Weight Assessment and Counseling
PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System BMI Percentile Z68.51 [Z68.51] Body mass index (BMI) pediatric, less than 5th percentile for age ICD10CM [Z68.52] Body mass index (BMI) pediatric, 5th percentile to less than 85th percentile for BMI Percentile Z68.52 ICD10CM age [Z68.53] Body mass index (BMI) pediatric, 85th percentile to less than 95th percentile for BMI Percentile Z68.53 ICD10CM age [Z68.54] Body mass index (BMI) pediatric, greater than or equal to 95th percentile for BMI Percentile Z68.54 ICD10CM age BMI Percentile 59574-4 Body mass index (BMI) [Percentile] LOINC BMI Percentile 59575-1 Body mass index (BMI) [Percentile] Per age LOINC BMI Percentile 59576-9 Body mass index (BMI) [Percentile] Per age and sex LOINC Nutrition Counseling 97802 CPT Nutrition Counseling 97803 CPT Nutrition Counseling 97804 CPT
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment Nutrition Counseling G0270 HCPCS regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes (G0270)
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment Nutrition Counseling G0271 HCPCS regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes (G0271)
Nutrition Counseling G0447 Face-to-face behavioral counseling for obesity, 15 minutes (G0447) HCPCS
Nutrition Counseling S9449 Weight management classes, non-physician provider, per session (S9449) HCPCS
Nutrition Counseling S9452 Nutrition classes, non-physician provider, per session (S9452) HCPCS Nutrition Counseling S9470 Nutritional counseling, dietitian visit (S9470) HCPCS
Page 1 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System Nutrition Counseling Z71.3 [Z71.3] Dietary counseling and surveillance ICD10CM SNOMED CT US Nutrition Counseling 11816003 Diet education (procedure) Edition SNOMED CT US Nutrition Counseling 61310001 Nutrition education (procedure) Edition SNOMED CT US Nutrition Counseling 183059007 High fiber diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183060002 Low residue diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183061003 Low fat diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183062005 Low cholesterol diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183063000 Low salt diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183065007 Low carbohydrate diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183066008 Low protein diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183067004 High protein diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183070000 Vegetarian diet education (procedure) Edition SNOMED CT US Nutrition Counseling 183071001 Vegan diet education (procedure) Edition SNOMED CT US Nutrition Counseling 226067002 Food hygiene education (procedure) Edition SNOMED CT US Nutrition Counseling 266724001 Weight-reducing diet education (procedure) Edition SNOMED CT US Nutrition Counseling 275919002 Weight loss advised (situation) Edition
Page 2 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System SNOMED CT US Nutrition Counseling 281085002 Sugar-free diet education (procedure) Edition SNOMED CT US Nutrition Counseling 284352003 Obesity diet education (procedure) Edition SNOMED CT US Nutrition Counseling 305849009 Seen by dietetics service (finding) Edition SNOMED CT US Nutrition Counseling 305850009 Seen by community-based dietetics service (finding) Edition SNOMED CT US Nutrition Counseling 305851008 Seen by hospital-based dietetics service (finding) Edition SNOMED CT US Nutrition Counseling 306163007 Referral to dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 306164001 Referral to community-based dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 306165000 Referral to hospital-based dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 306626002 Discharge from dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 306627006 Discharge from hospital dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 306628001 Discharge from community dietetics service (procedure) Edition SNOMED CT US Nutrition Counseling 313210009 Fluid intake education (procedure) Edition SNOMED CT US Nutrition Counseling 370847001 Dietary needs education (procedure) Edition SNOMED CT US Nutrition Counseling 386464006 Prescribed diet education (procedure) Edition SNOMED CT US Nutrition Counseling 404923009 Weight gain advised (situation) Edition SNOMED CT US Nutrition Counseling 408910007 Enteral feeding education (procedure) Edition
Page 3 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System SNOMED CT US Nutrition Counseling 410171007 Nutrition care education (procedure) Edition SNOMED CT US Nutrition Counseling 410177006 Special diet education (procedure) Edition SNOMED CT US Nutrition Counseling 410200000 Weight control education (procedure) Edition SNOMED CT US Nutrition Counseling 429095004 Dietary education for weight gain (procedure) Edition SNOMED CT US Nutrition Counseling 431482008 Dietary education for competitive athlete (procedure) Edition SNOMED CT US Nutrition Counseling 443288003 Lifestyle education regarding diet (procedure) Edition SNOMED CT US Nutrition Counseling 609104008 Educated about weight management (situation) Edition SNOMED CT US Nutrition Counseling 698471002 Patient advised about weight management (situation) Edition SNOMED CT US Nutrition Counseling 699827002 Dietary education about fluid restriction (procedure) Edition SNOMED CT US Nutrition Counseling 699829004 High energy diet education (procedure) Edition SNOMED CT US Nutrition Counseling 699830009 Food fortification education (procedure) Edition SNOMED CT US Nutrition Counseling 699849008 Healthy eating education (procedure) Edition SNOMED CT US Nutrition Counseling 700154005 Seen in weight management clinic (finding) Edition SNOMED CT US Nutrition Counseling 700258004 Dietary education about vitamin intake (procedure) Edition SNOMED CT US Nutrition Counseling 705060005 Diet education about mineral intake (procedure) Edition SNOMED CT US Nutrition Counseling 710881000 Education about eating pattern (procedure) Edition
Page 4 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System 428461000124 SNOMED CT US Nutrition Counseling Referral to nutrition professional (procedure) 101 Edition 428691000124 SNOMED CT US Nutrition Counseling Vitamin K dietary intake education (procedure) 107 Edition 441041000124 SNOMED CT US Nutrition Counseling Counseling about nutrition (procedure) 100 Edition 441201000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using cognitive-behavioral theoretical approach (procedure) 108 Edition 441231000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using health belief model (procedure) 100 Edition 441241000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using social learning theory approach (procedure) 105 Edition 441251000124 Counseling about nutrition using transtheoretical model and stages of change approach SNOMED CT US Nutrition Counseling 107 (procedure) Edition 441261000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using motivational interviewing strategy (procedure) 109 Edition 441271000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using goal setting strategy (procedure) 102 Edition 441281000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using self-monitoring strategy (procedure) 104 Edition 441291000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using problem solving strategy (procedure) 101 Edition 441301000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using social support strategy (procedure) 100 Edition 441311000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using stress management strategy (procedure) 102 Edition 441321000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using stimulus control strategy (procedure) 105 Edition 441331000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using cognitive restructuring strategy (procedure) 108 Edition 441341000124 SNOMED CT US Nutrition Counseling Counseling about nutrition using relapse prevention strategy (procedure) 103 Edition
Page 5 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System 441351000124 Counseling about nutrition using rewards and contingency management strategy SNOMED CT US Nutrition Counseling 101 (procedure) Edition 445291000124 SNOMED CT US Nutrition Counseling Nutrition-related skills education (procedure) 103 Edition 445301000124 SNOMED CT US Nutrition Counseling Content-related nutrition education (procedure) 102 Edition 445331000124 SNOMED CT US Nutrition Counseling Nutrition-related laboratory result interpretation education (procedure) 105 Edition 445641000124 SNOMED CT US Nutrition Counseling Technical nutrition education (procedure) 105 Edition Physical Activity G0447 Face-to-face behavioral counseling for obesity, 15 minutes (G0447) HCPCS Counseling Physical Activity S9451 Exercise classes, non-physician provider, per session (S9451) HCPCS Counseling Physical Activity Z02.5 [Z02.5] Encounter for examination for participation in sport ICD10CM Counseling Physical Activity Z71.82 [Z71.82] Exercise counseling ICD10CM Counseling Physical Activity SNOMED CT US 103736005 History and physical examination, sports participation (procedure) Counseling Edition Physical Activity SNOMED CT US 183073003 Patient advised about exercise (situation) Counseling Edition Physical Activity SNOMED CT US 281090004 Recommendation to exercise (procedure) Counseling Edition Physical Activity SNOMED CT US 304507003 Exercise education (procedure) Counseling Edition Physical Activity SNOMED CT US 304549008 Giving encouragement to exercise (procedure) Counseling Edition Physical Activity SNOMED CT US 304558001 Reassuring about exercise (procedure) Counseling Edition Physical Activity SNOMED CT US 310882002 Exercise on prescription (regime/therapy) Counseling Edition
Page 6 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Numerator Value Set Name Code Definition Code System Physical Activity SNOMED CT US 386291006 Exercise promotion: strength training (procedure) Counseling Edition Physical Activity SNOMED CT US 386292004 Exercise promotion: stretching (procedure) Counseling Edition Physical Activity SNOMED CT US 386463000 Prescribed activity/exercise education (procedure) Counseling Edition Physical Activity SNOMED CT US 390864007 Referral for exercise therapy (procedure) Counseling Edition Physical Activity SNOMED CT US 390893007 Referral to physical activity program (procedure) Counseling Edition Physical Activity SNOMED CT US 398636004 Physical activity assessment (procedure) Counseling Edition Physical Activity SNOMED CT US 398752005 Referral to weight maintenance regimen service (procedure) Counseling Edition Physical Activity SNOMED CT US 408289007 Refer to weight management program (procedure) Counseling Edition Physical Activity SNOMED CT US 410200000 Weight control education (procedure) Counseling Edition Physical Activity SNOMED CT US 410289001 Exercises education, guidance, and counseling (procedure) Counseling Edition Physical Activity SNOMED CT US 410335001 Exercises case management (procedure) Counseling Edition Physical Activity SNOMED CT US 429778002 Patient given written advice on benefits of physical activity (situation) Counseling Edition Physical Activity SNOMED CT US 710849009 Assessment of exercise behavior (procedure) Counseling Edition Physical Activity 435551000124 SNOMED CT US Counseling about physical activity (procedure) Counseling 105 Edition
Page 7 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Denominator Value Set Name Code Definition Code System Outpatient 99201 CPT Outpatient 99202 CPT Outpatient 99203 CPT Outpatient 99204 CPT Outpatient 99205 CPT Outpatient 99211 CPT Outpatient 99212 CPT Outpatient 99213 CPT Outpatient 99214 CPT Outpatient 99215 CPT Outpatient 99241 CPT Outpatient 99242 CPT Outpatient 99243 CPT Outpatient 99244 CPT Outpatient 99245 CPT Outpatient 99341 CPT Outpatient 99342 CPT Outpatient 99343 CPT Outpatient 99344 CPT Outpatient 99345 CPT Outpatient 99347 CPT Outpatient 99348 CPT Outpatient 99349 CPT Outpatient 99350 CPT Outpatient 99381 CPT Outpatient 99382 CPT Outpatient 99383 CPT Outpatient 99384 CPT Outpatient 99385 CPT Outpatient 99386 CPT Outpatient 99387 CPT Outpatient 99391 CPT Outpatient 99392 CPT
Page 8 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Denominator Value Set Name Code Definition Code System Outpatient 99393 CPT Outpatient 99394 CPT Outpatient 99395 CPT Outpatient 99396 CPT Outpatient 99397 CPT Outpatient 99401 CPT Outpatient 99402 CPT Outpatient 99403 CPT Outpatient 99404 CPT Outpatient 99411 CPT Outpatient 99412 CPT Outpatient 99429 CPT Outpatient 99455 CPT Outpatient 99456 CPT Outpatient 99483 CPT Initial preventive physical examination; face-to-face visit, services limited to new Outpatient G0402 HCPCS beneficiary during the first 12 months of medicare enrollment (G0402) Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Outpatient G0438 HCPCS (G0438) Annual wellness visit, includes a personalized prevention plan of service (pps), Outpatient G0439 HCPCS subsequent visit (G0439) Outpatient G0463 Hospital outpatient clinic visit for assessment and management of a patient (G0463) HCPCS Outpatient T1015 Clinic visit/encounter, all-inclusive (T1015) HCPCS SNOMED CT US Outpatient 17436001 Medical consultation with outpatient (procedure) Edition Evaluation and management of established outpatient in office or other outpatient SNOMED CT US Outpatient 30346009 facility (procedure) Edition Evaluation and management of new outpatient in office or other outpatient facility SNOMED CT US Outpatient 37894004 (procedure) Edition SNOMED CT US Outpatient 77406008 Confirmatory medical consultation (procedure) Edition SNOMED CT US Outpatient 84251009 Comprehensive consultation (procedure) Edition
Page 9 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Denominator Value Set Name Code Definition Code System SNOMED CT US Outpatient 185463005 Visit out of hours (procedure) Edition SNOMED CT US Outpatient 185464004 Out of hours visit - not night visit (procedure) Edition SNOMED CT US Outpatient 185465003 Weekend visit (procedure) Edition SNOMED CT US Outpatient 281036007 Follow-up consultation (procedure) Edition SNOMED CT US Outpatient 439740005 Postoperative follow-up visit (procedure) Edition 339100017510 SNOMED CT US Outpatient Office visit for pediatric care and assessment (procedure) 8 Edition 444971000124 SNOMED CT US Outpatient Annual wellness visit (procedure) 105 Edition Outpatient 0510 UBREV Outpatient 0511 UBREV Outpatient 0512 UBREV Outpatient 0513 UBREV Outpatient 0514 UBREV Outpatient 0515 UBREV Outpatient 0516 UBREV Outpatient 0517 UBREV Outpatient 0519 UBREV Outpatient 0520 UBREV Outpatient 0521 UBREV Outpatient 0522 UBREV Outpatient 0523 UBREV Outpatient 0526 UBREV Outpatient 0527 UBREV Outpatient 0528 UBREV Outpatient 0529 UBREV Outpatient 0982 UBREV Outpatient 0983 UBREV
Page 10 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O00.0 [O00.0] Abdominal pregnancy ICD10CM Pregnancy O00.00 [O00.00] Abdominal pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.01 [O00.01] Abdominal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.1 [O00.1] Tubal pregnancy ICD10CM Pregnancy O00.10 [O00.10] Tubal pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.101 [O00.101] Right tubal pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.102 [O00.102] Left tubal pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.109 [O00.109] Unspecified tubal pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.11 [O00.11] Tubal pregnancy with intrauterine pregnancy ICD10CM
Pregnancy O00.111 [O00.111] Right tubal pregnancy with intrauterine pregnancy ICD10CM
Pregnancy O00.112 [O00.112] Left tubal pregnancy with intrauterine pregnancy ICD10CM
Pregnancy O00.119 [O00.119] Unspecified tubal pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.2 [O00.2] Ovarian pregnancy ICD10CM Pregnancy O00.20 [O00.20] Ovarian pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.201 [O00.201] Right ovarian pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.202 [O00.202] Left ovarian pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.209 [O00.209] Unspecified ovarian pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.21 [O00.21] Ovarian pregnancy with intrauterine pregnancy ICD10CM
Page 11 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O00.211 [O00.211] Right ovarian pregnancy with intrauterine pregnancy ICD10CM
Pregnancy O00.212 [O00.212] Left ovarian pregnancy with intrauterine pregnancy ICD10CM
Pregnancy O00.219 [O00.219] Unspecified ovarian pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.8 [O00.8] Other ectopic pregnancy ICD10CM Pregnancy O00.80 [O00.80] Other ectopic pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.81 [O00.81] Other ectopic pregnancy with intrauterine pregnancy ICD10CM Pregnancy O00.9 [O00.9] Ectopic pregnancy, unspecified ICD10CM Pregnancy O00.90 [O00.90] Unspecified ectopic pregnancy without intrauterine pregnancy ICD10CM
Pregnancy O00.91 [O00.91] Unspecified ectopic pregnancy with intrauterine pregnancy ICD10CM Pregnancy O01.0 [O01.0] Classical hydatidiform mole ICD10CM Pregnancy O01.1 [O01.1] Incomplete and partial hydatidiform mole ICD10CM Pregnancy O01.9 [O01.9] Hydatidiform mole, unspecified ICD10CM Pregnancy O02.0 [O02.0] Blighted ovum and nonhydatidiform mole ICD10CM Pregnancy O02.1 [O02.1] Missed abortion ICD10CM [O02.81] Inappropriate change in quantitative human chorionic gonadotropin (hCG) Pregnancy O02.81 ICD10CM in early pregnancy Pregnancy O02.89 [O02.89] Other abnormal products of conception ICD10CM Pregnancy O02.9 [O02.9] Abnormal product of conception, unspecified ICD10CM [O03.0] Genital tract and pelvic infection following incomplete spontaneous Pregnancy O03.0 ICD10CM abortion [O03.1] Delayed or excessive hemorrhage following incomplete spontaneous Pregnancy O03.1 ICD10CM abortion Pregnancy O03.2 [O03.2] Embolism following incomplete spontaneous abortion ICD10CM
Page 12 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O03.30 [O03.30] Unspecified complication following incomplete spontaneous abortion ICD10CM
Pregnancy O03.31 [O03.31] Shock following incomplete spontaneous abortion ICD10CM
Pregnancy O03.32 [O03.32] Renal failure following incomplete spontaneous abortion ICD10CM
Pregnancy O03.33 [O03.33] Metabolic disorder following incomplete spontaneous abortion ICD10CM
Pregnancy O03.34 [O03.34] Damage to pelvic organs following incomplete spontaneous abortion ICD10CM
Pregnancy O03.35 [O03.35] Other venous complications following incomplete spontaneous abortion ICD10CM
Pregnancy O03.36 [O03.36] Cardiac arrest following incomplete spontaneous abortion ICD10CM
Pregnancy O03.37 [O03.37] Sepsis following incomplete spontaneous abortion ICD10CM
Pregnancy O03.38 [O03.38] Urinary tract infection following incomplete spontaneous abortion ICD10CM
Pregnancy O03.39 [O03.39] Incomplete spontaneous abortion with other complications ICD10CM
Pregnancy O03.4 [O03.4] Incomplete spontaneous abortion without complication ICD10CM [O03.5] Genital tract and pelvic infection following complete or unspecified Pregnancy O03.5 ICD10CM spontaneous abortion [O03.6] Delayed or excessive hemorrhage following complete or unspecified Pregnancy O03.6 ICD10CM spontaneous abortion Pregnancy O03.7 [O03.7] Embolism following complete or unspecified spontaneous abortion ICD10CM [O03.80] Unspecified complication following complete or unspecified spontaneous Pregnancy O03.80 ICD10CM abortion Pregnancy O03.81 [O03.81] Shock following complete or unspecified spontaneous abortion ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O03.82 [O03.82] Renal failure following complete or unspecified spontaneous abortion ICD10CM [O03.83] Metabolic disorder following complete or unspecified spontaneous Pregnancy O03.83 ICD10CM abortion [O03.84] Damage to pelvic organs following complete or unspecified spontaneous Pregnancy O03.84 ICD10CM abortion [O03.85] Other venous complications following complete or unspecified Pregnancy O03.85 ICD10CM spontaneous abortion Pregnancy O03.86 [O03.86] Cardiac arrest following complete or unspecified spontaneous abortion ICD10CM
Pregnancy O03.87 [O03.87] Sepsis following complete or unspecified spontaneous abortion ICD10CM [O03.88] Urinary tract infection following complete or unspecified spontaneous Pregnancy O03.88 ICD10CM abortion Pregnancy O03.89 [O03.89] Complete or unspecified spontaneous abortion with other complications ICD10CM
Pregnancy O03.9 [O03.9] Complete or unspecified spontaneous abortion without complication ICD10CM [O04.5] Genital tract and pelvic infection following (induced) termination of Pregnancy O04.5 ICD10CM pregnancy [O04.6] Delayed or excessive hemorrhage following (induced) termination of Pregnancy O04.6 ICD10CM pregnancy Pregnancy O04.7 [O04.7] Embolism following (induced) termination of pregnancy ICD10CM
Pregnancy O04.80 [O04.80] (Induced) termination of pregnancy with unspecified complications ICD10CM
Pregnancy O04.81 [O04.81] Shock following (induced) termination of pregnancy ICD10CM
Pregnancy O04.82 [O04.82] Renal failure following (induced) termination of pregnancy ICD10CM
Pregnancy O04.83 [O04.83] Metabolic disorder following (induced) termination of pregnancy ICD10CM
Page 14 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O04.84 [O04.84] Damage to pelvic organs following (induced) termination of pregnancy ICD10CM
Pregnancy O04.85 [O04.85] Other venous complications following (induced) termination of pregnancy ICD10CM
Pregnancy O04.86 [O04.86] Cardiac arrest following (induced) termination of pregnancy ICD10CM
Pregnancy O04.87 [O04.87] Sepsis following (induced) termination of pregnancy ICD10CM
Pregnancy O04.88 [O04.88] Urinary tract infection following (induced) termination of pregnancy ICD10CM
Pregnancy O04.89 [O04.89] (Induced) termination of pregnancy with other complications ICD10CM [O07.0] Genital tract and pelvic infection following failed attempted termination of Pregnancy O07.0 ICD10CM pregnancy [O07.1] Delayed or excessive hemorrhage following failed attempted termination of Pregnancy O07.1 ICD10CM pregnancy Pregnancy O07.2 [O07.2] Embolism following failed attempted termination of pregnancy ICD10CM
Pregnancy O07.30 [O07.30] Failed attempted termination of pregnancy with unspecified complications ICD10CM
Pregnancy O07.31 [O07.31] Shock following failed attempted termination of pregnancy ICD10CM
Pregnancy O07.32 [O07.32] Renal failure following failed attempted termination of pregnancy ICD10CM
Pregnancy O07.33 [O07.33] Metabolic disorder following failed attempted termination of pregnancy ICD10CM [O07.34] Damage to pelvic organs following failed attempted termination of Pregnancy O07.34 ICD10CM pregnancy [O07.35] Other venous complications following failed attempted termination of Pregnancy O07.35 ICD10CM pregnancy Pregnancy O07.36 [O07.36] Cardiac arrest following failed attempted termination of pregnancy ICD10CM
