CoverKids/HealthyTNBabies Diagnosis Codes for and Complications of Pregnancy

This list is for informational purposes only and is not a binding or definitive list of covered conditions. It is not a guarantee of coverage; coverage depends on the available benefits and eligibility at the time services are rendered. It is for use only with the CoverKids/HealthyTNBabies program. When filing claims, providers should use the most accurate codes for the condition being treated – it is fraud against the State of Tennessee and BlueCross BlueShield of Tennessee to intentionally use a code for a covered condition when the treatment provided is for a non-covered condition.

ICD9 DESCRIPTION CODE Hydronephrosis, Hydrocalycosis, Hydrouretheronephrosis. Excludes Congenital Hydronephrosis (753.29) 591 And Hydroureter (593.5). 630 Hydatidiform Mole Other Abnormal Product Of Conception; Inappropriate Change In Quantitative Human Chorionic 631.0 Gonadotroopoin (Hcg) In Early Pregnancy 631.8 Other Abnormal Product Of Conception; Other 632 Missed 633.00 Without Intrauterine Pregnancy 633.01 Abdominal Pregnancy With Intrauterine Pregnancy 633.10 Tubal Pregnancy Without Intrauterine Pregnancy 633.11 Tubal Pregnancy With Intrauterine Pregnancy 633.20 Without Intrauterine Pregnancy 633.21 Ovarian Pregnancy With Intrauterine Pregnancy 633.80 Other Without Intrauterine Pregnancy 633.81 Other Ectopic Pregnancy With Intrauterine Pregnancy 633.90 Unspecified Ectopic Pregnancy Without Intrauterine Pregnancy 633.91 Unspecified Ectopic Pregnancy With Intrauterine Pregnancy 634.00 Spontaneous Abortion Unspecified Complicated By Genital Tract And Pelvic 634.01 Spontaneous Abortion Incomplete Complicated By Genital Tract And Pelvic Infection 634.02 Spontaneous Abortion Complete Complicated By Genital Tract And Pelvic Infection 634.10 Spontaneous Abortion Unspecified Complicated By Delayed Or Excessive Hemorrhage 634.11 Spontaneous Abortion Incomplete Complicated By Delayed Or Excessive Hemorrhage 634.12 Spontaneous Abortion Complete Complicated By Delayed Or Excessive Hemorrhage 634.20 Spontaneous Abortion Unspecified Complicated By Damage To Pelvic Organs Or Tissues 634.21 Spontaneous Abortion Incomplete Complicated By Damage To Pelvic Organs Or Tissues 634.22 Spontaneous Abortion Complete Complicated By Damage To Pelvic Organs Or Tissues 634.30 Spontaneous Abortion Unspecified Complicated By Renal Failure January 2016 1 634.31 Spontaneous Abortion Incomplete Complicated By Renal Failure 634.32 Spontaneous Abortion Complete Complicated By Renal Failure 634.40 Spontaneous Abortion Unspecified Complicated By Metabolic Disorder 634.41 Spontaneous Abortion Incomplete Complicated By Metabolic Disorder 634.42 Spontaneous Abortion Complete Complicated By Metabolic Disorder 634.50 Spontaneous Abortion Unspecified Complicated By Shock 634.51 Spontaneous Abortion Incomplete Complicated By Shock 634.52 Spontaneous Abortion Complete Complicated By Shock 634.60 Spontaneous Abortion Unspecified Complicated By 634.61 Spontaneous Abortion Incomplete Complicated By Embolism 634.62 Spontaneous Abortion Complete Complicated By Embolism 634.70 Spontaneous Abortion Unspecified With Other Specified Complications 634.71 Spontaneous Abortion Incomplete With Other Specified Complications 634.72 Spontaneous Abortion Complete With Other Specified Complications 634.80 Spontaneous Abortion Unspecified With Unspecified 634.81 Spontaneous Abortion Incomplete With Unspecified Complication 634.82 Spontaneous Abortion Complete With Unspecified Complication 634.90 Spontaneous Abortion Unspecified Without Complication 634.91 Spontaneous Abortion Incomplete Without Complication 634.92 Spontaneous Abortion Complete Without Complication 635.00 Legally Induced Abortion Unspecified Complicated By Genital Tract And Pelvic Infection 635.01 Legally Induced Abortion Incomplete Complicated By Genital Tract And Pelvic Infection 635.02 Legally Induced Abortion Complete Complicated By Genital Tract And Pelvic Infection 635.10 Legally Induced Abortion Unspecified Complicated By Delayed Or Excessive Hemorrhage 635.11 Legally Induced Abortion Incomplete Complicated By Delayed Or Excessive Hemorrhage 635.12 Legally Induced Abortion Complete Complicated By Delayed Or Excessive Hemorrhage 635.20 Legally Induced Abortion Unspecified Complicated By Damage To Pelvic Organs Or Tissues 635.21 Legally Induced Abortion Incomplete Complicated By Damage To Pelvic Organs Or Tissues 635.22 Legally Induced Abortion Complete Complicated By Damage To Pelvic Organs Or Tissues 635.30 Legally Induced Abortion Unspecified Complicated By Renal Failure 635.31 Legally Induced Abortion Incomplete Complicated By Renal Failure 635.32 Legally Induced Abortion Complete Complicated By Renal Failure 635.40 Legally Induced Abortion Unspecified Complicated By Metabolic Disorder 635.41 Legally Induced Abortion Incomplete Complicated By Metabolic Disorder 635.42 Legally Induced Abortion Complete Complicated By Metabolic Disorder 635.50 Legally Induced Abortion Unspecified Complicated By Shock 635.51 Legally Induced Abortion Incomplete Complicated By Shock 635.52 Legally Induced Abortion Complete Complicated By Shock 635.60 Legally Induced Abortion Unspecified Complicated By Embolism 635.61 Legally Induced Abortion Incomplete Complicated By Embolism 635.62 Legally Induced Abortion Complete Complicated By Embolism 635.70 Legally Induced Abortion Unspecified With Other Specified Complications January 2016 2

635.71 Legally Induced Abortion Incomplete With Other Specified Complications 635.72 Legally Induced Abortion Complete With Other Specified Complications 635.80 Legally Induced Abortion Unspecified With Unspecified Complication 635.81 Legally Induced Abortion Incomplete With Unspecified Complication 635.82 Legally Induced Abortion Complete With Unspecified Complication 635.90 Legally Induced Abortion Unspecified Without Complication 635.91 Legally Induced Abortion Incomplete Without Complication 635.92 Legally Induced Abortion Complete Without Complication 636.00 Illegal Abortion Unspecified Complicated By Genital Tract And Pelvic Infection 636.01 Illegal Abortion Incomplete Complicated By Genital Tract And Pelvic Infection 636.02 Illegal Abortion Complete Complicated By Genital Tract And Pelvic Infection 636.10 Illegal Abortion Unspecified Complicated By Delayed Or Excessive Hemorrhage 636.11 Illegal Abortion Incomplete Complicated By Delayed Or Excessive Hemorrhage 636.12 Illegal Abortion Complete Complicated By Delayed Or Excessive Hemorrhage 636.20 Illegal Abortion Unspecified Complicated By Damage To Pelvic Organs Or Tissues 636.21 Illegal Abortion Incomplete Complicated By Damage To Pelvic Organs Or Tissues 636.22 Illegal Abortion Complete Complicated By Damage To Pelvic Organs Or Tissues 636.30 Illegal Abortion Unspecified Complicated By Renal Failure 636.31 Illegal Abortion Incomplete Complicated By Renal Failure 636.32 Illegal Abortion Complete Complicated By Renal Failure 636.40 Illegal Abortion Unspecified Complicated By Metabolic Disorder 636.41 Illegal Abortion Incomplete Complicated By Metabolic Disorder 636.42 Illegal Abortion Complete Complicated By Metabolic Disorder 636.50 Illegal Abortion Unspecified Complicated By Shock 636.51 Illegal Abortion Incomplete Complicated By Shock 636.52 Illegal Abortion Complete Complicated By Shock 636.60 Illegal Abortion Unspecified Complicated By Embolism 636.61 Illegal Abortion Incomplete Complicated By Embolism 636.62 Illegal Abortion Complete Complicated By Embolism 636.70 Illegal Abortion Unspecified With Other Specified Complications 636.71 Illegal Abortion Incomplete With Other Specified Complications 636.72 Illegal Abortion Complete With Other Specified Complications 636.80 Illegal Abortion Unspecified With Unspecified Complication 636.81 Illegal Abortion Incomplete With Unspecified Complication 636.82 Illegal Abortion Complete With Unspecified Complication 636.90 Illegal Abortion Unspecified Without Complication 636.91 Illegal Abortion Incomplete Without Complication 636.92 Illegal Abortion Complete Without Complication 637.00 Unspecified Type Of Abortion Unspecified Complicated By Genital Tract And Pelvic Infection 637.01 Unspecified Abortion Incomplete Complicated By Genital Tract And Pelvic Infection 637.02 Unspecified Abortion Complete Complicated By Genital Tract And Pelvic Infection 637.10 Unspecified Type Of Abortion Unspecified Complicated By Delayed Or Excessive Hemorrhage January 2016 3

637.11 Legally Unspecified Abortion Incomplete Complicated By Delayed Or Excessive Hemorrhage 637.12 Legally Unspecified Abortion Complete Complicated By Delayed Or Excessive Hemorrhage 637.20 Legally Unspecified Type Of Abortion Unspec Complicated By Damage To Pelvic Organs Or Tissues 637.21 Legally Unspecified Abortion Incomplete Complicated By Damage To Pelvic Organs Or Tissues 637.22 Legally Unspecified Abortion Complete Complicated By Damage To Pelvic Organs Or Tissues 637.30 Legally Unspecified Type Of Abortion Unspecified Complicated By Renal Failure 637.31 Legally Unspecified Abortion Incomplete Complicated By Renal Failure 637.32 Legally Unspecified Abortion Complete Complicated By Renal Failure 637.40 Legally Unspecified Type Of Abortion Unspecified Complicated By Metabolic Disorder 637.41 Legally Unspecified Abortion Incomplete Complicated By Metabolic Disorder 637.42 Legally Unspecified Abortion Complete Complicated By Metabolic Disorder 637.50 Legally Unspecified Type Of Abortion Unspecified Complicated By Shock 637.51 Legally Unspecified Abortion Incomplete Complicated By Shock 637.52 Legally Unspecified Abortion Complete Complicated By Shock 637.60 Legally Unspecified Type Of Abortion Unspecified Complicated By Embolism 637.61 Legally Unspecified Abortion Incomplete Complicated By Embolism 637.62 Legally Unspecified Abortion Complete Complicated By Embolism 637.70 Legally Unspecified Type Of Abortion Unspecified With Other Specified Complications 637.71 Legally Unspecified Abortion Incomplete With Other Specified Complications 637.72 Legally Unspecified Abortion Complete With Other Specified Complications 637.80 Legally Unspecified Type Of Abortion Unspecified With Unspecified Complication 637.81 Legally Unspecified Abortion Incomplete With Unspecified Complication 637.82 Legally Unspecified Abortion Complete With Unspecified Complication 637.90 Legally Unspecified Type Of Abortion Unspecified Without Complication 637.91 Legally Unspecified Abortion Incomplete Without Complication 637.92 Legally Unspecified Abortion Complete Without Complication 638.0 Failed Attempted Abortion Complicated By Genital Tract And Pelvic Infection 638.1 Failed Attempted Abortion Complicated By Delayed Or Excessive Hemorrhage 638.2 Failed Attempted Abortion Complicated By Damage To Pelvic Organs Or Tissues 638.3 Failed Attempted Abortion Complicated By Renal Failure 638.4 Failed Attempted Abortion Complicated By Metabolic Disorder 638.5 Failed Attempted Abortion Complicated By Shock 638.6 Failed Attempted Abortion Complicated By Embolism 638.7 Failed Attempted Abortion With Other Specified Complications 638.8 Failed Attempted Abortion With Unspecified Complication 638.9 Failed Attempted Abortion Without Complication 639.0 Genital Tract And Pelvic Infection Following Abortion Or Ectopic And Molar 639.1 Delayed Or Excessive Hemorrhage Following Abortion Or Ectopic And Molar Pregnancies 639.2 Damage To Pelvic Organs And Tissues Following Abortion Or Ectopic And Molar Pregnancies 639.3 Renal Failure Following Abortion Or Ectopic And Molar Pregnancies 639.4 Metabolic Disorders Following Abortion Or Ectopic And Molar Pregnancies 639.5 Shock Following Abortion Or Ectopic And Molar Pregnancies January 2016 4

