11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)
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
Requires fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes:
miscarriage
spontaneous 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)
Requires fifth digit to identify stage:
0 unspecified
1 incomplete
2 complete
Includes:
abortion:
criminal
illegal
self-induced
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
Includes:
failure of attempted induction of (legal) abortion
Excludes:
incomplete abortion (634.0-637.9)
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.

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