Page 15 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O07.37 [O07.37] Sepsis following failed attempted termination of pregnancy ICD10CM [O07.38] Urinary tract infection following failed attempted termination of Pregnancy O07.38 ICD10CM pregnancy Pregnancy O07.39 [O07.39] Failed attempted termination of pregnancy with other complications ICD10CM
Pregnancy O07.4 [O07.4] Failed attempted termination of pregnancy without complication ICD10CM
Pregnancy O08.0 [O08.0] Genital tract and pelvic infection following ectopic and molar pregnancy ICD10CM
Pregnancy O08.1 [O08.1] Delayed or excessive hemorrhage following ectopic and molar pregnancy ICD10CM
Pregnancy O08.2 [O08.2] Embolism following ectopic and molar pregnancy ICD10CM
Pregnancy O08.3 [O08.3] Shock following ectopic and molar pregnancy ICD10CM
Pregnancy O08.4 [O08.4] Renal failure following ectopic and molar pregnancy ICD10CM
Pregnancy O08.5 [O08.5] Metabolic disorders following an ectopic and molar pregnancy ICD10CM [O08.6] Damage to pelvic organs and tissues following an ectopic and molar Pregnancy O08.6 ICD10CM pregnancy Pregnancy O08.7 [O08.7] Other venous complications following an ectopic and molar pregnancy ICD10CM
Pregnancy O08.81 [O08.81] Cardiac arrest following an ectopic and molar pregnancy ICD10CM
Pregnancy O08.82 [O08.82] Sepsis following ectopic and molar pregnancy ICD10CM
Pregnancy O08.83 [O08.83] Urinary tract infection following an ectopic and molar pregnancy ICD10CM
Pregnancy O08.89 [O08.89] Other complications following an ectopic and molar pregnancy ICD10CM
Page 16 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O08.9 [O08.9] Unspecified complication following an ectopic and molar pregnancy ICD10CM
Pregnancy O09.00 [O09.00] Supervision of pregnancy with history of infertility, unspecified trimester ICD10CM
Pregnancy O09.01 [O09.01] Supervision of pregnancy with history of infertility, first trimester ICD10CM
Pregnancy O09.02 [O09.02] Supervision of pregnancy with history of infertility, second trimester ICD10CM
Pregnancy O09.03 [O09.03] Supervision of pregnancy with history of infertility, third trimester ICD10CM [O09.10] Supervision of pregnancy with history of ectopic pregnancy, unspecified Pregnancy O09.10 ICD10CM trimester Pregnancy O09.11 [O09.11] Supervision of pregnancy with history of ectopic pregnancy, first trimester ICD10CM [O09.12] Supervision of pregnancy with history of ectopic pregnancy, second Pregnancy O09.12 ICD10CM trimester [O09.13] Supervision of pregnancy with history of ectopic pregnancy, third Pregnancy O09.13 ICD10CM trimester Pregnancy O09.211 [O09.211] Supervision of pregnancy with history of pre-term labor, first trimester ICD10CM [O09.212] Supervision of pregnancy with history of pre-term labor, second Pregnancy O09.212 ICD10CM trimester Pregnancy O09.213 [O09.213] Supervision of pregnancy with history of pre-term labor, third trimester ICD10CM [O09.219] Supervision of pregnancy with history of pre-term labor, unspecified Pregnancy O09.219 ICD10CM trimester [O09.291] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.291 ICD10CM history, first trimester [O09.292] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.292 ICD10CM history, second trimester [O09.293] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.293 ICD10CM history, third trimester
Page 17 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O09.299] Supervision of pregnancy with other poor reproductive or obstetric Pregnancy O09.299 ICD10CM history, unspecified trimester [O09.30] Supervision of pregnancy with insufficient antenatal care, unspecified Pregnancy O09.30 ICD10CM trimester Pregnancy O09.31 [O09.31] Supervision of pregnancy with insufficient antenatal care, first trimester ICD10CM [O09.32] Supervision of pregnancy with insufficient antenatal care, second Pregnancy O09.32 ICD10CM trimester Pregnancy O09.33 [O09.33] Supervision of pregnancy with insufficient antenatal care, third trimester ICD10CM
Pregnancy O09.40 [O09.40] Supervision of pregnancy with grand multiparity, unspecified trimester ICD10CM
Pregnancy O09.41 [O09.41] Supervision of pregnancy with grand multiparity, first trimester ICD10CM
Pregnancy O09.42 [O09.42] Supervision of pregnancy with grand multiparity, second trimester ICD10CM
Pregnancy O09.43 [O09.43] Supervision of pregnancy with grand multiparity, third trimester ICD10CM
Pregnancy O09.511 [O09.511] Supervision of elderly primigravida, first trimester ICD10CM
Pregnancy O09.512 [O09.512] Supervision of elderly primigravida, second trimester ICD10CM
Pregnancy O09.513 [O09.513] Supervision of elderly primigravida, third trimester ICD10CM
Pregnancy O09.519 [O09.519] Supervision of elderly primigravida, unspecified trimester ICD10CM
Pregnancy O09.521 [O09.521] Supervision of elderly multigravida, first trimester ICD10CM
Pregnancy O09.522 [O09.522] Supervision of elderly multigravida, second trimester ICD10CM
Pregnancy O09.523 [O09.523] Supervision of elderly multigravida, third trimester ICD10CM
Page 18 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O09.529 [O09.529] Supervision of elderly multigravida, unspecified trimester ICD10CM
Pregnancy O09.611 [O09.611] Supervision of young primigravida, first trimester ICD10CM
Pregnancy O09.612 [O09.612] Supervision of young primigravida, second trimester ICD10CM
Pregnancy O09.613 [O09.613] Supervision of young primigravida, third trimester ICD10CM
Pregnancy O09.619 [O09.619] Supervision of young primigravida, unspecified trimester ICD10CM
Pregnancy O09.621 [O09.621] Supervision of young multigravida, first trimester ICD10CM
Pregnancy O09.622 [O09.622] Supervision of young multigravida, second trimester ICD10CM
Pregnancy O09.623 [O09.623] Supervision of young multigravida, third trimester ICD10CM
Pregnancy O09.629 [O09.629] Supervision of young multigravida, unspecified trimester ICD10CM [O09.70] Supervision of high risk pregnancy due to social problems, unspecified Pregnancy O09.70 ICD10CM trimester Pregnancy O09.71 [O09.71] Supervision of high risk pregnancy due to social problems, first trimester ICD10CM [O09.72] Supervision of high risk pregnancy due to social problems, second Pregnancy O09.72 ICD10CM trimester Pregnancy O09.73 [O09.73] Supervision of high risk pregnancy due to social problems, third trimester ICD10CM [O09.811] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.811 ICD10CM technology, first trimester [O09.812] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.812 ICD10CM technology, second trimester [O09.813] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.813 ICD10CM technology, third trimester
Page 19 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O09.819] Supervision of pregnancy resulting from assisted reproductive Pregnancy O09.819 ICD10CM technology, unspecified trimester
[O09.821] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.821 ICD10CM previous pregnancy, first trimester
[O09.822] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.822 ICD10CM previous pregnancy, second trimester
[O09.823] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.823 ICD10CM previous pregnancy, third trimester
[O09.829] Supervision of pregnancy with history of in utero procedure during Pregnancy O09.829 ICD10CM previous pregnancy, unspecified trimester
Pregnancy O09.891 [O09.891] Supervision of other high risk pregnancies, first trimester ICD10CM
Pregnancy O09.892 [O09.892] Supervision of other high risk pregnancies, second trimester ICD10CM
Pregnancy O09.893 [O09.893] Supervision of other high risk pregnancies, third trimester ICD10CM
Pregnancy O09.899 [O09.899] Supervision of other high risk pregnancies, unspecified trimester ICD10CM
Pregnancy O09.90 [O09.90] Supervision of high risk pregnancy, unspecified, unspecified trimester ICD10CM
Pregnancy O09.91 [O09.91] Supervision of high risk pregnancy, unspecified, first trimester ICD10CM
Pregnancy O09.92 [O09.92] Supervision of high risk pregnancy, unspecified, second trimester ICD10CM
Pregnancy O09.93 [O09.93] Supervision of high risk pregnancy, unspecified, third trimester ICD10CM [O09.A0] Supervision of pregnancy with history of molar pregnancy, unspecified Pregnancy O09.A0 ICD10CM trimester
Page 20 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O09.A1 [O09.A1] Supervision of pregnancy with history of molar pregnancy, first trimester ICD10CM [O09.A2] Supervision of pregnancy with history of molar pregnancy, second Pregnancy O09.A2 ICD10CM trimester Pregnancy O09.A3 [O09.A3] Supervision of pregnancy with history of molar pregnancy, third trimester ICD10CM [O10.011] Pre-existing essential hypertension complicating pregnancy, first Pregnancy O10.011 ICD10CM trimester [O10.012] Pre-existing essential hypertension complicating pregnancy, second Pregnancy O10.012 ICD10CM trimester [O10.013] Pre-existing essential hypertension complicating pregnancy, third Pregnancy O10.013 ICD10CM trimester [O10.019] Pre-existing essential hypertension complicating pregnancy, unspecified Pregnancy O10.019 ICD10CM trimester Pregnancy O10.02 [O10.02] Pre-existing essential hypertension complicating childbirth ICD10CM
Pregnancy O10.03 [O10.03] Pre-existing essential hypertension complicating the puerperium ICD10CM [O10.111] Pre-existing hypertensive heart disease complicating pregnancy, first Pregnancy O10.111 ICD10CM trimester [O10.112] Pre-existing hypertensive heart disease complicating pregnancy, second Pregnancy O10.112 ICD10CM trimester [O10.113] Pre-existing hypertensive heart disease complicating pregnancy, third Pregnancy O10.113 ICD10CM trimester [O10.119] Pre-existing hypertensive heart disease complicating pregnancy, Pregnancy O10.119 ICD10CM unspecified trimester Pregnancy O10.12 [O10.12] Pre-existing hypertensive heart disease complicating childbirth ICD10CM
Pregnancy O10.13 [O10.13] Pre-existing hypertensive heart disease complicating the puerperium ICD10CM [O10.211] Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pregnancy O10.211 ICD10CM first trimester
Page 21 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O10.212] Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pregnancy O10.212 ICD10CM second trimester [O10.213] Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pregnancy O10.213 ICD10CM third trimester [O10.219] Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pregnancy O10.219 ICD10CM unspecified trimester
Pregnancy O10.22 [O10.22] Pre-existing hypertensive chronic kidney disease complicating childbirth ICD10CM [O10.23] Pre-existing hypertensive chronic kidney disease complicating the Pregnancy O10.23 ICD10CM puerperium [O10.311] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.311 ICD10CM pregnancy, first trimester
[O10.312] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.312 ICD10CM pregnancy, second trimester
[O10.313] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.313 ICD10CM pregnancy, third trimester
[O10.319] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.319 ICD10CM pregnancy, unspecified trimester [O10.32] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.32 ICD10CM childbirth [O10.33] Pre-existing hypertensive heart and chronic kidney disease complicating Pregnancy O10.33 ICD10CM the puerperium [O10.411] Pre-existing secondary hypertension complicating pregnancy, first Pregnancy O10.411 ICD10CM trimester [O10.412] Pre-existing secondary hypertension complicating pregnancy, second Pregnancy O10.412 ICD10CM trimester [O10.413] Pre-existing secondary hypertension complicating pregnancy, third Pregnancy O10.413 ICD10CM trimester
Page 22 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O10.419] Pre-existing secondary hypertension complicating pregnancy, unspecified Pregnancy O10.419 ICD10CM trimester Pregnancy O10.42 [O10.42] Pre-existing secondary hypertension complicating childbirth ICD10CM
Pregnancy O10.43 [O10.43] Pre-existing secondary hypertension complicating the puerperium ICD10CM [O10.911] Unspecified pre-existing hypertension complicating pregnancy, first Pregnancy O10.911 ICD10CM trimester [O10.912] Unspecified pre-existing hypertension complicating pregnancy, second Pregnancy O10.912 ICD10CM trimester [O10.913] Unspecified pre-existing hypertension complicating pregnancy, third Pregnancy O10.913 ICD10CM trimester [O10.919] Unspecified pre-existing hypertension complicating pregnancy, Pregnancy O10.919 ICD10CM unspecified trimester Pregnancy O10.92 [O10.92] Unspecified pre-existing hypertension complicating childbirth ICD10CM
Pregnancy O10.93 [O10.93] Unspecified pre-existing hypertension complicating the puerperium ICD10CM
Pregnancy O11.1 [O11.1] Pre-existing hypertension with pre-eclampsia, first trimester ICD10CM
Pregnancy O11.2 [O11.2] Pre-existing hypertension with pre-eclampsia, second trimester ICD10CM
Pregnancy O11.3 [O11.3] Pre-existing hypertension with pre-eclampsia, third trimester ICD10CM
Pregnancy O11.4 [O11.4] Pre-existing hypertension with pre-eclampsia, complicating childbirth ICD10CM
Pregnancy O11.5 [O11.5] Pre-existing hypertension with pre-eclampsia, complicating the puerperium ICD10CM
Pregnancy O11.9 [O11.9] Pre-existing hypertension with pre-eclampsia, unspecified trimester ICD10CM Pregnancy O12.00 [O12.00] Gestational edema, unspecified trimester ICD10CM Pregnancy O12.01 [O12.01] Gestational edema, first trimester ICD10CM Pregnancy O12.02 [O12.02] Gestational edema, second trimester ICD10CM
Page 23 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O12.03 [O12.03] Gestational edema, third trimester ICD10CM Pregnancy O12.04 [O12.04] Gestational edema, complicating childbirth ICD10CM Pregnancy O12.05 [O12.05] Gestational edema, complicating the puerperium ICD10CM
Pregnancy O12.10 [O12.10] Gestational proteinuria, unspecified trimester ICD10CM Pregnancy O12.11 [O12.11] Gestational proteinuria, first trimester ICD10CM Pregnancy O12.12 [O12.12] Gestational proteinuria, second trimester ICD10CM Pregnancy O12.13 [O12.13] Gestational proteinuria, third trimester ICD10CM Pregnancy O12.14 [O12.14] Gestational proteinuria, complicating childbirth ICD10CM
Pregnancy O12.15 [O12.15] Gestational proteinuria, complicating the puerperium ICD10CM
Pregnancy O12.20 [O12.20] Gestational edema with proteinuria, unspecified trimester ICD10CM
Pregnancy O12.21 [O12.21] Gestational edema with proteinuria, first trimester ICD10CM
Pregnancy O12.22 [O12.22] Gestational edema with proteinuria, second trimester ICD10CM
Pregnancy O12.23 [O12.23] Gestational edema with proteinuria, third trimester ICD10CM
Pregnancy O12.24 [O12.24] Gestational edema with proteinuria, complicating childbirth ICD10CM
Pregnancy O12.25 [O12.25] Gestational edema with proteinuria, complicating the puerperium ICD10CM
[O13.1] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.1 ICD10CM proteinuria, first trimester
[O13.2] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.2 ICD10CM proteinuria, second trimester
Page 24 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O13.3] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.3 ICD10CM proteinuria, third trimester
[O13.4] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.4 ICD10CM proteinuria, complicating childbirth
[O13.5] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.5 ICD10CM proteinuria, complicating the puerperium
[O13.9] Gestational [pregnancy-induced] hypertension without significant Pregnancy O13.9 ICD10CM proteinuria, unspecified trimester
Pregnancy O14.00 [O14.00] Mild to moderate pre-eclampsia, unspecified trimester ICD10CM
Pregnancy O14.02 [O14.02] Mild to moderate pre-eclampsia, second trimester ICD10CM
Pregnancy O14.03 [O14.03] Mild to moderate pre-eclampsia, third trimester ICD10CM
Pregnancy O14.04 [O14.04] Mild to moderate pre-eclampsia, complicating childbirth ICD10CM
Pregnancy O14.05 [O14.05] Mild to moderate pre-eclampsia, complicating the puerperium ICD10CM
Pregnancy O14.10 [O14.10] Severe pre-eclampsia, unspecified trimester ICD10CM Pregnancy O14.12 [O14.12] Severe pre-eclampsia, second trimester ICD10CM Pregnancy O14.13 [O14.13] Severe pre-eclampsia, third trimester ICD10CM Pregnancy O14.14 [O14.14] Severe pre-eclampsia complicating childbirth ICD10CM
Pregnancy O14.15 [O14.15] Severe pre-eclampsia, complicating the puerperium ICD10CM
Pregnancy O14.20 [O14.20] HELLP syndrome (HELLP), unspecified trimester ICD10CM Pregnancy O14.22 [O14.22] HELLP syndrome (HELLP), second trimester ICD10CM
Page 25 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O14.23 [O14.23] HELLP syndrome (HELLP), third trimester ICD10CM Pregnancy O14.24 [O14.24] HELLP syndrome, complicating childbirth ICD10CM Pregnancy O14.25 [O14.25] HELLP syndrome, complicating the puerperium ICD10CM
Pregnancy O14.90 [O14.90] Unspecified pre-eclampsia, unspecified trimester ICD10CM
Pregnancy O14.92 [O14.92] Unspecified pre-eclampsia, second trimester ICD10CM Pregnancy O14.93 [O14.93] Unspecified pre-eclampsia, third trimester ICD10CM Pregnancy O14.94 [O14.94] Unspecified pre-eclampsia, complicating childbirth ICD10CM
Pregnancy O14.95 [O14.95] Unspecified pre-eclampsia, complicating the puerperium ICD10CM
Pregnancy O15.00 [O15.00] Eclampsia complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O15.02 [O15.02] Eclampsia complicating pregnancy, second trimester ICD10CM
Pregnancy O15.03 [O15.03] Eclampsia complicating pregnancy, third trimester ICD10CM Pregnancy O15.1 [O15.1] Eclampsia complicating labor ICD10CM Pregnancy O15.2 [O15.2] Eclampsia complicating the puerperium ICD10CM Pregnancy O15.9 [O15.9] Eclampsia, unspecified as to time period ICD10CM Pregnancy O16.1 [O16.1] Unspecified maternal hypertension, first trimester ICD10CM
Pregnancy O16.2 [O16.2] Unspecified maternal hypertension, second trimester ICD10CM
Pregnancy O16.3 [O16.3] Unspecified maternal hypertension, third trimester ICD10CM
Pregnancy O16.4 [O16.4] Unspecified maternal hypertension, complicating childbirth ICD10CM
Pregnancy O16.5 [O16.5] Unspecified maternal hypertension, complicating the puerperium ICD10CM
Page 26 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O16.9 [O16.9] Unspecified maternal hypertension, unspecified trimester ICD10CM Pregnancy O20.0 [O20.0] Threatened abortion ICD10CM Pregnancy O20.8 [O20.8] Other hemorrhage in early pregnancy ICD10CM Pregnancy O20.9 [O20.9] Hemorrhage in early pregnancy, unspecified ICD10CM Pregnancy O21.0 [O21.0] Mild hyperemesis gravidarum ICD10CM Pregnancy O21.1 [O21.1] Hyperemesis gravidarum with metabolic disturbance ICD10CM Pregnancy O21.2 [O21.2] Late vomiting of pregnancy ICD10CM Pregnancy O21.8 [O21.8] Other vomiting complicating pregnancy ICD10CM Pregnancy O21.9 [O21.9] Vomiting of pregnancy, unspecified ICD10CM Pregnancy O22.00 [O22.00] Varicose veins of lower extremity in pregnancy, unspecified trimester ICD10CM
Pregnancy O22.01 [O22.01] Varicose veins of lower extremity in pregnancy, first trimester ICD10CM
Pregnancy O22.02 [O22.02] Varicose veins of lower extremity in pregnancy, second trimester ICD10CM
Pregnancy O22.03 [O22.03] Varicose veins of lower extremity in pregnancy, third trimester ICD10CM
Pregnancy O22.10 [O22.10] Genital varices in pregnancy, unspecified trimester ICD10CM Pregnancy O22.11 [O22.11] Genital varices in pregnancy, first trimester ICD10CM Pregnancy O22.12 [O22.12] Genital varices in pregnancy, second trimester ICD10CM Pregnancy O22.13 [O22.13] Genital varices in pregnancy, third trimester ICD10CM Pregnancy O22.20 [O22.20] Superficial thrombophlebitis in pregnancy, unspecified trimester ICD10CM
Pregnancy O22.21 [O22.21] Superficial thrombophlebitis in pregnancy, first trimester ICD10CM
Pregnancy O22.22 [O22.22] Superficial thrombophlebitis in pregnancy, second trimester ICD10CM
Pregnancy O22.23 [O22.23] Superficial thrombophlebitis in pregnancy, third trimester ICD10CM
Page 27 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O22.30 [O22.30] Deep phlebothrombosis in pregnancy, unspecified trimester ICD10CM
Pregnancy O22.31 [O22.31] Deep phlebothrombosis in pregnancy, first trimester ICD10CM
Pregnancy O22.32 [O22.32] Deep phlebothrombosis in pregnancy, second trimester ICD10CM
Pregnancy O22.33 [O22.33] Deep phlebothrombosis in pregnancy, third trimester ICD10CM
Pregnancy O22.40 [O22.40] Hemorrhoids in pregnancy, unspecified trimester ICD10CM Pregnancy O22.41 [O22.41] Hemorrhoids in pregnancy, first trimester ICD10CM Pregnancy O22.42 [O22.42] Hemorrhoids in pregnancy, second trimester ICD10CM Pregnancy O22.43 [O22.43] Hemorrhoids in pregnancy, third trimester ICD10CM Pregnancy O22.50 [O22.50] Cerebral venous thrombosis in pregnancy, unspecified trimester ICD10CM
Pregnancy O22.51 [O22.51] Cerebral venous thrombosis in pregnancy, first trimester ICD10CM
Pregnancy O22.52 [O22.52] Cerebral venous thrombosis in pregnancy, second trimester ICD10CM
Pregnancy O22.53 [O22.53] Cerebral venous thrombosis in pregnancy, third trimester ICD10CM
Pregnancy O22.8X1 [O22.8X1] Other venous complications in pregnancy, first trimester ICD10CM
Pregnancy O22.8X2 [O22.8X2] Other venous complications in pregnancy, second trimester ICD10CM
Pregnancy O22.8X3 [O22.8X3] Other venous complications in pregnancy, third trimester ICD10CM
Pregnancy O22.8X9 [O22.8X9] Other venous complications in pregnancy, unspecified trimester ICD10CM
Pregnancy O22.90 [O22.90] Venous complication in pregnancy, unspecified, unspecified trimester ICD10CM
Page 28 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O22.91 [O22.91] Venous complication in pregnancy, unspecified, first trimester ICD10CM
Pregnancy O22.92 [O22.92] Venous complication in pregnancy, unspecified, second trimester ICD10CM
Pregnancy O22.93 [O22.93] Venous complication in pregnancy, unspecified, third trimester ICD10CM
Pregnancy O23.00 [O23.00] Infections of kidney in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.01 [O23.01] Infections of kidney in pregnancy, first trimester ICD10CM
Pregnancy O23.02 [O23.02] Infections of kidney in pregnancy, second trimester ICD10CM
Pregnancy O23.03 [O23.03] Infections of kidney in pregnancy, third trimester ICD10CM
Pregnancy O23.10 [O23.10] Infections of bladder in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.11 [O23.11] Infections of bladder in pregnancy, first trimester ICD10CM
Pregnancy O23.12 [O23.12] Infections of bladder in pregnancy, second trimester ICD10CM
Pregnancy O23.13 [O23.13] Infections of bladder in pregnancy, third trimester ICD10CM
Pregnancy O23.20 [O23.20] Infections of urethra in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.21 [O23.21] Infections of urethra in pregnancy, first trimester ICD10CM
Pregnancy O23.22 [O23.22] Infections of urethra in pregnancy, second trimester ICD10CM
Pregnancy O23.23 [O23.23] Infections of urethra in pregnancy, third trimester ICD10CM [O23.30] Infections of other parts of urinary tract in pregnancy, unspecified Pregnancy O23.30 ICD10CM trimester
Page 29 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O23.31 [O23.31] Infections of other parts of urinary tract in pregnancy, first trimester ICD10CM
Pregnancy O23.32 [O23.32] Infections of other parts of urinary tract in pregnancy, second trimester ICD10CM
Pregnancy O23.33 [O23.33] Infections of other parts of urinary tract in pregnancy, third trimester ICD10CM