639.6 Embolism Following Abortion Or Ectopic And Molar Pregnancies 639.8 Other Specified Complications Following Abortion Or Ectopic And Molar Pregnancies 639.9 Unspecified Complication Following Abortion Or Ectopic And Molar Pregnancies 640.00 Threatened Abortion Unspecified As To Episode Of Care 640.01 Threatened Abortion Delivered 640.03 Threatened Abortion Antepartum 640.80 Other Specified Hemorrhage In Early Pregnancy Unspecified As To Episode Of Care 640.81 Other Specified Hemorrhage In Early Pregnancy Delivered 640.83 Other Specified Hemorrhage In Early Pregnancy Antepartum 640.90 Unspecified Hemorrhage In Early Pregnancy Unspecified As To Episode Of Care 640.91 Unspecified Hemorrhage In Early Pregnancy Delivered 640.93 Unspecified Hemorrhage In Early Pregnancy Antepartum 641.00 Previa Without Hemorrhage Unspecified As To Episode Of Care 641.01 Placenta Previa Without Hemorrhage With Delivery 641.03 Placenta Previa Without Hemorrhage Antepartum 641.10 Hemorrhage From Placenta Previa Unspecified As To Episode Of Care 641.11 Hemorrhage From Placenta Previa With Delivery 641.13 Hemorrhage From Placenta Previa Antepartum 641.20 Premature Separation Of Placenta Unspecified As To Episode Of Care 641.21 Premature Separation Of Placenta With Delivery 641.23 Premature Separation Of Placenta Antepartum 641.30 Antepartum Hemorrhage Associated With Defects Unspecified To Episode Of Care 641.31 Antepartum Hemorrhage Associated With Coagulation Defects With Delivery 641.33 Antepartum Hemorrhage Associated With Coagulation Defects 641.80 Other Antepartum Hemorrhage Unspecified As To Episode Of Care 641.81 Other Antepartum Hemorrhage With Delivery 641.83 Other Antepartum Hemorrhage 641.90 Unspecified Antepartum Hemorrhage Unspecified As To Episode Of Care 641.91 Unspecified Antepartum Hemorrhage With Delivery 641.93 Unspecified Antepartum Hemorrhage 642.00 Benign Essential Hypertension Complicating Preg And Puerperium Unspec To Episode Of Care 642.01 Benign Essential Hypertension With Delivery 642.02 Benign Essential Hypertension With Delivery With Postpartum Complication 642.03 Antepartum Benign Essential Hypertension 642.04 Postpartum Benign Essential Hypertension Hypertension Sec To Renal Disease Complicating Preg Childbirth And Puerperium Unspec As To Episode 642.10 Of Care 642.11 Hypertension Secondary To Renal Disease With Delivery 642.12 Hypertension Secondary To Renal Disease With Delivery With Postpartum Complication 642.13 Hypertension Secondary To Renal Disease Antepartum 642.14 Hypertension Secondary To Renal Disease Postpartum 642.20 Other Pre-Existing Hyper Complicating Preg Childbirth And Puerperium Unspec As To Episode Of Care

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642.21 Other Pre-Existing Hypertension With Delivery 642.22 Other Pre-Existing Hypertension With Delivery With Postpartum Complication 642.23 Other Pre-Existing Hypertension Antepartum 642.24 Other Pre-Existing Hypertension Postpartum 642.30 Transient Hypertension Of Pregnancy Unspecified As To Episode Of Care 642.31 Transient Hypertension Of Pregnancy With Delivery 642.32 Transient Hypertension Of Pregnancy With Delivery With Postpartum Complication 642.33 Antepartum Transient Hypertension 642.34 Postpartum Transient Hypertension 642.40 Mild Or Unspecified Pre- Unspecified As To Episode Of Care 642.41 Mild Or Unspecified Pre-Eclampsia With Delivery 642.42 Mild Or Unspecified Pre-Eclampsia With Delivery With Postpartum Complication 642.43 Mild Or Unspecified Pre-Eclampsia Antepartum 642.44 Mild Or Unspecified Pre-Eclampsia Postpartum 642.50 Severe Pre-Eclampsia Unspecified As To Episode Of Care 642.51 Severe Pre-Eclampsia With Delivery 642.52 Severe Pre-Eclampsia With Delivery With Postpartum Complication 642.53 Severe Pre-Eclampsia Antepartum 642.54 Severe Pre-Eclampsia Postpartum 642.60 Eclampsia Complicating Pregnancy Childbirth Or Puerperium Unspecified To Episode Of Care 642.61 Eclampsia With Delivery 642.62 Eclampsia With Delivery With Postpartum Complication 642.63 Eclampsia Antepartum 642.64 Eclampsia Postpartum Pre-Eclampsia Or Eclampsia Superimposed On Pre-Existing Hypertension Complicating Pregnancy 642.70 Childbirth Or The Puerperium Unspecified As To Episode Of Care 642.71 Pre-Eclampsia Or Eclampsia Superimposed On Pre-Existing Hypertension With Delivery Pre-Eclampsia Or Eclampsia Superimposed On Pre-Existing Hypertension With Delivery With Postpartum 642.72 Complication 642.73 Pre-Eclampsia Or Eclampsia Superimposed On Pre-Existing Hypertension Antepartum 642.74 Pre-Eclampsia Or Eclampsia Superimposed On Pre-Existing Hypertension Postpartum Unspecified Hypertension Complicating Pregnancy Childbirth Or The Puerperium Unspecified As To 642.90 Episode Of Care 642.91 Unspecified Hypertension With Delivery 642.92 Unspecified Hypertension With Delivery With Postpartum Complication 642.93 Unspecified Antepartum Hypertension 642.94 Unspecified Postpartum Hypertension 643.00 Mild Unspecified As To Episode Of Care 643.01 Mild Hyperemesis Gravidarum Delivered 643.03 Mild Hyperemesis Gravidarum Antepartum 643.10 Hyperemesis Gravidarum With Metabolic Disturbance Unspecified As To Episode Of Care 643.11 Hyperemesis Gravidarum With Metabolic Disturbance Delivered 643.13 Hyperemesis Gravidarum With Metabolic Disturbance Antepartum January 2016 6

643.20 Late Vomiting Of Pregnancy Unspecified As To Episode Of Care 643.21 Late Vomiting Of Pregnancy Delivered 643.23 Late Vomiting Of Pregnancy Antepartum 643.80 Other Vomiting Complicating Pregnancy Unspecified As To Episode Of Care 643.81 Other Vomiting Complicating Pregnancy Delivered 643.83 Other Vomiting Complicating Pregnancy Antepartum 643.90 Unspecified Vomiting Of Pregnancy Unspecified As To Episode Of Care 643.91 Unspecified Vomiting Of Pregnancy Delivered 643.93 Unspecified Vomiting Of Pregnancy Antepartum 644.00 Threatened Premature Labor Unspecified As To Episode Of Care 644.03 Threatened Premature Labor Antepartum 644.10 Other Threatened Labor Unspecified As To Episode Of Care 644.13 Other Threatened Labor Antepartum 644.20 Early Onset Of Delivery Unspecified As To Episode Of Care 644.21 Early Onset Of Delivery Delivered With Or Without Antepartum Condition 645.10 Post Term Pregnancy Unspecified Episode Of Care 645.11 Post Term Pregnancy Delivered With Or Without Antepartum Condition 645.13 Post Term Pregnancy Antepartum Condition Or Complication 645.20 Prolonged Pregnancy Unspecified Episode Of Care 645.21 Prolonged Pregnancy Delivered With Or Without Antepartum Condition 645.23 Prolonged Pregnancy Antepartum Condition Or Complication 646.00 Papyraceous Unspecified As To Episode Of Care 646.01 Papyraceous Fetus Delivered With Or Without Antepartum Condition 646.03 Papyraceous Fetus Antepartum 646.10 Or Excessive Weight Gain In Pregnancy Unspecified As To Episode Of Care 646.11 Edema Or Excessive Weight Gain In Pregnancy With Delivery With/Without Antepartum Complication 646.12 Edema Or Excessive Weight Gain In Pregnancy With Delivery With Postpartum Complication 646.13 Antepartum Edema Or Excessive Weight Gain 646.14 Postpartum Edema Or Excessive Weight Gain 646.20 Unspecified Renal Disease In Pregnancy Unspecified As To Episode Of Care 646.21 Unspecified Renal Disease In Pregnancy With Delivery 646.22 Unspecified Renal Disease In Pregnancy With Delivery With Postpartum Complication 646.23 Unspecified Antepartum Renal Disease 646.24 Unspecified Postpartum Renal Disease 646.30 Habitual Aborter Currently Pregnant Unspecified As To Episode Of Care 646.31 Habitual Aborter Delivered With Or Without Antepartum Condition 646.33 Habitual Aborter Antepartum Condition Or Complication 646.40 Peripheral Neuritis In Pregnancy Unspecified As To Episode Of Care 646.41 Peripheral Neuritis In Pregnancy With Delivery 646.42 Peripheral Neuritis In Pregnancy With Delivery With Postpartum Complication 646.43 Antepartum Peripheral Neuritis 646.44 Postpartum Peripheral Neuritis January 2016 7

646.50 Asymptomatic In Pregnancy Unspecified As To Episode Of Care 646.51 Asymptomatic Bacteriuria In Pregnancy With Delivery 646.52 Asymptomatic Bacteriuria In Pregnancy With Delivery With Postpartum Complication 646.53 Antepartum Asymptomatic Bacteriuria 646.54 Postpartum Asymptomatic Bacteriuria 646.60 Of Genitourinary Tract In Pregnancy Unspecified As To Episode Of Care 646.61 Infections Of Genitourinary Tract In Pregnancy With Delivery 646.62 Infections Of Genitourinary Tract In Pregnancy With Delivery With Postpartum Complication 646.63 Antepartum Infections Of Genitourinary Tract 646.64 Of Genitourinary Tract 646.70 Liver Disorders In Pregnancy Unspecified As To Episode Of Care 646.71 Liver Disorders In Pregnancy With Delivery 646.73 Antepartum Liver Disorders 646.80 Other Specified Complications Of Pregnancy Unspecified As To Episode Of Care 646.81 Other Specified Complications Of Pregnancy With Delivery 646.82 Other Specified Complications Of Pregnancy With Delivery With Postpartum Complication 646.83 Other Specified Antepartum Complications 646.84 Other Specified Postpartum Complications 646.90 Unspecified Complication Of Pregnancy Unspecified As To Episode Of Care 646.91 Unspecified Complication Of Pregnancy With Delivery 646.93 Unspecified Antepartum Complication 647.00 Syphilis Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 647.01 Syphilis Of Mother Complicating Pregnancy With Delivery 647.02 Syphilis Of Mother Complicating Pregnancy With Delivery With Postpartum Complication 647.03 Antepartum Syphilis 647.04 Postpartum Syphilis 647.10 Gonorrhea Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 647.11 Gonorrhea Of Mother With Delivery 647.12 Gonorrhea Of Mother With Delivery With Postpartum Complication 647.13 Antepartum Gonorrhea 647.14 Postpartum Gonorrhea Other Venereal Diseases Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To 647.20 Episode Of Care 647.21 Other Venereal Diseases Of Mother With Delivery 647.22 Other Venereal Diseases Of Mother With Delivery With Postpartum Complication 647.23 Other Antepartum Venereal Diseases 647.24 Other Postpartum Venereal Diseases 647.30 Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 647.31 Tuberculosis Of Mother With Delivery 647.32 Tuberculosis Of Mother With Delivery With Postpartum Complication 647.33 Antepartum Tuberculosis 647.34 Postpartum Tuberculosis

