Normal Delivery, and Other Indications For Care in Pregnancy, Labor, and Delivery ICD 9 Codes (650-659)

NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY ICD 9 CODES (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

650       Normal delivery     (ICD 9 CM Codes)

Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant.  This code is for use as a single diagnosis code and is not to be used with any other code in the range 630-676.

Use additional code to indicate outcome of delivery (V27.0)

Excludes:    breech delivery (assisted) (spontaneous) NOS (652.2)

delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7)

651       Multiple gestation      (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Use additional code to specify placenta status (V91.00-V91.99)

Excludes: fetal conjoined twins (678.1)

651.0    Twin pregnancy

[0,1,3]

Excludes: fetal conjoined twins (678.1)

651.1    Triplet pregnancy

[0,1,3]

651.2    Quadruplet pregnancy

[0,1,3]

651.3    Twin pregnancy with fetal loss and retention of one fetus

[0,1,3]

651.4    Triplet pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.5    Quadruplet pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.6    Other multiple pregnancy with fetal loss and retention of one or more fetus(es)

[0,1,3]

651.7    Multiple gestation following (elective) fetal reduction

[0,1,3]

Fetal reduction of multiple fetuses reduced to single fetus

651.8    Other specified multiple gestation

[0,1,3]

651.9    Unspecified multiple gestation

[0,1,3]

652       Malposition and malpresentation of fetus       (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Code first any associated obstructed labor (660.0)

652.0    Unstable lie

[0,1,3]

652.1    Breech or other malpresentation successfully converted to cephalic presentation

[0,1,3]

Cephalic version NOS

652.2    Breech presentation without mention of version

[0,1,3]

Breech delivery (assisted) (spontaneous) NOS

Buttocks presentation

Complete breech

Frank breech

Excludes: footling presentation (652.8)

incomplete breech (652.8)

652.3    Transverse or oblique presentation

[0,1,3]

Oblique lie

Transverse lie

Excludes: transverse arrest of fetal head (660.3)

652.4    Face or brow presentation

[0,1,3]

Mentum presentation

652.5    High head at term

[0,1,3]

Failure of head to enter pelvic brim

652.6    Multiple gestation with malpresentation of one fetus or more

[0,1,3]

652.7    Prolapsed arm

[0,1,3]

652.8    Other specified malposition or malpresentation

[0,1,3]

Compound presentation

652.9    Unspecified malposition or malpresentation

[0,1,3]

653       Disproportion         (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Code first any associated obstructed labor (660.1)

653.0    Major abnormality of bony pelvis, not further specified

[0,1,3]

Pelvic deformity NOS

653.1    Generally contracted pelvis

[0,1,3]

Contracted pelvis NOS

653.2    Inlet contraction of pelvis

[0,1,3]

Inlet contraction (pelvis)

653.3    Outlet contraction of pelvis

[0,1,3]

Outlet contraction (pelvis)

653.4    Fetopelvic disproportion

[0,1,3]

Cephalopelvic disproportion NOS

Disproportion of mixed maternal and fetal origin, with normally formed fetus

653.5    Unusually large fetus causing disproportion

[0,1,3]

Disproportion of fetal origin with normally formed fetus

Fetal disproportion NOS

Excludes: that when the reason for medical care was concern for the fetus (656.6)

653.6    Hydrocephalic fetus causing disproportion

[0,1,3]

Excludes: that when the reason for medical care was concern for the fetus (655.0)

653.7    Other fetal abnormality causing disproportion

[0,1,3]

Fetal:

ascites

hydrops

myelomeningocele

sacral teratoma

tumor

Excludes: conjoined twins causing disproportion (678.1)

653.8    Disproportion of other origin

[0,1,3]

Excludes: shoulder (girdle) dystocia (660.4)

653.9    Unspecified disproportion

[0,1,3]

654       Abnormality of organs and soft tissues of pelvis   (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

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

Code first any associated obstructed labor (660.2)

Excludes:    trauma to perineum and vulva complicating current delivery (664.0-664.9)

654.0    Congenital abnormalities of uterus

[0-4]

Double uterus

Uterus bicornis

654.1    Tumors of body of uterus

[0-4]

Uterine fibroids

654.2    Previous cesarean delivery

[0,1,3]

Uterine scar from previous cesarean delivery

654.3    Retroverted and incarcerated gravid uterus

[0-4]

654.4    Other abnormalities in shape or position of gravid uterus and of neighboring structures

[0-4]

Cystocele

Pelvic floor repair

Pendulous abdomen

Prolapse of gravid uterus

Rectocele

Rigid pelvic floor

654.5    Cervical incompetence

[0-4]

Presence of Shirodkar suture with or without mention of cervical incompetence

654.6    Other congenital or acquired abnormality of cervix

[0-4]