Pregnancy O23.40 [O23.40] Unspecified infection of urinary tract in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.41 [O23.41] Unspecified infection of urinary tract in pregnancy, first trimester ICD10CM
Pregnancy O23.42 [O23.42] Unspecified infection of urinary tract in pregnancy, second trimester ICD10CM
Pregnancy O23.43 [O23.43] Unspecified infection of urinary tract in pregnancy, third trimester ICD10CM
Pregnancy O23.511 [O23.511] Infections of cervix in pregnancy, first trimester ICD10CM
Pregnancy O23.512 [O23.512] Infections of cervix in pregnancy, second trimester ICD10CM
Pregnancy O23.513 [O23.513] Infections of cervix in pregnancy, third trimester ICD10CM
Pregnancy O23.519 [O23.519] Infections of cervix in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.521 [O23.521] Salpingo-oophoritis in pregnancy, first trimester ICD10CM
Pregnancy O23.522 [O23.522] Salpingo-oophoritis in pregnancy, second trimester ICD10CM
Pregnancy O23.523 [O23.523] Salpingo-oophoritis in pregnancy, third trimester ICD10CM
Pregnancy O23.529 [O23.529] Salpingo-oophoritis in pregnancy, unspecified trimester ICD10CM
Pregnancy O23.591 [O23.591] Infection of other part of genital tract in pregnancy, first trimester ICD10CM
Page 30 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O23.592 [O23.592] Infection of other part of genital tract in pregnancy, second trimester ICD10CM
Pregnancy O23.593 [O23.593] Infection of other part of genital tract in pregnancy, third trimester ICD10CM
Pregnancy O23.599 [O23.599] Infection of other part of genital tract in pregnancy, unspecified trimester ICD10CM [O23.90] Unspecified genitourinary tract infection in pregnancy, unspecified Pregnancy O23.90 ICD10CM trimester Pregnancy O23.91 [O23.91] Unspecified genitourinary tract infection in pregnancy, first trimester ICD10CM
Pregnancy O23.92 [O23.92] Unspecified genitourinary tract infection in pregnancy, second trimester ICD10CM
Pregnancy O23.93 [O23.93] Unspecified genitourinary tract infection in pregnancy, third trimester ICD10CM
Pregnancy O24.011 [O24.011] Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester ICD10CM
Pregnancy O24.012 [O24.012] Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester ICD10CM
Pregnancy O24.013 [O24.013] Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester ICD10CM
Pregnancy O24.019 [O24.019] Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester ICD10CM
Pregnancy O24.02 [O24.02] Pre-existing type 1 diabetes mellitus, in childbirth ICD10CM
Pregnancy O24.03 [O24.03] Pre-existing type 1 diabetes mellitus, in the puerperium ICD10CM
Pregnancy O24.111 [O24.111] Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester ICD10CM
Pregnancy O24.112 [O24.112] Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester ICD10CM
Pregnancy O24.113 [O24.113] Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester ICD10CM
Page 31 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O24.119 [O24.119] Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester ICD10CM
Pregnancy O24.12 [O24.12] Pre-existing type 2 diabetes mellitus, in childbirth ICD10CM
Pregnancy O24.13 [O24.13] Pre-existing type 2 diabetes mellitus, in the puerperium ICD10CM
Pregnancy O24.311 [O24.311] Unspecified pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM
Pregnancy O24.312 [O24.312] Unspecified pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM
Pregnancy O24.313 [O24.313] Unspecified pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM [O24.319] Unspecified pre-existing diabetes mellitus in pregnancy, unspecified Pregnancy O24.319 ICD10CM trimester Pregnancy O24.32 [O24.32] Unspecified pre-existing diabetes mellitus in childbirth ICD10CM
Pregnancy O24.33 [O24.33] Unspecified pre-existing diabetes mellitus in the puerperium ICD10CM
Pregnancy O24.410 [O24.410] Gestational diabetes mellitus in pregnancy, diet controlled ICD10CM
Pregnancy O24.414 [O24.414] Gestational diabetes mellitus in pregnancy, insulin controlled ICD10CM [O24.415] Gestational diabetes mellitus in pregnancy, controlled by oral Pregnancy O24.415 ICD10CM hypoglycemic drugs Pregnancy O24.419 [O24.419] Gestational diabetes mellitus in pregnancy, unspecified control ICD10CM
Pregnancy O24.420 [O24.420] Gestational diabetes mellitus in childbirth, diet controlled ICD10CM
Pregnancy O24.424 [O24.424] Gestational diabetes mellitus in childbirth, insulin controlled ICD10CM [O24.425] Gestational diabetes mellitus in childbirth, controlled by oral Pregnancy O24.425 ICD10CM hypoglycemic drugs
Page 32 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O24.429 [O24.429] Gestational diabetes mellitus in childbirth, unspecified control ICD10CM
Pregnancy O24.430 [O24.430] Gestational diabetes mellitus in the puerperium, diet controlled ICD10CM
Pregnancy O24.434 [O24.434] Gestational diabetes mellitus in the puerperium, insulin controlled ICD10CM [O24.435] Gestational diabetes mellitus in puerperium, controlled by oral Pregnancy O24.435 ICD10CM hypoglycemic drugs Pregnancy O24.439 [O24.439] Gestational diabetes mellitus in the puerperium, unspecified control ICD10CM
Pregnancy O24.811 [O24.811] Other pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM
Pregnancy O24.812 [O24.812] Other pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM
Pregnancy O24.813 [O24.813] Other pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM
Pregnancy O24.819 [O24.819] Other pre-existing diabetes mellitus in pregnancy, unspecified trimester ICD10CM
Pregnancy O24.82 [O24.82] Other pre-existing diabetes mellitus in childbirth ICD10CM
Pregnancy O24.83 [O24.83] Other pre-existing diabetes mellitus in the puerperium ICD10CM
Pregnancy O24.911 [O24.911] Unspecified diabetes mellitus in pregnancy, first trimester ICD10CM
Pregnancy O24.912 [O24.912] Unspecified diabetes mellitus in pregnancy, second trimester ICD10CM
Pregnancy O24.913 [O24.913] Unspecified diabetes mellitus in pregnancy, third trimester ICD10CM
Pregnancy O24.919 [O24.919] Unspecified diabetes mellitus in pregnancy, unspecified trimester ICD10CM Pregnancy O24.92 [O24.92] Unspecified diabetes mellitus in childbirth ICD10CM Pregnancy O24.93 [O24.93] Unspecified diabetes mellitus in the puerperium ICD10CM
Page 33 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O25.10 [O25.10] Malnutrition in pregnancy, unspecified trimester ICD10CM Pregnancy O25.11 [O25.11] Malnutrition in pregnancy, first trimester ICD10CM Pregnancy O25.12 [O25.12] Malnutrition in pregnancy, second trimester ICD10CM Pregnancy O25.13 [O25.13] Malnutrition in pregnancy, third trimester ICD10CM Pregnancy O25.2 [O25.2] Malnutrition in childbirth ICD10CM Pregnancy O25.3 [O25.3] Malnutrition in the puerperium ICD10CM Pregnancy O26.00 [O26.00] Excessive weight gain in pregnancy, unspecified trimester ICD10CM
Pregnancy O26.01 [O26.01] Excessive weight gain in pregnancy, first trimester ICD10CM
Pregnancy O26.02 [O26.02] Excessive weight gain in pregnancy, second trimester ICD10CM
Pregnancy O26.03 [O26.03] Excessive weight gain in pregnancy, third trimester ICD10CM
Pregnancy O26.10 [O26.10] Low weight gain in pregnancy, unspecified trimester ICD10CM
Pregnancy O26.11 [O26.11] Low weight gain in pregnancy, first trimester ICD10CM
Pregnancy O26.12 [O26.12] Low weight gain in pregnancy, second trimester ICD10CM
Pregnancy O26.13 [O26.13] Low weight gain in pregnancy, third trimester ICD10CM [O26.20] Pregnancy care for patient with recurrent pregnancy loss, unspecified Pregnancy O26.20 ICD10CM trimester Pregnancy O26.21 [O26.21] Pregnancy care for patient with recurrent pregnancy loss, first trimester ICD10CM [O26.22] Pregnancy care for patient with recurrent pregnancy loss, second Pregnancy O26.22 ICD10CM trimester Pregnancy O26.23 [O26.23] Pregnancy care for patient with recurrent pregnancy loss, third trimester ICD10CM
Page 34 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O26.30] Retained intrauterine contraceptive device in pregnancy, unspecified Pregnancy O26.30 ICD10CM trimester Pregnancy O26.31 [O26.31] Retained intrauterine contraceptive device in pregnancy, first trimester ICD10CM
Pregnancy O26.32 [O26.32] Retained intrauterine contraceptive device in pregnancy, second trimester ICD10CM
Pregnancy O26.33 [O26.33] Retained intrauterine contraceptive device in pregnancy, third trimester ICD10CM Pregnancy O26.40 [O26.40] Herpes gestationis, unspecified trimester ICD10CM Pregnancy O26.41 [O26.41] Herpes gestationis, first trimester ICD10CM Pregnancy O26.42 [O26.42] Herpes gestationis, second trimester ICD10CM Pregnancy O26.43 [O26.43] Herpes gestationis, third trimester ICD10CM Pregnancy O26.50 [O26.50] Maternal hypotension syndrome, unspecified trimester ICD10CM
Pregnancy O26.51 [O26.51] Maternal hypotension syndrome, first trimester ICD10CM
Pregnancy O26.52 [O26.52] Maternal hypotension syndrome, second trimester ICD10CM
Pregnancy O26.53 [O26.53] Maternal hypotension syndrome, third trimester ICD10CM
Pregnancy O26.611 [O26.611] Liver and biliary tract disorders in pregnancy, first trimester ICD10CM
Pregnancy O26.612 [O26.612] Liver and biliary tract disorders in pregnancy, second trimester ICD10CM
Pregnancy O26.613 [O26.613] Liver and biliary tract disorders in pregnancy, third trimester ICD10CM
Pregnancy O26.619 [O26.619] Liver and biliary tract disorders in pregnancy, unspecified trimester ICD10CM Pregnancy O26.62 [O26.62] Liver and biliary tract disorders in childbirth ICD10CM Pregnancy O26.63 [O26.63] Liver and biliary tract disorders in the puerperium ICD10CM
Pregnancy O26.711 [O26.711] Subluxation of symphysis (pubis) in pregnancy, first trimester ICD10CM
Page 35 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O26.712 [O26.712] Subluxation of symphysis (pubis) in pregnancy, second trimester ICD10CM
Pregnancy O26.713 [O26.713] Subluxation of symphysis (pubis) in pregnancy, third trimester ICD10CM
Pregnancy O26.719 [O26.719] Subluxation of symphysis (pubis) in pregnancy, unspecified trimester ICD10CM
Pregnancy O26.72 [O26.72] Subluxation of symphysis (pubis) in childbirth ICD10CM
Pregnancy O26.73 [O26.73] Subluxation of symphysis (pubis) in the puerperium ICD10CM
Pregnancy O26.811 [O26.811] Pregnancy related exhaustion and fatigue, first trimester ICD10CM
Pregnancy O26.812 [O26.812] Pregnancy related exhaustion and fatigue, second trimester ICD10CM
Pregnancy O26.813 [O26.813] Pregnancy related exhaustion and fatigue, third trimester ICD10CM
Pregnancy O26.819 [O26.819] Pregnancy related exhaustion and fatigue, unspecified trimester ICD10CM
Pregnancy O26.821 [O26.821] Pregnancy related peripheral neuritis, first trimester ICD10CM
Pregnancy O26.822 [O26.822] Pregnancy related peripheral neuritis, second trimester ICD10CM
Pregnancy O26.823 [O26.823] Pregnancy related peripheral neuritis, third trimester ICD10CM
Pregnancy O26.829 [O26.829] Pregnancy related peripheral neuritis, unspecified trimester ICD10CM
Pregnancy O26.831 [O26.831] Pregnancy related renal disease, first trimester ICD10CM
Pregnancy O26.832 [O26.832] Pregnancy related renal disease, second trimester ICD10CM
Pregnancy O26.833 [O26.833] Pregnancy related renal disease, third trimester ICD10CM
Page 36 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O26.839 [O26.839] Pregnancy related renal disease, unspecified trimester ICD10CM
Pregnancy O26.841 [O26.841] Uterine size-date discrepancy, first trimester ICD10CM
Pregnancy O26.842 [O26.842] Uterine size-date discrepancy, second trimester ICD10CM
Pregnancy O26.843 [O26.843] Uterine size-date discrepancy, third trimester ICD10CM
Pregnancy O26.849 [O26.849] Uterine size-date discrepancy, unspecified trimester ICD10CM
Pregnancy O26.851 [O26.851] Spotting complicating pregnancy, first trimester ICD10CM
Pregnancy O26.852 [O26.852] Spotting complicating pregnancy, second trimester ICD10CM
Pregnancy O26.853 [O26.853] Spotting complicating pregnancy, third trimester ICD10CM
Pregnancy O26.859 [O26.859] Spotting complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O26.86 [O26.86] Pruritic urticarial papules and plaques of pregnancy (PUPPP) ICD10CM Pregnancy O26.872 [O26.872] Cervical shortening, second trimester ICD10CM Pregnancy O26.873 [O26.873] Cervical shortening, third trimester ICD10CM Pregnancy O26.879 [O26.879] Cervical shortening, unspecified trimester ICD10CM Pregnancy O26.891 [O26.891] Other specified pregnancy related conditions, first trimester ICD10CM
Pregnancy O26.892 [O26.892] Other specified pregnancy related conditions, second trimester ICD10CM
Pregnancy O26.893 [O26.893] Other specified pregnancy related conditions, third trimester ICD10CM
Pregnancy O26.899 [O26.899] Other specified pregnancy related conditions, unspecified trimester ICD10CM
Pregnancy O26.90 [O26.90] Pregnancy related conditions, unspecified, unspecified trimester ICD10CM
Page 37 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O26.91 [O26.91] Pregnancy related conditions, unspecified, first trimester ICD10CM
Pregnancy O26.92 [O26.92] Pregnancy related conditions, unspecified, second trimester ICD10CM
Pregnancy O26.93 [O26.93] Pregnancy related conditions, unspecified, third trimester ICD10CM
Pregnancy O28.0 [O28.0] Abnormal hematological finding on antenatal screening of mother ICD10CM
Pregnancy O28.1 [O28.1] Abnormal biochemical finding on antenatal screening of mother ICD10CM
Pregnancy O28.2 [O28.2] Abnormal cytological finding on antenatal screening of mother ICD10CM
Pregnancy O28.3 [O28.3] Abnormal ultrasonic finding on antenatal screening of mother ICD10CM
Pregnancy O28.4 [O28.4] Abnormal radiological finding on antenatal screening of mother ICD10CM [O28.5] Abnormal chromosomal and genetic finding on antenatal screening of Pregnancy O28.5 ICD10CM mother Pregnancy O28.8 [O28.8] Other abnormal findings on antenatal screening of mother ICD10CM
Pregnancy O28.9 [O28.9] Unspecified abnormal findings on antenatal screening of mother ICD10CM [O29.011] Aspiration pneumonitis due to anesthesia during pregnancy, first Pregnancy O29.011 ICD10CM trimester [O29.012] Aspiration pneumonitis due to anesthesia during pregnancy, second Pregnancy O29.012 ICD10CM trimester [O29.013] Aspiration pneumonitis due to anesthesia during pregnancy, third Pregnancy O29.013 ICD10CM trimester [O29.019] Aspiration pneumonitis due to anesthesia during pregnancy, unspecified Pregnancy O29.019 ICD10CM trimester [O29.021] Pressure collapse of lung due to anesthesia during pregnancy, first Pregnancy O29.021 ICD10CM trimester
Page 38 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O29.022] Pressure collapse of lung due to anesthesia during pregnancy, second Pregnancy O29.022 ICD10CM trimester [O29.023] Pressure collapse of lung due to anesthesia during pregnancy, third Pregnancy O29.023 ICD10CM trimester [O29.029] Pressure collapse of lung due to anesthesia during pregnancy, Pregnancy O29.029 ICD10CM unspecified trimester [O29.091] Other pulmonary complications of anesthesia during pregnancy, first Pregnancy O29.091 ICD10CM trimester [O29.092] Other pulmonary complications of anesthesia during pregnancy, second Pregnancy O29.092 ICD10CM trimester [O29.093] Other pulmonary complications of anesthesia during pregnancy, third Pregnancy O29.093 ICD10CM trimester [O29.099] Other pulmonary complications of anesthesia during pregnancy, Pregnancy O29.099 ICD10CM unspecified trimester Pregnancy O29.111 [O29.111] Cardiac arrest due to anesthesia during pregnancy, first trimester ICD10CM
Pregnancy O29.112 [O29.112] Cardiac arrest due to anesthesia during pregnancy, second trimester ICD10CM
Pregnancy O29.113 [O29.113] Cardiac arrest due to anesthesia during pregnancy, third trimester ICD10CM
Pregnancy O29.119 [O29.119] Cardiac arrest due to anesthesia during pregnancy, unspecified trimester ICD10CM
Pregnancy O29.121 [O29.121] Cardiac failure due to anesthesia during pregnancy, first trimester ICD10CM
Pregnancy O29.122 [O29.122] Cardiac failure due to anesthesia during pregnancy, second trimester ICD10CM
Pregnancy O29.123 [O29.123] Cardiac failure due to anesthesia during pregnancy, third trimester ICD10CM
Pregnancy O29.129 [O29.129] Cardiac failure due to anesthesia during pregnancy, unspecified trimester ICD10CM [O29.191] Other cardiac complications of anesthesia during pregnancy, first Pregnancy O29.191 ICD10CM trimester
Page 39 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O29.192] Other cardiac complications of anesthesia during pregnancy, second Pregnancy O29.192 ICD10CM trimester [O29.193] Other cardiac complications of anesthesia during pregnancy, third Pregnancy O29.193 ICD10CM trimester [O29.199] Other cardiac complications of anesthesia during pregnancy, unspecified Pregnancy O29.199 ICD10CM trimester Pregnancy O29.211 [O29.211] Cerebral anoxia due to anesthesia during pregnancy, first trimester ICD10CM
Pregnancy O29.212 [O29.212] Cerebral anoxia due to anesthesia during pregnancy, second trimester ICD10CM
Pregnancy O29.213 [O29.213] Cerebral anoxia due to anesthesia during pregnancy, third trimester ICD10CM [O29.219] Cerebral anoxia due to anesthesia during pregnancy, unspecified Pregnancy O29.219 ICD10CM trimester [O29.291] Other central nervous system complications of anesthesia during Pregnancy O29.291 ICD10CM pregnancy, first trimester
[O29.292] Other central nervous system complications of anesthesia during Pregnancy O29.292 ICD10CM pregnancy, second trimester
[O29.293] Other central nervous system complications of anesthesia during Pregnancy O29.293 ICD10CM pregnancy, third trimester
[O29.299] Other central nervous system complications of anesthesia during Pregnancy O29.299 ICD10CM pregnancy, unspecified trimester
Pregnancy O29.3X1 [O29.3X1] Toxic reaction to local anesthesia during pregnancy, first trimester ICD10CM
Pregnancy O29.3X2 [O29.3X2] Toxic reaction to local anesthesia during pregnancy, second trimester ICD10CM
Pregnancy O29.3X3 [O29.3X3] Toxic reaction to local anesthesia during pregnancy, third trimester ICD10CM
Page 40 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O29.3X9] Toxic reaction to local anesthesia during pregnancy, unspecified Pregnancy O29.3X9 ICD10CM trimester [O29.40] Spinal and epidural anesthesia induced headache during pregnancy, Pregnancy O29.40 ICD10CM unspecified trimester [O29.41] Spinal and epidural anesthesia induced headache during pregnancy, first Pregnancy O29.41 ICD10CM trimester [O29.42] Spinal and epidural anesthesia induced headache during pregnancy, Pregnancy O29.42 ICD10CM second trimester [O29.43] Spinal and epidural anesthesia induced headache during pregnancy, third Pregnancy O29.43 ICD10CM trimester [O29.5X1] Other complications of spinal and epidural anesthesia during pregnancy, Pregnancy O29.5X1 ICD10CM first trimester [O29.5X2] Other complications of spinal and epidural anesthesia during pregnancy, Pregnancy O29.5X2 ICD10CM second trimester [O29.5X3] Other complications of spinal and epidural anesthesia during pregnancy, Pregnancy O29.5X3 ICD10CM third trimester [O29.5X9] Other complications of spinal and epidural anesthesia during pregnancy, Pregnancy O29.5X9 ICD10CM unspecified trimester [O29.60] Failed or difficult intubation for anesthesia during pregnancy, unspecified Pregnancy O29.60 ICD10CM trimester [O29.61] Failed or difficult intubation for anesthesia during pregnancy, first Pregnancy O29.61 ICD10CM trimester [O29.62] Failed or difficult intubation for anesthesia during pregnancy, second Pregnancy O29.62 ICD10CM trimester [O29.63] Failed or difficult intubation for anesthesia during pregnancy, third Pregnancy O29.63 ICD10CM trimester Pregnancy O29.8X1 [O29.8X1] Other complications of anesthesia during pregnancy, first trimester ICD10CM
Pregnancy O29.8X2 [O29.8X2] Other complications of anesthesia during pregnancy, second trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O29.8X3 [O29.8X3] Other complications of anesthesia during pregnancy, third trimester ICD10CM [O29.8X9] Other complications of anesthesia during pregnancy, unspecified Pregnancy O29.8X9 ICD10CM trimester [O29.90] Unspecified complication of anesthesia during pregnancy, unspecified Pregnancy O29.90 ICD10CM trimester Pregnancy O29.91 [O29.91] Unspecified complication of anesthesia during pregnancy, first trimester ICD10CM [O29.92] Unspecified complication of anesthesia during pregnancy, second Pregnancy O29.92 ICD10CM trimester Pregnancy O29.93 [O29.93] Unspecified complication of anesthesia during pregnancy, third trimester ICD10CM
[O30.001] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.001 ICD10CM number of amniotic sacs, first trimester
[O30.002] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.002 ICD10CM number of amniotic sacs, second trimester
[O30.003] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.003 ICD10CM number of amniotic sacs, third trimester
[O30.009] Twin pregnancy, unspecified number of placenta and unspecified Pregnancy O30.009 ICD10CM number of amniotic sacs, unspecified trimester
Pregnancy O30.011 [O30.011] Twin pregnancy, monochorionic/monoamniotic, first trimester ICD10CM
Pregnancy O30.012 [O30.012] Twin pregnancy, monochorionic/monoamniotic, second trimester ICD10CM
Pregnancy O30.013 [O30.013] Twin pregnancy, monochorionic/monoamniotic, third trimester ICD10CM
Pregnancy O30.019 [O30.019] Twin pregnancy, monochorionic/monoamniotic, unspecified trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O30.021 [O30.021] Conjoined twin pregnancy, first trimester ICD10CM Pregnancy O30.022 [O30.022] Conjoined twin pregnancy, second trimester ICD10CM Pregnancy O30.023 [O30.023] Conjoined twin pregnancy, third trimester ICD10CM Pregnancy O30.029 [O30.029] Conjoined twin pregnancy, unspecified trimester ICD10CM
Pregnancy O30.031 [O30.031] Twin pregnancy, monochorionic/diamniotic, first trimester ICD10CM
Pregnancy O30.032 [O30.032] Twin pregnancy, monochorionic/diamniotic, second trimester ICD10CM
Pregnancy O30.033 [O30.033] Twin pregnancy, monochorionic/diamniotic, third trimester ICD10CM
Pregnancy O30.039 [O30.039] Twin pregnancy, monochorionic/diamniotic, unspecified trimester ICD10CM
Pregnancy O30.041 [O30.041] Twin pregnancy, dichorionic/diamniotic, first trimester ICD10CM
Pregnancy O30.042 [O30.042] Twin pregnancy, dichorionic/diamniotic, second trimester ICD10CM
Pregnancy O30.043 [O30.043] Twin pregnancy, dichorionic/diamniotic, third trimester ICD10CM
Pregnancy O30.049 [O30.049] Twin pregnancy, dichorionic/diamniotic, unspecified trimester ICD10CM
[O30.091] Twin pregnancy, unable to determine number of placenta and number of Pregnancy O30.091 ICD10CM amniotic sacs, first trimester
[O30.092] Twin pregnancy, unable to determine number of placenta and number of Pregnancy O30.092 ICD10CM amniotic sacs, second trimester
[O30.093] Twin pregnancy, unable to determine number of placenta and number of Pregnancy O30.093 ICD10CM amniotic sacs, third trimester
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Exclusions Value Set Name Code Definition Code System [O30.099] Twin pregnancy, unable to determine number of placenta and number of Pregnancy O30.099 ICD10CM amniotic sacs, unspecified trimester