January 2016 8

647.40 Malaria Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 647.41 Malaria Of Mother With Delivery 647.42 Malaria Of Mother With Delivery With Postpartum Complication 647.43 Antepartum Malaria 647.44 Postpartum Malaria 647.50 Rubella Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 647.51 Rubella Of Mother With Delivery 647.52 Rubella Of Mother With Delivery With Postpartum Complication 647.53 Antepartum Rubella 647.54 Postpartum Rubella Other Viral Diseases Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode 647.70 Of Care 647.71 Other Viral Diseases Of Mother With Delivery 647.72 Other Viral Diseases Of Mother With Delivery With Postpartum Complication 647.73 Other Antepartum Viral Diseases 647.74 Other Postpartum Viral Diseases Other Specified Infectious And Parasitic Diseases Of Mother Complicating Pregnancy Childbirth Or The 647.80 Puerperium Unspec As To Episode Of Care 647.81 Other Specified Infectious And Parasitic Diseases Of Mother With Delivery 647.82 Other Specified Infectious And Parasitic Diseases Of Mother W/ Delivery W/ Postpartum Complication 647.83 Other Specified Infectious And Parasitic Diseases Of Mother Antepartum 647.84 Other Specified Infectious And Parasitic Diseases Of Mother Postpartum Unspecified Infection Or Infestation Of Mother Complicating Pregnancy Childbirth Or The Puerperium 647.90 Unspecified As To Episode Of Care 647.91 Unspecified Infection Or Infestation Of Mother With Delivery 647.92 Unspecified Infection Or Infestation Of Mother With Delivery With Postpartum Complication 647.93 Unspecified Infection Or Infestation Of Mother Antepartum 647.94 Unspecified Infection Or Infestation Of Mother Postpartum 648.00 Mellitus Of Mother Complicating Preg Childbirth Or Puerperium Unspec To Episode Of Care 648.81 Diabetes Mellitus Of Mother With Delivery 648.82 Diabetes Mellitus Of Mother With Delivery With Postpartum Complication 648.83 Antepartum Diabetes Mellitus 648.84 Postpartum Diabetes Mellitus Thyroid Dysfunction Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode 648.10 Of Care 648.11 Thyroid Dysfunction Of Mother With Delivery 648.12 Thyroid Dysfunction Of Mother With Delivery With Postpartum Complication 648.13 Antepartum Thyroid Dysfunction 648.14 Postpartum Thyroid Dysfunction 648.20 Anemia Of Mother Complicating Preg Childbirth Or The Puerperium Unspec As To Episode Of Care 648.21 Anemia Of Mother With Delivery 648.22 Anemia Of Mother With Delivery With Postpartum Complication 648.23 Antepartum Anemia

January 2016 9

648.24 Postpartum Anemia Drug Dependence Of Mother Complicating Pregnancy Childbirth Or The Puerperium Unspecified As To 648.30 Episode Of Care 648.31 Drug Dependence Of Mother With Delivery 648.32 Drug Dependence Of Mother With Delivery With Postpartum Complication 648.33 Antepartum Drug Dependence 648.34 Postpartum Drug Dependence Mental Disorders Of Mother Complicating Pregnancy Childbirth Or The Puerperium Unspecified As To 648.40 Episode Of Care 648.41 Mental Disorders Of Mother With Delivery 648.42 Mental Disorders Of Mother With Delivery With Postpartum Complication 648.43 Antepartum Mental Disorders Of Mother 648.44 Postpartum Mental Disorders Of Mother Congenital Cardiovascular Disorders Of Mother Complicating Pregnancy Childbirth Or The Puerperium 648.50 Unspecified As To Episode Of Care 648.51 Congenital Cardiovascular Disorders Of Mother With Delivery 648.52 Congenital Cardiovascular Disorders Of Mother With Delivery With Postpartum Complication 648.53 Congenital Cardiovascular Disorders Of Mother Antepartum 648.54 Congenital Cardiovascular Disorders Of Mother Postpartum Other Cardiovascular Diseases Of Mother Complicating Pregnancy Childbirth Or The Puerperium 648.60 Unspecified As To Episode Of Care 648.61 Other Cardiovascular Diseases Of Mother With Delivery 648.62 Other Cardiovascular Diseases Of Mother With Delivery With Postpartum Complication 648.63 Other Cardiovascular Diseases Of Mother Antepartum 648.64 Other Cardiovascular Diseases Of Mother Postpartum Bone And Joint Disorders Of Back Pelvis And Lower Limbs Of Mother Complicating Pregnancy 648.70 Childbirth Or The Puerperium Unspecified As To Episode Of Care 648.71 Bone And Joint Disorders Of Back Pelvis And Lower Limbs Of Mother With Delivery Bone And Joint Disorders Of Back Pelvis And Lower Limbs Of Mother With Delivery With Postpartum 648.72 Complication 648.73 Bone And Joint Disorders Of Back Pelvis And Lower Limbs Of Mother Antepartum 648.74 Bone And Joint Disorders Of Back Pelvis And Lower Limbs Of Mother Postpartum Abnormal Glucose Tolerance Of Mother Complicating Pregnancy Childbirth Or The Puerperium 648.80 Unspecified As To Episode Of Care 648.81 Abnormal Glucose Tolerance Of Mother With Delivery 648.82 Abnormal Glucose Tolerance Of Mother With Delivery With Postpartum Complication 648.83 Abnormal Glucose Tolerance Of Mother Antepartum 648.84 Abnormal Glucose Tolerance Of Mother Postpartum Other Current Conditions Classifiable Elsewhere Of Mother Complicating Pregnancy Childbirth Or The 648.90 Puerperium Unspecified As To Episode Of Care 648.91 Other Current Conditions Classifiable Elsewhere Of Mother With Delivery 648.92 Other Current Conditions Classifiable Elsewhere Of Mother W/ Delivery W/ Postpartum Complication 648.93 Other Current Conditions Classifiable Elsewhere Of Mother Antepartum 648.94 Other Current Conditions Classifiable Elsewhere Of Mother Postpartum

January 2016 10

Tobacco Use Disorder Complicating Preg, Childbirth, Or The Puerperium, Unspecified As To Episode Of 649.00 Care Or Not Applicable Tobacco Use Disorder Complicating Preg, Childbirth, Or The Puerperium, Delivered, With/Without 649.01 Mention Of Antepartum Condition Tobacco Use Disorder Complicating Preg, Childbirth, Or The Puerperium, Delivered, With Mention Of 649.02 Postpartum Complication Tobacco Use Disorder Complicating Preg, Childbirth, Or The Puerperium, Antepartum Cond Or 649.03 Complication TobaccoUse Disorder Complicating Preg Childbirth Or The Puerperium Postpartum Cond Or 649.04 Complication 649.10 Obesity Complicating Preg Childbirth Or The Puerperium Unspec To Episode Of Care Or N/A Obesity Complicating Preg, Childbirth, Or The Puerperium, Delivered, W/Without Mention Of 649.11 Antepartum Condition Obesity Complicating Preg, Childbirth, Or The Puerperium, Delivered, W/ Mention Of Postpartum 649.12 Complication 649.13 Obesity Complicating Preg, Childbirth, Or The Puerperium, Antepartum Condition Or Complication 649.14 Obesity Complicating Preg, Childbirth, Or The Puerperium, Postpartum Condition Or Complication Bariatric Surgery Status Complicating Pregnancy, Childbirth, Or The Puerperium, Unspecified As To 649.20 Episode Of Care Or Not Applicable Bariatric Surgery Status Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With Or 649.21 Without Mention Of Antepartum Condition Bariatric Surgery Status Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With 649.22 Mention Of Postpartum Complication Bariatric Surgery Status Complicating Pregnancy, Childbirth, Or The Puerperium, Antepartum Condition 649.23 Or Complication Bariatric Surgery Status Complicating Pregnancy, Childbirth, Or The Puerperium, Postpartum Condition 649.24 Or Complication Coagulation Defects Complicating Pregnancy, Childbirth, Or The Puerperium, Unspecified As To Episode 649.30 Of Care Or Not Applicable Coagulation Defects Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With Or 649.31 Without Mention Of Antepartum Condition Coagulation Defects Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With Mention 649.32 Of Postpartum Complication Coagulation Defects Complicating Pregnancy, Childbirth, Or The Puerperium, Antepartum Condition Or 649.33 Complication Coagulation Defects Complicating Pregnancy, Childbirth, Or The Puerperium, Postpartum Condition Or 649.34 Complication Epilepsy Complicating Pregnancy, Childbirth, Or The Puerperium, Unspecified As To Episode Of Care Or 649.40 Not Applicable Epilepsy Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With Or Without Mention 649.41 Of Antepartum Condition Epilepsy Complicating Pregnancy, Childbirth, Or The Puerperium, Delivered, With Mention Of 649.42 Postpartum Complication Epilepsy Complicating Pregnancy, Childbirth, Or The Puerperium, Antepartum Condition Or 649.43 Complication 649.44 Epilepsy Complicating Pregnancy, Childbirth, Or The Puerperium, Postpartum Condition Or Complication 649.50 Spotting Complicating Pregnancy, Unspecified As To Episode Of Care Or Not Applicable 649.51 Spotting Complicating Pregnancy, Delivered, With Or Without Mention Of Antepartum Condition January 2016 11

649.53 Spotting Complicating Pregnancy, Antepartum Condition Or Complication 649.60 Uterine Size Date Discrepancy, Unspecified As To Episode Of Care Or Not Applicable 649.61 Uterine Size Date Discrepancy, Delivered, With Or Without Mention Of Antepartum Condition 649.62 Uterine Size Date Discrepancy, Delivered, With Mention Of Postpartum Complication 649.63 Uterine Size Date Discrepancy, Antepartum Condition Or Complication 649.64 Uterine Size Date Discrepancy, Postpartum Condition Or Complication Other Conditions Or Status Of The Mother Complicating Pregnancy, Childbirth, Or The Puerperium; 649.71 Cervical Shortening;Antepartum Condition Or Complication 649.73 Other Conditions Or Status Of The Mother Complicating Pregnancy Childbirth 650 Normal Delivery 651.00 Twin Pregnancy Unspecified As To Episode Of Care 651.01 Twin Pregnancy Delivered 651.03 Twin Pregnancy Antepartum Condition Or Complication 651.10 Triplet Pregnancy Unspecified As To Episode Of Care 651.11 Triplet Pregnancy Delivered 651.13 Triplet Pregnancy Antepartum Condition Or Complication 651.20 Quadruplet Pregnancy Unspecified As To Episode Of Care 651.21 Quadruplet Pregnancy Delivered 651.23 Quadruplet Pregnancy Antepartum Condition Or Complication Twin Pregnancy With Fetal Loss And Retention Of One Fetus Unspecified As To Episode Of Care Or Not 651.30 Applicable 651.31 Twin Preg With Fetal Loss And Retention Of One Fetus Delivered With/Without Antepartum Condition 651.33 Twin Pregnancy With Fetal Loss And Retention Of One Fetus Antepartum Condition Or Complication Triplet Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Unspecified As To Episode 651.40 Of Care Or Not Applicable Triplet Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Delivered With Or Without 651.41 Antepartum Condition 651.43 Triplet Preg W/ Fetal Loss And Retention One Or More Fetus(Es) Antepartum Cond. Or Complication Quadruplet Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Unspecified As To 651.50 Episode Of Care Or Not Applicable Quadruplet Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Delivered With Or 651.51 Without Antepartum Condition Quadruplet Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Antepartum Condition 651.53 Or Complication Other Multiple Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Unspecified As To 651.60 Episode Of Care Other Multiple Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Delivered With Or 651.61 Without Antepartum Condition Other Multiple Pregnancy With Fetal Loss And Retention Of One Or More Fetus(Es) Antepartum 651.63 Condition Or Complication 651.70 Unspecified As To Episode Of Care Or Not Applicable 651.71 Delivered, With Or Without Mention Of Antepartum Condition 651.73 Antepartum Condition Or Complication 651.80 Other Specified Multiple Gestation Unspecified As To Episode Of Care 651.81 Other Specified Multiple Gestation Delivered January 2016 12

