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
653 Disproportion
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 650-659 for definitions.
Code first any associated obstructed labor (660.1)
[0,1,3]
Contracted pelvis NOS
[0,1,3]
Inlet contraction (pelvis)
[0,1,3]
Outlet contraction (pelvis)
[0,1,3]
Cephalopelvic disproportion NOS
Disproportion of mixed maternal and fetal origin, with normally formed fetus
[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)
[0,1,3]
Excludes:
that when the reason for medical care was concern for the fetus (655.0)
[0,1,3]
Fetal:
ascites
hydrops
myelomeningocele
sacral teratoma
tumor
Excludes:
conjoined twins causing disproportion (678.1)
[0,1,3]
Excludes:
shoulder (girdle) dystocia (660.4)

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