COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)
The following fifth-digit subclassification is for use with categories 660-669 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
666 Postpartum hemorrhage
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
666.0: Third-stage hemorrhage
[0,2,4]
Hemorrhage associated with retained, trapped, or adherent placenta
Retained placenta NOS
666.1: Other immediate postpartum hemorrhage
[0,2,4]
Atony of uterus with hemorrhage
Hemorrhage within the first 24 hours following delivery of placenta
Postpartum atony of uterus with hemorrhage
Postpartum hemorrhage (atonic) NOS
Excludes:
atony of uterus without hemorrhage (661.2)
postpartum atony of uterus without hemorrhage (669.8)
666.2: Delayed and secondary postpartum hemorrhage
[0,2,4]
Hemorrhage:
after the first 24 hours following delivery
associated with retained portions of placenta or membranes
Postpartum hemorrhage specified as delayed or secondary
Retained products of conception NOS, following delivery
666.3: Postpartum coagulation defects
[0,2,4]
Postpartum:
afibrinogenemia
fibrinolysis

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