOS
652.2_ Breech presentation without mention of version
[0,1,3]
Breech delivery (assisted) (spontaneous) NOS
Buttocks presentation
Complete breech
Frank breech
Excludes: footling presentation (652.8)
incomplete breech (652.8)
652.3_ Transverse or oblique presentation
[0,1,3]
Oblique lie
Transverse lie
Excludes: transverse arrest of fetal head (660.3)
652.4_ Face or brow presentation
[0,1,3]
Mentum presentation
652.5_ High head at term
[0,1,3]
Failure of head to enter pelvic brim
652.6_ Multiple gestation with malpresentation of one fetus or more
[0,1,3]
652.7_ Prolapsed arm
[0,1,3]
652.8_ Other specified malposition or malpresentation
[0,1,3]
Compound presentation
652.9_ Unspecified malposition or malpresentation
[0,1,3]
653 Disproportion
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
653.0_ Major abnormality of bony pelvis, not further specified
[0,1,3]
Pelvic deformity NOS
653.1_ Generally contracted pelvis
[0,1,3]
Contracted pelvis NOS
653.2_ Inlet contraction of pelvis
[0,1,3]
Inlet contraction (pelvis)
653.3_ Outlet contraction of pelvis
[0,1,3]
Outlet contraction (pelvis)
653.4_ Fetopelvic disproportion
[0,1,3]
Cephalopelvic disproportion NOS
Disproportion of mixed maternal and fetal origin, with normally
formed fetus
653.5_ Unusually large fetus causing disproportion
[0,1,3]
Disproportion of fetal origin with normally formed fetus
Fetal disproportion NOS
Excludes: that when the reason for medical care was concern for the
fetus (656.6)
653.6_ Hydrocephalic fetus causing disproportion
[0,1,3]
Excludes: that when the reason for medical care was concern for the
fetus (655.0)
653.7_ Other fetal abnormality causing disproportion
[0,1,3]
Conjoined twins
Fetal:
ascites
hydrops
myelomeningocele
sacral teratoma
tumor
653.8_ Disproportion of other origin
[0,1,3]
Excludes: shoulder (girdle) dystocia (660.4)
653.9_ Unspecified disproportion
[0,1,3]
654 Abnormality of organs and soft tissues of pelvis
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
Includes: the listed conditions during pregnancy, childbirth, or the
puerperium
654.0_ Congenital abnormalities of uterus
[0-4]
Double uterus
Uterus bicornis
654.1_ Tumors of body of uterus
[0-4]
Uterine fibroids
654.2_ Previous cesarean delivery
[0,1,3]
Uterine scar from previous cesarean delivery
654.3_ Retroverted and incarcerated gravid uterus
[0-4]
654.4_ Other abnormalities in shape or position of gravid uterus and of
neighboring structures
[0-4]
Cystocele
Pelvic floor repair
Pendulous abdomen
Prolapse of gravid uterus
Rectocele
Rigid pelvic floor
654.5_ Cervical incompetence
[0-4]
Presence of Shirodkar suture with or without mention of cervical
incompetence
654.6_ Other congenital or acquired abnormality of cervix
[0-4]
Cicatricial cervix
Polyp of cervix
Previous surgery to cervix
Rigid cervix (uteri)
Stenosis or stricture of cervix
Tumor of cervix
654.7_ Congenital or acquired abnormality of vagina
[0-4]
Previous surgery to vagina
Septate vagina
Stenosis of vagina (acquired) (congenital)
Sricture of vagina
Tumor of vagina
654.8_ Congenital or acquired abnormality of vulva
[0-4]
Fibrosis of perineum
Persistent hymen
Previous surgery to perineum or vulva
Rigid perineum
Tumor of vulva
Excludes: varicose veins of vulva (671.1)
654.9_ Other and unspecified
[0-4]
Uterine scar NEC
655 Known or suspected fetal abnormality affecting management of mother
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
Includes: the listed conditions in the fetus as a reason for
observation or obstetrical care of the mother, or for
termination of pregnancy
655.0_ Central nervous system malformation in fetus
[0,1,3]
Fetal or suspected fetal:
anencephaly
hydrocephalus
spina bifida (with myelomeningocele)
655.1_ Chromosomal abnormality in fetus
[0,1,3]
655.2_ Hereditary disease in family possibly affecting fetus
[0,1,3]
655.3_ Suspected damage to fetus from viral disease in the mother
[0,1,3]
Suspected damage to fetus from maternal rubella
655.4_ Suspected damage to fetus from other disease in the mother
[0,1,3]
Suspected damage to fetus from maternal:
alcohol addiction
listeriosis
toxoplasmosis
655.5_ Suspected damage to fetus from drugs
[0,1,3]
655.6_ Suspected damage to fetus from radiation
[0,1,3]
655.7_ Decreased fetal movements
[0,1,3]
655.8_ Other known or suspected fetal abnormality, not elsewhere
classified
[0,1,3]
Suspected damage to fetus from:
environmental toxins
intrauterine contraceptive device
655.9_ Unspecified
[0,1,3]
656 Other fetal and placental problems affecting management of mother
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
