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
656 Other known or suspected fetal and placental problems affecting management of mother
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 650-659 for definitions.
Excludes:
fetal hematologic conditions (678.0)
suspected placental problems not found (V89.02)
656.0: Fetal-maternal hemorrhage
[0,1,3]
Leakage (microscopic) of fetal blood into maternal circulation
656.1: Rhesus isoimmunization
[0,1,3]
Anti-D [Rh] antibodies
Rh incompatibility
656.2: Isoimmunization from other and unspecified blood-group incompatibility
[0,1,3]
ABO isoimmunization
656.3: Fetal distress
[0,1,3]
Fetal metabolic acidemia
Excludes:
abnormal fetal acid-base balance (656.8)
abnormality in fetal heart rate or rhythm (659.7)
fetal bradycardia (659.7)
fetal tachycardia (659.7)
meconium in liquor (656.8)
656.4: Intrauterine death
[0,1,3]
Fetal death:
NOS
after completion of 22 weeks' gestation
late
Missed delivery
Excludes:
missed abortion (632)
656.5: Poor fetal growth
[0,1,3]
"Light-for-dates"
"Placental insufficiency"
"Small-for-dates"
656.6: Excessive fetal growth
[0,1,3]
"Large-for-dates"
656.7: Other placental conditions
[0,1,3]
Abnormal placenta
Placental infarct
Excludes:
placental polyp (674.4)
placentitis (658.4)
656.8: Other specified fetal and placental problems
[0,1,3]
Abnormal acid-base balance
Intrauterine acidosis
Lithopedian
Meconium in liquor
Subchorionic hematoma
656.9: Unspecified fetal and placental problem
[0,1,3]

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