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INTERNATIONAL CLASSIFICATION OF DISEASES

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vertical line Table of Contents Alphabetical Index of Diseases and Injuries Explanation of Disease Classification

11. Complications of Pregnancy, Childbirth, and the Puerperium (630-677)




ECTOPIC AND MOLAR PREGNANCY (630-633)

Use additional code from category 639 to identify any complications
630	Hydatidiform mole
Trophoblastic disease NOS
Vesicular mole
Excludes:	chorioadenoma (destruens) (236.1)
chorionepithelioma (181)
malignant hydatidiform mole (236.1)
631	Other abnormal product of conception
Blighted ovum
Mole:
NOS
carneous
fleshy
stone
632	Missed abortion
Early fetal death before completion of 22 weeks' gestation with retention of dead fetus
Retained products of conception, not following spontaneous or induced abortion or delivery
Excludes:	failed induced abortion (638.0-638.9)
fetal death (intrauterine) (late) (656.4)
missed delivery (656.4)
that with abnormal product of conception (630, 631)
633	Ectopic pregnancy
Includes:	ruptured ectopic pregnancy
633.0	Abdominal pregnancy
Intraperitoneal pregnancy
633.00	Abdominal pregnancy without intrauterine pregnancy
633.01	Abdominal pregnancy with intrauterine pregnancy
633.1	Tubal pregnancy
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
633.10	Tubal pregnancy without intrauterine pregnancy
633.11	Tubal pregnancy with intrauterine pregnancy
633.2	Ovarian pregnancy
633.20	Ovarian pregnancy without intrauterine pregnancy
633.21	Ovarian pregnancy with intrauterine pregnancy
633.8	Other ectopic pregnancy
Pregnancy:
cervical
combined
cornual
intraligamentous
mesometric
mural
633.80	Other ectopic pregnancy without intrauterine pregnancy
633.81	Other ectopic pregnancy with intrauterine pregnancy
633.9	Unspecified ectopic pregnancy
633.90	Unspecified ectopic pregnancy without intrauterine pregnancy
633.91	Unspecified ectopic pregnancy with intrauterine pregnancy

OTHER PREGNANCY WITH ABORTIVE OUTCOME (634-639)