[O30.101] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.101 ICD10CM number of amniotic sacs, first trimester
[O30.102] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.102 ICD10CM number of amniotic sacs, second trimester
[O30.103] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.103 ICD10CM number of amniotic sacs, third trimester
[O30.109] Triplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.109 ICD10CM number of amniotic sacs, unspecified trimester [O30.111] Triplet pregnancy with two or more monochorionic fetuses, first Pregnancy O30.111 ICD10CM trimester [O30.112] Triplet pregnancy with two or more monochorionic fetuses, second Pregnancy O30.112 ICD10CM trimester [O30.113] Triplet pregnancy with two or more monochorionic fetuses, third Pregnancy O30.113 ICD10CM trimester [O30.119] Triplet pregnancy with two or more monochorionic fetuses, unspecified Pregnancy O30.119 ICD10CM trimester Pregnancy O30.121 [O30.121] Triplet pregnancy with two or more monoamniotic fetuses, first trimester ICD10CM [O30.122] Triplet pregnancy with two or more monoamniotic fetuses, second Pregnancy O30.122 ICD10CM trimester [O30.123] Triplet pregnancy with two or more monoamniotic fetuses, third Pregnancy O30.123 ICD10CM trimester [O30.129] Triplet pregnancy with two or more monoamniotic fetuses, unspecified Pregnancy O30.129 ICD10CM trimester Pregnancy O30.131 [O30.131] Triplet pregnancy, trichorionic/triamniotic, first trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O30.132 [O30.132] Triplet pregnancy, trichorionic/triamniotic, second trimester ICD10CM
Pregnancy O30.133 [O30.133] Triplet pregnancy, trichorionic/triamniotic, third trimester ICD10CM
Pregnancy O30.139 [O30.139] Triplet pregnancy, trichorionic/triamniotic, unspecified trimester ICD10CM
[O30.191] Triplet pregnancy, unable to determine number of placenta and number Pregnancy O30.191 ICD10CM of amniotic sacs, first trimester
[O30.192] Triplet pregnancy, unable to determine number of placenta and number Pregnancy O30.192 ICD10CM of amniotic sacs, second trimester
[O30.193] Triplet pregnancy, unable to determine number of placenta and number Pregnancy O30.193 ICD10CM of amniotic sacs, third trimester
[O30.199] Triplet pregnancy, unable to determine number of placenta and number Pregnancy O30.199 ICD10CM of amniotic sacs, unspecified trimester
[O30.201] Quadruplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.201 ICD10CM number of amniotic sacs, first trimester
[O30.202] Quadruplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.202 ICD10CM number of amniotic sacs, second trimester
[O30.203] Quadruplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.203 ICD10CM number of amniotic sacs, third trimester
[O30.209] Quadruplet pregnancy, unspecified number of placenta and unspecified Pregnancy O30.209 ICD10CM number of amniotic sacs, unspecified trimester [O30.211] Quadruplet pregnancy with two or more monochorionic fetuses, first Pregnancy O30.211 ICD10CM trimester
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Exclusions Value Set Name Code Definition Code System [O30.212] Quadruplet pregnancy with two or more monochorionic fetuses, second Pregnancy O30.212 ICD10CM trimester [O30.213] Quadruplet pregnancy with two or more monochorionic fetuses, third Pregnancy O30.213 ICD10CM trimester [O30.219] Quadruplet pregnancy with two or more monochorionic fetuses, Pregnancy O30.219 ICD10CM unspecified trimester [O30.221] Quadruplet pregnancy with two or more monoamniotic fetuses, first Pregnancy O30.221 ICD10CM trimester [O30.222] Quadruplet pregnancy with two or more monoamniotic fetuses, second Pregnancy O30.222 ICD10CM trimester [O30.223] Quadruplet pregnancy with two or more monoamniotic fetuses, third Pregnancy O30.223 ICD10CM trimester [O30.229] Quadruplet pregnancy with two or more monoamniotic fetuses, Pregnancy O30.229 ICD10CM unspecified trimester Pregnancy O30.231 [O30.231] Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester ICD10CM [O30.232] Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second Pregnancy O30.232 ICD10CM trimester Pregnancy O30.233 [O30.233] Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester ICD10CM
[O30.239] Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified Pregnancy O30.239 ICD10CM trimester
[O30.291] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.291 ICD10CM number of amniotic sacs, first trimester
[O30.292] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.292 ICD10CM number of amniotic sacs, second trimester
[O30.293] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.293 ICD10CM number of amniotic sacs, third trimester
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Exclusions Value Set Name Code Definition Code System [O30.299] Quadruplet pregnancy, unable to determine number of placenta and Pregnancy O30.299 ICD10CM number of amniotic sacs, unspecified trimester
[O30.801] Other specified multiple gestation, unspecified number of placenta and Pregnancy O30.801 ICD10CM unspecified number of amniotic sacs, first trimester
[O30.802] Other specified multiple gestation, unspecified number of placenta and Pregnancy O30.802 ICD10CM unspecified number of amniotic sacs, second trimester
[O30.803] Other specified multiple gestation, unspecified number of placenta and Pregnancy O30.803 ICD10CM unspecified number of amniotic sacs, third trimester
[O30.809] Other specified multiple gestation, unspecified number of placenta and Pregnancy O30.809 ICD10CM unspecified number of amniotic sacs, unspecified trimester [O30.811] Other specified multiple gestation with two or more monochorionic Pregnancy O30.811 ICD10CM fetuses, first trimester [O30.812] Other specified multiple gestation with two or more monochorionic Pregnancy O30.812 ICD10CM fetuses, second trimester [O30.813] Other specified multiple gestation with two or more monochorionic Pregnancy O30.813 ICD10CM fetuses, third trimester [O30.819] Other specified multiple gestation with two or more monochorionic Pregnancy O30.819 ICD10CM fetuses, unspecified trimester [O30.821] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.821 ICD10CM fetuses, first trimester [O30.822] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.822 ICD10CM fetuses, second trimester [O30.823] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.823 ICD10CM fetuses, third trimester
Page 47 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O30.829] Other specified multiple gestation with two or more monoamniotic Pregnancy O30.829 ICD10CM fetuses, unspecified trimester
[O30.831] Other specified multiple gestation, number of chorions and amnions are Pregnancy O30.831 ICD10CM both equal to the number of fetuses, first trimester
[O30.832] Other specified multiple gestation, number of chorions and amnions are Pregnancy O30.832 ICD10CM both equal to the number of fetuses, second trimester
[O30.833] Other specified multiple gestation, number of chorions and amnions are Pregnancy O30.833 ICD10CM both equal to the number of fetuses, third trimester
[O30.839] Other specified multiple gestation, number of chorions and amnions are Pregnancy O30.839 ICD10CM both equal to the number of fetuses, unspecified trimester
[O30.891] Other specified multiple gestation, unable to determine number of Pregnancy O30.891 ICD10CM placenta and number of amniotic sacs, first trimester
[O30.892] Other specified multiple gestation, unable to determine number of Pregnancy O30.892 ICD10CM placenta and number of amniotic sacs, second trimester
[O30.893] Other specified multiple gestation, unable to determine number of Pregnancy O30.893 ICD10CM placenta and number of amniotic sacs, third trimester
[O30.899] Other specified multiple gestation, unable to determine number of Pregnancy O30.899 ICD10CM placenta and number of amniotic sacs, unspecified trimester
Pregnancy O30.90 [O30.90] Multiple gestation, unspecified, unspecified trimester ICD10CM
Pregnancy O30.91 [O30.91] Multiple gestation, unspecified, first trimester ICD10CM
Pregnancy O30.92 [O30.92] Multiple gestation, unspecified, second trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O30.93 [O30.93] Multiple gestation, unspecified, third trimester ICD10CM
Pregnancy O31.00X0 [O31.00X0] Papyraceous fetus, unspecified trimester, not applicable or unspecified ICD10CM
Pregnancy O31.00X1 [O31.00X1] Papyraceous fetus, unspecified trimester, fetus 1 ICD10CM
Pregnancy O31.00X2 [O31.00X2] Papyraceous fetus, unspecified trimester, fetus 2 ICD10CM
Pregnancy O31.00X3 [O31.00X3] Papyraceous fetus, unspecified trimester, fetus 3 ICD10CM
Pregnancy O31.00X4 [O31.00X4] Papyraceous fetus, unspecified trimester, fetus 4 ICD10CM
Pregnancy O31.00X5 [O31.00X5] Papyraceous fetus, unspecified trimester, fetus 5 ICD10CM
Pregnancy O31.00X9 [O31.00X9] Papyraceous fetus, unspecified trimester, other fetus ICD10CM
Pregnancy O31.01X0 [O31.01X0] Papyraceous fetus, first trimester, not applicable or unspecified ICD10CM
Pregnancy O31.01X1 [O31.01X1] Papyraceous fetus, first trimester, fetus 1 ICD10CM
Pregnancy O31.01X2 [O31.01X2] Papyraceous fetus, first trimester, fetus 2 ICD10CM
Pregnancy O31.01X3 [O31.01X3] Papyraceous fetus, first trimester, fetus 3 ICD10CM
Pregnancy O31.01X4 [O31.01X4] Papyraceous fetus, first trimester, fetus 4 ICD10CM
Pregnancy O31.01X5 [O31.01X5] Papyraceous fetus, first trimester, fetus 5 ICD10CM
Pregnancy O31.01X9 [O31.01X9] Papyraceous fetus, first trimester, other fetus ICD10CM
Pregnancy O31.02X0 [O31.02X0] Papyraceous fetus, second trimester, not applicable or unspecified ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O31.02X1 [O31.02X1] Papyraceous fetus, second trimester, fetus 1 ICD10CM
Pregnancy O31.02X2 [O31.02X2] Papyraceous fetus, second trimester, fetus 2 ICD10CM
Pregnancy O31.02X3 [O31.02X3] Papyraceous fetus, second trimester, fetus 3 ICD10CM
Pregnancy O31.02X4 [O31.02X4] Papyraceous fetus, second trimester, fetus 4 ICD10CM
Pregnancy O31.02X5 [O31.02X5] Papyraceous fetus, second trimester, fetus 5 ICD10CM
Pregnancy O31.02X9 [O31.02X9] Papyraceous fetus, second trimester, other fetus ICD10CM
Pregnancy O31.03X0 [O31.03X0] Papyraceous fetus, third trimester, not applicable or unspecified ICD10CM
Pregnancy O31.03X1 [O31.03X1] Papyraceous fetus, third trimester, fetus 1 ICD10CM
Pregnancy O31.03X2 [O31.03X2] Papyraceous fetus, third trimester, fetus 2 ICD10CM
Pregnancy O31.03X3 [O31.03X3] Papyraceous fetus, third trimester, fetus 3 ICD10CM
Pregnancy O31.03X4 [O31.03X4] Papyraceous fetus, third trimester, fetus 4 ICD10CM
Pregnancy O31.03X5 [O31.03X5] Papyraceous fetus, third trimester, fetus 5 ICD10CM
Pregnancy O31.03X9 [O31.03X9] Papyraceous fetus, third trimester, other fetus ICD10CM
[O31.10X0] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X0 ICD10CM unspecified trimester, not applicable or unspecified
[O31.10X1] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X1 ICD10CM unspecified trimester, fetus 1
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Exclusions Value Set Name Code Definition Code System [O31.10X2] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X2 ICD10CM unspecified trimester, fetus 2
[O31.10X3] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X3 ICD10CM unspecified trimester, fetus 3
[O31.10X4] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X4 ICD10CM unspecified trimester, fetus 4
[O31.10X5] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X5 ICD10CM unspecified trimester, fetus 5
[O31.10X9] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.10X9 ICD10CM unspecified trimester, other fetus
[O31.11X0] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X0 ICD10CM first trimester, not applicable or unspecified [O31.11X1] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X1 ICD10CM first trimester, fetus 1 [O31.11X2] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X2 ICD10CM first trimester, fetus 2 [O31.11X3] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X3 ICD10CM first trimester, fetus 3 [O31.11X4] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X4 ICD10CM first trimester, fetus 4 [O31.11X5] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X5 ICD10CM first trimester, fetus 5 [O31.11X9] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.11X9 ICD10CM first trimester, other fetus
Page 51 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.12X0] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X0 ICD10CM second trimester, not applicable or unspecified
[O31.12X1] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X1 ICD10CM second trimester, fetus 1
[O31.12X2] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X2 ICD10CM second trimester, fetus 2
[O31.12X3] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X3 ICD10CM second trimester, fetus 3
[O31.12X4] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X4 ICD10CM second trimester, fetus 4
[O31.12X5] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X5 ICD10CM second trimester, fetus 5
[O31.12X9] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.12X9 ICD10CM second trimester, other fetus
[O31.13X0] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X0 ICD10CM third trimester, not applicable or unspecified
[O31.13X1] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X1 ICD10CM third trimester, fetus 1
[O31.13X2] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X2 ICD10CM third trimester, fetus 2
[O31.13X3] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X3 ICD10CM third trimester, fetus 3
Page 52 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.13X4] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X4 ICD10CM third trimester, fetus 4
[O31.13X5] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X5 ICD10CM third trimester, fetus 5
[O31.13X9] Continuing pregnancy after spontaneous abortion of one fetus or more, Pregnancy O31.13X9 ICD10CM third trimester, other fetus
[O31.20X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X0 ICD10CM unspecified trimester, not applicable or unspecified
[O31.20X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X1 ICD10CM unspecified trimester, fetus 1
[O31.20X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X2 ICD10CM unspecified trimester, fetus 2
[O31.20X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X3 ICD10CM unspecified trimester, fetus 3
[O31.20X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X4 ICD10CM unspecified trimester, fetus 4
[O31.20X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X5 ICD10CM unspecified trimester, fetus 5
[O31.20X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.20X9 ICD10CM unspecified trimester, other fetus
[O31.21X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X0 ICD10CM first trimester, not applicable or unspecified
Page 53 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.21X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X1 ICD10CM first trimester, fetus 1 [O31.21X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X2 ICD10CM first trimester, fetus 2 [O31.21X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X3 ICD10CM first trimester, fetus 3 [O31.21X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X4 ICD10CM first trimester, fetus 4 [O31.21X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X5 ICD10CM first trimester, fetus 5 [O31.21X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.21X9 ICD10CM first trimester, other fetus
[O31.22X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X0 ICD10CM second trimester, not applicable or unspecified
[O31.22X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X1 ICD10CM second trimester, fetus 1
[O31.22X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X2 ICD10CM second trimester, fetus 2
[O31.22X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X3 ICD10CM second trimester, fetus 3
[O31.22X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X4 ICD10CM second trimester, fetus 4
[O31.22X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X5 ICD10CM second trimester, fetus 5
Page 54 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.22X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.22X9 ICD10CM second trimester, other fetus
[O31.23X0] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X0 ICD10CM third trimester, not applicable or unspecified [O31.23X1] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X1 ICD10CM third trimester, fetus 1 [O31.23X2] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X2 ICD10CM third trimester, fetus 2 [O31.23X3] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X3 ICD10CM third trimester, fetus 3 [O31.23X4] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X4 ICD10CM third trimester, fetus 4 [O31.23X5] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X5 ICD10CM third trimester, fetus 5 [O31.23X9] Continuing pregnancy after intrauterine death of one fetus or more, Pregnancy O31.23X9 ICD10CM third trimester, other fetus
[O31.30X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X0 ICD10CM more, unspecified trimester, not applicable or unspecified
[O31.30X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X1 ICD10CM more, unspecified trimester, fetus 1
[O31.30X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X2 ICD10CM more, unspecified trimester, fetus 2
[O31.30X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X3 ICD10CM more, unspecified trimester, fetus 3
Page 55 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.30X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X4 ICD10CM more, unspecified trimester, fetus 4
[O31.30X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X5 ICD10CM more, unspecified trimester, fetus 5
[O31.30X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.30X9 ICD10CM more, unspecified trimester, other fetus
[O31.31X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X0 ICD10CM more, first trimester, not applicable or unspecified
[O31.31X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X1 ICD10CM more, first trimester, fetus 1
[O31.31X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X2 ICD10CM more, first trimester, fetus 2
[O31.31X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X3 ICD10CM more, first trimester, fetus 3
[O31.31X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X4 ICD10CM more, first trimester, fetus 4
[O31.31X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X5 ICD10CM more, first trimester, fetus 5
[O31.31X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.31X9 ICD10CM more, first trimester, other fetus
[O31.32X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X0 ICD10CM more, second trimester, not applicable or unspecified
Page 56 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.32X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X1 ICD10CM more, second trimester, fetus 1
[O31.32X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X2 ICD10CM more, second trimester, fetus 2
[O31.32X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X3 ICD10CM more, second trimester, fetus 3
[O31.32X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X4 ICD10CM more, second trimester, fetus 4
[O31.32X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X5 ICD10CM more, second trimester, fetus 5
[O31.32X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.32X9 ICD10CM more, second trimester, other fetus
[O31.33X0] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X0 ICD10CM more, third trimester, not applicable or unspecified
[O31.33X1] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X1 ICD10CM more, third trimester, fetus 1
[O31.33X2] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X2 ICD10CM more, third trimester, fetus 2
[O31.33X3] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X3 ICD10CM more, third trimester, fetus 3
[O31.33X4] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X4 ICD10CM more, third trimester, fetus 4
Page 57 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.33X5] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X5 ICD10CM more, third trimester, fetus 5
[O31.33X9] Continuing pregnancy after elective fetal reduction of one fetus or Pregnancy O31.33X9 ICD10CM more, third trimester, other fetus
[O31.8X10] Other complications specific to multiple gestation, first trimester, not Pregnancy O31.8X10 ICD10CM applicable or unspecified [O31.8X11] Other complications specific to multiple gestation, first trimester, fetus Pregnancy O31.8X11 ICD10CM 1 [O31.8X12] Other complications specific to multiple gestation, first trimester, fetus Pregnancy O31.8X12 ICD10CM 2 [O31.8X13] Other complications specific to multiple gestation, first trimester, fetus Pregnancy O31.8X13 ICD10CM 3 [O31.8X14] Other complications specific to multiple gestation, first trimester, fetus Pregnancy O31.8X14 ICD10CM 4 [O31.8X15] Other complications specific to multiple gestation, first trimester, fetus Pregnancy O31.8X15 ICD10CM 5 [O31.8X19] Other complications specific to multiple gestation, first trimester, other Pregnancy O31.8X19 ICD10CM fetus [O31.8X20] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X20 ICD10CM not applicable or unspecified [O31.8X21] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X21 ICD10CM fetus 1 [O31.8X22] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X22 ICD10CM fetus 2 [O31.8X23] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X23 ICD10CM fetus 3 [O31.8X24] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X24 ICD10CM fetus 4
Page 58 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.8X25] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X25 ICD10CM fetus 5 [O31.8X29] Other complications specific to multiple gestation, second trimester, Pregnancy O31.8X29 ICD10CM other fetus [O31.8X30] Other complications specific to multiple gestation, third trimester, not Pregnancy O31.8X30 ICD10CM applicable or unspecified [O31.8X31] Other complications specific to multiple gestation, third trimester, fetus Pregnancy O31.8X31 ICD10CM 1 [O31.8X32] Other complications specific to multiple gestation, third trimester, fetus Pregnancy O31.8X32 ICD10CM 2 [O31.8X33] Other complications specific to multiple gestation, third trimester, fetus Pregnancy O31.8X33 ICD10CM 3 [O31.8X34] Other complications specific to multiple gestation, third trimester, fetus Pregnancy O31.8X34 ICD10CM 4 [O31.8X35] Other complications specific to multiple gestation, third trimester, fetus Pregnancy O31.8X35 ICD10CM 5 [O31.8X39] Other complications specific to multiple gestation, third trimester, other Pregnancy O31.8X39 ICD10CM fetus [O31.8X90] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X90 ICD10CM trimester, not applicable or unspecified [O31.8X91] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X91 ICD10CM trimester, fetus 1 [O31.8X92] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X92 ICD10CM trimester, fetus 2 [O31.8X93] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X93 ICD10CM trimester, fetus 3 [O31.8X94] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X94 ICD10CM trimester, fetus 4 [O31.8X95] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X95 ICD10CM trimester, fetus 5
