Complications of The Puerperium ICD 9 Codes (670-677)

COMPLICATIONS OF THE PUERPERIUM ICD 9 CODES (670-677)

Note:    Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth.

The following fifth-digit subclassification is for use with categories 670-676 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

670       Major puerperal infection (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Excludes:    infection following abortion (639.0)

minor genital tract infection following delivery (646.6)

puerperal pyrexia NOS (672)

puerperal fever NOS (672)

puerperal pyrexia of unknown origin (672)

urinary tract infection following delivery (646.6)

670.0    Major puerperal infection, unspecified

[0,2,4]

670.1    Puerperal endometritis

[0,2,4]

670.2    Puerperal sepsis

[0,2,4]

Puerperal pyemia

Use additional code to identify severe sepsis (995.92) and any associated acute organ dysfunction, if applicable

670.3    Puerperal septic thrombophlebitis

[0,2,4]

670.8    Other major puerperal infection

[0,2,4]

Puerperal:

pelvic cellulitis

peritonitis

salpingitis

671       Venous complications in pregnancy and the puerperium (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Excludes:    personal history of venous complications prior to pregnancy, such as:

thrombophlebitis (V12.52)

thrombosis and embolism (V12.51)

671.0    Varicose veins of legs

[0-4]

Varicose veins NOS

671.1    Varicose veins of vulva and perineum

[0-4]

671.2    Superficial thrombophlebitis

[0-4]

Phlebitis NOS

Thrombophlebitis (superficial)

Thrombosis NOS

Use additional code to identify the superficial thrombophlebitis (453.6, 453.71, 453.81)

671.3    Deep phlebothrombosis, antepartum

[0,1,3]

Deep-vein thrombosis, antepartum

Use additional code to identify the deep vein thrombosis  (453.40-453.42, 453.50-453.52, 453.72-453.79, 453.82-453.89)

Use additional code for long term (current) use of anticoagulants, if applicable (V58.61)

671.4    Deep phlebothrombosis, postpartum

[0,2,4]

Deep-vein thrombosis, postpartum

Pelvic thrombophlebitis, postpartum

Phlegmasia alba dolens (puerperal)

Use additional code to identify the deep vein thrombosis  (453.40-453.42, 453.50-453.52, 453.72-453.79, 453.82-453.89)

Use additional code for long term (current) use of anticoagulants, if applicable (V58.61)

671.5    Other phlebitis and thrombosis

[0-4]

Cerebral venous thrombosis

Thrombosis of intracranial venous sinus

671.8    Other venous complications

[0-4]

Hemorrhoids

671.9    Unspecified venous complication

[0-4]

672       Pyrexia of unknown origin during the puerperium  (ICD 9 CM Codes)

[0,2,4]

Postpartum fever NOS

Puerperal fever NOS

Puerperal pyrexia NOS

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Use 0 as fourth digit for category 672

673       Obstetrical pulmonary embolism (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Includes:     pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal

Excludes:    embolism following abortion (639.6)

673.0    Obstetrical air embolism

[0-4]

673.1    Amniotic fluid embolism

[0-4]

673.2    Obstetrical blood-clot embolism

[0-4]

Puerperal pulmonary embolism NOS

673.3    Obstetrical pyemic and septic embolism

[0-4]

673.8    Other pulmonary embolism

[0-4]

Fat embolism

674       Other and unspecified complications of the puerperium, not elsewhere classified (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

674.0    Cerebrovascular disorders in the puerperium

[0-4]

Any condition classifiable to 430-434, 436-437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal

Excludes: intracranial venous sinus thrombosis (671.5)

674.1    Disruption of cesarean wound

[0,2,4]

Dehiscence or disruption of uterine wound

Excludes: uterine rupture before onset of labor (665.0)

uterine rupture during labor (665.1)

674.2    Disruption of perineal wound

[0,2,4]

Breakdown of perineum

Disruption of wound of:

episiotomy

perineal laceration

Secondary perineal tear

674.3    Other complications of obstetrical surgical wounds

[0,2,4]

Hematoma of cesarean section or perineal wound

Hemorrhage of cesarean section or perineal wound

Infection of cesarean section or perineal wound

Excludes: damage from instruments in delivery (664.0-665.9)

674.4    Placental polyp

[0,2,4]

674.5    Peripartum cardiomyopathy

[0-4]

Postpartum cardiomyopathy

674.8    Other

[0,2,4]

Hepatorenal syndrome, following delivery

Postpartum:

subinvolution of uterus

uterine hypertrophy

674.9    Unspecified

[0,2,4]

Sudden death of unknown cause during the puerperium

675       Infections of the breast and nipple associated with childbirth  (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Includes:     the listed conditions during pregnancy, childbirth, or the puerperium

675.0    Infections of nipple

[0-4]

Abscess of nipple

675.1    Abscess of breast

[0-4]

Abscess:

mammary

subareolar

submammary

Mastitis:

purulent

retromammary

submammary

675.2    Nonpurulent mastitis

[0-4]

Lymphangitis of breast

Mastitis:

NOS

interstitial

parenchymatous

675.8    Other specified infections of the breast and nipple

[0-4]

675.9    Unspecified infection of the breast and nipple

[0-4]

676       Other disorders of the breast associated with childbirth and disorders of lactation

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 670-676 for definitions.

Includes:     the listed conditions during pregnancy, the puerperium, or lactation

676.0    Retracted nipple

[0-4]

676.1    Cracked nipple

[0-4]

Fissure of nipple

676.2    Engorgement of breasts

[0-4]

676.3    Other and unspecified disorder of breast

[0-4]

676.4    Failure of lactation

[0-4]

Agalactia

676.5    Suppressed lactation

[0-4]

676.6    Galactorrhea

[0-4]

Excludes: galactorrhea not associated with childbirth (611.6)

676.8    Other disorders of lactation

[0-4]

Galactocele

676.9    Unspecified disorder of lactation

[0-4]

677       Late effect of complication of pregnancy, childbirth, and the puerperium  (ICD 9 CM Codes)

Note:    This category is to be used to indicate conditions in 632-648.9 and 651-676.9 as the cause of the late effect, themselves classifiable elsewhere.  The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the puerperium.

Code first any sequelae

(ICD 9 CM Codes)