The following fourth digit subdivisions are for use with categories 634-638:
0	Complicated by genital tract and pelvic infection
Endometritis
Salpingo-oophoritis
Sepsis NOS
Septicemia NOS
Any condition classifiable to 639.0, with condition classifiable to 634-638
Excludes urinary tract infection (634-638 with .7)
1	Complicated by delayed or excessive hemorrhage
Afibrinogenemia
Defibrination syndrome
Intravascular hemolysis
Any condition classifiable to 639.1, with condition classifiable to 634-638
2	Complicated by damage to pelvic organs and tissues
Laceration, perforation, or tear of:
bladder
uterus
Any condition classifiable to 639.2, with condition classifiable to 634-638
3	Complicated by renal failure
Oliguria
Uremia
Any condition classifiable to 639.3, with condition classifiable to 634-638
4	Complicated by metabolic disorder
Electrolyte imbalance with conditions classifiable to 634-638
5	Complicated by shock
Circulatory collapse
Shock (postoperative) (septic)
Any condition classifiable to 639.5, with condition classifiable to 634-638
6	Complicated by embolism
Embolism:
NOS
amniotic fluid
pulmonary
Any condition classifiable to 639.6, with condition classifiable to 634-638
7	With other specified complications
Cardiac arrest or failure
Urinary tract infection
Any condition classifiable to 639.8, with condition classifiable to 634-638
8	With unspecified complications
9	Without mention of complication
634	Spontaneous abortion
Requires fifth digit to identify stage:
0	unspecified
1	incomplete
2	complete
Includes:	miscarriage
spontaneous abortion
634.0	Complicated by genital tract and pelvic infection
634.1	Complicated by delayed or excessive hemorrhage
634.2	Complicated by damage to pelvic organs or tissues
634.3	Complicated by renal failure
634.4	Complicated by metabolic disorder
634.5	Complicated by shock
634.6	Complicated by embolism
634.7	With other specified complications
634.8	With unspecified complication
634.9	Without mention of complication
635	Legally induced abortion
Requires fifth digit to identify stage:
0	unspecified
1	incomplete
2	complete
Includes:	abortion or termination of pregnancy:
elective
legal
therapeutic
Excludes:	menstrual extraction or regulation (V25.3)
635.0	Complicated by genital tract and pelvic infection
635.1	Complicated by delayed or excessive hemorrhage
635.2	Complicated by damage to pelvic organs or tissues
635.3	Complicated by renal failure
635.4	Complicated by metabolic disorder
635.5	Complicated by shock
635.6	Complicated by embolism
635.7	With other specified complications
635.8	With unspecified complication
635.9	Without mention of complication
636	Illegally induced abortion
Requires fifth digit to identify stage:
0	unspecified
1	incomplete
2	complete
Includes:	abortion:
criminal
illegal
self-induced
636.0	Complicated by genital tract and pelvic infection
636.1	Complicated by delayed or excessive hemorrhage
636.2	Complicated by damage to pelvic organs or tissues
636.3	Complicated by renal failure
636.4	Complicated by metabolic disorder
636.5	Complicated by shock
636.6	Complicated by embolism
636.7	With other specified complications
636.8	With unspecified complication
636.9	Without mention of complication
637	Unspecified abortion
Requires following fifth digit to identify stage:
0	unspecified
1	incomplete
2	complete
Includes:	abortion NOS
retained products of conception following abortion, not classifiable elsewhere
637.0	Complicated by genital tract and pelvic infection
637.1	Complicated by delayed or excessive hemorrhage
637.2	Complicated by damage to pelvic organs or tissues
637.3	Complicated by renal failure
637.4	Complicated by metabolic disorder
637.5	Complicated by shock
637.6	Complicated by embolism
637.7	With other specified complications
637.8	With unspecified complication
637.9	Without mention of complication
638	Failed attempted abortion
Includes:	failure of attempted induction of (legal) abortion
Excludes:	incomplete abortion (634.0-637.9)
638.0	Complicated by genital tract and pelvic infection
638.1	Complicated by delayed or excessive hemorrhage
638.2	Complicated by damage to pelvic organs or tissues
638.3	Complicated by renal failure
638.4	Complicated by metabolic disorder
638.5	Complicated by shock
638.6	Complicated by embolism
638.7	With other specified complications
638.8	With unspecified complication
638.9	Without mention of complication
639	Complications following abortion and ectopic and molar pregnancies
Note:	This category is provided for use when it is required to classify separately
 the complications classifiable to the fourth digit level in categories 634-638;
 for example:
	a) 	when the complication itself was responsible for an episode of medical
 care, the abortion, ectopic or molar pregnancy itself having been dealt with at a previous
 episode
	b) 	when these conditions are immediate complications of ectopic or molar
 pregnancies classifiable to 630-633 where they cannot be identified at fourth digit level.
639.0	Genital tract and pelvic infection
Endometritis following conditions classifiable to 630-638
Parametritis following conditions classifiable to 630-638
Pelvic peritonitis following conditions classifiable to 630-638
Salpingitis following conditions classifiable to 630-638
Salpingo-oophoritis following conditions classifiable to 630-638
Sepsis NOS following conditions classifiable to 630-638
Septicemia NOS following conditions classifiable to 630-638
Excludes:	urinary tract infection (639.8)
639.1	Delayed or excessive hemorrhage
Afibrinogenemia following conditions classifiable to 630-638
Defibrination syndrome following conditions classifiable to 630-638
Intravascular hemolysis following conditions classifiable to 630-638
639.2	Damage to pelvic organs and tissues
Laceration, perforation, or tear of:
bladder following conditions classifiable to 630-638
bowel following conditions classifiable to 630-638
broad ligament following conditions classifiable to 630-638
cervix following conditions classifiable to 630-638
periurethral tissue following conditions classifiable to 630-638
uterus following conditions classifiable to 630-638
vagina following conditions classifiable to 630-638
639.3	Renal failure
Oliguria following conditions classifiable to 630-638
Renal:
failure (acute) following conditions classifiable to 630-638
shutdown following conditions classifiable to 630-638
tubular necrosis following conditions classifiable to 630-638
Uremia following conditions classifiable to 630-638
639.4	Metabolic disorders
Electrolyte imbalance following conditions classifiable to 630-638
639.5	Shock
Circulatory collapse following conditions classifiable to 630-638
Shock (postoperative) (septic) following conditions classifiable to 630-638
639.6	Embolism
Embolism:
NOS following conditions classifiable to 630-638
air following conditions classifiable to 630-638
amniotic fluid following conditions classifiable to 630-638
blood-clot following conditions classifiable to 630-638
fat following conditions classifiable to 630-638
pulmonary following conditions classifiable to 630-638
pyemic following conditions classifiable to 630-638
septic following conditions classifiable to 630-638
soap following conditions classifiable to 630-638
639.8	Other specified complications following abortion or ectopic and molar pregnancy
Acute yellow atrophy or necrosis of liver following conditions classifiable to 630-638
Cardiac arrest or failure following conditions classifiable to 630-638
Cerebral anoxia following conditions classifiable to 630-638
Urinary tract infection following conditions classifiable to 630-638
639.9	Unspecified complication following abortion or ectopic and molar pregnancy
Complication(s) not further specified following conditions classifiable to 630-638