Page 59 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O31.8X99] Other complications specific to multiple gestation, unspecified Pregnancy O31.8X99 ICD10CM trimester, other fetus Pregnancy O32.0XX0 [O32.0XX0] Maternal care for unstable lie, not applicable or unspecified ICD10CM Pregnancy O32.0XX1 [O32.0XX1] Maternal care for unstable lie, fetus 1 ICD10CM Pregnancy O32.0XX2 [O32.0XX2] Maternal care for unstable lie, fetus 2 ICD10CM Pregnancy O32.0XX3 [O32.0XX3] Maternal care for unstable lie, fetus 3 ICD10CM Pregnancy O32.0XX4 [O32.0XX4] Maternal care for unstable lie, fetus 4 ICD10CM Pregnancy O32.0XX5 [O32.0XX5] Maternal care for unstable lie, fetus 5 ICD10CM Pregnancy O32.0XX9 [O32.0XX9] Maternal care for unstable lie, other fetus ICD10CM
Pregnancy O32.1XX0 [O32.1XX0] Maternal care for breech presentation, not applicable or unspecified ICD10CM
Pregnancy O32.1XX1 [O32.1XX1] Maternal care for breech presentation, fetus 1 ICD10CM
Pregnancy O32.1XX2 [O32.1XX2] Maternal care for breech presentation, fetus 2 ICD10CM
Pregnancy O32.1XX3 [O32.1XX3] Maternal care for breech presentation, fetus 3 ICD10CM
Pregnancy O32.1XX4 [O32.1XX4] Maternal care for breech presentation, fetus 4 ICD10CM
Pregnancy O32.1XX5 [O32.1XX5] Maternal care for breech presentation, fetus 5 ICD10CM
Pregnancy O32.1XX9 [O32.1XX9] Maternal care for breech presentation, other fetus ICD10CM [O32.2XX0] Maternal care for transverse and oblique lie, not applicable or Pregnancy O32.2XX0 ICD10CM unspecified Pregnancy O32.2XX1 [O32.2XX1] Maternal care for transverse and oblique lie, fetus 1 ICD10CM
Pregnancy O32.2XX2 [O32.2XX2] Maternal care for transverse and oblique lie, fetus 2 ICD10CM
Pregnancy O32.2XX3 [O32.2XX3] Maternal care for transverse and oblique lie, fetus 3 ICD10CM
Page 60 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O32.2XX4 [O32.2XX4] Maternal care for transverse and oblique lie, fetus 4 ICD10CM
Pregnancy O32.2XX5 [O32.2XX5] Maternal care for transverse and oblique lie, fetus 5 ICD10CM
Pregnancy O32.2XX9 [O32.2XX9] Maternal care for transverse and oblique lie, other fetus ICD10CM [O32.3XX0] Maternal care for face, brow and chin presentation, not applicable or Pregnancy O32.3XX0 ICD10CM unspecified Pregnancy O32.3XX1 [O32.3XX1] Maternal care for face, brow and chin presentation, fetus 1 ICD10CM
Pregnancy O32.3XX2 [O32.3XX2] Maternal care for face, brow and chin presentation, fetus 2 ICD10CM
Pregnancy O32.3XX3 [O32.3XX3] Maternal care for face, brow and chin presentation, fetus 3 ICD10CM
Pregnancy O32.3XX4 [O32.3XX4] Maternal care for face, brow and chin presentation, fetus 4 ICD10CM
Pregnancy O32.3XX5 [O32.3XX5] Maternal care for face, brow and chin presentation, fetus 5 ICD10CM
Pregnancy O32.3XX9 [O32.3XX9] Maternal care for face, brow and chin presentation, other fetus ICD10CM
Pregnancy O32.4XX0 [O32.4XX0] Maternal care for high head at term, not applicable or unspecified ICD10CM
Pregnancy O32.4XX1 [O32.4XX1] Maternal care for high head at term, fetus 1 ICD10CM
Pregnancy O32.4XX2 [O32.4XX2] Maternal care for high head at term, fetus 2 ICD10CM
Pregnancy O32.4XX3 [O32.4XX3] Maternal care for high head at term, fetus 3 ICD10CM
Pregnancy O32.4XX4 [O32.4XX4] Maternal care for high head at term, fetus 4 ICD10CM
Pregnancy O32.4XX5 [O32.4XX5] Maternal care for high head at term, fetus 5 ICD10CM
Page 61 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O32.4XX9 [O32.4XX9] Maternal care for high head at term, other fetus ICD10CM [O32.6XX0] Maternal care for compound presentation, not applicable or Pregnancy O32.6XX0 ICD10CM unspecified Pregnancy O32.6XX1 [O32.6XX1] Maternal care for compound presentation, fetus 1 ICD10CM
Pregnancy O32.6XX2 [O32.6XX2] Maternal care for compound presentation, fetus 2 ICD10CM
Pregnancy O32.6XX3 [O32.6XX3] Maternal care for compound presentation, fetus 3 ICD10CM
Pregnancy O32.6XX4 [O32.6XX4] Maternal care for compound presentation, fetus 4 ICD10CM
Pregnancy O32.6XX5 [O32.6XX5] Maternal care for compound presentation, fetus 5 ICD10CM
Pregnancy O32.6XX9 [O32.6XX9] Maternal care for compound presentation, other fetus ICD10CM [O32.8XX0] Maternal care for other malpresentation of fetus, not applicable or Pregnancy O32.8XX0 ICD10CM unspecified Pregnancy O32.8XX1 [O32.8XX1] Maternal care for other malpresentation of fetus, fetus 1 ICD10CM
Pregnancy O32.8XX2 [O32.8XX2] Maternal care for other malpresentation of fetus, fetus 2 ICD10CM
Pregnancy O32.8XX3 [O32.8XX3] Maternal care for other malpresentation of fetus, fetus 3 ICD10CM
Pregnancy O32.8XX4 [O32.8XX4] Maternal care for other malpresentation of fetus, fetus 4 ICD10CM
Pregnancy O32.8XX5 [O32.8XX5] Maternal care for other malpresentation of fetus, fetus 5 ICD10CM
Pregnancy O32.8XX9 [O32.8XX9] Maternal care for other malpresentation of fetus, other fetus ICD10CM [O32.9XX0] Maternal care for malpresentation of fetus, unspecified, not applicable Pregnancy O32.9XX0 ICD10CM or unspecified
Page 62 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O32.9XX1 [O32.9XX1] Maternal care for malpresentation of fetus, unspecified, fetus 1 ICD10CM
Pregnancy O32.9XX2 [O32.9XX2] Maternal care for malpresentation of fetus, unspecified, fetus 2 ICD10CM
Pregnancy O32.9XX3 [O32.9XX3] Maternal care for malpresentation of fetus, unspecified, fetus 3 ICD10CM
Pregnancy O32.9XX4 [O32.9XX4] Maternal care for malpresentation of fetus, unspecified, fetus 4 ICD10CM
Pregnancy O32.9XX5 [O32.9XX5] Maternal care for malpresentation of fetus, unspecified, fetus 5 ICD10CM
Pregnancy O32.9XX9 [O32.9XX9] Maternal care for malpresentation of fetus, unspecified, other fetus ICD10CM
Pregnancy O33.0 [O33.0] Maternal care for disproportion due to deformity of maternal pelvic bones ICD10CM
Pregnancy O33.1 [O33.1] Maternal care for disproportion due to generally contracted pelvis ICD10CM
Pregnancy O33.2 [O33.2] Maternal care for disproportion due to inlet contraction of pelvis ICD10CM
[O33.3XX0] Maternal care for disproportion due to outlet contraction of pelvis, not Pregnancy O33.3XX0 ICD10CM applicable or unspecified [O33.3XX1] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX1 ICD10CM fetus 1 [O33.3XX2] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX2 ICD10CM fetus 2 [O33.3XX3] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX3 ICD10CM fetus 3 [O33.3XX4] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX4 ICD10CM fetus 4 [O33.3XX5] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX5 ICD10CM fetus 5 [O33.3XX9] Maternal care for disproportion due to outlet contraction of pelvis, Pregnancy O33.3XX9 ICD10CM other fetus
Page 63 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O33.4XX0] Maternal care for disproportion of mixed maternal and fetal origin, not Pregnancy O33.4XX0 ICD10CM applicable or unspecified [O33.4XX1] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX1 ICD10CM fetus 1 [O33.4XX2] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX2 ICD10CM fetus 2 [O33.4XX3] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX3 ICD10CM fetus 3 [O33.4XX4] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX4 ICD10CM fetus 4 [O33.4XX5] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX5 ICD10CM fetus 5 [O33.4XX9] Maternal care for disproportion of mixed maternal and fetal origin, Pregnancy O33.4XX9 ICD10CM other fetus [O33.5XX0] Maternal care for disproportion due to unusually large fetus, not Pregnancy O33.5XX0 ICD10CM applicable or unspecified Pregnancy O33.5XX1 [O33.5XX1] Maternal care for disproportion due to unusually large fetus, fetus 1 ICD10CM
Pregnancy O33.5XX2 [O33.5XX2] Maternal care for disproportion due to unusually large fetus, fetus 2 ICD10CM
Pregnancy O33.5XX3 [O33.5XX3] Maternal care for disproportion due to unusually large fetus, fetus 3 ICD10CM
Pregnancy O33.5XX4 [O33.5XX4] Maternal care for disproportion due to unusually large fetus, fetus 4 ICD10CM
Pregnancy O33.5XX5 [O33.5XX5] Maternal care for disproportion due to unusually large fetus, fetus 5 ICD10CM [O33.5XX9] Maternal care for disproportion due to unusually large fetus, other Pregnancy O33.5XX9 ICD10CM fetus [O33.6XX0] Maternal care for disproportion due to hydrocephalic fetus, not Pregnancy O33.6XX0 ICD10CM applicable or unspecified Pregnancy O33.6XX1 [O33.6XX1] Maternal care for disproportion due to hydrocephalic fetus, fetus 1 ICD10CM
Page 64 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O33.6XX2 [O33.6XX2] Maternal care for disproportion due to hydrocephalic fetus, fetus 2 ICD10CM
Pregnancy O33.6XX3 [O33.6XX3] Maternal care for disproportion due to hydrocephalic fetus, fetus 3 ICD10CM
Pregnancy O33.6XX4 [O33.6XX4] Maternal care for disproportion due to hydrocephalic fetus, fetus 4 ICD10CM
Pregnancy O33.6XX5 [O33.6XX5] Maternal care for disproportion due to hydrocephalic fetus, fetus 5 ICD10CM
Pregnancy O33.6XX9 [O33.6XX9] Maternal care for disproportion due to hydrocephalic fetus, other fetus ICD10CM
Pregnancy O33.7 [O33.7] Maternal care for disproportion due to other fetal deformities ICD10CM [O33.7XX0] Maternal care for disproportion due to other fetal deformities, not Pregnancy O33.7XX0 ICD10CM applicable or unspecified Pregnancy O33.7XX1 [O33.7XX1] Maternal care for disproportion due to other fetal deformities, fetus 1 ICD10CM
Pregnancy O33.7XX2 [O33.7XX2] Maternal care for disproportion due to other fetal deformities, fetus 2 ICD10CM
Pregnancy O33.7XX3 [O33.7XX3] Maternal care for disproportion due to other fetal deformities, fetus 3 ICD10CM
Pregnancy O33.7XX4 [O33.7XX4] Maternal care for disproportion due to other fetal deformities, fetus 4 ICD10CM
Pregnancy O33.7XX5 [O33.7XX5] Maternal care for disproportion due to other fetal deformities, fetus 5 ICD10CM [O33.7XX9] Maternal care for disproportion due to other fetal deformities, other Pregnancy O33.7XX9 ICD10CM fetus Pregnancy O33.8 [O33.8] Maternal care for disproportion of other origin ICD10CM Pregnancy O33.9 [O33.9] Maternal care for disproportion, unspecified ICD10CM [O34.00] Maternal care for unspecified congenital malformation of uterus, Pregnancy O34.00 ICD10CM unspecified trimester [O34.01] Maternal care for unspecified congenital malformation of uterus, first Pregnancy O34.01 ICD10CM trimester
Page 65 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O34.02] Maternal care for unspecified congenital malformation of uterus, second Pregnancy O34.02 ICD10CM trimester [O34.03] Maternal care for unspecified congenital malformation of uterus, third Pregnancy O34.03 ICD10CM trimester Pregnancy O34.10 [O34.10] Maternal care for benign tumor of corpus uteri, unspecified trimester ICD10CM
Pregnancy O34.11 [O34.11] Maternal care for benign tumor of corpus uteri, first trimester ICD10CM
Pregnancy O34.12 [O34.12] Maternal care for benign tumor of corpus uteri, second trimester ICD10CM
Pregnancy O34.13 [O34.13] Maternal care for benign tumor of corpus uteri, third trimester ICD10CM
Pregnancy O34.21 [O34.21] Maternal care for scar from previous cesarean delivery ICD10CM
Pregnancy O34.211 [O34.211] Maternal care for low transverse scar from previous cesarean delivery ICD10CM
Pregnancy O34.212 [O34.212] Maternal care for vertical scar from previous cesarean delivery ICD10CM
Pregnancy O34.219 [O34.219] Maternal care for unspecified type scar from previous cesarean delivery ICD10CM
Pregnancy O34.29 [O34.29] Maternal care due to uterine scar from other previous surgery ICD10CM
Pregnancy O34.30 [O34.30] Maternal care for cervical incompetence, unspecified trimester ICD10CM
Pregnancy O34.31 [O34.31] Maternal care for cervical incompetence, first trimester ICD10CM
Pregnancy O34.32 [O34.32] Maternal care for cervical incompetence, second trimester ICD10CM
Pregnancy O34.33 [O34.33] Maternal care for cervical incompetence, third trimester ICD10CM
Pregnancy O34.40 [O34.40] Maternal care for other abnormalities of cervix, unspecified trimester ICD10CM
Page 66 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O34.41 [O34.41] Maternal care for other abnormalities of cervix, first trimester ICD10CM
Pregnancy O34.42 [O34.42] Maternal care for other abnormalities of cervix, second trimester ICD10CM
Pregnancy O34.43 [O34.43] Maternal care for other abnormalities of cervix, third trimester ICD10CM
Pregnancy O34.511 [O34.511] Maternal care for incarceration of gravid uterus, first trimester ICD10CM
Pregnancy O34.512 [O34.512] Maternal care for incarceration of gravid uterus, second trimester ICD10CM
Pregnancy O34.513 [O34.513] Maternal care for incarceration of gravid uterus, third trimester ICD10CM
Pregnancy O34.519 [O34.519] Maternal care for incarceration of gravid uterus, unspecified trimester ICD10CM
Pregnancy O34.521 [O34.521] Maternal care for prolapse of gravid uterus, first trimester ICD10CM
Pregnancy O34.522 [O34.522] Maternal care for prolapse of gravid uterus, second trimester ICD10CM
Pregnancy O34.523 [O34.523] Maternal care for prolapse of gravid uterus, third trimester ICD10CM
Pregnancy O34.529 [O34.529] Maternal care for prolapse of gravid uterus, unspecified trimester ICD10CM
Pregnancy O34.531 [O34.531] Maternal care for retroversion of gravid uterus, first trimester ICD10CM
Pregnancy O34.532 [O34.532] Maternal care for retroversion of gravid uterus, second trimester ICD10CM
Pregnancy O34.533 [O34.533] Maternal care for retroversion of gravid uterus, third trimester ICD10CM
Pregnancy O34.539 [O34.539] Maternal care for retroversion of gravid uterus, unspecified trimester ICD10CM
Pregnancy O34.591 [O34.591] Maternal care for other abnormalities of gravid uterus, first trimester ICD10CM
Page 67 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O34.592 [O34.592] Maternal care for other abnormalities of gravid uterus, second trimester ICD10CM
Pregnancy O34.593 [O34.593] Maternal care for other abnormalities of gravid uterus, third trimester ICD10CM [O34.599] Maternal care for other abnormalities of gravid uterus, unspecified Pregnancy O34.599 ICD10CM trimester Pregnancy O34.60 [O34.60] Maternal care for abnormality of vagina, unspecified trimester ICD10CM
Pregnancy O34.61 [O34.61] Maternal care for abnormality of vagina, first trimester ICD10CM
Pregnancy O34.62 [O34.62] Maternal care for abnormality of vagina, second trimester ICD10CM
Pregnancy O34.63 [O34.63] Maternal care for abnormality of vagina, third trimester ICD10CM [O34.70] Maternal care for abnormality of vulva and perineum, unspecified Pregnancy O34.70 ICD10CM trimester Pregnancy O34.71 [O34.71] Maternal care for abnormality of vulva and perineum, first trimester ICD10CM
Pregnancy O34.72 [O34.72] Maternal care for abnormality of vulva and perineum, second trimester ICD10CM
Pregnancy O34.73 [O34.73] Maternal care for abnormality of vulva and perineum, third trimester ICD10CM [O34.80] Maternal care for other abnormalities of pelvic organs, unspecified Pregnancy O34.80 ICD10CM trimester Pregnancy O34.81 [O34.81] Maternal care for other abnormalities of pelvic organs, first trimester ICD10CM
Pregnancy O34.82 [O34.82] Maternal care for other abnormalities of pelvic organs, second trimester ICD10CM
Pregnancy O34.83 [O34.83] Maternal care for other abnormalities of pelvic organs, third trimester ICD10CM [O34.90] Maternal care for abnormality of pelvic organ, unspecified, unspecified Pregnancy O34.90 ICD10CM trimester
Page 68 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O34.91 [O34.91] Maternal care for abnormality of pelvic organ, unspecified, first trimester ICD10CM [O34.92] Maternal care for abnormality of pelvic organ, unspecified, second Pregnancy O34.92 ICD10CM trimester Pregnancy O34.93 [O34.93] Maternal care for abnormality of pelvic organ, unspecified, third trimester ICD10CM
[O35.0XX0] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX0 ICD10CM fetus, not applicable or unspecified [O35.0XX1] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX1 ICD10CM fetus, fetus 1 [O35.0XX2] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX2 ICD10CM fetus, fetus 2 [O35.0XX3] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX3 ICD10CM fetus, fetus 3 [O35.0XX4] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX4 ICD10CM fetus, fetus 4 [O35.0XX5] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX5 ICD10CM fetus, fetus 5 [O35.0XX9] Maternal care for (suspected) central nervous system malformation in Pregnancy O35.0XX9 ICD10CM fetus, other fetus [O35.1XX0] Maternal care for (suspected) chromosomal abnormality in fetus, not Pregnancy O35.1XX0 ICD10CM applicable or unspecified [O35.1XX1] Maternal care for (suspected) chromosomal abnormality in fetus, fetus Pregnancy O35.1XX1 ICD10CM 1 [O35.1XX2] Maternal care for (suspected) chromosomal abnormality in fetus, fetus Pregnancy O35.1XX2 ICD10CM 2 [O35.1XX3] Maternal care for (suspected) chromosomal abnormality in fetus, fetus Pregnancy O35.1XX3 ICD10CM 3 [O35.1XX4] Maternal care for (suspected) chromosomal abnormality in fetus, fetus Pregnancy O35.1XX4 ICD10CM 4
Page 69 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O35.1XX5] Maternal care for (suspected) chromosomal abnormality in fetus, fetus Pregnancy O35.1XX5 ICD10CM 5 [O35.1XX9] Maternal care for (suspected) chromosomal abnormality in fetus, other Pregnancy O35.1XX9 ICD10CM fetus [O35.2XX0] Maternal care for (suspected) hereditary disease in fetus, not applicable Pregnancy O35.2XX0 ICD10CM or unspecified Pregnancy O35.2XX1 [O35.2XX1] Maternal care for (suspected) hereditary disease in fetus, fetus 1 ICD10CM
Pregnancy O35.2XX2 [O35.2XX2] Maternal care for (suspected) hereditary disease in fetus, fetus 2 ICD10CM
Pregnancy O35.2XX3 [O35.2XX3] Maternal care for (suspected) hereditary disease in fetus, fetus 3 ICD10CM
Pregnancy O35.2XX4 [O35.2XX4] Maternal care for (suspected) hereditary disease in fetus, fetus 4 ICD10CM
Pregnancy O35.2XX5 [O35.2XX5] Maternal care for (suspected) hereditary disease in fetus, fetus 5 ICD10CM
Pregnancy O35.2XX9 [O35.2XX9] Maternal care for (suspected) hereditary disease in fetus, other fetus ICD10CM
[O35.3XX0] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX0 ICD10CM mother, not applicable or unspecified [O35.3XX1] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX1 ICD10CM mother, fetus 1 [O35.3XX2] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX2 ICD10CM mother, fetus 2 [O35.3XX3] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX3 ICD10CM mother, fetus 3 [O35.3XX4] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX4 ICD10CM mother, fetus 4 [O35.3XX5] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX5 ICD10CM mother, fetus 5 [O35.3XX9] Maternal care for (suspected) damage to fetus from viral disease in Pregnancy O35.3XX9 ICD10CM mother, other fetus
Page 70 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O35.4XX0] Maternal care for (suspected) damage to fetus from alcohol, not Pregnancy O35.4XX0 ICD10CM applicable or unspecified Pregnancy O35.4XX1 [O35.4XX1] Maternal care for (suspected) damage to fetus from alcohol, fetus 1 ICD10CM
Pregnancy O35.4XX2 [O35.4XX2] Maternal care for (suspected) damage to fetus from alcohol, fetus 2 ICD10CM
Pregnancy O35.4XX3 [O35.4XX3] Maternal care for (suspected) damage to fetus from alcohol, fetus 3 ICD10CM
Pregnancy O35.4XX4 [O35.4XX4] Maternal care for (suspected) damage to fetus from alcohol, fetus 4 ICD10CM
Pregnancy O35.4XX5 [O35.4XX5] Maternal care for (suspected) damage to fetus from alcohol, fetus 5 ICD10CM
Pregnancy O35.4XX9 [O35.4XX9] Maternal care for (suspected) damage to fetus from alcohol, other fetus ICD10CM [O35.5XX0] Maternal care for (suspected) damage to fetus by drugs, not applicable Pregnancy O35.5XX0 ICD10CM or unspecified Pregnancy O35.5XX1 [O35.5XX1] Maternal care for (suspected) damage to fetus by drugs, fetus 1 ICD10CM
Pregnancy O35.5XX2 [O35.5XX2] Maternal care for (suspected) damage to fetus by drugs, fetus 2 ICD10CM
Pregnancy O35.5XX3 [O35.5XX3] Maternal care for (suspected) damage to fetus by drugs, fetus 3 ICD10CM
Pregnancy O35.5XX4 [O35.5XX4] Maternal care for (suspected) damage to fetus by drugs, fetus 4 ICD10CM
Pregnancy O35.5XX5 [O35.5XX5] Maternal care for (suspected) damage to fetus by drugs, fetus 5 ICD10CM
Pregnancy O35.5XX9 [O35.5XX9] Maternal care for (suspected) damage to fetus by drugs, other fetus ICD10CM [O35.6XX0] Maternal care for (suspected) damage to fetus by radiation, not Pregnancy O35.6XX0 ICD10CM applicable or unspecified Pregnancy O35.6XX1 [O35.6XX1] Maternal care for (suspected) damage to fetus by radiation, fetus 1 ICD10CM
Page 71 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O35.6XX2 [O35.6XX2] Maternal care for (suspected) damage to fetus by radiation, fetus 2 ICD10CM
Pregnancy O35.6XX3 [O35.6XX3] Maternal care for (suspected) damage to fetus by radiation, fetus 3 ICD10CM
Pregnancy O35.6XX4 [O35.6XX4] Maternal care for (suspected) damage to fetus by radiation, fetus 4 ICD10CM
Pregnancy O35.6XX5 [O35.6XX5] Maternal care for (suspected) damage to fetus by radiation, fetus 5 ICD10CM
Pregnancy O35.6XX9 [O35.6XX9] Maternal care for (suspected) damage to fetus by radiation, other fetus ICD10CM
[O35.7XX0] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX0 ICD10CM procedures, not applicable or unspecified [O35.7XX1] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX1 ICD10CM procedures, fetus 1 [O35.7XX2] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX2 ICD10CM procedures, fetus 2 [O35.7XX3] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX3 ICD10CM procedures, fetus 3 [O35.7XX4] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX4 ICD10CM procedures, fetus 4 [O35.7XX5] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX5 ICD10CM procedures, fetus 5 [O35.7XX9] Maternal care for (suspected) damage to fetus by other medical Pregnancy O35.7XX9 ICD10CM procedures, other fetus [O35.8XX0] Maternal care for other (suspected) fetal abnormality and damage, not Pregnancy O35.8XX0 ICD10CM applicable or unspecified [O35.8XX1] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX1 ICD10CM fetus 1 [O35.8XX2] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX2 ICD10CM fetus 2
Page 72 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O35.8XX3] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX3 ICD10CM fetus 3 [O35.8XX4] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX4 ICD10CM fetus 4 [O35.8XX5] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX5 ICD10CM fetus 5 [O35.8XX9] Maternal care for other (suspected) fetal abnormality and damage, Pregnancy O35.8XX9 ICD10CM other fetus [O35.9XX0] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX0 ICD10CM unspecified, not applicable or unspecified [O35.9XX1] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX1 ICD10CM unspecified, fetus 1 [O35.9XX2] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX2 ICD10CM unspecified, fetus 2 [O35.9XX3] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX3 ICD10CM unspecified, fetus 3 [O35.9XX4] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX4 ICD10CM unspecified, fetus 4 [O35.9XX5] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX5 ICD10CM unspecified, fetus 5 [O35.9XX9] Maternal care for (suspected) fetal abnormality and damage, Pregnancy O35.9XX9 ICD10CM unspecified, other fetus [O36.0110] Maternal care for anti-D [Rh] antibodies, first trimester, not applicable Pregnancy O36.0110 ICD10CM or unspecified Pregnancy O36.0111 [O36.0111] Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1 ICD10CM
