Complications Mainly Related to Pregnancy ICD 9 Codes (640-649)


COMPLICATIONS MAINLY RELATED TO PREGNANCY ICD 9 CODES (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
640       Hemorrhage in early pregnancy     (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
Includes:     hemorrhage before completion of 22 weeks' gestation
640.0    Threatened abortion
[0,1,3]
640.8    Other specified hemorrhage in early pregnancy
[0,1,3]
640.9    Unspecified hemorrhage in early pregnancy
[0,1,3]
641       Antepartum hemorrhage, abruptio placentae, and placenta previa   (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
641.0    Placenta previa without hemorrhage
[0,1,3]
Low implantation of placenta without hemorrhage
Placenta previa noted:
during pregnancy without hemorrhage
before labor (and delivered by cesarean delivery) without hemorrhage
641.1    Hemorrhage from placenta previa
[0,1,3]
Low-lying placenta NOS or with hemorrhage (intrapartum)
Placenta previa:
incomplete NOS or with hemorrhage (intrapartum)
marginal NOS or with hemorrhage (intrapartum)
partial NOS or with hemorrhage (intrapartum)
total NOS or with hemorrhage (intrapartum)
Excludes: hemorrhage from vasa previa (663.5)
641.2    Premature separation of placenta
[0,1,3]
Ablatio placentae
Abruptio placentae
Accidental antepartum hemorrhage
Couvelaire uterus
Detachment of placenta (premature)
Premature separation of normally implanted placenta
641.3    Antepartum hemorrhage associated with coagulation defects
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
afibrinogenemia
hyperfibrinolysis
hypofibrinogenemia
Excludes: coagulation defects not associated with antepartum hemorrhage (649.3)
641.8    Other antepartum hemorrhage
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
trauma
uterine leiomyoma
641.9    Unspecified antepartum hemorrhage
[0,1,3]
Hemorrhage:
antepartum NOS
intrapartum NOS
of pregnancy NOS
642       Hypertension complicating pregnancy, childbirth, and the puerperium   (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
642.0    Benign essential hypertension complicating pregnancy, childbirth, and the puerperium
[0-4]
Hypertension:
benign essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
chronic NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
642.1    Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium
[0-4]
Hypertension secondary to renal disease, specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
642.2    Other pre-existing hypertension complicating pregnancy, childbirth, and the puerperium
[0-4]
Hypertensive:
heart and chronic kidney disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
heart disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
chronic kidney disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
Malignant hypertension specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium
642.3    Transient hypertension of pregnancy
[0-4]
Gestational hypertension
Transient hypertension, so described, in pregnancy, childbirth, or the puerperium
642.4    Mild or unspecified pre-eclampsia
[0-4]
Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; mild or unspecified
Pre-eclampsia:
NOS
mild
Toxemia (pre-eclamptic):
NOS
mild
Excludes: albuminuria in pregnancy, without mention of hypertension (646.2)
edema in pregnancy, without mention of hypertension (646.1)
642.5    Severe pre-eclampsia
[0-4]
Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; specified as severe
Pre-eclampsia, severe
Toxemia (pre-eclamptic), severe
642.6    Eclampsia
[0-4]
Toxemia:
eclamptic
with convulsions
642.7    Pre-eclampsia or eclampsia superimposed on pre-existing hypertension
[0-4]
Conditions classifiable to 642.4-642.6, with conditions classifiable to 642.0-642.2
642.9    Unspecified hypertension complicating pregnancy, childbirth, or the puerperium
[0-4]
Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium
643       Excessive vomiting in pregnancy       (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
Includes:     hyperemesis arising during pregnancy
vomiting:
persistent arising during pregnancy
vicious arising during pregnancy
hyperemesis gravidarum
643.0    Mild hyperemesis gravidarum
[0,1,3]
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation
643.1    Hyperemesis gravidarum with metabolic disturbance
[0,1,3]
Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance, such as:
carbohydrate depletion
dehydration
electrolyte imbalance
643.2    Late vomiting of pregnancy
[0,1,3]
Excessive vomiting starting after 22 completed weeks of gestation
643.8    Other vomiting complicating pregnancy
[0,1,3]
Vomiting due to organic disease or other cause, specified as complicating pregnancy, or as a reason for obstetric care during pregnancy
Use additional code to specify cause
643.9    Unspecified vomiting of pregnancy
[0,1,3]
Vomiting as a reason for care during pregnancy, length of gestation unspecified
644       Early or threatened labor           (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
644.0    Threatened premature labor
[0,3]
Premature labor after 22 weeks, but before 37 completed weeks of gestation without delivery
Excludes: that occurring before 22 completed weeks of gestation (640.0)
644.1    Other threatened labor
[0,3]
False labor:
NOS without delivery