COMPLICATIONS MAINLY RELATED TO PREGNANCY (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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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	Habitual aborter
[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)
646.7	Liver 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
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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 and 050-079, except 056
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
Use additional code(s) to identify the condition
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 640-648 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 (655.0-665.9)
648.0	Diabetes mellitus
[0-4]
Conditions classifiable to 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
Nutritional deficiencies [conditions classifiable to 260-269]
649	Other conditions or status of the mother complicating pregnancy, childbirth, or
 the puerperium
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, 278.01)
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
Use additional code to identify the specific coagulation defect (286.0-286.9)
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]

NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY,
  LABOR, AND DELIVERY (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
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
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 650-659 for definitions.
651.0	Twin pregnancy
[0,1,3]
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
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
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]
Conjoined twins
Fetal:
ascites
hydrops
myelomeningocele
sacral teratoma
tumor
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
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
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 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.
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
656.9	Unspecified fetal and placental problem
[0,1,3]
657	Polyhydramnios
[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
658	Other problems associated with amniotic cavity and membranes
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)
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]

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
660	Obstructed labor
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 660-669 for definitions.
660.0	Obstruction caused by malposition of fetus at onset of labor
[0,1,3]
Any condition classifiable to 652, causing obstruction during labor
Use additional code from 652.0-652.9 to identify condition
660.1	Obstruction by bony pelvis
[0,1,3]
Any condition classifiable to 653, causing obstruction during labor
Use additional code from 653.0-653.9 to identify condition
660.2	Obstruction by abnormal pelvic soft tissues
[0,1,3]
Prolapse of anterior lip of cervix
Any condition classifiable to 654, causing obstruction during labor
Use additional code from 654.0-654.9 to identify condition
660.3	Deep transverse arrest and persistent occipitoposterior position
[0,1,3]
660.4	Shoulder (girdle) dystocia
[0,1,3]
Impacted shoulders
660.5	Locked twins
[0,1,3]
660.6	Failed trial of labor, unspecified
[0,1,3]
Failed trial of labor, without mention of condition or suspected condition
660.7	Failed forceps or vacuum extractor, unspecified
[0,1,3]
Application of ventouse or forceps, without mention of condition
660.8	Other causes of obstructed labor
[0,1,3]
Use additional code to identify condition
660.9	Unspecified obstructed labor
[0,1,3]
Dystocia:
NOS
fetal NOS
maternal NOS
661	Abnormality of forces of labor
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 660-669 for definitions.
661.0	Primary uterine inertia
[0,1,3]
Failure of cervical dilation
Hypotonic uterine dysfunction, primary
Prolonged latent phase of labor
661.1	Secondary uterine inertia
[0,1,3]
Arrested active phase of labor
Hypotonic uterine dysfunction, secondary
661.2	Other and unspecified uterine inertia
[0,1,3]
Atony of uterus without hemorrhage
Desultory labor
Irregular labor
Poor contractions
Slow slope active phase of labor
Excludes:	atony of uterus with hemorrhage (666.1)
postpartum atony of uterus without hemorrhage (669.8)
661.3	Precipitate labor
[0,1,3]
661.4	Hypertonic, incoordinate, or prolonged uterine contractions
[0,1,3]
Cervical spasm
Contraction ring (dystocia)
Dyscoordinate labor
Hourglass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Retraction ring (Bandl's) (pathological)
Tetanic contractions
Uterine dystocia NOS
Uterine spasm
661.9	Unspecified abnormality of labor
[0,1,3]
662	Long labor
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
662.0	Prolonged first stage
[0,1,3]
662.1	Prolonged labor, unspecified
[0,1,3]
662.2	Prolonged second stage
[0,1,3]
662.3	Delayed delivery of second twin, triplet, etc.
[0,1,3]
663	Umbilical cord complications
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
663.0	Prolapse of cord
[0,1,3]
Presentation of cord
663.1	Cord around neck, with compression
[0,1,3]
Cord tightly around neck
663.2	Other and unspecified cord entanglement, with compression
[0,1,3]
Entanglement of cords of twins in mono-amniotic sac
Knot in cord (with compression)