651.83 Other Specified Multiple Gestation Antepartum Condition Or Complication 651.90 Unspecified Multiple Gestation Unspecified As To Episode Of Care 651.91 Unspecified Multiple Gestation Delivered 651.93 Unspecified Multiple Gestation Antepartum Condition Or Complication 652.00 Unstable Lie Unspecified As To Episode Of Care 652.01 Unstable Lie Delivered 652.03 Unstable Lie Antepartum Condition Or Complication Breech Or Other Malpresentation Successfully Converted To Cephalic Presentation Unspecified As To 652.10 Episode Of Care 652.11 Breech Or Other Malpresentation Successfully Converted To Cephalic Presentation Delivered 652.13 Breech Or Other Malpresentation Successfully Converted To Cephalic Presentation Antepartum 652.20 Breech Presentation Without Version Unspecified As To Episode Of Care 652.21 Breech Presentation Without Version Delivered 652.23 Breech Presentation Without Version Antepartum 652.30 Transverse Or Oblique Presentation Unspecified As To Episode Of Care 652.31 Transverse Or Oblique Presentation Delivered 652.33 Transverse Or Oblique Presentation Antepartum 652.40 Face Or Brow Presentation Unspecified As To Episode Of Care 652.41 Face Or Brow Presentation Delivered 652.43 Face Or Brow Presentation Antepartum 652.50 High Head At Term Unspecified As To Episode Of Care 652.51 High Head At Term Delivered 652.53 High Head At Term Antepartum 652.60 Multiple Gestation With Malpresentation Of One Fetus Or More Unspecified As To Episode Of Care 652.61 Multiple Gestation With Malpresentation Of One Fetus Or More Delivered 652.63 Multiple Gestation With Malpresentation Of One Fetus Or More Antepartum 652.70 Prolapsed Arm Of Fetus Unspecified As To Episode Of Care 652.71 Prolapsed Arm Of Fetus Delivered 652.73 Prolapsed Arm Antepartum Condition Or Complication 652.80 Other Specified Malposition Or Malpresentation Unspecified As To Episode Of Care 652.81 Other Specified Malposition Or Malpresentation Delivered 652.83 Other Specified Malposition Or Malpresentation Antepartum 652.90 Unspecified Malposition Or Malpresentation Unspecified As To Episode Of Care 652.91 Unspecified Malposition Or Malpresentation Delivered 652.93 Unspecified Malposition Or Malpresentation Antepartum 653.00 Major Abnormality Of Bony Pelvis Not Further Specified Unspecified As To Episode Of Care 653.01 Major Abnormality Of Bony Pelvis Not Further Specified Delivered 653.03 Major Abnormality Of Bony Pelvis Not Further Specified Antepartum 653.10 Generally Contracted Pelvis Unspecified As To Episode Of Care In Pregnancy 653.11 Generally Contracted Pelvis Delivered 653.13 Generally Contracted Pelvis Antepartum 653.20 Inlet Contraction Of Pelvis Unspecified As To Episode Of Care In Pregnancy

January 2016 13

653.21 Inlet Contraction Of Pelvis Delivered 653.23 Inlet Contraction Of Pelvis Antepartum 653.30 Outlet Contraction Of Pelvis Unspecified As To Episode Of Care In Pregnancy 653.31 Outlet Contraction Of Pelvis Delivered 653.33 Outlet Contraction Of Pelvis Antepartum 653.40 Fetopelvic Disproportion Unspecified As To Episode Of Care 653.41 Fetopelvic Disproportion Delivered 653.43 Fetopelvic Disproportion Antepartum 653.50 Unusually Large Fetus Causing Disproportion Unspecified As To Episode Of Care 653.51 Unusually Large Fetus Causing Disproportion Delivered 653.53 Unusually Large Fetus Causing Disproportion Antepartum 653.60 Hydrocephalic Fetus Causing Disproportion Unspecified As To Episode Of Care 653.61 Hydrocephalic Fetus Causing Disproportion Delivered 653.63 Hydrocephalic Fetus Causing Disproportion Antepartum 653.70 Other Fetal Abnormality Causing Disproportion Unspecified As To Episode Of Care 653.71 Other Fetal Abnormality Causing Disproportion Delivered 653.73 Other Fetal Abnormality Causing Disproportion Antepartum 653.80 Disproportion Of Other Origin Unspecified As To Episode Of Care 653.81 Disproportion Of Other Origin Delivered 653.83 Disproportion Of Other Origin Antepartum 653.90 Unspecified Disproportion Unspecified As To Episode Of Care 653.91 Unspecified Disproportion Delivered 653.93 Unspecified Disproportion Antepartum 654.00 Congenital Abnormalities Of Unspecified As To Episode Of Care 654.01 Congenital Abnormalities Of Uterus With Delivery 654.02 Congenital Abnormalities Of Uterus Delivered With Postpartum Complication 654.03 Congenital Abnormalities Of Uterus Antepartum Condition Or Complication 654.04 Congenital Abnormalities Of Uterus Postpartum Condition Or Complication 654.10 Tumors Of Body Of Uterus Unspecified As To Episode Of Care In Pregnancy 654.11 Tumors Of Body Of Uterus With Delivery 654.12 Tumors Of Body Of Uterus Delivered With Postpartum Complication 654.13 Tumors Of Body Of Uterus Antepartum Condition Or Complication 654.14 Tumors Of Body Of Uterus Postpartum Condition Or Complication 654.20 Previous Cesarean Delivery Unspecified As To Episode Of Care In Pregnancy 654.21 Previous Cesarean Delivery With Delivery With Or Without Antepartum Condition 654.23 Previous Cesarean Delivery Antepartum Condition Or Complication 654.30 Retroverted And Incarcerated Gravid Uterus Unspecified As To Episode Of Care 654.31 Retroverted And Incarcerated Gravid Uterus Delivered 654.32 Retroverted And Incarcerated Gravid Uterus Delivered With Postpartum Complication 654.33 Retroverted And Incarcerated Gravid Uterus Antepartum 654.34 Retroverted And Incarcerated Gravid Uterus Postpartum 654.40 Other Abnormalities Shape/Position Of Gravid Uterus&Neighboring Struct Unspec To Episode Of Care January 2016 14

654.41 Other Abnormalities In Shape Or Position Of Gravid Uterus And Of Neighboring Structures Delivered Other Abnormalities In Shape Or Position Of Gravid Uterus And Of Neighboring Structures Delivered 654.42 With Postpartum Complication 654.43 Other Abnormalities In Shape Or Position Of Gravid Uterus And Of Neighboring Structures Antepartum 654.44 Other Abnormalities In Shape Or Position Of Gravid Uterus And Of Neighboring Structures Postpartum 654.50 Cervical Incompetence Unspecified As To Episode Of Care In Pregnancy 654.51 Cervical Incompetence With Delivery 654.52 Cervical Incompetence Delivered With Postpartum Complication 654.53 Cervical Incompetence Antepartum Condition Or Complication 654.54 Cervical Incompetence Postpartum Condition Or Complication 654.60 Other Congenital Or Acquired Abnormality Of Cervix Unspec As To Episode Of Care In Pregnancy 654.61 Other Congenital Or Acquired Abnormality Of Cervix With Delivery 654.62 Other Congenital Or Acquired Abnormality Of Cervix Delivered With Postpartum Complication 654.63 Other Congenital Or Acquired Abnormality Of Cervix Antepartum Condition Or Complication 654.64 Other Congenital Or Acquired Abnormality Of Cervix Postpartum Condition Or Complication 654.70 Congenital Or Acquired Abnormality Of Vagina Unspecified As To Episode Of Care In Pregnancy 654.71 Congenital Or Acquired Abnormality Of Vagina With Delivery 654.72 Congenital Or Acquired Abnormality Of Vagina Delivered With Postpartum Complication 654.73 Congenital Or Acquired Abnormality Of Vagina Antepartum Condition Or Complication 654.74 Congenital Or Acquired Abnormality Of Vagina Postpartum Condition Or Complication 654.80 Congenital Or Acquired Abnormality Of Vulva Unspecified As To Episode Of Care In Pregnancy 654.81 Congenital Or Acquired Abnormality Of Vulva With Delivery 654.82 Congenital Or Acquired Abnormality Of Vulva Delivered With Postpartum Complication 654.83 Congenital Or Acquired Abnormality Of Vulva Antepartum Condition Or Complication 654.84 Congenital Or Acquired Abnormality Of Vulva Postpartum Condition Or Complication 654.90 Other And Unspec Abnormality Of Organs & Soft Tissues Of Pelvis Unspec To Episode Of Care In Preg 654.91 Other And Unspec Abnormality Of Organs & Soft Tissues Of Pelvis With Delivery Other And Unspec Abnormality Of Organs & Soft Tissues Of Pelvis Delivered With Postpartum 654.92 Complication 654.93 Other And Unspec Abnormality Of Organs & Soft Tissues Of Pelvis Antepartum Cond .Or Complication 654.94 Other And Unspec Abnormality Of Organs & Soft Tissues Of Pelvis Postpartum Cond. Or Complication 655.00 Central Malformation In Fetus Unspecified As To Episode Of Care In Pregnancy 655.01 Central Nervous System Malformation In Fetus With Delivery 655.03 Central Nervous System Malformation In Fetus Antepartum Chromosomal Abnormality In Fetus Affecting Mgmt Of Mother Unspec As To Episode Of Care In 655.10 Pregnancy 655.11 Chromosomal Abnormality In Fetus Affecting Mgmt Of Mother With Delivery 655.13 Chromosomal Abnormality In Fetus Affecting Mgmt Of Mother Antepartum Hereditary Dis In Family Possibly Affecting Fetus Affecting Mgmt Of Mother Unspec As To Episode Of 655.20 Care In Pregnancy 655.21 Hereditary Disease In Family Possibly Affecting Fetus Affecting Mgmt Of Mother With Delivery Hereditary Dis In Family Possibly Affecting Fetus Affecting Mgmt Of Mother Antepartum Cond. Or 655.23 Complication

