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
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
[0,1,3]
[0,1,3]
[0,1,3]
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
[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
[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)
[0,1,3]
Ablatio placentae
Abruptio placentae
Accidental antepartum hemorrhage
Couvelaire uterus
Detachment of placenta (premature)
Premature separation of normally implanted placenta
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
afibrinogenemia
hyperfibrinolysis
hypofibrinogenemia
Excludes: coagulation defects not associated with antepartum hemorrhage (649.3)
[0,1,3]
Antepartum or intrapartum hemorrhage associated with:
trauma
uterine leiomyoma
[0,1,3]
Hemorrhage:
antepartum NOS
intrapartum NOS
of pregnancy NOS
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
[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
[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
[0-4]
Gestational hypertension
Transient hypertension, so described, in pregnancy, childbirth, or the puerperium
[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)
[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
[0-4]
Toxemia:
eclamptic
with convulsions
[0-4]
Conditions classifiable to 642.4-642.6, with conditions classifiable to 642.0-642.2
[0-4]
Hypertension NOS, without mention of albuminuria or edema, 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.
Includes: hyperemesis arising during pregnancy
vomiting:
persistent arising during pregnancy
vicious arising during pregnancy
hyperemesis gravidarum
[0,1,3]
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation
[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
[0,1,3]
Excessive vomiting starting after 22 completed weeks of gestation
[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
[0,1,3]
Vomiting as a reason for care during pregnancy, length of gestation unspecified
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
[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)
[0,3]
False labor:
NOS without delivery
after 37 completed weeks of gestation without delivery
Threatened labor NOS without 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
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
[0,1,3]
Pregnancy over 40 completed weeks to 42 completed weeks gestation
[0,1,3]
Pregnancy which has advanced beyond 42 completed weeks of gestation
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.
[0,1,3]
[0-4]
Gestational edema
Maternal obesity syndrome
Excludes: that with mention of hypertension (642.0-642.9)
[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)
[0-1,3]
Excludes: with current abortion (634.0-634.9)
without current pregnancy (629.81)
[0-4]
[0-4]
[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)
[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)
[0-4]
Fatigue during pregnancy
Herpes gestationis
Insufficient weight gain of pregnancy
[0,1,3]
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)
[0-4]
Conditions classifiable to 090-097
[0-4]
Conditions classifiable to 098
[0-4]
Conditions classifiable to 099
[0-4]
Conditions classifiable to 010-018
[0-4]
Conditions classifiable to 084
[0-4]
Conditions classifiable to 056
[0-4]
Conditions classifiable to 042, 050-055, 057-079, 795.05, 795.15, 796.75
[0-4]
[0-4]
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)
[0-4]
Conditions classifiable to 249, 250
Excludes: gestational diabetes (648.8)
[0-4]
Conditions classifiable to 240-246
[0-4]
Conditions classifiable to 280-285
[0-4]
Conditions classifiable to 304
[0-4]
Conditions classifiable to 290-303, 305.0, 305.2-305.9, 306-316, 317-319
[0-4]
Conditions classifiable to 745-747
[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)
[0-4]
Conditions classifiable to 720-724, and those classifiable to 711-719 or 725-738, specified as affecting the lower limbs
[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
[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]
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.
[0-4]
Smoking complicating pregnancy, childbirth, or the puerperium
[0-4]
Use additional code to identify the obesity (278.00-278.03)
[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
[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)
[0-4]
Conditions classifiable to 345
Use additional code to identify the specific type of epilepsy (345.00-345.91)
Excludes: eclampsia (642.6)
[0,1,3]
Excludes: antepartum hemorrhage (641.0-641.9)
hemorrhage in early pregnancy (640.0-640.9)
[0-4]
Excludes: suspected problem with fetal growth not found (V89.04)
[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)
(ICD 9 CM Codes)
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