ICD-9-CM

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

654 Abnormality of organs and soft tissues of pelvis Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 650-659 for definitions. Includes: the listed conditions during pregnancy, childbirth, or the puerperium Code first any associated obstructed labor (660.2) Excludes: trauma to perineum and vulva complicating current delivery (664.0-664.9)
654.0: Congenital abnormalities of uterus [0-4] Double uterus Uterus bicornis
654.1: Tumors of body of uterus [0-4] Uterine fibroids
654.2: Previous cesarean delivery [0,1,3] Uterine scar from previous cesarean delivery
654.3: Retroverted and incarcerated gravid uterus [0-4]
654.4: Other abnormalities in shape or position of gravid uterus and of neighboring structures [0-4] Cystocele Pelvic floor repair Pendulous abdomen Prolapse of gravid uterus Rectocele Rigid pelvic floor
654.5: Cervical incompetence [0-4] Presence of Shirodkar suture with or without mention of cervical incompetence
654.6: Other congenital or acquired abnormality of cervix [0-4] Cicatricial cervix Polyp of cervix Previous surgery to cervix Rigid cervix (uteri) Stenosis or stricture of cervix Tumor of cervix
654.7: Congenital or acquired abnormality of vagina [0-4] Previous surgery to vagina Septate vagina Stenosis of vagina (acquired) (congenital) Sricture of vagina Tumor of vagina
654.8: Congenital or acquired abnormality of vulva [0-4] Anal sphincter tear (healed) (old) complicating delivery Fibrosis of perineum Persistent hymen Previous surgery to perineum or vulva Rigid perineum Tumor of vulva Excludes: anal sphincter tear (healed) (old) not associated with delivery (569.43) varicose veins of vulva (671.1)
654.9: Other and unspecified [0-4] Uterine scar NEC

654 Abnormality of organs and soft tissues of pelvis

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 650-659 for definitions.

Includes:

the listed conditions during pregnancy, childbirth, or the puerperium

Code first any associated obstructed labor (660.2)

Excludes:

trauma to perineum and vulva complicating current delivery (664.0-664.9)

654.0: Congenital abnormalities of uterus

[0-4]

Double uterus

Uterus bicornis

654.1: Tumors of body of uterus