January 2016 15

Suspected Damage To Fetus From Viral Disease In The Mother Affecting Mgmt Of Mother Unspecified 655.30 As To Episode Of Care In Pregnancy 655.31 Suspected Damage To Fetus From Viral Disease In The Mother Affecting Mgmt Of Mother With Delivery Suspected Damage To Fetus From Viral Disease In The Mother Affecting Mgmt Of Mother Antepartum 655.33 Condition Or Complication Suspected Damage To Fetus From Other Disease In The Mother Affecting Mgmt Of Mother Unspecified 655.40 As To Episode Of Care In Pregnancy Suspected Damage To Fetus From Other Disease In The Mother Affecting Mgmt Of Mother With 655.41 Delivery Suspected Damage To Fetus From Other Disease In The Mother Affecting Mgmt Of Mother Antepartum 655.43 Condition Or Complication 655.50 Suspected Damage To Fetus From Drugs Affecting Mgmt Of Mother Unspecified As To Episode Of Care 655.51 Suspected Damage To Fetus From Drugs Affecting Mgmt Of Mother Delivered 655.53 Suspected Damage To Fetus From Drugs Affecting Mgmt Of Mother Antepartum Suspected Damage To Fetus From Radiation Affecting Mgmt Of Mother Unspecified As To Episode Of 655.60 Care 655.61 Suspected Damage To Fetus From Radiation Affecting Mgmt Of Mother Delivered Suspected Damage To Fetus From Radiation Affecting Mgmt Of Mother Antepartum Cond. Or 655.63 Complication 655.70 Decreased Fetal Movements Affecting Mgmt Of Mother Unspecified As To Episode Of Care 655.71 Decreased Fetal Movements Affecting Mgmt Of Mother Delivered 655.73 Decreased Fetal Movements Affecting Mgmt Of Mother Antepartum Condition Or Complication Other Known Or Suspected Fetal Abnormality Not Elsewhere Classified Affecting Mgmt Of Mother 655.80 Unspec As To Episode Of Care Other Known Or Suspected Fetal Abnormality Not Elsewhere Classified Affecting Mgmt Of Mother With 655.81 Delivered Other Known Or Suspected Fetal Abnormality Not Elsewhere Classified Affecting Mgmt Of Mother 655.83 Antepartum Condition Or Complication 655.90 Unspec Suspected Fetal Abnormality Affecting Mgmt Of Mother Unspecified As To Episode Of Care 655.91 Unspec Suspected Fetal Abnormality Affecting Mgmt Of Mother Delivered 655.93 Unspec Suspected Fetal Abnormality Affecting Mgmt Of Mother Antepartum Condition Or Complication 656.00 Fetal-Maternal Hemorrhage Unspecified As To Episode Of Care In Pregnancy 656.01 Fetal-Maternal Hemorrhage With Delivery 656.03 Fetal-Maternal Hemorrhage Antepartum Condition Or Complication 656.10 Rhesus Isoimmunization Unspecified As To Episode Of Care In Pregnancy 656.11 Rhesus Isoimmunization Affecting Mgmt Of Mother Delivered 656.13 Rhesus Isoimmunization Affecting Mgmt Of Mother Antepartum Condition 656.20 Isoimmunization From Other &Unspec -Group Incomp Unspec To Episode Of Care In Preg 656.21 Isoimmunization From Other &Unspec Blood-Group Incomp Affecting Mgmt Of Mother Delivered 656.23 Isoimmunization From Other & Unspec Blood-Group Incomp Affecting Mgmt Of Mother Antepartum 656.30 Affecting Management Of Mother Unspecified As To Episode Of Care 656.31 Fetal Distress Affecting Management Of Mother Delivered 656.33 Fetal Distress Affecting Management Of Mother Antepartum 656.40 Intrauterine Death Affecting Management Of Mother Unspecified As To Episode Of Care 656.41 Intrauterine Death Affecting Management Of Mother Delivered January 2016 16

656.43 Intrauterine Death Affecting Management Of Mother Antepartum 656.50 Poor Fetal Growth Affecting Management Of Mother Unspecified As To Episode Of Care 656.51 Poor Fetal Growth Affecting Management Of Mother Delivered 656.53 Poor Fetal Growth Affecting Management Of Mother Antepartum Condition Or Complication 656.60 Excessive Fetal Growth Affecting Management Of Mother Unspecified As To Episode Of Care 656.61 Excessive Fetal Growth Affecting Management Of Mother Delivered 656.63 Excessive Fetal Growth Affecting Management Of Mother Antepartum 656.70 Other Placental Conditions Affecting Management Of Mother Unspecified As To Episode Of Care 656.71 Other Placental Conditions Affecting Management Of Mother Delivered 656.73 Other Placental Conditions Affecting Management Of Mother Antepartum 656.80 Other Specified Fetal And Placental Problems Affecting Mgmt Of Mother Unspec As To Episode Of Care 656.81 Other Specified Fetal And Placental Problems Affecting Mgmt Of Mother Delivered 656.83 Other Specified Fetal And Placental Problems Affecting Mgmt Of Mother Antepartum 656.90 Unspecified Fetal And Placental Problem Affecting Mgmt Of Mother Unspecified As To Episode Of Care 656.91 Unspecified Fetal And Placental Problem Affecting Mgmt Of Mother Delivered 656.93 Unspecified Fetal And Placental Problem Affecting Mgmt Of Mother Antepartum 657.00 Unspecified As To Episode Of Care Or Not Applicable 657.01 Delivered, With Or Without Mention Of Antepartum Condition 657.03 Antepartum Condition Or Complication 658.00 Unspecified As To Episode Of Care 658.01 Oligohydramnios Delivered 658.03 Oligohydramnios Antepartum 658.10 Premature Unspecified As To Episode Of Care 658.11 Premature Rupture Of Membranes Delivered 658.13 Premature Rupture Of Membranes Antepartum 658.20 Delayed Delivery After Spontaneous Or Unspecified Rupture Of Membranes Unspec To Episode Of Care 658.21 Delayed Delivery After Spontaneous Or Unspecified Rupture Of Membranes Delivered 658.23 Delayed Delivery After Spontaneous Or Unspecified Rupture Of Membranes Antepartum 658.30 Delayed Delivery After Artificial Rupture Of Membranes Unspecified As To Episode Of Care 658.31 Delayed Delivery After Artificial Rupture Of Membranes Delivered 658.33 Delayed Delivery After Artificial Rupture Of Membranes Antepartum 658.40 Infection Of Amniotic Cavity Unspecified As To Episode Of Care 658.41 Infection Of Amniotic Cavity Delivered 658.43 Infection Of Amniotic Cavity Antepartum 658.80 Other Problems Associated With Amniotic Cavity And Membranes Unspecified As To Episode Of Care 658.81 Other Problems Associated With Amniotic Cavity And Membranes Delivered 658.83 Other Problems Associated With Amniotic Cavity And Membranes Antepartum 658.90 Unspec Problem Associated With Amniotic Cavity And Membranes Unspecified As To Episode Of Care 658.91 Unspecified Problem Associated With Amniotic Cavity And Membranes Delivered 658.93 Unspecified Problem Associated With Amniotic Cavity And Membranes Antepartum 659.00 Failed Mechanical Induction Of Labor Unspecified As To Episode Of Care 659.01 Failed Mechanical Induction Of Labor Delivered January 2016 17

659.03 Failed Mechanical Induction Of Labor Antepartum 659.10 Failed Medical Or Unspecified Induction Of Labor Unspecified As To Episode Of Care 659.11 Failed Medical Or Unspecified Induction Of Labor Delivered 659.13 Failed Medical Or Unspecified Induction Of Labor Antepartum 659.20 Unspecified Type Maternal Pyrexia During Labor Unspecified As To Episode Of Care 659.21 Unspecified Type Maternal Pyrexia During Labor Delivered 659.23 Unspecified Type Maternal Pyrexia Antepartum 659.30 Generalized Infection During Labor Unspecified As To Episode Of Care 659.31 Generalized Infection During Labor Delivered 659.33 Generalized Infection During Labor Antepartum 659.40 Grand Multiparity With Current Pregnancy Unspecified As To Episode Of Care 659.41 Grand Multiparity With Current Pregnancy Delivered 659.43 Grand Multiparity With Current Pregnancy Antepartum 659.50 Elderly Primigravida Unspecified As To Episode Of Care 659.51 Elderly Primigravida Delivered 659.53 Elderly Primigravida Antepartum 659.60 Other Advanced Maternal Age Unspecified As To Episode Of Care Or Not Applicable 659.61 Other Advanced Maternal Age Delivered With Or Without Antepartum Condition 659.63 Other Advanced Maternal Age Antepartum Condition Or Complication 659.70 Abnormality In Fetal Heart Rate Or Rhythm Unspecified As To Episode Of Care Or Not Applicable 659.71 Abnormality In Fetal Heart Rate Or Rhythm Delivered With Or Without Antepartum Condition 659.73 Abnormality In Fetal Heart Rate Or Rhythm Antepartum Condition Or Complication Other Specified Indications For Care Or Intervention Related To Labor And Delivery Unspecified As To 659.80 Episode Of Care 659.81 Other Specified Indications For Care Or Intervention Related To Labor And Delivery Delivered 659.83 Other Specified Indications For Care Or Intervention Related To Labor And Delivery Antepartum 659.90 Unspec Indication For Care Or Intervention Related To Labor And Delivery Unspec To Episode Of Care 659.91 Unspecified Indication For Care Or Intervention Related To Labor And Delivery Delivered 659.93 Unspecified Indication For Care Or Intervention Related To Labor And Delivery Antepartum 660.00 Obstruction Caused By Malposition Of Fetus At Onset Of Labor Unspecified As To Episode Of Care 660.01 Obstruction Caused By Malposition Of Fetus At Onset Of Labor With Delivery 660.03 Obstruction Caused By Malposition Of Fetus At Onset Of Labor Antepartum 660.10 Obstruction By Bony Pelvis During Labor Unspecified As To Episode Of Care 660.11 Obstruction By Bony Pelvis During Labor With Delivery 660.13 Obstruction By Bony Pelvis During Labor Antepartum 660.20 Obstruction By Abnormal Pelvic Soft Tissues During Labor Unspecified As To Episode Of Care 660.21 Obstruction By Abnormal Pelvic Soft Tissues During Labor With Delivery 660.23 Obstruction By Abnormal Pelvic Soft Tissues During Labor Antepartum 660.30 Deep Transverse Arrest And Persistent Occipitoposterior Position Unspecified As To Episode Of Care 660.31 Deep Transverse Arrest And Persistent Occipitoposterior Position With Delivery 660.33 Deep Transverse Arrest And Persistent Occipitoposterior Position Antepartum 660.40 Shoulder (Girdle) Dystocia Unspecified As To Episode Of Care

January 2016 18

660.41 Shoulder (Girdle) Dystocia With Delivery 660.43 Shoulder (Girdle) Dystocia Antepartum 660.50 Unspecified As To Episode Of Care In Pregnancy 660.51 Locked Twins With Delivery 660.53 Locked Twins Antepartum 660.60 Unspecified Failed Trial Of Labor Unspecified As To Episode Of Care 660.61 Unspecified Failed Trial Of Labor With Delivery 660.63 Unspecified Failed Trial Of Labor Antepartum 660.70 Unspecified Failed Forceps Or Vacuum Extractor Unspecified As To Episode Of Care 660.71 Unspecified Failed Forceps Or Vacuum Extractor With Delivery 660.73 Unspecified Failed Forceps Or Vacuum Extractor Antepartum 660.80 Other Causes Of Obstructed Labor Unspecified As To Episode Of Care 660.81 Other Causes Of Obstructed Labor With Delivery 660.83 Other Causes Of Obstructed Labor Antepartum 660.90 Unspecified Obstructed Labor Unspecified As To Episode Of Care 660.91 Unspecified Obstructed Labor With Delivery 660.93 Unspecified Obstructed Labor Antepartum 661.00 Primary Uterine Inertia Unspecified As To Episode Of Care 661.01 Primary Uterine Inertia With Delivery 661.03 Primary Uterine Inertia Antepartum 661.10 Secondary Uterine Inertia Unspecified As To Episode Of Care 661.11 Secondary Uterine Inertia With Delivery 661.13 Secondary Uterine Inertia Antepartum 661.20 Other And Unspecified Uterine Inertia Unspecified As To Episode Of Care 661.21 Other And Unspecified Uterine Inertia With Delivery 661.23 Other And Unspecified Uterine Inertia Antepartum 661.30 Precipitate Labor Unspecified As To Episode Of Care 661.31 Precipitate Labor With Delivery 661.33 Precipitate Labor Antepartum 661.40 Hypertonic Incoordinate Or Prolonged Uterine Contractions Unspecified As To Episode Of Care 661.41 Hypertonic Incoordinate Or Prolonged Uterine Contractions With Delivery 661.43 Hypertonic Incoordinate Or Prolonged Uterine Contractions Antepartum 661.90 Unspecified Abnormality Of Labor Unspecified As To Episode Of Care 661.91 Unspecified Abnormality Of Labor With Delivery 661.93 Unspecified Abnormality Of Labor Antepartum 662.00 Prolonged First Stage Of Labor Unspecified As To Episode Of Care 662.01 Prolonged First Stage Of Labor Delivered 662.03 Prolonged First Stage Of Labor Antepartum 662.10 Unspecified Type Unspecified As To Episode Of Care 662.11 Unspecified Type Prolonged Labor Delivered 662.13 Unspecified Type Prolonged Labor Antepartum 662.20 Prolonged Second Stage Of Labor Unspecified As To Episode Of Care January 2016 19