Pregnancy O36.0112 [O36.0112] Maternal care for anti-D [Rh] antibodies, first trimester, fetus 2 ICD10CM
Pregnancy O36.0113 [O36.0113] Maternal care for anti-D [Rh] antibodies, first trimester, fetus 3 ICD10CM
Pregnancy O36.0114 [O36.0114] Maternal care for anti-D [Rh] antibodies, first trimester, fetus 4 ICD10CM
Page 73 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.0115 [O36.0115] Maternal care for anti-D [Rh] antibodies, first trimester, fetus 5 ICD10CM
Pregnancy O36.0119 [O36.0119] Maternal care for anti-D [Rh] antibodies, first trimester, other fetus ICD10CM [O36.0120] Maternal care for anti-D [Rh] antibodies, second trimester, not Pregnancy O36.0120 ICD10CM applicable or unspecified Pregnancy O36.0121 [O36.0121] Maternal care for anti-D [Rh] antibodies, second trimester, fetus 1 ICD10CM
Pregnancy O36.0122 [O36.0122] Maternal care for anti-D [Rh] antibodies, second trimester, fetus 2 ICD10CM
Pregnancy O36.0123 [O36.0123] Maternal care for anti-D [Rh] antibodies, second trimester, fetus 3 ICD10CM
Pregnancy O36.0124 [O36.0124] Maternal care for anti-D [Rh] antibodies, second trimester, fetus 4 ICD10CM
Pregnancy O36.0125 [O36.0125] Maternal care for anti-D [Rh] antibodies, second trimester, fetus 5 ICD10CM
Pregnancy O36.0129 [O36.0129] Maternal care for anti-D [Rh] antibodies, second trimester, other fetus ICD10CM [O36.0130] Maternal care for anti-D [Rh] antibodies, third trimester, not applicable Pregnancy O36.0130 ICD10CM or unspecified Pregnancy O36.0131 [O36.0131] Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1 ICD10CM
Pregnancy O36.0132 [O36.0132] Maternal care for anti-D [Rh] antibodies, third trimester, fetus 2 ICD10CM
Pregnancy O36.0133 [O36.0133] Maternal care for anti-D [Rh] antibodies, third trimester, fetus 3 ICD10CM
Pregnancy O36.0134 [O36.0134] Maternal care for anti-D [Rh] antibodies, third trimester, fetus 4 ICD10CM
Pregnancy O36.0135 [O36.0135] Maternal care for anti-D [Rh] antibodies, third trimester, fetus 5 ICD10CM
Pregnancy O36.0139 [O36.0139] Maternal care for anti-D [Rh] antibodies, third trimester, other fetus ICD10CM
Page 74 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.0190] Maternal care for anti-D [Rh] antibodies, unspecified trimester, not Pregnancy O36.0190 ICD10CM applicable or unspecified Pregnancy O36.0191 [O36.0191] Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.0192 [O36.0192] Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.0193 [O36.0193] Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.0194 [O36.0194] Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.0195 [O36.0195] Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 5 ICD10CM [O36.0199] Maternal care for anti-D [Rh] antibodies, unspecified trimester, other Pregnancy O36.0199 ICD10CM fetus [O36.0910] Maternal care for other rhesus isoimmunization, first trimester, not Pregnancy O36.0910 ICD10CM applicable or unspecified
Pregnancy O36.0911 [O36.0911] Maternal care for other rhesus isoimmunization, first trimester, fetus 1 ICD10CM
Pregnancy O36.0912 [O36.0912] Maternal care for other rhesus isoimmunization, first trimester, fetus 2 ICD10CM
Pregnancy O36.0913 [O36.0913] Maternal care for other rhesus isoimmunization, first trimester, fetus 3 ICD10CM
Pregnancy O36.0914 [O36.0914] Maternal care for other rhesus isoimmunization, first trimester, fetus 4 ICD10CM
Pregnancy O36.0915 [O36.0915] Maternal care for other rhesus isoimmunization, first trimester, fetus 5 ICD10CM [O36.0919] Maternal care for other rhesus isoimmunization, first trimester, other Pregnancy O36.0919 ICD10CM fetus [O36.0920] Maternal care for other rhesus isoimmunization, second trimester, not Pregnancy O36.0920 ICD10CM applicable or unspecified
Page 75 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.0921] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0921 ICD10CM fetus 1 [O36.0922] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0922 ICD10CM fetus 2 [O36.0923] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0923 ICD10CM fetus 3 [O36.0924] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0924 ICD10CM fetus 4 [O36.0925] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0925 ICD10CM fetus 5 [O36.0929] Maternal care for other rhesus isoimmunization, second trimester, Pregnancy O36.0929 ICD10CM other fetus [O36.0930] Maternal care for other rhesus isoimmunization, third trimester, not Pregnancy O36.0930 ICD10CM applicable or unspecified
Pregnancy O36.0931 [O36.0931] Maternal care for other rhesus isoimmunization, third trimester, fetus 1 ICD10CM
Pregnancy O36.0932 [O36.0932] Maternal care for other rhesus isoimmunization, third trimester, fetus 2 ICD10CM
Pregnancy O36.0933 [O36.0933] Maternal care for other rhesus isoimmunization, third trimester, fetus 3 ICD10CM
Pregnancy O36.0934 [O36.0934] Maternal care for other rhesus isoimmunization, third trimester, fetus 4 ICD10CM
Pregnancy O36.0935 [O36.0935] Maternal care for other rhesus isoimmunization, third trimester, fetus 5 ICD10CM [O36.0939] Maternal care for other rhesus isoimmunization, third trimester, other Pregnancy O36.0939 ICD10CM fetus [O36.0990] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0990 ICD10CM not applicable or unspecified [O36.0991] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0991 ICD10CM fetus 1
Page 76 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.0992] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0992 ICD10CM fetus 2 [O36.0993] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0993 ICD10CM fetus 3 [O36.0994] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0994 ICD10CM fetus 4 [O36.0995] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0995 ICD10CM fetus 5 [O36.0999] Maternal care for other rhesus isoimmunization, unspecified trimester, Pregnancy O36.0999 ICD10CM other fetus [O36.1110] Maternal care for Anti-A sensitization, first trimester, not applicable or Pregnancy O36.1110 ICD10CM unspecified Pregnancy O36.1111 [O36.1111] Maternal care for Anti-A sensitization, first trimester, fetus 1 ICD10CM
Pregnancy O36.1112 [O36.1112] Maternal care for Anti-A sensitization, first trimester, fetus 2 ICD10CM
Pregnancy O36.1113 [O36.1113] Maternal care for Anti-A sensitization, first trimester, fetus 3 ICD10CM
Pregnancy O36.1114 [O36.1114] Maternal care for Anti-A sensitization, first trimester, fetus 4 ICD10CM
Pregnancy O36.1115 [O36.1115] Maternal care for Anti-A sensitization, first trimester, fetus 5 ICD10CM
Pregnancy O36.1119 [O36.1119] Maternal care for Anti-A sensitization, first trimester, other fetus ICD10CM [O36.1120] Maternal care for Anti-A sensitization, second trimester, not applicable Pregnancy O36.1120 ICD10CM or unspecified Pregnancy O36.1121 [O36.1121] Maternal care for Anti-A sensitization, second trimester, fetus 1 ICD10CM
Pregnancy O36.1122 [O36.1122] Maternal care for Anti-A sensitization, second trimester, fetus 2 ICD10CM
Pregnancy O36.1123 [O36.1123] Maternal care for Anti-A sensitization, second trimester, fetus 3 ICD10CM
Page 77 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.1124 [O36.1124] Maternal care for Anti-A sensitization, second trimester, fetus 4 ICD10CM
Pregnancy O36.1125 [O36.1125] Maternal care for Anti-A sensitization, second trimester, fetus 5 ICD10CM
Pregnancy O36.1129 [O36.1129] Maternal care for Anti-A sensitization, second trimester, other fetus ICD10CM [O36.1130] Maternal care for Anti-A sensitization, third trimester, not applicable or Pregnancy O36.1130 ICD10CM unspecified Pregnancy O36.1131 [O36.1131] Maternal care for Anti-A sensitization, third trimester, fetus 1 ICD10CM
Pregnancy O36.1132 [O36.1132] Maternal care for Anti-A sensitization, third trimester, fetus 2 ICD10CM
Pregnancy O36.1133 [O36.1133] Maternal care for Anti-A sensitization, third trimester, fetus 3 ICD10CM
Pregnancy O36.1134 [O36.1134] Maternal care for Anti-A sensitization, third trimester, fetus 4 ICD10CM
Pregnancy O36.1135 [O36.1135] Maternal care for Anti-A sensitization, third trimester, fetus 5 ICD10CM
Pregnancy O36.1139 [O36.1139] Maternal care for Anti-A sensitization, third trimester, other fetus ICD10CM [O36.1190] Maternal care for Anti-A sensitization, unspecified trimester, not Pregnancy O36.1190 ICD10CM applicable or unspecified Pregnancy O36.1191 [O36.1191] Maternal care for Anti-A sensitization, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.1192 [O36.1192] Maternal care for Anti-A sensitization, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.1193 [O36.1193] Maternal care for Anti-A sensitization, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.1194 [O36.1194] Maternal care for Anti-A sensitization, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.1195 [O36.1195] Maternal care for Anti-A sensitization, unspecified trimester, fetus 5 ICD10CM
Page 78 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.1199] Maternal care for Anti-A sensitization, unspecified trimester, other Pregnancy O36.1199 ICD10CM fetus [O36.1910] Maternal care for other isoimmunization, first trimester, not applicable Pregnancy O36.1910 ICD10CM or unspecified
Pregnancy O36.1911 [O36.1911] Maternal care for other isoimmunization, first trimester, fetus 1 ICD10CM
Pregnancy O36.1912 [O36.1912] Maternal care for other isoimmunization, first trimester, fetus 2 ICD10CM
Pregnancy O36.1913 [O36.1913] Maternal care for other isoimmunization, first trimester, fetus 3 ICD10CM
Pregnancy O36.1914 [O36.1914] Maternal care for other isoimmunization, first trimester, fetus 4 ICD10CM
Pregnancy O36.1915 [O36.1915] Maternal care for other isoimmunization, first trimester, fetus 5 ICD10CM
Pregnancy O36.1919 [O36.1919] Maternal care for other isoimmunization, first trimester, other fetus ICD10CM
[O36.1920] Maternal care for other isoimmunization, second trimester, not Pregnancy O36.1920 ICD10CM applicable or unspecified
Pregnancy O36.1921 [O36.1921] Maternal care for other isoimmunization, second trimester, fetus 1 ICD10CM
Pregnancy O36.1922 [O36.1922] Maternal care for other isoimmunization, second trimester, fetus 2 ICD10CM
Pregnancy O36.1923 [O36.1923] Maternal care for other isoimmunization, second trimester, fetus 3 ICD10CM
Pregnancy O36.1924 [O36.1924] Maternal care for other isoimmunization, second trimester, fetus 4 ICD10CM
Pregnancy O36.1925 [O36.1925] Maternal care for other isoimmunization, second trimester, fetus 5 ICD10CM
Pregnancy O36.1929 [O36.1929] Maternal care for other isoimmunization, second trimester, other fetus ICD10CM
Page 79 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.1930] Maternal care for other isoimmunization, third trimester, not applicable Pregnancy O36.1930 ICD10CM or unspecified
Pregnancy O36.1931 [O36.1931] Maternal care for other isoimmunization, third trimester, fetus 1 ICD10CM
Pregnancy O36.1932 [O36.1932] Maternal care for other isoimmunization, third trimester, fetus 2 ICD10CM
Pregnancy O36.1933 [O36.1933] Maternal care for other isoimmunization, third trimester, fetus 3 ICD10CM
Pregnancy O36.1934 [O36.1934] Maternal care for other isoimmunization, third trimester, fetus 4 ICD10CM
Pregnancy O36.1935 [O36.1935] Maternal care for other isoimmunization, third trimester, fetus 5 ICD10CM
Pregnancy O36.1939 [O36.1939] Maternal care for other isoimmunization, third trimester, other fetus ICD10CM
[O36.1990] Maternal care for other isoimmunization, unspecified trimester, not Pregnancy O36.1990 ICD10CM applicable or unspecified
Pregnancy O36.1991 [O36.1991] Maternal care for other isoimmunization, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.1992 [O36.1992] Maternal care for other isoimmunization, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.1993 [O36.1993] Maternal care for other isoimmunization, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.1994 [O36.1994] Maternal care for other isoimmunization, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.1995 [O36.1995] Maternal care for other isoimmunization, unspecified trimester, fetus 5 ICD10CM [O36.1999] Maternal care for other isoimmunization, unspecified trimester, other Pregnancy O36.1999 ICD10CM fetus [O36.20X0] Maternal care for hydrops fetalis, unspecified trimester, not applicable Pregnancy O36.20X0 ICD10CM or unspecified
Page 80 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.20X1 [O36.20X1] Maternal care for hydrops fetalis, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.20X2 [O36.20X2] Maternal care for hydrops fetalis, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.20X3 [O36.20X3] Maternal care for hydrops fetalis, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.20X4 [O36.20X4] Maternal care for hydrops fetalis, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.20X5 [O36.20X5] Maternal care for hydrops fetalis, unspecified trimester, fetus 5 ICD10CM
Pregnancy O36.20X9 [O36.20X9] Maternal care for hydrops fetalis, unspecified trimester, other fetus ICD10CM [O36.21X0] Maternal care for hydrops fetalis, first trimester, not applicable or Pregnancy O36.21X0 ICD10CM unspecified Pregnancy O36.21X1 [O36.21X1] Maternal care for hydrops fetalis, first trimester, fetus 1 ICD10CM
Pregnancy O36.21X2 [O36.21X2] Maternal care for hydrops fetalis, first trimester, fetus 2 ICD10CM
Pregnancy O36.21X3 [O36.21X3] Maternal care for hydrops fetalis, first trimester, fetus 3 ICD10CM
Pregnancy O36.21X4 [O36.21X4] Maternal care for hydrops fetalis, first trimester, fetus 4 ICD10CM
Pregnancy O36.21X5 [O36.21X5] Maternal care for hydrops fetalis, first trimester, fetus 5 ICD10CM
Pregnancy O36.21X9 [O36.21X9] Maternal care for hydrops fetalis, first trimester, other fetus ICD10CM [O36.22X0] Maternal care for hydrops fetalis, second trimester, not applicable or Pregnancy O36.22X0 ICD10CM unspecified Pregnancy O36.22X1 [O36.22X1] Maternal care for hydrops fetalis, second trimester, fetus 1 ICD10CM
Pregnancy O36.22X2 [O36.22X2] Maternal care for hydrops fetalis, second trimester, fetus 2 ICD10CM
Page 81 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.22X3 [O36.22X3] Maternal care for hydrops fetalis, second trimester, fetus 3 ICD10CM
Pregnancy O36.22X4 [O36.22X4] Maternal care for hydrops fetalis, second trimester, fetus 4 ICD10CM
Pregnancy O36.22X5 [O36.22X5] Maternal care for hydrops fetalis, second trimester, fetus 5 ICD10CM
Pregnancy O36.22X9 [O36.22X9] Maternal care for hydrops fetalis, second trimester, other fetus ICD10CM [O36.23X0] Maternal care for hydrops fetalis, third trimester, not applicable or Pregnancy O36.23X0 ICD10CM unspecified Pregnancy O36.23X1 [O36.23X1] Maternal care for hydrops fetalis, third trimester, fetus 1 ICD10CM
Pregnancy O36.23X2 [O36.23X2] Maternal care for hydrops fetalis, third trimester, fetus 2 ICD10CM
Pregnancy O36.23X3 [O36.23X3] Maternal care for hydrops fetalis, third trimester, fetus 3 ICD10CM
Pregnancy O36.23X4 [O36.23X4] Maternal care for hydrops fetalis, third trimester, fetus 4 ICD10CM
Pregnancy O36.23X5 [O36.23X5] Maternal care for hydrops fetalis, third trimester, fetus 5 ICD10CM
Pregnancy O36.23X9 [O36.23X9] Maternal care for hydrops fetalis, third trimester, other fetus ICD10CM
Pregnancy O36.4XX0 [O36.4XX0] Maternal care for intrauterine death, not applicable or unspecified ICD10CM
Pregnancy O36.4XX1 [O36.4XX1] Maternal care for intrauterine death, fetus 1 ICD10CM
Pregnancy O36.4XX2 [O36.4XX2] Maternal care for intrauterine death, fetus 2 ICD10CM
Pregnancy O36.4XX3 [O36.4XX3] Maternal care for intrauterine death, fetus 3 ICD10CM
Pregnancy O36.4XX4 [O36.4XX4] Maternal care for intrauterine death, fetus 4 ICD10CM
Page 82 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.4XX5 [O36.4XX5] Maternal care for intrauterine death, fetus 5 ICD10CM
Pregnancy O36.4XX9 [O36.4XX9] Maternal care for intrauterine death, other fetus ICD10CM
[O36.5110] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5110 ICD10CM trimester, not applicable or unspecified [O36.5111] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5111 ICD10CM trimester, fetus 1 [O36.5112] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5112 ICD10CM trimester, fetus 2 [O36.5113] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5113 ICD10CM trimester, fetus 3 [O36.5114] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5114 ICD10CM trimester, fetus 4 [O36.5115] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5115 ICD10CM trimester, fetus 5 [O36.5119] Maternal care for known or suspected placental insufficiency, first Pregnancy O36.5119 ICD10CM trimester, other fetus [O36.5120] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5120 ICD10CM trimester, not applicable or unspecified [O36.5121] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5121 ICD10CM trimester, fetus 1 [O36.5122] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5122 ICD10CM trimester, fetus 2 [O36.5123] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5123 ICD10CM trimester, fetus 3 [O36.5124] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5124 ICD10CM trimester, fetus 4 [O36.5125] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5125 ICD10CM trimester, fetus 5
Page 83 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.5129] Maternal care for known or suspected placental insufficiency, second Pregnancy O36.5129 ICD10CM trimester, other fetus [O36.5130] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5130 ICD10CM trimester, not applicable or unspecified [O36.5131] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5131 ICD10CM trimester, fetus 1 [O36.5132] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5132 ICD10CM trimester, fetus 2 [O36.5133] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5133 ICD10CM trimester, fetus 3 [O36.5134] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5134 ICD10CM trimester, fetus 4 [O36.5135] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5135 ICD10CM trimester, fetus 5 [O36.5139] Maternal care for known or suspected placental insufficiency, third Pregnancy O36.5139 ICD10CM trimester, other fetus [O36.5190] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5190 ICD10CM unspecified trimester, not applicable or unspecified [O36.5191] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5191 ICD10CM unspecified trimester, fetus 1 [O36.5192] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5192 ICD10CM unspecified trimester, fetus 2 [O36.5193] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5193 ICD10CM unspecified trimester, fetus 3 [O36.5194] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5194 ICD10CM unspecified trimester, fetus 4 [O36.5195] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5195 ICD10CM unspecified trimester, fetus 5 [O36.5199] Maternal care for known or suspected placental insufficiency, Pregnancy O36.5199 ICD10CM unspecified trimester, other fetus
Page 84 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.5910] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5910 ICD10CM trimester, not applicable or unspecified [O36.5911] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5911 ICD10CM trimester, fetus 1 [O36.5912] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5912 ICD10CM trimester, fetus 2 [O36.5913] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5913 ICD10CM trimester, fetus 3 [O36.5914] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5914 ICD10CM trimester, fetus 4 [O36.5915] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5915 ICD10CM trimester, fetus 5 [O36.5919] Maternal care for other known or suspected poor fetal growth, first Pregnancy O36.5919 ICD10CM trimester, other fetus
[O36.5920] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5920 ICD10CM trimester, not applicable or unspecified
[O36.5921] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5921 ICD10CM trimester, fetus 1
[O36.5922] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5922 ICD10CM trimester, fetus 2
[O36.5923] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5923 ICD10CM trimester, fetus 3
[O36.5924] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5924 ICD10CM trimester, fetus 4
Page 85 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.5925] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5925 ICD10CM trimester, fetus 5
[O36.5929] Maternal care for other known or suspected poor fetal growth, second Pregnancy O36.5929 ICD10CM trimester, other fetus
[O36.5930] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5930 ICD10CM trimester, not applicable or unspecified [O36.5931] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5931 ICD10CM trimester, fetus 1 [O36.5932] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5932 ICD10CM trimester, fetus 2 [O36.5933] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5933 ICD10CM trimester, fetus 3 [O36.5934] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5934 ICD10CM trimester, fetus 4 [O36.5935] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5935 ICD10CM trimester, fetus 5 [O36.5939] Maternal care for other known or suspected poor fetal growth, third Pregnancy O36.5939 ICD10CM trimester, other fetus
[O36.5990] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5990 ICD10CM unspecified trimester, not applicable or unspecified
[O36.5991] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5991 ICD10CM unspecified trimester, fetus 1
[O36.5992] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5992 ICD10CM unspecified trimester, fetus 2
Page 86 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.5993] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5993 ICD10CM unspecified trimester, fetus 3
[O36.5994] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5994 ICD10CM unspecified trimester, fetus 4
[O36.5995] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5995 ICD10CM unspecified trimester, fetus 5
[O36.5999] Maternal care for other known or suspected poor fetal growth, Pregnancy O36.5999 ICD10CM unspecified trimester, other fetus
[O36.60X0] Maternal care for excessive fetal growth, unspecified trimester, not Pregnancy O36.60X0 ICD10CM applicable or unspecified
Pregnancy O36.60X1 [O36.60X1] Maternal care for excessive fetal growth, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.60X2 [O36.60X2] Maternal care for excessive fetal growth, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.60X3 [O36.60X3] Maternal care for excessive fetal growth, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.60X4 [O36.60X4] Maternal care for excessive fetal growth, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.60X5 [O36.60X5] Maternal care for excessive fetal growth, unspecified trimester, fetus 5 ICD10CM [O36.60X9] Maternal care for excessive fetal growth, unspecified trimester, other Pregnancy O36.60X9 ICD10CM fetus [O36.61X0] Maternal care for excessive fetal growth, first trimester, not applicable Pregnancy O36.61X0 ICD10CM or unspecified Pregnancy O36.61X1 [O36.61X1] Maternal care for excessive fetal growth, first trimester, fetus 1 ICD10CM