656.0_ Fetal-maternal hemorrhage
[0,1,3]
Leakage (microscopic) of fetal blood into maternal circulation
656.1_ Rhesus isoimmunization
[0,1,3]
Anti-D [Rh] antibodies
Rh incompatibility
656.2_ Isoimmunization from other and unspecified blood-group
incompatibility
[0,1,3]
ABO isoimmunization
656.3_ Fetal distress
[0,1,3]
Fetal metabolic acidemia
Excludes: abnormal fetal acid-base balance (656.8)
abnormality in fetal heart rate or rhythm (659.7)
fetal bradycardia (659.7)
fetal tachycardia (659.7)
meconium in liquor (656.8)
656.4_ Intrauterine death
[0,1,3]
Fetal death:
NOS
after completion of 22 weeks' gestation
late
Missed delivery
Excludes: missed abortion (632)
656.5_ Poor fetal growth
[0,1,3]
"Light-for-dates"
"Placental insufficiency"
"Small-for-dates"
656.6_ Excessive fetal growth
[0,1,3]
"Large-for-dates"
656.7_ Other placental conditions
[0,1,3]
Abnormal placenta
Placental infarct
Excludes: placental polyp (674.4)
placentitis (658.4)
656.8_ Other specified fetal and placental problems
[0,1,3]
Abnormal acid-base balance
Intrauterine acidosis
Lithopedian
Meconium in liquor
656.9_ Unspecified fetal and placental problem
[0,1,3]
657 Polyhydramnios
[0,1,3]
Hydramnios
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
Use 0 as fourth digit for category 657
658 Other problems associated with amniotic cavity and membranes
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
Excludes: amniotic fluid embolism (673.1)
658.0_ Oligohydramnios
[0,1,3]
Oligohydramnios without mention of rupture of membranes
658.1_ Premature rupture of membranes
[0,1,3]
Rupture of amniotic sac less than 24 hours prior to the onset of
labor
658.2_ Delayed delivery after spontaneous or unspecified rupture of
membranes
[0,1,3]
Prolonged rupture of membranes NOS
Rupture of amniotic sac 24 hours or more prior to the onset of
labor
658.3_ Delayed delivery after artificial rupture of membranes
[0,1,3]
658.4_ Infection of amniotic cavity
[0,1,3]
Amnionitis
Chorioamnionitis
Membranitis
Placentitis
658.8_ Other
[0,1,3]
Amnion nodosum
Amniotic cyst
658.9_ Unspecified
[0,1,3]
659 Other indications for care or intervention related to labor and delivery,
not elsewhere classified
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 650-659 for definitions.
659.0_ Failed mechanical induction
[0,1,3]
Failure of induction of labor by surgical or other instrumental
methods
659.1_ Failed medical or unspecified induction
[0,1,3]
Failed induction NOS
Failure of induction of labor by medical methods, such as
oxytocic drugs
659.2_ Maternal pyrexia during labor, unspecified
[0,1,3]
659.3_ Generalized infection during labor
[0,1,3]
Septicemia during labor
659.4_ Grand multiparity
[0,1,3]
Excludes: supervision only, in pregnancy (V23.3)
without current pregnancy (V61.5)
659.5_ Elderly primigravida
[0,1,3]
First pregnancy in a woman who will be 35 years of age or older
at expected date of delivery
Excludes: supervision only, in pregnancy (V23.81)
659.6_ Elderly multigravida
[0,1,3]
Second or more pregnancy in a woman who will be 35 years of age
or older at expected date of delivery
Excludes: elderly primigravida (659.5)
supervision only, in pregnancy (V23.82)
659.7_ Abnormality in fetal heart rate or rhythm
[0, 1, 3]
Depressed fetal heart tones
Fetal:
bradycardia
tachycardia
Fetal heart rate decelerations
Non-reassuring fetal heart rate or rhythm
659.8_ Other specified indications for care or intervention related to
labor and delivery
[0,1,3]
Pregnancy in a female less than 16 years of age at expected date
of delivery
Very young maternal age
659.9_ Unspecified indication for care or intervention related to labor
and delivery
[0,1,3]
COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
660 Obstructed labor
Requires fifth digit; valid digits are in [brackets] under each code. See
beginning of section 660-669 for definitions.
660.0_ Obstruction caused by malposition of fetus at onset of labor
[0,1,3]
Any condition classifiable to 652, causing obstruction during
labor
Use additional code from 652.0-652.9 to identify condition
660.1_ Obstruction by bony pelvis
[0,1,3]
Any condition classifiable to 653, causing obstruction during
labor
Use additional code from 653.0-653.9 to identify condition
660.2_ Obstruction by abnormal pelvic soft tissues
[0,1,3]
Prolapse of anterior lip of cervix
Any condition classifiable to 654, causing obstruction during
labor
Use additional code from 654.0-654.9 to identify condition
660.3_ Deep transverse arrest and persistent occipitoposterior position
[0,1,3]
660.4_ Shoulder (girdle) dystocia
[0,1,3]
Impacted shoulders
660.5_ Locked twins
[0,1,3]