663.3	Other and unspecified cord entanglement, without mention of compression
[0,1,3]
663.4	Short cord
[0,1,3]
663.5	Vasa previa
[0,1,3]
663.6	Vascular lesions of cord
[0,1,3]
Bruising of cord
Hematoma of cord
Thrombosis of vessels of cord
663.8	Other umbilical cord complications
[0,1,3]
Velamentous insertion of umbilical cord
663.9	Unspecified umbilical cord complication
[0,1,3]
664	Trauma to perineum and vulva during delivery
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
Includes:	damage from instruments
that from extension of episiotomy
664.0	First-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear involving:
fourchette
hymen
labia
skin
vagina
vulva
664.1	Second-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear (following episiotomy) involving:
pelvic floor
perineal muscles
vaginal muscles
Excludes:	that involving anal sphincter (664.2)
664.2	Third-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear (following episiotomy) involving:
anal sphincter
rectovaginal septum
sphincter NOS
Excludes:	anal sphincter tear during delivery not associated with third-degree
 perineal laceration (664.6)
that with anal or rectal mucosal laceration (664.3)
664.3	Fourth-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear as classifiable to 664.2 and involving also:
anal mucosa
rectal mucosa
664.4	Unspecified perineal laceration
[0,1,4]
Central laceration
664.5	Vulval and perineal hematoma
[0,1,4]
664.6	Anal sphincter tear complicating delivery, not associated with third-degree
 perineal laceration
[0,1,4]
Excludes:	third-degree perineal laceration (664.2)
664.8	Other specified trauma to perineum and vulva
[0,1,4]
664.9	Unspecified trauma to perineum and vulva
[0,1,4]
665	Other obstetrical trauma
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
Includes:	damage from instruments
665.0	Rupture of uterus before onset of labor
[0,1,3]
665.1	Rupture of uterus during labor
[0,1]
Rupture of uterus NOS
665.2	Inversion of uterus
[0,2,4]
665.3	Laceration of cervix
[0,1,4]
665.4	High vaginal laceration
[0,1,4]
Laceration of vaginal wall or sulcus without mention of perineal laceration
665.5	Other injury to pelvic organs
[0,1,4]
Injury to:
bladder
urethra
665.6	Damage to pelvic joints and ligaments
[0,1,4]
Avulsion of inner symphyseal cartilage
Damage to coccyx
Separation of symphysis (pubis)
665.7	Pelvic hematoma
[0-2,4]
Hematoma of vagina
665.8	Other specified obstetrical trauma
[0-4]
665.9	Unspecified obstetrical trauma
[0-4]
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
667	Retained placenta without hemorrhage
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
667.0	Retained placenta without hemorrhage
[0,2,4]
Placenta accreta without hemorrhage
Retained placenta:
NOS without hemorrhage
total without hemorrhage
667.1	Retained portions of placenta or membranes, without hemorrhage
[0,2,4]
Retained products of conception following delivery, without hemorrhage
668	Complications of the administration of anesthetic or other sedation in labor
 and delivery
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning
 of section 660-669 for definitions.
Includes:	complications arising from the administration of a general or local
 anesthetic, analgesic, or other sedation in labor and delivery
Excludes:	reaction to spinal or lumbar puncture (349.0)
spinal headache (349.0)
668.0	Pulmonary complications
[0-4]
Inhalation [aspiration] of stomach contents or secretions following anesthesia or other
 sedation in labor or delivery
Mendelson's syndrome following anesthesia or other sedation in labor or delivery
Pressure collapse of lung following anesthesia or other sedation in labor or delivery
668.1	Cardiac complications
[0-4]
Cardiac arrest or failure following anesthesia or other sedation in labor and delivery
668.2	Central nervous system complications
[0-4]
Cerebral anoxia following anesthesia or other sedation in labor and delivery
668.8	Other complications of anesthesia or other sedation in labor and delivery
[0-4]
668.9	Unspecified complication of anesthesia and other sedation
[0-4]
669	Other complications of labor and delivery, not elsewhere classified
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 660-669 for definitions.
669.0	Maternal distress
[0-4]
Metabolic disturbance in labor and delivery
669.1	Shock during or following labor and delivery
[0-4]
Obstetric shock
669.2	Maternal hypotension syndrome
[0-4]
669.3	Acute renal failure following labor and delivery
[0,2,4]
669.4	Other complications of obstetrical surgery and procedures
[0-4]
Cardiac:
arrest following cesarean or other obstetrical surgery or procedure, including
 delivery NOS
failure following cesarean or other obstetrical surgery or procedure, including
 delivery NOS
Cerebral anoxia following cesarean or other obstetrical surgery or procedure,
 including delivery NOS
Excludes:	complications of obstetrical surgical wounds (674.1-674.3)
669.5	Forceps or vacuum extractor delivery without mention of indication
[0,1]
Delivery by ventouse, without mention of indication
669.6	Breech extraction, without mention of indication
[0,1]
Excludes:	breech delivery NOS (652.2)
669.7	Cesarean delivery, without mention of indication
[0,1]
669.8	Other complications of labor and delivery
[0-4]
669.9	Unspecified complication of labor and delivery
[0-4]