Pregnancy O36.61X2 [O36.61X2] Maternal care for excessive fetal growth, first trimester, fetus 2 ICD10CM
Page 87 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.61X3 [O36.61X3] Maternal care for excessive fetal growth, first trimester, fetus 3 ICD10CM
Pregnancy O36.61X4 [O36.61X4] Maternal care for excessive fetal growth, first trimester, fetus 4 ICD10CM
Pregnancy O36.61X5 [O36.61X5] Maternal care for excessive fetal growth, first trimester, fetus 5 ICD10CM
Pregnancy O36.61X9 [O36.61X9] Maternal care for excessive fetal growth, first trimester, other fetus ICD10CM
[O36.62X0] Maternal care for excessive fetal growth, second trimester, not Pregnancy O36.62X0 ICD10CM applicable or unspecified
Pregnancy O36.62X1 [O36.62X1] Maternal care for excessive fetal growth, second trimester, fetus 1 ICD10CM
Pregnancy O36.62X2 [O36.62X2] Maternal care for excessive fetal growth, second trimester, fetus 2 ICD10CM
Pregnancy O36.62X3 [O36.62X3] Maternal care for excessive fetal growth, second trimester, fetus 3 ICD10CM
Pregnancy O36.62X4 [O36.62X4] Maternal care for excessive fetal growth, second trimester, fetus 4 ICD10CM
Pregnancy O36.62X5 [O36.62X5] Maternal care for excessive fetal growth, second trimester, fetus 5 ICD10CM
Pregnancy O36.62X9 [O36.62X9] Maternal care for excessive fetal growth, second trimester, other fetus ICD10CM [O36.63X0] Maternal care for excessive fetal growth, third trimester, not applicable Pregnancy O36.63X0 ICD10CM or unspecified Pregnancy O36.63X1 [O36.63X1] Maternal care for excessive fetal growth, third trimester, fetus 1 ICD10CM
Pregnancy O36.63X2 [O36.63X2] Maternal care for excessive fetal growth, third trimester, fetus 2 ICD10CM
Pregnancy O36.63X3 [O36.63X3] Maternal care for excessive fetal growth, third trimester, fetus 3 ICD10CM
Pregnancy O36.63X4 [O36.63X4] Maternal care for excessive fetal growth, third trimester, fetus 4 ICD10CM
Page 88 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.63X5 [O36.63X5] Maternal care for excessive fetal growth, third trimester, fetus 5 ICD10CM
Pregnancy O36.63X9 [O36.63X9] Maternal care for excessive fetal growth, third trimester, other fetus ICD10CM
[O36.70X0] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X0 ICD10CM trimester, not applicable or unspecified [O36.70X1] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X1 ICD10CM trimester, fetus 1 [O36.70X2] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X2 ICD10CM trimester, fetus 2 [O36.70X3] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X3 ICD10CM trimester, fetus 3 [O36.70X4] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X4 ICD10CM trimester, fetus 4 [O36.70X5] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X5 ICD10CM trimester, fetus 5 [O36.70X9] Maternal care for viable fetus in abdominal pregnancy, unspecified Pregnancy O36.70X9 ICD10CM trimester, other fetus
[O36.71X0] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X0 ICD10CM not applicable or unspecified [O36.71X1] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X1 ICD10CM fetus 1 [O36.71X2] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X2 ICD10CM fetus 2 [O36.71X3] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X3 ICD10CM fetus 3 [O36.71X4] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X4 ICD10CM fetus 4 [O36.71X5] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X5 ICD10CM fetus 5
Page 89 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.71X9] Maternal care for viable fetus in abdominal pregnancy, first trimester, Pregnancy O36.71X9 ICD10CM other fetus [O36.72X0] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X0 ICD10CM trimester, not applicable or unspecified [O36.72X1] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X1 ICD10CM trimester, fetus 1 [O36.72X2] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X2 ICD10CM trimester, fetus 2 [O36.72X3] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X3 ICD10CM trimester, fetus 3 [O36.72X4] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X4 ICD10CM trimester, fetus 4 [O36.72X5] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X5 ICD10CM trimester, fetus 5 [O36.72X9] Maternal care for viable fetus in abdominal pregnancy, second Pregnancy O36.72X9 ICD10CM trimester, other fetus [O36.73X0] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X0 ICD10CM not applicable or unspecified [O36.73X1] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X1 ICD10CM fetus 1 [O36.73X2] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X2 ICD10CM fetus 2 [O36.73X3] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X3 ICD10CM fetus 3 [O36.73X4] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X4 ICD10CM fetus 4 [O36.73X5] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X5 ICD10CM fetus 5 [O36.73X9] Maternal care for viable fetus in abdominal pregnancy, third trimester, Pregnancy O36.73X9 ICD10CM other fetus
Page 90 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.80X0 [O36.80X0] Pregnancy with inconclusive fetal viability, not applicable or unspecified ICD10CM
Pregnancy O36.80X1 [O36.80X1] Pregnancy with inconclusive fetal viability, fetus 1 ICD10CM
Pregnancy O36.80X2 [O36.80X2] Pregnancy with inconclusive fetal viability, fetus 2 ICD10CM
Pregnancy O36.80X3 [O36.80X3] Pregnancy with inconclusive fetal viability, fetus 3 ICD10CM
Pregnancy O36.80X4 [O36.80X4] Pregnancy with inconclusive fetal viability, fetus 4 ICD10CM
Pregnancy O36.80X5 [O36.80X5] Pregnancy with inconclusive fetal viability, fetus 5 ICD10CM
Pregnancy O36.80X9 [O36.80X9] Pregnancy with inconclusive fetal viability, other fetus ICD10CM [O36.8120] Decreased fetal movements, second trimester, not applicable or Pregnancy O36.8120 ICD10CM unspecified Pregnancy O36.8121 [O36.8121] Decreased fetal movements, second trimester, fetus 1 ICD10CM
Pregnancy O36.8122 [O36.8122] Decreased fetal movements, second trimester, fetus 2 ICD10CM
Pregnancy O36.8123 [O36.8123] Decreased fetal movements, second trimester, fetus 3 ICD10CM
Pregnancy O36.8124 [O36.8124] Decreased fetal movements, second trimester, fetus 4 ICD10CM
Pregnancy O36.8125 [O36.8125] Decreased fetal movements, second trimester, fetus 5 ICD10CM
Pregnancy O36.8129 [O36.8129] Decreased fetal movements, second trimester, other fetus ICD10CM [O36.8130] Decreased fetal movements, third trimester, not applicable or Pregnancy O36.8130 ICD10CM unspecified Pregnancy O36.8131 [O36.8131] Decreased fetal movements, third trimester, fetus 1 ICD10CM
Page 91 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.8132 [O36.8132] Decreased fetal movements, third trimester, fetus 2 ICD10CM
Pregnancy O36.8133 [O36.8133] Decreased fetal movements, third trimester, fetus 3 ICD10CM
Pregnancy O36.8134 [O36.8134] Decreased fetal movements, third trimester, fetus 4 ICD10CM
Pregnancy O36.8135 [O36.8135] Decreased fetal movements, third trimester, fetus 5 ICD10CM
Pregnancy O36.8139 [O36.8139] Decreased fetal movements, third trimester, other fetus ICD10CM [O36.8190] Decreased fetal movements, unspecified trimester, not applicable or Pregnancy O36.8190 ICD10CM unspecified Pregnancy O36.8191 [O36.8191] Decreased fetal movements, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.8192 [O36.8192] Decreased fetal movements, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.8193 [O36.8193] Decreased fetal movements, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.8194 [O36.8194] Decreased fetal movements, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.8195 [O36.8195] Decreased fetal movements, unspecified trimester, fetus 5 ICD10CM
Pregnancy O36.8199 [O36.8199] Decreased fetal movements, unspecified trimester, other fetus ICD10CM [O36.8210] Fetal anemia and thrombocytopenia, first trimester, not applicable or Pregnancy O36.8210 ICD10CM unspecified Pregnancy O36.8211 [O36.8211] Fetal anemia and thrombocytopenia, first trimester, fetus 1 ICD10CM
Pregnancy O36.8212 [O36.8212] Fetal anemia and thrombocytopenia, first trimester, fetus 2 ICD10CM
Pregnancy O36.8213 [O36.8213] Fetal anemia and thrombocytopenia, first trimester, fetus 3 ICD10CM
Page 92 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.8214 [O36.8214] Fetal anemia and thrombocytopenia, first trimester, fetus 4 ICD10CM
Pregnancy O36.8215 [O36.8215] Fetal anemia and thrombocytopenia, first trimester, fetus 5 ICD10CM
Pregnancy O36.8219 [O36.8219] Fetal anemia and thrombocytopenia, first trimester, other fetus ICD10CM [O36.8220] Fetal anemia and thrombocytopenia, second trimester, not applicable Pregnancy O36.8220 ICD10CM or unspecified Pregnancy O36.8221 [O36.8221] Fetal anemia and thrombocytopenia, second trimester, fetus 1 ICD10CM
Pregnancy O36.8222 [O36.8222] Fetal anemia and thrombocytopenia, second trimester, fetus 2 ICD10CM
Pregnancy O36.8223 [O36.8223] Fetal anemia and thrombocytopenia, second trimester, fetus 3 ICD10CM
Pregnancy O36.8224 [O36.8224] Fetal anemia and thrombocytopenia, second trimester, fetus 4 ICD10CM
Pregnancy O36.8225 [O36.8225] Fetal anemia and thrombocytopenia, second trimester, fetus 5 ICD10CM
Pregnancy O36.8229 [O36.8229] Fetal anemia and thrombocytopenia, second trimester, other fetus ICD10CM [O36.8230] Fetal anemia and thrombocytopenia, third trimester, not applicable or Pregnancy O36.8230 ICD10CM unspecified Pregnancy O36.8231 [O36.8231] Fetal anemia and thrombocytopenia, third trimester, fetus 1 ICD10CM
Pregnancy O36.8232 [O36.8232] Fetal anemia and thrombocytopenia, third trimester, fetus 2 ICD10CM
Pregnancy O36.8233 [O36.8233] Fetal anemia and thrombocytopenia, third trimester, fetus 3 ICD10CM
Pregnancy O36.8234 [O36.8234] Fetal anemia and thrombocytopenia, third trimester, fetus 4 ICD10CM
Pregnancy O36.8235 [O36.8235] Fetal anemia and thrombocytopenia, third trimester, fetus 5 ICD10CM
Page 93 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.8239 [O36.8239] Fetal anemia and thrombocytopenia, third trimester, other fetus ICD10CM [O36.8290] Fetal anemia and thrombocytopenia, unspecified trimester, not Pregnancy O36.8290 ICD10CM applicable or unspecified Pregnancy O36.8291 [O36.8291] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 1 ICD10CM
Pregnancy O36.8292 [O36.8292] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 2 ICD10CM
Pregnancy O36.8293 [O36.8293] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 3 ICD10CM
Pregnancy O36.8294 [O36.8294] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 4 ICD10CM
Pregnancy O36.8295 [O36.8295] Fetal anemia and thrombocytopenia, unspecified trimester, fetus 5 ICD10CM
Pregnancy O36.8299 [O36.8299] Fetal anemia and thrombocytopenia, unspecified trimester, other fetus ICD10CM
[O36.8310] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8310 ICD10CM trimester, not applicable or unspecified [O36.8311] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8311 ICD10CM trimester, fetus 1 [O36.8312] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8312 ICD10CM trimester, fetus 2 [O36.8313] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8313 ICD10CM trimester, fetus 3 [O36.8314] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8314 ICD10CM trimester, fetus 4 [O36.8315] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8315 ICD10CM trimester, fetus 5 [O36.8319] Maternal care for abnormalities of the fetal heart rate or rhythm, first Pregnancy O36.8319 ICD10CM trimester, other fetus
Page 94 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.8320] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8320 ICD10CM second trimester, not applicable or unspecified [O36.8321] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8321 ICD10CM second trimester, fetus 1 [O36.8322] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8322 ICD10CM second trimester, fetus 2 [O36.8323] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8323 ICD10CM second trimester, fetus 3 [O36.8324] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8324 ICD10CM second trimester, fetus 4 [O36.8325] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8325 ICD10CM second trimester, fetus 5 [O36.8329] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8329 ICD10CM second trimester, other fetus
[O36.8330] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8330 ICD10CM trimester, not applicable or unspecified [O36.8331] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8331 ICD10CM trimester, fetus 1 [O36.8332] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8332 ICD10CM trimester, fetus 2 [O36.8333] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8333 ICD10CM trimester, fetus 3 [O36.8334] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8334 ICD10CM trimester, fetus 4 [O36.8335] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8335 ICD10CM trimester, fetus 5 [O36.8339] Maternal care for abnormalities of the fetal heart rate or rhythm, third Pregnancy O36.8339 ICD10CM trimester, other fetus
Page 95 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.8390] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8390 ICD10CM unspecified trimester, not applicable or unspecified
[O36.8391] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8391 ICD10CM unspecified trimester, fetus 1
[O36.8392] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8392 ICD10CM unspecified trimester, fetus 2
[O36.8393] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8393 ICD10CM unspecified trimester, fetus 3
[O36.8394] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8394 ICD10CM unspecified trimester, fetus 4
[O36.8395] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8395 ICD10CM unspecified trimester, fetus 5
[O36.8399] Maternal care for abnormalities of the fetal heart rate or rhythm, Pregnancy O36.8399 ICD10CM unspecified trimester, other fetus
[O36.8910] Maternal care for other specified fetal problems, first trimester, not Pregnancy O36.8910 ICD10CM applicable or unspecified
Pregnancy O36.8911 [O36.8911] Maternal care for other specified fetal problems, first trimester, fetus 1 ICD10CM
Pregnancy O36.8912 [O36.8912] Maternal care for other specified fetal problems, first trimester, fetus 2 ICD10CM
Pregnancy O36.8913 [O36.8913] Maternal care for other specified fetal problems, first trimester, fetus 3 ICD10CM
Pregnancy O36.8914 [O36.8914] Maternal care for other specified fetal problems, first trimester, fetus 4 ICD10CM
Page 96 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.8915 [O36.8915] Maternal care for other specified fetal problems, first trimester, fetus 5 ICD10CM [O36.8919] Maternal care for other specified fetal problems, first trimester, other Pregnancy O36.8919 ICD10CM fetus [O36.8920] Maternal care for other specified fetal problems, second trimester, not Pregnancy O36.8920 ICD10CM applicable or unspecified [O36.8921] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8921 ICD10CM fetus 1 [O36.8922] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8922 ICD10CM fetus 2 [O36.8923] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8923 ICD10CM fetus 3 [O36.8924] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8924 ICD10CM fetus 4 [O36.8925] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8925 ICD10CM fetus 5 [O36.8929] Maternal care for other specified fetal problems, second trimester, Pregnancy O36.8929 ICD10CM other fetus [O36.8930] Maternal care for other specified fetal problems, third trimester, not Pregnancy O36.8930 ICD10CM applicable or unspecified
Pregnancy O36.8931 [O36.8931] Maternal care for other specified fetal problems, third trimester, fetus 1 ICD10CM
Pregnancy O36.8932 [O36.8932] Maternal care for other specified fetal problems, third trimester, fetus 2 ICD10CM
Pregnancy O36.8933 [O36.8933] Maternal care for other specified fetal problems, third trimester, fetus 3 ICD10CM
Pregnancy O36.8934 [O36.8934] Maternal care for other specified fetal problems, third trimester, fetus 4 ICD10CM
Pregnancy O36.8935 [O36.8935] Maternal care for other specified fetal problems, third trimester, fetus 5 ICD10CM
Page 97 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.8939] Maternal care for other specified fetal problems, third trimester, other Pregnancy O36.8939 ICD10CM fetus [O36.8990] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8990 ICD10CM not applicable or unspecified [O36.8991] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8991 ICD10CM fetus 1 [O36.8992] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8992 ICD10CM fetus 2 [O36.8993] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8993 ICD10CM fetus 3 [O36.8994] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8994 ICD10CM fetus 4 [O36.8995] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8995 ICD10CM fetus 5 [O36.8999] Maternal care for other specified fetal problems, unspecified trimester, Pregnancy O36.8999 ICD10CM other fetus [O36.90X0] Maternal care for fetal problem, unspecified, unspecified trimester, not Pregnancy O36.90X0 ICD10CM applicable or unspecified [O36.90X1] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X1 ICD10CM fetus 1 [O36.90X2] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X2 ICD10CM fetus 2 [O36.90X3] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X3 ICD10CM fetus 3 [O36.90X4] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X4 ICD10CM fetus 4 [O36.90X5] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X5 ICD10CM fetus 5 [O36.90X9] Maternal care for fetal problem, unspecified, unspecified trimester, Pregnancy O36.90X9 ICD10CM other fetus
Page 98 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O36.91X0] Maternal care for fetal problem, unspecified, first trimester, not Pregnancy O36.91X0 ICD10CM applicable or unspecified
Pregnancy O36.91X1 [O36.91X1] Maternal care for fetal problem, unspecified, first trimester, fetus 1 ICD10CM
Pregnancy O36.91X2 [O36.91X2] Maternal care for fetal problem, unspecified, first trimester, fetus 2 ICD10CM
Pregnancy O36.91X3 [O36.91X3] Maternal care for fetal problem, unspecified, first trimester, fetus 3 ICD10CM
Pregnancy O36.91X4 [O36.91X4] Maternal care for fetal problem, unspecified, first trimester, fetus 4 ICD10CM
Pregnancy O36.91X5 [O36.91X5] Maternal care for fetal problem, unspecified, first trimester, fetus 5 ICD10CM
Pregnancy O36.91X9 [O36.91X9] Maternal care for fetal problem, unspecified, first trimester, other fetus ICD10CM
[O36.92X0] Maternal care for fetal problem, unspecified, second trimester, not Pregnancy O36.92X0 ICD10CM applicable or unspecified
Pregnancy O36.92X1 [O36.92X1] Maternal care for fetal problem, unspecified, second trimester, fetus 1 ICD10CM
Pregnancy O36.92X2 [O36.92X2] Maternal care for fetal problem, unspecified, second trimester, fetus 2 ICD10CM
Pregnancy O36.92X3 [O36.92X3] Maternal care for fetal problem, unspecified, second trimester, fetus 3 ICD10CM
Pregnancy O36.92X4 [O36.92X4] Maternal care for fetal problem, unspecified, second trimester, fetus 4 ICD10CM
Pregnancy O36.92X5 [O36.92X5] Maternal care for fetal problem, unspecified, second trimester, fetus 5 ICD10CM [O36.92X9] Maternal care for fetal problem, unspecified, second trimester, other Pregnancy O36.92X9 ICD10CM fetus [O36.93X0] Maternal care for fetal problem, unspecified, third trimester, not Pregnancy O36.93X0 ICD10CM applicable or unspecified
Page 99 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O36.93X1 [O36.93X1] Maternal care for fetal problem, unspecified, third trimester, fetus 1 ICD10CM
Pregnancy O36.93X2 [O36.93X2] Maternal care for fetal problem, unspecified, third trimester, fetus 2 ICD10CM
Pregnancy O36.93X3 [O36.93X3] Maternal care for fetal problem, unspecified, third trimester, fetus 3 ICD10CM
Pregnancy O36.93X4 [O36.93X4] Maternal care for fetal problem, unspecified, third trimester, fetus 4 ICD10CM
Pregnancy O36.93X5 [O36.93X5] Maternal care for fetal problem, unspecified, third trimester, fetus 5 ICD10CM [O36.93X9] Maternal care for fetal problem, unspecified, third trimester, other Pregnancy O36.93X9 ICD10CM fetus Pregnancy O40.1XX0 [O40.1XX0] Polyhydramnios, first trimester, not applicable or unspecified ICD10CM Pregnancy O40.1XX1 [O40.1XX1] Polyhydramnios, first trimester, fetus 1 ICD10CM Pregnancy O40.1XX2 [O40.1XX2] Polyhydramnios, first trimester, fetus 2 ICD10CM Pregnancy O40.1XX3 [O40.1XX3] Polyhydramnios, first trimester, fetus 3 ICD10CM Pregnancy O40.1XX4 [O40.1XX4] Polyhydramnios, first trimester, fetus 4 ICD10CM Pregnancy O40.1XX5 [O40.1XX5] Polyhydramnios, first trimester, fetus 5 ICD10CM Pregnancy O40.1XX9 [O40.1XX9] Polyhydramnios, first trimester, other fetus ICD10CM
Pregnancy O40.2XX0 [O40.2XX0] Polyhydramnios, second trimester, not applicable or unspecified ICD10CM
Pregnancy O40.2XX1 [O40.2XX1] Polyhydramnios, second trimester, fetus 1 ICD10CM
Pregnancy O40.2XX2 [O40.2XX2] Polyhydramnios, second trimester, fetus 2 ICD10CM
Pregnancy O40.2XX3 [O40.2XX3] Polyhydramnios, second trimester, fetus 3 ICD10CM
Pregnancy O40.2XX4 [O40.2XX4] Polyhydramnios, second trimester, fetus 4 ICD10CM
Pregnancy O40.2XX5 [O40.2XX5] Polyhydramnios, second trimester, fetus 5 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O40.2XX9 [O40.2XX9] Polyhydramnios, second trimester, other fetus ICD10CM
Pregnancy O40.3XX0 [O40.3XX0] Polyhydramnios, third trimester, not applicable or unspecified ICD10CM Pregnancy O40.3XX1 [O40.3XX1] Polyhydramnios, third trimester, fetus 1 ICD10CM Pregnancy O40.3XX2 [O40.3XX2] Polyhydramnios, third trimester, fetus 2 ICD10CM Pregnancy O40.3XX3 [O40.3XX3] Polyhydramnios, third trimester, fetus 3 ICD10CM Pregnancy O40.3XX4 [O40.3XX4] Polyhydramnios, third trimester, fetus 4 ICD10CM Pregnancy O40.3XX5 [O40.3XX5] Polyhydramnios, third trimester, fetus 5 ICD10CM Pregnancy O40.3XX9 [O40.3XX9] Polyhydramnios, third trimester, other fetus ICD10CM
Pregnancy O40.9XX0 [O40.9XX0] Polyhydramnios, unspecified trimester, not applicable or unspecified ICD10CM
Pregnancy O40.9XX1 [O40.9XX1] Polyhydramnios, unspecified trimester, fetus 1 ICD10CM
Pregnancy O40.9XX2 [O40.9XX2] Polyhydramnios, unspecified trimester, fetus 2 ICD10CM
Pregnancy O40.9XX3 [O40.9XX3] Polyhydramnios, unspecified trimester, fetus 3 ICD10CM
Pregnancy O40.9XX4 [O40.9XX4] Polyhydramnios, unspecified trimester, fetus 4 ICD10CM
Pregnancy O40.9XX5 [O40.9XX5] Polyhydramnios, unspecified trimester, fetus 5 ICD10CM
Pregnancy O40.9XX9 [O40.9XX9] Polyhydramnios, unspecified trimester, other fetus ICD10CM
Pregnancy O41.00X0 [O41.00X0] Oligohydramnios, unspecified trimester, not applicable or unspecified ICD10CM
Pregnancy O41.00X1 [O41.00X1] Oligohydramnios, unspecified trimester, fetus 1 ICD10CM
Pregnancy O41.00X2 [O41.00X2] Oligohydramnios, unspecified trimester, fetus 2 ICD10CM
Pregnancy O41.00X3 [O41.00X3] Oligohydramnios, unspecified trimester, fetus 3 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O41.00X4 [O41.00X4] Oligohydramnios, unspecified trimester, fetus 4 ICD10CM
Pregnancy O41.00X5 [O41.00X5] Oligohydramnios, unspecified trimester, fetus 5 ICD10CM
Pregnancy O41.00X9 [O41.00X9] Oligohydramnios, unspecified trimester, other fetus ICD10CM