662.21 Prolonged Second Stage Of Labor Delivered 662.23 Prolonged Second Stage Of Labor Antepartum 662.30 Delayed Delivery Of Second Twin Triplet Etc. Unspecified As To Episode Of Care 662.31 Delayed Delivery Of Second Twin Triplet Etc. Delivered 662.33 Delayed Delivery Of Second Twin Triplet Etc. Antepartum 663.00 Prolapse Of Cord Complicating Labor And Delivery Unspecified As To Episode Of Care 663.01 Prolapse Of Cord Complicating Labor And Delivery Delivered 663.03 Prolapse Of Cord Complicating Labor And Delivery Antepartum 663.10 Cord Around Neck With Compression Complicating Labor And Delivery Unspec As To Episode Of Care 663.11 Cord Around Neck With Compression Complicating Labor And Delivery Delivered 663.13 Cord Around Neck With Compression Complicating Labor And Delivery Antepartum Other & Unspec Cord Entanglement W/ Compression Complicating Labor & Delivery Unspec As To 663.20 Episode Of Care 663.21 Other And Unspec Cord Entanglement W/ Compression Complicating Labor And Delivery Delivered 663.23 Other And Unspec Cord Entanglement W/ Compression Complicating Labor And Delivery Antepartum Other & Unspec Cord Entanglement W/o Compression Complicating Labor & Delivery Unspec As To 663.30 Episode Of Care 663.31 Other And Unspec Cord Entanglement Without Compression Complicating Labor And Delivery Delivered 663.33 Other And Unspec Cord Entanglement Without Compression Complicating Labor & Delivery Antepartum 663.40 Short Cord Complicating Labor And Delivery Unspecified As To Episode Of Care 663.41 Short Cord Complicating Labor And Delivery Delivered 663.43 Short Cord Complicating Labor And Delivery Antepartum 663.50 Vasa Previa Complicating Labor And Delivery Unspecified As To Episode Of Care 663.51 Vasa Previa Complicating Labor And Delivery Delivered 663.53 Vasa Previa Complicating Labor And Delivery Antepartum 663.60 Vascular Lesions Of Cord Complicating Labor And Delivery Unspecified As To Episode Of Care 663.61 Vascular Lesions Of Cord Complicating Labor And Delivery Delivered 663.63 Vascular Lesions Of Cord Complicating Labor And Delivery Antepartum 663.80 Other Umbilical Cord Complications During Labor And Delivery Unspecified As To Episode Of Care 663.81 Other Umbilical Cord Complications During Labor And Delivery Delivered 663.83 Other Umbilical Cord Complications During Labor And Delivery Antepartum 663.90 Unspecified Umbilical Cord Complication During Labor And Delivery Unspec As To Episode Of Care 663.91 Unspecified Umbilical Cord Complication During Labor And Delivery Delivered 663.93 Unspecified Umbilical Cord Complication During Labor And Delivery Antepartum 664.00 First-Degree Perineal Laceration Unspecified As To Episode Of Care In Pregnancy 664.01 First-Degree Perineal Laceration With Delivery 664.04 First-Degree Perineal Laceration Postpartum 664.10 Second-Degree Perineal Laceration Unspecified As To Episode Of Care In Pregnancy 664.11 Second-Degree Perineal Laceration With Delivery 664.14 Second-Degree Perineal Laceration Postpartum 664.20 Third-Degree Perineal Laceration Unspecified As To Episode Of Care In Pregnancy 664.21 Third-Degree Perineal Laceration With Delivery

January 2016 20

664.24 Third-Degree Perineal Laceration Postpartum 664.30 Fourth-Degree Perineal Laceration Unspecified As To Episode Of Care In Pregnancy 664.31 Fourth-Degree Perineal Laceration With Delivery 664.34 Fourth-Degree Perineal Laceration Postpartum 664.40 Unspecified Perineal Laceration Unspecified As To Episode Of Care In Pregnancy 664.41 Unspecified Perineal Laceration With Delivery 664.44 Unspecified Perineal Laceration Postpartum 664.50 Vulvar And Perineal Hematoma Unspecified As To Episode Of Care In Pregnancy 664.51 Vulvar And Perineal Hematoma With Delivery 664.54 Vulvar And Perineal Hematoma Postpartum 664.80 Other Specified Trauma To Perineum And Vulva Unspecified As To Episode Of Care In Pregnancy 664.81 Other Specified Trauma To Perineum And Vulva With Delivery 664.84 Other Specified Trauma To Perineum And Vulva Postpartum 664.90 Unspecified Trauma To Perineum And Vulva Unspecified As To Episode Of Care In Pregnancy 664.91 Unspecified Trauma To Perineum And Vulva With Delivery 664.94 Unspecified Trauma To Perineum And Vulva Postpartum 665.00 Rupture Of Uterus Before Onset Of Labor Unspecified As To Episode Of Care 665.01 Rupture Of Uterus Before Onset Of Labor With Delivery 665.03 Rupture Of Uterus Before Onset Of Labor Antepartum 665.10 Rupture Of Uterus Unspecified As To Episode Of Care 665.11 Rupture Of Uterus With Delivery 665.20 Inversion Of Uterus Unspecified As To Episode Of Care In Pregnancy 665.22 Inversion Of Uterus Delivered With Postpartum Complication 665.24 Inversion Of Uterus Postpartum 665.30 Laceration Of Cervix Unspecified As To Episode Of Care In Pregnancy 665.31 Laceration Of Cervix With Delivery 665.34 Laceration Of Cervix Postpartum 665.40 High Vaginal Laceration Unspecified As To Episode Of Care In Pregnancy 665.41 High Vaginal Laceration With Delivery 665.44 High Vaginal Laceration Postpartum 665.50 Other Injury To Pelvic Organs Unspecified As To Episode Of Care In Pregnancy 665.51 Other Injury To Pelvic Organs With Delivery 665.54 Other Injury To Pelvic Organs Postpartum 665.60 Damage To Pelvic Joints And Ligaments Unspecified As To Episode Of Care In Pregnancy 665.61 Damage To Pelvic Joints And Ligaments With Delivery 665.64 Damage To Pelvic Joints And Ligaments Postpartum 665.70 Pelvic Hematoma Unspecified As To Episode Of Care 665.71 Pelvic Hematoma With Delivery 665.72 Pelvic Hematoma Delivered With Postpartum Complication 665.74 Pelvic Hematoma Postpartum 665.80 Other Specified Obstetrical Trauma Unspecified As To Episode Of Care 665.81 Other Specified Obstetrical Trauma With Delivery January 2016 21

665.82 Other Specified Obstetrical Trauma Delivered With Postpartum Condition Or Complication 665.83 Other Specified Obstetrical Trauma Antepartum 665.84 Other Specified Obstetrical Trauma Postpartum 665.90 Unspecified Obstetrical Trauma Unspecified As To Episode Of Care 665.91 Unspecified Obstetrical Trauma With Delivery 665.92 Unspecified Obstetrical Trauma Delivered With Postpartum Complication 665.93 Unspecified Obstetrical Trauma Antepartum 665.94 Unspecified Obstetrical Trauma Postpartum 666.00 Third-Stage Postpartum Hemorrhage Unspecified As To Episode Of Care 666.02 Third-Stage Postpartum Hemorrhage With Delivery 666.04 Third-Stage Postpartum Hemorrhage 666.10 Other Immediate Postpartum Hemorrhage Unspecified As To Episode Of Care 666.12 Other Immediate Postpartum Hemorrhage With Delivery 666.14 Other Immediate Postpartum Hemorrhage 666.20 Delayed And Secondary Postpartum Hemorrhage Unspecified As To Episode Of Care 666.22 Delayed And Secondary Postpartum Hemorrhage With Delivery 666.24 Delayed And Secondary Postpartum Hemorrhage 666.30 Postpartum Coagulation Defects Unspecified As To Episode Of Care 666.32 Postpartum Coagulation Defects With Delivery 666.34 Postpartum Coagulation Defects 667.00 Retained Placenta Without Hemorrhage Unspecified As To Episode Of Care 667.02 Retained Placenta Without Hemorrhage With Delivery With Postpartum Complication 667.04 Retained Placenta Without Hemorrhage Postpartum Condition Or Complication 667.10 Retained Portions Of Placenta Or Membranes W/o Hemorrhage Unspecified As To Episode Of Care 667.12 Retained Portions Of Placenta Or Membranes W/o Hemorrhage Delivered With Postpartum Complication 667.14 Retained Portions Of Placenta Or Membranes W/o Hemorrhage Postpartum Condition Or Complication Pulmonary Complications Of Anesthesia Or Other Sedation In Labor & Delivery Unspec As To Episode 668.00 Of Care 668.01 Pulmonary Complications Of Anesthesia Or Other Sedation In Labor & Delivery Delivered Pulmonary Complications Of Anesthesia Or Other Sedation In Labor & Delivery Delivered With 668.02 Postpartum Complication 668.03 Pulmonary Complications Of Anesthesia Or Other Sedation In Labor & Delivery Antepartum 668.04 Pulmonary Complications Of Anesthesia Or Other Sedation In Labor And Delivery Postpartum Cardiac Complications Of Anesthesia Or Other Sedation In Labor And Delivery Unspecified As To 668.10 Episode Of Care 668.11 Cardiac Complications Of Anesthesia Or Other Sedation In Labor And Delivery Delivered Cardiac Complications Of Anesthesia Or Other Sedation In Labor And Delivery Delivered With 668.12 Postpartum Complication 668.13 Cardiac Complications Of Anesthesia Or Other Sedation In Labor And Delivery Antepartum 668.14 Cardiac Complications Of Anesthesia Or Other Sedation In Labor And Delivery Postpartum Central Nervous System Complications Of Anesthesia Or Other Sedation In Labor And Delivery 668.20 Unspecified As To Episode Of Care 668.21 Central Nervous System Complications Of Anesthesia Or Other Sedation In Labor & Delivery Delivered

January 2016 22

Central Nervous System Complications Of Anesthesia Or Other Sedation In Labor & Delivery Delivered 668.22 With Postpartum Complication 668.23 Central Nervous System Complications Of Anesthesia Or Other Sedation In Labor & Delivery Antepartum 668.24 Central Nervous System Complications Of Anesthesia Or Other Sedation In Labor & Delivery Postpartum 668.80 Other Complications Of Anesthesia Or Other Sedation In Labor & Delivery Unspec To Episode Of Care 668.81 Other Complications Of Anesthesia Or Other Sedation In Labor & Delivery Delivered Other Complications Of Anesthesia Or Other Sedation In Labor & Delivery Deliv W/ Postpartum 668.82 Complication 668.83 Other Complications Of Anesthesia Or Other Sedation In Labor & Delivery Antepartum 668.84 Other Complications Of Anesthesia Or Other Sedation In Labor & Delivery Postpartum 668.90 Unspec Complication Of Anesthesia Or Other Sedation In Labor & Delivery Unspec To Episode Of Care 668.91 Unspec Complication Of Anesthesia Or Other Sedation In Labor & Delivery Delivered Unspec Complication Of Anesthesia Or Other Sedation In Labor & Delivery Delivered With Postpartum 668.92 Complication 668.93 Unspecified Complication Of Anesthesia Or Other Sedation In Labor And Delivery Antepartum 668.94 Unspecified Complication Of Anesthesia Or Other Sedation In Labor And Delivery Postpartum 669.00 Maternal Distress Complicating Labor And Delivery Unspecified As To Episode Of Care 669.01 Maternal Distress With Delivery With Or Without Antepartum Condition 669.02 Maternal Distress With Delivery With Postpartum Complication 669.03 Maternal Distress Complicating Labor And Delivery Antepartum Condition Or Complication 669.04 Maternal Distress Complicating Labor And Delivery Postpartum Condition Or Complication 669.10 Obstetric Shock Unspecified As To Episode Of Care 669.11 Obstetric Shock With Delivery With Or Without Antepartum Condition 669.12 Obstetric Shock With Delivery With Postpartum Complication 669.13 Antepartum Obstetric Shock 669.14 Postpartum Obstetric Shock 669.20 Maternal Hypotension Syndrome Complicating Labor And Delivery Unspecified As To Episode Of Care 669.21 Maternal Hypotension Syndrome With Delivery With Or Without Antepartum Condition 669.22 Maternal Hypotension Syndrome With Delivery With Postpartum Complication 669.23 Maternal Hypotension Syndrome Antepartum 669.24 Maternal Hypotension Syndrome Postpartum 669.30 Acute Renal Failure Following Labor And Delivery Unspecified As To Episode Of Care 669.32 Acute Renal Failure With Delivery With Postpartum Complication 669.34 Acute Renal Failure Following Labor And Delivery Postpartum Condition Or Complication 669.40 Other Complications Of Obstetrical Surgery And Procedures Unspecified As To Episode Of Care 669.41 Other Complications Of Obstetrical Surgery & Procedures W/ Delivery W/ Or W/o Antepartum Condition 669.42 Other Complications Of Obstetrical Surgery & Procedures With Delivery With Postpartum Complication 669.43 Other Complications Of Obstetrical Surgery & Procedures Antepartum Condition Or Complication 669.44 Other Complications Of Obstetrical Surgery & Procedures Postpartum Condition Or Complication 669.50 Forceps Or Vacuum Extractor Delivery Without Indication Unspecified As To Episode Of Care 669.51 Forceps Or Vacuum Extractor Delivery Without Indication Delivered W/ Or W/o Antepartum Condition 669.60 Breech Extraction Without Indication Unspecified As To Episode Of Care 669.61 Breech Extraction Without Indication Delivered With Or Without Antepartum Condition January 2016 23

