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
641 Antepartum hemorrhage, abruptio placentae, and placenta previa
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 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
Excludes:
coagulation defects not associated with antepartum hemorrhage (649.3)
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

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