COMPLICATIONS OF THE PUERPERIUM (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
[0,2,4]
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 670
Puerperal:
endometritis
fever (septic)
pelvic:
cellulitis
sepsis
peritonitis
pyemia
salpingitis
septicemia
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)
671	Venous complications in pregnancy and the puerperium
Requires fifth digit; valid digits are in [brackets] under each code.  See beginning of
 section 670-676 for definitions.
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]
Thrombophlebitis (superficial)
671.3	Deep phlebothrombosis, antepartum
[0,1,3]
Deep-vein thrombosis, antepartum
671.4	Deep phlebothrombosis, postpartum
[0,2,4]
Deep-vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum
Phlegmasia alba dolens (puerperal)
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]
Phlebitis NOS
Thrombosis NOS
672	Pyrexia of unknown origin during the puerperium
[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
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
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
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
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







TABLE OF CONTENTS

Preface

Acknowledgments

Introduction

The ICD-9-CM Coordination and Maintenance Committee

Characteristics of the ICD-9-CM

The Disease Classification

Alphabetical Index of Diseases

Table of Drugs and Chemicals

Index To External Causes of Injury (E Code)

Classification of Procedures

Index to Procedures

Appendix A:
Morphology of Neoplasms


Appendix C:
Classification of Drugs by American Hospital Formulary Services List Number and their ICD-9-CM Equivalents


Appendix D:
Classification of Industrial Accidents According to Agency


Appendix E:
List of Three-Digit Categories






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