Cicatricial cervix

Polyp of cervix

Previous surgery to cervix

Rigid cervix (uteri)

Stenosis or stricture of cervix

Tumor of cervix

654.7    Congenital or acquired abnormality of vagina

[0-4]

Previous surgery to vagina

Septate vagina

Stenosis of vagina (acquired) (congenital)

Sricture of vagina

Tumor of vagina

654.8    Congenital or acquired abnormality of vulva

[0-4]

Anal sphincter tear (healed) (old) complicating delivery

Fibrosis of perineum

Persistent hymen

Previous surgery to perineum or vulva

Rigid perineum

Tumor of vulva

Excludes: anal sphincter tear (healed) (old) not associated with delivery (569.43)

varicose veins of vulva (671.1)

654.9    Other and unspecified

[0-4]

Uterine scar NEC

655       Known or suspected fetal abnormality affecting management of mother  (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Includes:     the listed conditions in the fetus as a reason for observation or obstetrical care of the mother, or for termination of pregnancy

655.0    Central nervous system malformation in fetus

[0,1,3]

Fetal or suspected fetal:

anencephaly

hydrocephalus

spina bifida (with myelomeningocele)

655.1    Chromosomal abnormality in fetus

[0,1,3]

655.2    Hereditary disease in family possibly affecting fetus

[0,1,3]

655.3    Suspected damage to fetus from viral disease in the mother

[0,1,3]

Suspected damage to fetus from maternal rubella

655.4    Suspected damage to fetus from other disease in the mother

[0,1,3]

Suspected damage to fetus from maternal:

alcohol addiction

listeriosis

toxoplasmosis

655.5    Suspected damage to fetus from drugs

[0,1,3]

655.6    Suspected damage to fetus from radiation

[0,1,3]

655.7    Decreased fetal movements

[0,1,3]

655.8    Other known or suspected fetal abnormality, not elsewhere classified

[0,1,3]

Suspected damage to fetus from:

environmental toxins

intrauterine contraceptive device

655.9    Unspecified

[0,1,3]

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]

657       Polyhydramnios        (ICD 9 CM Codes)

[0,1,3]

Hydramnios

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Use 0 as fourth digit for category 657

Excludes:    suspected polyhydramnios not found (V89.01)

658       Other problems associated with amniotic cavity and membranes  (ICD 9 CM Codes)

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

Excludes:    amniotic fluid embolism (673.1)

suspected problems with amniotic cavity and membranes not found (V89.01)

658.0    Oligohydramnios

[0,1,3]

Oligohydramnios without mention of rupture of membranes

658.1    Premature rupture of membranes

[0,1,3]

Rupture of amniotic sac less than 24 hours prior to the onset of labor

658.2    Delayed delivery after spontaneous or unspecified rupture of membranes

[0,1,3]

Prolonged rupture of membranes NOS

Rupture of amniotic sac 24 hours or more prior to the onset of labor

658.3    Delayed delivery after artificial rupture of membranes

[0,1,3]

658.4    Infection of amniotic cavity

[0,1,3]

Amnionitis

Chorioamnionitis

Membranitis

Placentitis

658.8    Other

[0,1,3]

Amnion nodosum

Amniotic cyst

658.9    Unspecified

[0,1,3]

659       Other indications for care or intervention related to labor and delivery, not elsewhere classified

Requires fifth digit; valid digits are in [brackets] under each code.  see beginning of section 650-659 for definitions.

659.0    Failed mechanical induction

[0,1,3]

Failure of induction of labor by surgical or other instrumental methods

659.1    Failed medical or unspecified induction

[0,1,3]

Failed induction NOS

Failure of induction of labor by medical methods, such as oxytocic drugs

659.2    Maternal pyrexia during labor, unspecified

[0,1,3]

659.3    Generalized infection during labor

[0,1,3]

Septicemia during labor

659.4    Grand multiparity

[0,1,3]

Excludes: supervision only, in pregnancy (V23.3)

without current pregnancy (V61.5)

659.5    Elderly primigravida

[0,1,3]

First pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes: supervision only, in pregnancy (V23.81)

659.6    Elderly multigravida

[0,1,3]

Second or more pregnancy in a woman who will be 35 years of age or older at expected date of delivery

Excludes: elderly primigravida (659.5)

supervision only, in pregnancy (V23.82)

659.7    Abnormality in fetal heart rate or rhythm

[0, 1, 3]

Depressed fetal heart tones

Fetal:

bradycardia

tachycardia

Fetal heart rate decelerations

Non-reassuring fetal heart rate or rhythm

659.8    Other specified indications for care or intervention related to labor and delivery

[0,1,3]

Pregnancy in a female less than 16 years of age at expected date of delivery

Very young maternal age

659.9    Unspecified indication for care or intervention related to labor and delivery

[0,1,3]

(ICD 9 CM Codes)