669.70 Cesarean Delivery Without Indication Unspecified As To Episode Of Care 669.71 Cesarean Delivery Without Indication Delivered With Or Without Antepartum Condition 669.80 Other Complications Of Labor And Delivery Unspecified As To Episode Of Care 669.81 Other Complications Of Labor And Delivery Delivered With Or Without Antepartum Condition 669.82 Other Complications Of Labor And Delivery Delivered With Postpartum Complication 669.83 Other Complications Of Labor And Delivery Antepartum Condition Or Complication 669.84 Other Complications Of Labor And Delivery Postpartum Condition Or Complication 669.90 Unspecified Complication Of Labor And Delivery Unspecified As To Episode Of Care 669.91 Unspecified Complication Of Labor And Delivery With Delivery With Or Without Antepartum Condition 669.92 Unspecified Complication Of Labor And Delivery With Delivery With Postpartum Complication 669.93 Unspecified Complication Of Labor And Delivery Antepartum Condition Or Complication 669.94 Unspecified Complication Of Labor And Delivery Postpartum Condition Or Complication 670.00 Major Puerperal Infection Unspecified As To Episode Of Care 670.02 Major Puerperal Infection Delivered With Postpartum Complication 670.04 Major Puerperal Infection Postpartum 670.12 Puerperal , Delivered, With Mention Of Postpartum Complication 670.14 Puerperal Endometritis, Postpartum Condition Or Complication 670.24 Puerperal , Postpartum Condition Or Complication 670.32 Puerperal Septic Thrombophlebitis, Delivered, With Mention Of Postpartum Complication 670.34 Puerperal Septic Thrombophlebitis, Postpartum Condition Or Complication 670.80 Other Major Puerperal Infection, Delivered, With Mention Of Postpartum Complication 670.84 Other Major Puerperal Infection, Postpartum Condition Or Complication 671.00 Varicose Veins Of Legs Complicating Pregnancy And The Puerperium Unspec As To Episode Of Care 671.01 Varicose Veins Of Legs With Delivery With Or Without Antepartum Condition 671.02 Varicose Veins Of Legs With Delivery With Postpartum Complication 671.03 Antepartum Varicose Veins Of Legs 671.04 Postpartum Varicose Veins Of Legs 671.10 Varicose Veins Of Vulva & Perineum Complicating Preg & The Puerperium Unspec To Episode Of Care 671.11 Varicose Veins Of Vulva And Perineum With Delivery With Or Without Antepartum Condition 671.12 Varicose Veins Of Vulva And Perineum With Delivery With Postpartum Complication 671.13 Antepartum Varicose Veins Of Vulva And Perineum 671.14 Postpartum Varicose Veins Of Vulva And Perineum 671.20 Superficial Thrombophlebitis Complicating Pregnancy & The Puerperium Unspec As To Episode Of Care 671.21 Superficial Thrombophlebitis With Delivery With Or Without Antepartum Condition 671.22 Superficial Thrombophlebitis With Delivery With Postpartum Complication 671.23 Antepartum Superficial Thrombophlebitis 671.24 Postpartum Superficial Thrombophlebitis 671.30 Deep Phlebothrombosis Antepartum Unspecified As To Episode Of Care 671.31 Deep Phlebothrombosis Antepartum With Delivery 671.33 Deep Phlebothrombosis Antepartum 671.40 Deep Phlebothrombosis Postpartum Unspecified As To Episode Of Care 671.42 Deep Phlebothrombosis Postpartum With Delivery January 2016 24

671.44 Deep Phlebothrombosis Postpartum 671.50 Other Phlebitis & Thrombosis Complicating Pregnancy & The Puerperium Unspec As To Episode Of Care 671.51 Other Phlebitis & Thrombosis With Delivery With Or Without Antepartum Condition 671.52 Other Phlebitis & Thrombosis With Delivery With Postpartum Complication 671.53 Other Antepartum Phlebitis And Thrombosis 671.54 Other Postpartum Phlebitis And Thrombosis 671.80 Other Venous Complications Of Pregnancy And The Puerperium Unspecified As To Episode Of Care 671.81 Other Venous Complications With Delivery With Or Without Antepartum Condition 671.82 Other Venous Complications With Delivery With Postpartum Complication 671.83 Other Antepartum Venous Complications 671.84 Other Postpartum Venous Complications 671.90 Unspecified Venous Complication Of Pregnancy & The Puerperium Unspecified As To Episode Of Care 671.91 Unspecified Venous Complication With Delivery With Or Without Antepartum Condition 671.92 Unspecified Venous Complication With Delivery With Postpartum Complication 671.93 Unspecified Antepartum Venous Complication 671.94 Unspecified Postpartum Venous Complication 672.00 Puerperal Pyrexia Of Unknown Origin Unspecified As To Episode Of Care 672.02 Puerperal Pyrexia Of Unknown Origin Delivered With Postpartum Complication 672.04 Puerperal Pyrexia Of Unknown Origin Postpartum 673.00 Obstetrical Unspecified As To Episode Of Care 673.01 Obstetrical Air Embolism With Delivery With Or Without Antepartum Condition 673.02 Obstetrical Air Embolism With Delivery With Postpartum Complication 673.03 Obstetrical Air Embolism Antepartum Condition Or Complication 673.04 Obstetrical Air Embolism Postpartum Condition Or Complication 673.10 Embolism Unspecified As To Episode Of Care 673.11 With Delivery With Or Without Antepartum Condition 673.12 Amniotic Fluid Embolism With Delivery With Postpartum Complication 673.13 Amniotic Fluid Embolism Antepartum Condition Or Complication 673.14 Amniotic Fluid Embolism Postpartum Condition Or Complication 673.20 Obstetrical Blood-Clot Embolism Unspecified As To Episode Of Care 673.21 Obstetrical Blood-Clot Embolism With Delivery With Or Without Antepartum Condition 673.22 Obstetrical Blood-Clot Embolism With Postpartum Complication 673.23 Obstetrical Blood-Clot Embolism Antepartum 673.24 Obstetrical Blood-Clot Embolism Postpartum 673.30 Obstetrical Pyemic And Unspecified As To Episode Of Care 673.31 Obstetrical Pyemic And Septic Embolism With Delivery With Or Without Antepartum Condition 673.32 Obstetrical Pyemic And Septic Embolism With Delivery With Postpartum Complicaton 673.33 Obstetrical Pyemic And Septic Embolism Antepartum 673.34 Obstetrical Pyemic And Septic Embolism Postpartum 673.80 Other Obstetrical Pulmonary Embolism Unspecified As To Episode Of Care 673.81 Other Obstetrical Pulmonary Embolism With Delivery With Or Without Antepartum Condition 673.82 Other Obstetrical Pulmonary Embolism With Delivery With Postpartum Complication January 2016 25

673.83 Other Obstetrical Pulmonary Embolism Antepartum 673.84 Other Obstetrical Pulmonary Embolism Postpartum 674.00 Cerebrovascular Disorders Occurring In Preg Childbirth Or The Puerperium Unspec To Episode Of Care 674.01 Cerebrovascular Disorders With Delivery With Or Without Antepartum Condition 674.02 Cerebrovascular Disorders With Delivery With Postpartum Complication 674.03 Antepartum Cerebrovascular Disorders 674.04 Postpartum Cerebrovascular Disorders 674.10 Disruption Of Cesarean Unspecified As To Episode Of Care 674.12 Disruption Of Cesarean Wound With Delivery With Postpartum Complication 674.14 Disruption Of Cesarean Wound Postpartum 674.20 Disruption Of Perineal Wound Unspecified As To Episode Of Care In Pregnancy 674.22 Disruption Of Perineal Wound With Delivery With Postpartum Complication 674.24 Disruption Of Obstetrical Perineal Wound Postpartum 674.30 Other Complications Of Obstetrical Surgical Unspecified As To Episode Of Care 674.32 Other Complications Of Obstetrical Surgical Wounds With Delivery With Postpartum Complication 674.34 Other Complications Of Obstetrical Surgical Wounds Postpartum Condition Or Complication 674.40 Placental Polyp Unspecified As To Episode Of Care 674.42 Placental Polyp With Delivery With Postpartum Complication 674.44 Placental Polyp Postpartum Condition Or Complication 674.50 Peripart Cardiomyopathy Unspecified 674.51 Peripartum Cardiomyopathy With Delivery With Or Without Antepartum Condition 674.52 Peripartum Cardiomyopathy With Delivery With Postpartum Complication 674.53 Peripartum Cardiomyopathy With Antepartum Condition Or Complication 674.54 Peripartum Cardiomyopathy With Postpartum Condition Or Complication 674.80 Other Complications Of Puerperium Unspecified As To Episode Of Care 674.82 Other Complications Of Puerperium With Delivery With Postpartum Complication 674.84 Other Complications Of Puerperium 674.90 Unspecified Complications Of Puerperium Unspecified As To Episode Of Care 674.92 Unspecified Complications Of Puerperium With Delivery With Postpartum Complication 674.94 Unspecified Complications Of Puerperium 675.00 Infections Of Nipple Associated With Childbirth Unspecified As To Episode Of Care 675.01 Infections Of Nipple Associated With Childbirth Delivered With Or Without Antepartum Condition 675.02 Infections Of Nipple Associated With Childbirth Delivered With Postpartum Complication 675.03 Antepartum Infections Of Nipple 675.04 Postpartum Infections Of Nipple 675.10 Of Breast Associated With Childbirth Unspecified As To Episode Of Care 675.11 Abscess Of Breast Associated With Childbirth Delivered With Or Without Antepartum Condition 675.12 Abscess Of Breast Associated With Childbirth Delivered With Postpartum Complication 675.13 Antepartum Abscess Of Breast 675.14 Postpartum Abscess Of Breast 675.20 Nonpurulent Associated With Childbirth Unspecified As To Episode Of Care 675.21 Nonpurulent Mastitis Associated With Childbirth Delivered With Or Without Antepartum Condition January 2016 26

