ICD-9-CM

11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)
ECTOPIC AND MOLAR PREGNANCY (630-633) Use additional code from category 639 to identify any complications
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
COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-649) Includes: the listed conditions even if they arose or were present during labor, delivery, or the puerperium The following fifth-digit subclassification is for use with categories 640-649 to denote the current episode of care: 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
NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659) The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care: 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
COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669) The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care: 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
COMPLICATIONS OF THE PUERPERIUM (670-677) Note: Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth. The following fifth-digit subclassification is for use with categories 670-676 to denote the current episode of care: 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
OTHER MATERNAL AND FETAL COMPLICATIONS (678-679) The following fifth-digit subclassification is for use with categories 678-679 to denote the current episode of care: 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

11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)

ECTOPIC AND MOLAR PREGNANCY (630-633)

Use additional code from category 639 to identify any complications

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

COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-649)

Includes:

the listed conditions even if they arose or were present during labor, delivery, or the puerperium

The following fifth-digit subclassification is for use with categories 640-649 to denote the current episode of care:

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

NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659)

The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care:

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

COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)

The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care:

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

COMPLICATIONS OF THE PUERPERIUM (670-677)

Note:

Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth.

The following fifth-digit subclassification is for use with categories 670-676 to denote the current episode of care:

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

OTHER MATERNAL AND FETAL COMPLICATIONS (678-679)

The following fifth-digit subclassification is for use with categories 678-679 to denote the current episode of care:

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