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
649 Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
649.0: Tobacco use disorder complicating pregnancy, childbirth, or the puerperium
[0-4]
Smoking complicating pregnancy, childbirth, or the puerperium
649.1: Obesity complicating pregnancy, childbirth, or the puerperium
[0-4]
Use additional code to identify the obesity (278.00-278.03)
649.2: Bariatric surgery status complicating pregnancy, childbirth, or the puerperium
[0-4]
Gastric banding status complicating pregnancy, childbirth, or the puerperium
Gastric bypass status for obesity complicating pregnancy, childbirth, or the puerperium
Obesity surgery status complicating pregnancy, childbirth, or the puerperium
649.3: Coagulation defects complicating pregnancy, childbirth, or the puerperium
[0-4]
Conditions classifiable to 286, 287, 289
Use additional code to identify the specific coagulation defect (286.0-286.9, 287.0-287.9, 289.0-289.9)
Excludes:
coagulation defects causing antepartum hemorrhage (641.3)
649.4: Epilepsy complicating pregnancy, childbirth, or the puerperium
[0-4]
Conditions classifiable to 345
Use additional code to identify the specific type of epilepsy (345.00-345.91)
Excludes:
eclampsia (642.6)
649.5: Spotting complicating pregnancy
[0,1,3]
Excludes:
antepartum hemorrhage (641.0-641.9)
hemorrhage in early pregnancy (640.0-640.9)
649.6: Uterine size date discrepancy
[0-4]
Excludes:
suspected problem with fetal growth not found (V89.04)
649.7: Cervical shortening
[0,1,3]
Excludes:
suspected cervical shortening not found (V89.05)
649.8: Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
[1-2]
Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor
Use additional code to specify reason for planned cesarean section such as:
cephalopelvic disproportion (normally formed fetus) (653.4)
previous cesarean delivery (654.2)

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