675.22 Nonpurulent Mastitis Associated With Childbirth Delivered With Postpartum Complication 675.23 Antepartum Nonpurulent Mastitis 675.24 Postpartum Nonpurulent Mastitis 675.80 Other Spec Infections Of Breast & Nipple Assoc With Childbirth Unspec As To Episode Of Care 675.81 Other Spec Infections Of Breast & Nipple Assoc W/ Childbirth Del W/ Or W/o Antepartum Condition 675.82 Other Spec Infections Of Breast & Nipple Assoc W/ Childbirth Del W/ Postpartum Complication 675.83 Other Spec Antepartum Infections Of The Breast & Nipple 675.84 Other Spec Postpartum Infections Of The Breast & Nipple 675.90 Unspec Infection Of Breast & Nipple Assoc W/Childbirth Unspecified As To Episode Of Care 675.91 Unspec Infection Of Breast & Nipple Assoc W/ Childbirth Delivered W/ Or W/o Antepartum Condition 675.92 Unspec Infection Of Breast & Nipple Assoc With Childbirth Delivered W/Postpartum Complication 675.93 Unspecified Antepartum Infection Of The Breast And Nipple 675.94 Unspecified Postpartum Infection Of The Breast And Nipple 676.00 Retracted Nipple Associated With Childbirth Unspecified As To Episode Of Care 676.01 Retracted Nipple Associated With Childbirth Delivered With Or Without Antepartum Condition 676.02 Retracted Nipple Associated With Childbirth Delivered With Postpartum Complication 676.03 Retracted Nipple Associated With Childbirth Antepartum Condition Or Complication 676.04 Retracted Nipple Associated With Childbirth Postpartum Condition Or Complication 676.10 Associated With Childbirth Unspecified As To Episode Of Care 676.11 Cracked Nipple Associated With Childbirth Delivered With Or Without Antepartum Condition 676.12 Cracked Nipple Associated With Childbirth Delivered With Postpartum Complication 676.13 Cracked Nipple Associated With Childbirth Antepartum Condition Or Complication 676.14 Cracked Nipple Associated With Childbirth Postpartum Condition Or Complication 676.20 Engorgement Of Breasts Assoc With Childbirth Unspecified As To Episode Of Care 676.21 Engorgement Of Breasts Assoc With Childbirth Delivered With Or Without Antepartum Condition 676.22 Engorgement Of Breasts Assoc With Childbirth Delivered With Postpartum Complication 676.23 Antepartum Engorgement Of Breasts Assoc With Childbirth 676.24 Postpartum Engorgement Of Breasts Assoc With Childbirth 676.30 Other And Unspec Disorder Of Breast Assoc W/Childbirth Unspec As To Episode Of Care 676.31 Other And Unspec Disorder Of Breast Assoc W/Childbirth Delivered W/ Or W/o Antepartum Condition 676.32 Other And Unspec Disorder Of Breast Assoc W/Childbirth Delivered With Postpartum Complication 676.33 Other And Unspec Disorder Of Breast Assoc W/Childbirth Antepartum Condition Or Complication 676.34 Other And Unspec Disorder Of Breast Assoc W/Childbirth Postpartum Condition Or Complication 676.40 Failure Of Lactation Unspecified As To Episode Of Care 676.41 Failure Of Lactation With Delivery With Or Without Antepartum Condition 676.42 Failure Of Lactation With Delivery With Postpartum Complication 676.43 Failure Of Lactation Antepartum Condition Or Complication 676.44 Failure Of Lactation Postpartum Condition Or Complication 676.50 Suppressed Lactation Unspecified As To Episode Of Care 676.51 Suppressed Lactation With Delivery With Or Without Antepartum Condition 676.52 Suppressed Lactation With Delivery With Postpartum Complication 676.53 Suppressed Lactation Antepartum Condition Or Complication January 2016 27

676.54 Suppressed Lactation Postpartum Condition Or Complication 676.60 Associated With Childbirth Unspecified As To Episode Of Care 676.61 Galactorrhea With Delivery With Or Without Antepartum Condition 676.62 Galactorrhea With Delivery With Postpartum Complication 676.63 Galactorrhea Antepartum Condition Or Complication 676.64 Galactorrhea Postpartum Condition Or Complication 676.80 Other Disorders Of Lactation Unspecified As To Episode Of Care 676.81 Other Disorders Of Lactation With Delivery With Or Without Antepartum Condition 676.82 Other Disorders Of Lactation With Delivery With Postpartum Complication 676.83 Other Disorders Of Lactation Antepartum Condition Or Complication 676.84 Other Disorders Of Lactation Postpartum Condition Or Complication 676.90 Unspecified Disorder Of Lactation Unspecified As To Episode Of Care 676.91 Unspecified Disorder Of Lactation With Delivery With Or Without Antepartum Condition 676.92 Unspecified Disorder Of Lactation With Delivery With Postpartum Complication 676.93 Unspecified Disorder Of Lactation Antepartum Condition Or Complication 676.94 Unspecified Disorder Of Lactation Postpartum Condition Or Complication 677 Late Effect Of Complication Of Pregnancy Childbirth The Puerperium 679.00 Complications Of In Utero Proc;Maternal Complications; Unspec As To Episode Of Care Or N/A 679.01 Complications Of In Utero Proc;Maternal Complications; Delivered W/ Or W/o Ment Of Antepartum 679.02 Complications Of In Utero Proc;Maternal Complications; Delivered, W/ Ment Of Postpartum Condition 679.03 Complications Of In Utero Proc;Maternal Complications; Antepartum Condition Or Complication 679.04 Complications Of In Utero Proc;Maternal Complications; Postpartum Condition Or Complication 679.10 Complications Of In Utero Proc;Fetal Complications; Unspecified As To Episode Of Care Or N/A 679.11 Complications Of In Utero Proc;Fetal Complications; Delivered, With Or Without Mention Of Antepartum 679.12 Complications Of In Utero Proc;Fetal Complications; Delivered, With Mention Of Postpartum Condition 679.13 Complications Of In Utero Proc;Fetal Complications; Antepartum Condition Or Complication 679.14 Complications Of In Utero Proc;Fetal Complications; Postpartum Condition Or Complication 792.3 Nonspecific Abnormal Findings In Amniotic Fluid 796.5 Abnormal Finding On Antenatal Screening V22.0 Supervision Of Normal First Pregnancy V22.1 Supervision Of Other Normal Pregnancy V22.2 Pregnant State Incidental V23.0 Supervision Of High-Risk Pregnancy With History Of Infertility V23.1 Supervision Of High-Risk Pregnancy With History Of Trophoblastic Disease V23.2 Supervision Of High-Risk Pregnancy With History Of Abortion V23.3 Supervision Of High-Risk Pregnancy With Grand Multiparity V23.41 Supervision Of High-Risk Pregnancy With History Of Pre-Term Labor V23.42 Supervision Of Hifh-Risk Pregnancy; With Other Poor Obstetric History; Ectopic Pregnancy V23.49 Supervision Of High-Risk Pregnancy With Other Poor Obstetric History V23.5 Supervision Of High-Risk Pregnancy With Other Poor Reproductive History V23.7 Supervision Of High-Risk Pregnancy With Insufficient V23.81 Supervision Of High-Risk Pregnancy With Elderly Primigravida January 2016 28

V23.82 Supervision Of High-Risk Pregnancy With Elderly Multigravida V23.83 Supervision Of High-Risk Pregnancy With Young Primigravida V23.84 Supervision Of High-Risk Pregnancy With Young Multigravida V23.89 Supervision Of Other High-Risk Pregnancy V23.9 Supervision Of Unspecified High-Risk Pregnancy V24.0 Postpartum Care And Examination Immediately After Delivery V24.1 Postpartum Care And Examination Of Lactating Mother V24.2 Routine Postpartum Follow-Up V27.0 Mother With Single Liveborn V27.1 Mother With Single Stillborn V27.2 Mother With Twins Both Liveborn V27.3 Mother With Twins One Liveborn And One Stillborn V27.4 Mother With Twins Both Stillborn V27.5 Mother With Other Multiple Birth All Liveborn V27.6 Mother With Other Multiple Birth Some Liveborn V27.7 Mother With Other Multiple Birth All Stillborn V27.9 Mother With Unspecified Outcome Of Delivery V28.0 Screening For Chromosomal Anomalies By Amniocentesis V28.1 Screening For Raised Alpha- Fetoprotein Levels In Amniotic Fluid V28.2 Other Antenatal Screening Based On Amniocentesis V28.3 Antenatal Screening For Malformation Using Ultrasonics V28.4 Antenatal Screening For Fetal Growth Retardation Using Ultrasonics V28.5 Antenatal Screening For Isoimmunization V28.6 Antenatal Screening For B V288.1 Encounter For Antenatal Screening Of Mother; Other Specified; Encounter For Fetal Anatomic Survey V288.2 Encounter For Antenatal Screening Of Mother; Other Spec; Encounter For Screening Risk Of Pre-Term V288.9 Encounter For Antenatal Screening Of Mother; Other Specified; Ther Specified Antenatal Screening V28.9 Unspecified Antenatal Screening V72.42 Pregnancy Examination Or Test, Positive Results V89.01 Other Suspected Conditions Not Found; Maternal & Fetal; Problem With Amniotic Cavity And Membrane V89.02 Other Suspected Conditions Not Found; Maternal And Fetal; Placental Problems V89.03 Other Suspected Conditions Not Found; Maternal And Fetal; Fetal Anomaly V89.04 Other Suspected Conditions Not Found; Maternal And Fetal; Problem With Fetal Growth V89.05 Other Suspected Conditions Not Found; Maternal And Fetal; Cervical Shortening V89.09 Other Suspected Conditions Not Found; Maternal And Fetal; Other. V91.00 Multiple Gestation Placenta Status;Twin; Unspec Number Of Placenta, Unspec Number Of Amniotic Sacs V91.01 Multi Gestation Placenta Status;Twin; Monochorionic/Monoamniotic (One Placenta, One ) V91.02 Multi Gestation Placenta Status; Twin; Monochorionic/Diamniotic (Two Placentae, Tow Amniotic Sacs) V91.03 Twin Gestation, Dichorionic/Diamniotic (One Placentae, Two Amniotic Sacs) V91.09 Multi Gestation Placenta Status;Twin;Unable To Determine Num Of Placenta& Number Of Amniotic Sacs V91.10 Multi Gestation Placenta Status;Triplet;Unspec Number Of Placenta & Unspec Number Of Amniotic Sacs V91.11 Multiple Gestation Placenta Status;Triplet; With Two Or More Monochorionic January 2016 29

V91.12 Multi Gestation Placenta Status;Triplet;With Two Or More Monoamniotic Fetuses V91.19 Multi Gestation Placenta Status;Triplet;Unable To Deter Num Of Placenta & Number Of Amniotic Sacs V91.20 Multi Gestation Placenta Status;Quadruplet; Unspec Num Of Placenta & Unspec Num Of Amniotic Sacs V91.21 Multi Gestation Placenta Status;Quadruplet; W/Two Or More Monochorionic Fetuses V91.22 Multi Gestation Placenta Status;Quadruplet; W/ Two Or More Monoamniotic Fetuses V91.29 Multi Gestation Placenta Status; Quadruplet; Unable To Deter Num Of Placenta & Num Of Amniotic Sacs V91.90 Multi Gestation Placenta Status; Other Spec; Unspec Num Of Placenta & Unspec Num Of Amniotic Sacs V91.91 Multi Gestation Placenta Status; Other Spec; W/Two Or More Monochorionic Fetuses V91.92 Multi Gestation Placenta Status; Other Spec; W/Two Or More Monoamniotic Fetuses V91.99 Multi Gestation Placenta Status;Other Spec;Unable To Deter NumOf Placenta&Number Or Amniotic Sacs ADDITIONAL COMPLICATIONS OF PREGNANCY CODES ***Must Be Filed With a Maternity Diagnosis*** Code Description Range 401.0 Hypertension 401.1 Hypertension 401.9 Hypertension 429.9 Heart Disease, unspecified – (Cardiac Decompensation) 582.9 Chronic glomerulonephritis with unspecified pathological lesion in kidney 583.9 Nephritis & Nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney 590.10 Infections of Kidney, acute pyelonephritis 590.11 Infections of Kidney, acute pyelonephritis 590.8 Infections of Kidney, pyelonephritis, unspecified

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