after 37 completed weeks of gestation without delivery
Threatened labor NOS without delivery
644.2    Early onset of delivery
[0-1]
Onset (spontaneous) of delivery before 37 completed weeks of gestation
Premature labor with onset of delivery before 37 completed weeks of gestation
645       Late pregnancy         (ICD 9 CM Codes)
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
645.1    Post term pregnancy
[0,1,3]
Pregnancy over 40 completed weeks to 42 completed weeks gestation
645.2    Prolonged pregnancy
[0,1,3]
Pregnancy which has advanced beyond 42 completed weeks of gestation
646       Other complications of pregnancy, not elsewhere classified   (ICD 9 CM Codes)
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
646.0    Papyraceous fetus
[0,1,3]
646.1    Edema or excessive weight gain in pregnancy, without mention of hypertension
[0-4]
Gestational edema
Maternal obesity syndrome
Excludes: that with mention of hypertension (642.0-642.9)
646.2    Unspecified renal disease in pregnancy, without mention of hypertension
[0-4]
Albuminuria in pregnancy or the puerperium, without mention of hypertension
Nephropathy NOS in pregnancy or the puerperium, without mention of hypertension
Renal disease NOS in pregnancy or the puerperium, without mention of hypertension
Uremia in pregnancy or the puerperium, without mention of hypertension
Gestational proteinuria in pregnancy or the puerperium, without mention of hypertension
Excludes: that with mention of hypertension (642.0-642.9)
646.3    Recurrent pregnancy loss
[0-1,3]
Excludes: with current abortion (634.0-634.9)
without current pregnancy (629.81)
646.4    Peripheral neuritis in pregnancy
[0-4]
646.5    Asymptomatic bacteriuria in pregnancy
[0-4]
646.6    Infections of genitourinary tract in pregnancy
[0-4]
Conditions classifiable to 590, 595, 597, 599.0, 616 complicating pregnancy, childbirth, or the puerperium
Conditions classifiable to 614.0-614.5, 614.7-614.9, 615 complicating pregnancy or labor
Excludes: major puerperal infection (670.0-670.8)
646.7    Liver and biliary tract disorders in pregnancy
[0,1,3]
Acute yellow atrophy of liver (obstetric) (true) of pregnancy
Icterus gravis of pregnancy
Necrosis of liver of pregnancy
Excludes: hepatorenal syndrome following delivery (674.8)
viral hepatitis (647.6)
646.8    Other specified complications of pregnancy
[0-4]
Fatigue during pregnancy
Herpes gestationis
Insufficient weight gain of pregnancy
646.9    Unspecified complication of pregnancy
[0,1,3]
647       Infectious and parasitic conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium       (ICD 9 CM Codes)
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
Includes:     the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care
Excludes:    those conditions in the mother known or suspected to have affected the fetus (655.0-655.9)
647.0    Syphilis
[0-4]
Conditions classifiable to 090-097
647.1    Gonorrhea
[0-4]
Conditions classifiable to 098
647.2    Other venereal diseases
[0-4]
Conditions classifiable to 099
647.3    Tuberculosis
[0-4]
Conditions classifiable to 010-018
647.4    Malaria
[0-4]
Conditions classifiable to 084
647.5    Rubella
[0-4]
Conditions classifiable to 056
647.6    Other viral diseases
[0-4]
Conditions classifiable to 042, 050-055, 057-079, 795.05, 795.15, 796.75
647.8    Other specified infectious and parasitic diseases
[0-4]
647.9    Unspecified infection or infestation
[0-4]
648       Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium      (ICD 9 CM Codes)
Use additional code(s) to identify the condition
Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 640-649 for definitions.
Includes:     the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care
Excludes:    those conditions in the mother known or suspected to have affected the fetus (655.0-655.9)
648.0    Diabetes mellitus
[0-4]
Conditions classifiable to 249, 250
Excludes: gestational diabetes (648.8)
648.1    Thyroid dysfunction
[0-4]
Conditions classifiable to 240-246
648.2    Anemia
[0-4]
Conditions classifiable to 280-285
648.3    Drug dependence
[0-4]
Conditions classifiable to 304
648.4    Mental disorders
[0-4]
Conditions classifiable to 290-303, 305.0, 305.2-305.9, 306-316, 317-319
648.5    Congenital cardiovascular disorders
[0-4]
Conditions classifiable to 745-747
648.6    Other cardiovascular diseases
[0-4]
Conditions classifiable to 390-398, 410-429
Excludes: cerebrovascular disorders in the puerperium (674.0)
peripartum cardiomyopathy (674.5)
venous complications (671.0-671.9)
648.7    Bone and joint disorders of back, pelvis, and lower limbs
[0-4]
Conditions classifiable to 720-724, and those classifiable to 711-719 or 725-738, specified as affecting the lower limbs
648.8    Abnormal glucose tolerance
[0-4]
Conditions classifiable to 790.21-790.29
Gestational diabetes
Use additional code, if applicable, for associated long-term (current) insulin use V58.67
648.9    Other current conditions classifiable elsewhere
[0-4]
Conditions classifiable to 440-459, 795.01-795.04, 795.06, 795.10-795.14, 795.16, 796.70-796.74, 796.76
Nutritional deficiencies [conditions classifiable to 260-269]
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)


(ICD 9 CM Codes)

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