Pregnancy O41.01X0 [O41.01X0] Oligohydramnios, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.01X1 [O41.01X1] Oligohydramnios, first trimester, fetus 1 ICD10CM Pregnancy O41.01X2 [O41.01X2] Oligohydramnios, first trimester, fetus 2 ICD10CM Pregnancy O41.01X3 [O41.01X3] Oligohydramnios, first trimester, fetus 3 ICD10CM Pregnancy O41.01X4 [O41.01X4] Oligohydramnios, first trimester, fetus 4 ICD10CM Pregnancy O41.01X5 [O41.01X5] Oligohydramnios, first trimester, fetus 5 ICD10CM Pregnancy O41.01X9 [O41.01X9] Oligohydramnios, first trimester, other fetus ICD10CM
Pregnancy O41.02X0 [O41.02X0] Oligohydramnios, second trimester, not applicable or unspecified ICD10CM
Pregnancy O41.02X1 [O41.02X1] Oligohydramnios, second trimester, fetus 1 ICD10CM
Pregnancy O41.02X2 [O41.02X2] Oligohydramnios, second trimester, fetus 2 ICD10CM
Pregnancy O41.02X3 [O41.02X3] Oligohydramnios, second trimester, fetus 3 ICD10CM
Pregnancy O41.02X4 [O41.02X4] Oligohydramnios, second trimester, fetus 4 ICD10CM
Pregnancy O41.02X5 [O41.02X5] Oligohydramnios, second trimester, fetus 5 ICD10CM
Pregnancy O41.02X9 [O41.02X9] Oligohydramnios, second trimester, other fetus ICD10CM
Pregnancy O41.03X0 [O41.03X0] Oligohydramnios, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.03X1 [O41.03X1] Oligohydramnios, third trimester, fetus 1 ICD10CM Pregnancy O41.03X2 [O41.03X2] Oligohydramnios, third trimester, fetus 2 ICD10CM
Page 102 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O41.03X3 [O41.03X3] Oligohydramnios, third trimester, fetus 3 ICD10CM Pregnancy O41.03X4 [O41.03X4] Oligohydramnios, third trimester, fetus 4 ICD10CM Pregnancy O41.03X5 [O41.03X5] Oligohydramnios, third trimester, fetus 5 ICD10CM Pregnancy O41.03X9 [O41.03X9] Oligohydramnios, third trimester, other fetus ICD10CM
[O41.1010] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1010 ICD10CM not applicable or unspecified [O41.1011] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1011 ICD10CM fetus 1 [O41.1012] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1012 ICD10CM fetus 2 [O41.1013] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1013 ICD10CM fetus 3 [O41.1014] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1014 ICD10CM fetus 4 [O41.1015] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1015 ICD10CM fetus 5 [O41.1019] Infection of amniotic sac and membranes, unspecified, first trimester, Pregnancy O41.1019 ICD10CM other fetus [O41.1020] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1020 ICD10CM trimester, not applicable or unspecified [O41.1021] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1021 ICD10CM trimester, fetus 1 [O41.1022] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1022 ICD10CM trimester, fetus 2 [O41.1023] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1023 ICD10CM trimester, fetus 3 [O41.1024] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1024 ICD10CM trimester, fetus 4 [O41.1025] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1025 ICD10CM trimester, fetus 5
Page 103 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O41.1029] Infection of amniotic sac and membranes, unspecified, second Pregnancy O41.1029 ICD10CM trimester, other fetus
[O41.1030] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1030 ICD10CM not applicable or unspecified [O41.1031] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1031 ICD10CM fetus 1 [O41.1032] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1032 ICD10CM fetus 2 [O41.1033] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1033 ICD10CM fetus 3 [O41.1034] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1034 ICD10CM fetus 4 [O41.1035] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1035 ICD10CM fetus 5 [O41.1039] Infection of amniotic sac and membranes, unspecified, third trimester, Pregnancy O41.1039 ICD10CM other fetus [O41.1090] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1090 ICD10CM trimester, not applicable or unspecified
[O41.1091] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1091 ICD10CM trimester, fetus 1
[O41.1092] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1092 ICD10CM trimester, fetus 2
[O41.1093] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1093 ICD10CM trimester, fetus 3
[O41.1094] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1094 ICD10CM trimester, fetus 4
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Exclusions Value Set Name Code Definition Code System [O41.1095] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1095 ICD10CM trimester, fetus 5
[O41.1099] Infection of amniotic sac and membranes, unspecified, unspecified Pregnancy O41.1099 ICD10CM trimester, other fetus
Pregnancy O41.1210 [O41.1210] Chorioamnionitis, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.1211 [O41.1211] Chorioamnionitis, first trimester, fetus 1 ICD10CM Pregnancy O41.1212 [O41.1212] Chorioamnionitis, first trimester, fetus 2 ICD10CM Pregnancy O41.1213 [O41.1213] Chorioamnionitis, first trimester, fetus 3 ICD10CM Pregnancy O41.1214 [O41.1214] Chorioamnionitis, first trimester, fetus 4 ICD10CM Pregnancy O41.1215 [O41.1215] Chorioamnionitis, first trimester, fetus 5 ICD10CM Pregnancy O41.1219 [O41.1219] Chorioamnionitis, first trimester, other fetus ICD10CM
Pregnancy O41.1220 [O41.1220] Chorioamnionitis, second trimester, not applicable or unspecified ICD10CM
Pregnancy O41.1221 [O41.1221] Chorioamnionitis, second trimester, fetus 1 ICD10CM
Pregnancy O41.1222 [O41.1222] Chorioamnionitis, second trimester, fetus 2 ICD10CM
Pregnancy O41.1223 [O41.1223] Chorioamnionitis, second trimester, fetus 3 ICD10CM
Pregnancy O41.1224 [O41.1224] Chorioamnionitis, second trimester, fetus 4 ICD10CM
Pregnancy O41.1225 [O41.1225] Chorioamnionitis, second trimester, fetus 5 ICD10CM
Pregnancy O41.1229 [O41.1229] Chorioamnionitis, second trimester, other fetus ICD10CM
Pregnancy O41.1230 [O41.1230] Chorioamnionitis, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.1231 [O41.1231] Chorioamnionitis, third trimester, fetus 1 ICD10CM Pregnancy O41.1232 [O41.1232] Chorioamnionitis, third trimester, fetus 2 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O41.1233 [O41.1233] Chorioamnionitis, third trimester, fetus 3 ICD10CM Pregnancy O41.1234 [O41.1234] Chorioamnionitis, third trimester, fetus 4 ICD10CM Pregnancy O41.1235 [O41.1235] Chorioamnionitis, third trimester, fetus 5 ICD10CM Pregnancy O41.1239 [O41.1239] Chorioamnionitis, third trimester, other fetus ICD10CM
Pregnancy O41.1290 [O41.1290] Chorioamnionitis, unspecified trimester, not applicable or unspecified ICD10CM
Pregnancy O41.1291 [O41.1291] Chorioamnionitis, unspecified trimester, fetus 1 ICD10CM
Pregnancy O41.1292 [O41.1292] Chorioamnionitis, unspecified trimester, fetus 2 ICD10CM
Pregnancy O41.1293 [O41.1293] Chorioamnionitis, unspecified trimester, fetus 3 ICD10CM
Pregnancy O41.1294 [O41.1294] Chorioamnionitis, unspecified trimester, fetus 4 ICD10CM
Pregnancy O41.1295 [O41.1295] Chorioamnionitis, unspecified trimester, fetus 5 ICD10CM
Pregnancy O41.1299 [O41.1299] Chorioamnionitis, unspecified trimester, other fetus ICD10CM
Pregnancy O41.1410 [O41.1410] Placentitis, first trimester, not applicable or unspecified ICD10CM Pregnancy O41.1411 [O41.1411] Placentitis, first trimester, fetus 1 ICD10CM Pregnancy O41.1412 [O41.1412] Placentitis, first trimester, fetus 2 ICD10CM Pregnancy O41.1413 [O41.1413] Placentitis, first trimester, fetus 3 ICD10CM Pregnancy O41.1414 [O41.1414] Placentitis, first trimester, fetus 4 ICD10CM Pregnancy O41.1415 [O41.1415] Placentitis, first trimester, fetus 5 ICD10CM Pregnancy O41.1419 [O41.1419] Placentitis, first trimester, other fetus ICD10CM Pregnancy O41.1420 [O41.1420] Placentitis, second trimester, not applicable or unspecified ICD10CM Pregnancy O41.1421 [O41.1421] Placentitis, second trimester, fetus 1 ICD10CM Pregnancy O41.1422 [O41.1422] Placentitis, second trimester, fetus 2 ICD10CM Pregnancy O41.1423 [O41.1423] Placentitis, second trimester, fetus 3 ICD10CM Pregnancy O41.1424 [O41.1424] Placentitis, second trimester, fetus 4 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O41.1425 [O41.1425] Placentitis, second trimester, fetus 5 ICD10CM Pregnancy O41.1429 [O41.1429] Placentitis, second trimester, other fetus ICD10CM Pregnancy O41.1430 [O41.1430] Placentitis, third trimester, not applicable or unspecified ICD10CM Pregnancy O41.1431 [O41.1431] Placentitis, third trimester, fetus 1 ICD10CM Pregnancy O41.1432 [O41.1432] Placentitis, third trimester, fetus 2 ICD10CM Pregnancy O41.1433 [O41.1433] Placentitis, third trimester, fetus 3 ICD10CM Pregnancy O41.1434 [O41.1434] Placentitis, third trimester, fetus 4 ICD10CM Pregnancy O41.1435 [O41.1435] Placentitis, third trimester, fetus 5 ICD10CM Pregnancy O41.1439 [O41.1439] Placentitis, third trimester, other fetus ICD10CM Pregnancy O41.1490 [O41.1490] Placentitis, unspecified trimester, not applicable or unspecified ICD10CM Pregnancy O41.1491 [O41.1491] Placentitis, unspecified trimester, fetus 1 ICD10CM Pregnancy O41.1492 [O41.1492] Placentitis, unspecified trimester, fetus 2 ICD10CM Pregnancy O41.1493 [O41.1493] Placentitis, unspecified trimester, fetus 3 ICD10CM Pregnancy O41.1494 [O41.1494] Placentitis, unspecified trimester, fetus 4 ICD10CM Pregnancy O41.1495 [O41.1495] Placentitis, unspecified trimester, fetus 5 ICD10CM Pregnancy O41.1499 [O41.1499] Placentitis, unspecified trimester, other fetus ICD10CM
[O41.8X10] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X10 ICD10CM trimester, not applicable or unspecified [O41.8X11] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X11 ICD10CM trimester, fetus 1 [O41.8X12] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X12 ICD10CM trimester, fetus 2 [O41.8X13] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X13 ICD10CM trimester, fetus 3 [O41.8X14] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X14 ICD10CM trimester, fetus 4 [O41.8X15] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X15 ICD10CM trimester, fetus 5
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Exclusions Value Set Name Code Definition Code System [O41.8X19] Other specified disorders of amniotic fluid and membranes, first Pregnancy O41.8X19 ICD10CM trimester, other fetus [O41.8X20] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X20 ICD10CM trimester, not applicable or unspecified [O41.8X21] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X21 ICD10CM trimester, fetus 1 [O41.8X22] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X22 ICD10CM trimester, fetus 2 [O41.8X23] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X23 ICD10CM trimester, fetus 3 [O41.8X24] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X24 ICD10CM trimester, fetus 4 [O41.8X25] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X25 ICD10CM trimester, fetus 5 [O41.8X29] Other specified disorders of amniotic fluid and membranes, second Pregnancy O41.8X29 ICD10CM trimester, other fetus [O41.8X30] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X30 ICD10CM trimester, not applicable or unspecified [O41.8X31] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X31 ICD10CM trimester, fetus 1 [O41.8X32] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X32 ICD10CM trimester, fetus 2 [O41.8X33] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X33 ICD10CM trimester, fetus 3 [O41.8X34] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X34 ICD10CM trimester, fetus 4 [O41.8X35] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X35 ICD10CM trimester, fetus 5 [O41.8X39] Other specified disorders of amniotic fluid and membranes, third Pregnancy O41.8X39 ICD10CM trimester, other fetus
Page 108 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O41.8X90] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X90 ICD10CM trimester, not applicable or unspecified [O41.8X91] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X91 ICD10CM trimester, fetus 1 [O41.8X92] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X92 ICD10CM trimester, fetus 2 [O41.8X93] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X93 ICD10CM trimester, fetus 3 [O41.8X94] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X94 ICD10CM trimester, fetus 4 [O41.8X95] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X95 ICD10CM trimester, fetus 5 [O41.8X99] Other specified disorders of amniotic fluid and membranes, unspecified Pregnancy O41.8X99 ICD10CM trimester, other fetus
[O41.90X0] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X0 ICD10CM trimester, not applicable or unspecified
[O41.90X1] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X1 ICD10CM trimester, fetus 1
[O41.90X2] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X2 ICD10CM trimester, fetus 2
[O41.90X3] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X3 ICD10CM trimester, fetus 3
[O41.90X4] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X4 ICD10CM trimester, fetus 4
Page 109 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O41.90X5] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X5 ICD10CM trimester, fetus 5
[O41.90X9] Disorder of amniotic fluid and membranes, unspecified, unspecified Pregnancy O41.90X9 ICD10CM trimester, other fetus
[O41.91X0] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X0 ICD10CM not applicable or unspecified [O41.91X1] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X1 ICD10CM fetus 1 [O41.91X2] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X2 ICD10CM fetus 2 [O41.91X3] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X3 ICD10CM fetus 3 [O41.91X4] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X4 ICD10CM fetus 4 [O41.91X5] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X5 ICD10CM fetus 5 [O41.91X9] Disorder of amniotic fluid and membranes, unspecified, first trimester, Pregnancy O41.91X9 ICD10CM other fetus [O41.92X0] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X0 ICD10CM trimester, not applicable or unspecified [O41.92X1] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X1 ICD10CM trimester, fetus 1 [O41.92X2] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X2 ICD10CM trimester, fetus 2 [O41.92X3] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X3 ICD10CM trimester, fetus 3 [O41.92X4] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X4 ICD10CM trimester, fetus 4
Page 110 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O41.92X5] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X5 ICD10CM trimester, fetus 5 [O41.92X9] Disorder of amniotic fluid and membranes, unspecified, second Pregnancy O41.92X9 ICD10CM trimester, other fetus
[O41.93X0] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X0 ICD10CM not applicable or unspecified [O41.93X1] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X1 ICD10CM fetus 1 [O41.93X2] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X2 ICD10CM fetus 2 [O41.93X3] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X3 ICD10CM fetus 3 [O41.93X4] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X4 ICD10CM fetus 4 [O41.93X5] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X5 ICD10CM fetus 5 [O41.93X9] Disorder of amniotic fluid and membranes, unspecified, third trimester, Pregnancy O41.93X9 ICD10CM other fetus [O42.00] Premature rupture of membranes, onset of labor within 24 hours of Pregnancy O42.00 ICD10CM rupture, unspecified weeks of gestation
[O42.011] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.011 ICD10CM hours of rupture, first trimester
[O42.012] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.012 ICD10CM hours of rupture, second trimester
[O42.013] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.013 ICD10CM hours of rupture, third trimester
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Exclusions Value Set Name Code Definition Code System [O42.019] Preterm premature rupture of membranes, onset of labor within 24 Pregnancy O42.019 ICD10CM hours of rupture, unspecified trimester
[O42.02] Full-term premature rupture of membranes, onset of labor within 24 Pregnancy O42.02 ICD10CM hours of rupture
[O42.10] Premature rupture of membranes, onset of labor more than 24 hours Pregnancy O42.10 ICD10CM following rupture, unspecified weeks of gestation
[O42.111] Preterm premature rupture of membranes, onset of labor more than 24 Pregnancy O42.111 ICD10CM hours following rupture, first trimester
[O42.112] Preterm premature rupture of membranes, onset of labor more than 24 Pregnancy O42.112 ICD10CM hours following rupture, second trimester
[O42.113] Preterm premature rupture of membranes, onset of labor more than 24 Pregnancy O42.113 ICD10CM hours following rupture, third trimester
[O42.119] Preterm premature rupture of membranes, onset of labor more than 24 Pregnancy O42.119 ICD10CM hours following rupture, unspecified trimester
[O42.12] Full-term premature rupture of membranes, onset of labor more than 24 Pregnancy O42.12 ICD10CM hours following rupture
[O42.90] Premature rupture of membranes, unspecified as to length of time Pregnancy O42.90 ICD10CM between rupture and onset of labor, unspecified weeks of gestation
[O42.911] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.911 ICD10CM time between rupture and onset of labor, first trimester
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Exclusions Value Set Name Code Definition Code System
[O42.912] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.912 ICD10CM time between rupture and onset of labor, second trimester
[O42.913] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.913 ICD10CM time between rupture and onset of labor, third trimester
[O42.919] Preterm premature rupture of membranes, unspecified as to length of Pregnancy O42.919 ICD10CM time between rupture and onset of labor, unspecified trimester
[O42.92] Full-term premature rupture of membranes, unspecified as to length of Pregnancy O42.92 ICD10CM time between rupture and onset of labor
Pregnancy O43.011 [O43.011] Fetomaternal placental transfusion syndrome, first trimester ICD10CM
Pregnancy O43.012 [O43.012] Fetomaternal placental transfusion syndrome, second trimester ICD10CM
Pregnancy O43.013 [O43.013] Fetomaternal placental transfusion syndrome, third trimester ICD10CM
Pregnancy O43.019 [O43.019] Fetomaternal placental transfusion syndrome, unspecified trimester ICD10CM
Pregnancy O43.021 [O43.021] Fetus-to-fetus placental transfusion syndrome, first trimester ICD10CM
Pregnancy O43.022 [O43.022] Fetus-to-fetus placental transfusion syndrome, second trimester ICD10CM
Pregnancy O43.023 [O43.023] Fetus-to-fetus placental transfusion syndrome, third trimester ICD10CM
Pregnancy O43.029 [O43.029] Fetus-to-fetus placental transfusion syndrome, unspecified trimester ICD10CM
Pregnancy O43.101 [O43.101] Malformation of placenta, unspecified, first trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O43.102 [O43.102] Malformation of placenta, unspecified, second trimester ICD10CM
Pregnancy O43.103 [O43.103] Malformation of placenta, unspecified, third trimester ICD10CM
Pregnancy O43.109 [O43.109] Malformation of placenta, unspecified, unspecified trimester ICD10CM Pregnancy O43.111 [O43.111] Circumvallate placenta, first trimester ICD10CM Pregnancy O43.112 [O43.112] Circumvallate placenta, second trimester ICD10CM Pregnancy O43.113 [O43.113] Circumvallate placenta, third trimester ICD10CM Pregnancy O43.119 [O43.119] Circumvallate placenta, unspecified trimester ICD10CM
Pregnancy O43.121 [O43.121] Velamentous insertion of umbilical cord, first trimester ICD10CM
Pregnancy O43.122 [O43.122] Velamentous insertion of umbilical cord, second trimester ICD10CM
Pregnancy O43.123 [O43.123] Velamentous insertion of umbilical cord, third trimester ICD10CM
Pregnancy O43.129 [O43.129] Velamentous insertion of umbilical cord, unspecified trimester ICD10CM
Pregnancy O43.191 [O43.191] Other malformation of placenta, first trimester ICD10CM
Pregnancy O43.192 [O43.192] Other malformation of placenta, second trimester ICD10CM
Pregnancy O43.193 [O43.193] Other malformation of placenta, third trimester ICD10CM
Pregnancy O43.199 [O43.199] Other malformation of placenta, unspecified trimester ICD10CM Pregnancy O43.211 [O43.211] Placenta accreta, first trimester ICD10CM Pregnancy O43.212 [O43.212] Placenta accreta, second trimester ICD10CM Pregnancy O43.213 [O43.213] Placenta accreta, third trimester ICD10CM Pregnancy O43.219 [O43.219] Placenta accreta, unspecified trimester ICD10CM Pregnancy O43.221 [O43.221] Placenta increta, first trimester ICD10CM Pregnancy O43.222 [O43.222] Placenta increta, second trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O43.223 [O43.223] Placenta increta, third trimester ICD10CM Pregnancy O43.229 [O43.229] Placenta increta, unspecified trimester ICD10CM Pregnancy O43.231 [O43.231] Placenta percreta, first trimester ICD10CM Pregnancy O43.232 [O43.232] Placenta percreta, second trimester ICD10CM Pregnancy O43.233 [O43.233] Placenta percreta, third trimester ICD10CM Pregnancy O43.239 [O43.239] Placenta percreta, unspecified trimester ICD10CM Pregnancy O43.811 [O43.811] Placental infarction, first trimester ICD10CM Pregnancy O43.812 [O43.812] Placental infarction, second trimester ICD10CM Pregnancy O43.813 [O43.813] Placental infarction, third trimester ICD10CM Pregnancy O43.819 [O43.819] Placental infarction, unspecified trimester ICD10CM Pregnancy O43.891 [O43.891] Other placental disorders, first trimester ICD10CM Pregnancy O43.892 [O43.892] Other placental disorders, second trimester ICD10CM Pregnancy O43.893 [O43.893] Other placental disorders, third trimester ICD10CM Pregnancy O43.899 [O43.899] Other placental disorders, unspecified trimester ICD10CM
Pregnancy O43.90 [O43.90] Unspecified placental disorder, unspecified trimester ICD10CM
Pregnancy O43.91 [O43.91] Unspecified placental disorder, first trimester ICD10CM
Pregnancy O43.92 [O43.92] Unspecified placental disorder, second trimester ICD10CM
Pregnancy O43.93 [O43.93] Unspecified placental disorder, third trimester ICD10CM [O44.00] Complete placenta previa NOS or without hemorrhage, unspecified Pregnancy O44.00 ICD10CM trimester Pregnancy O44.01 [O44.01] Complete placenta previa NOS or without hemorrhage, first trimester ICD10CM
Pregnancy O44.02 [O44.02] Complete placenta previa NOS or without hemorrhage, second trimester ICD10CM
Pregnancy O44.03 [O44.03] Complete placenta previa NOS or without hemorrhage, third trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O44.10 [O44.10] Complete placenta previa with hemorrhage, unspecified trimester ICD10CM
Pregnancy O44.11 [O44.11] Complete placenta previa with hemorrhage, first trimester ICD10CM
Pregnancy O44.12 [O44.12] Complete placenta previa with hemorrhage, second trimester ICD10CM
Pregnancy O44.13 [O44.13] Complete placenta previa with hemorrhage, third trimester ICD10CM
Pregnancy O44.20 [O44.20] Partial placenta previa NOS or without hemorrhage, unspecified trimester ICD10CM
Pregnancy O44.21 [O44.21] Partial placenta previa NOS or without hemorrhage, first trimester ICD10CM
Pregnancy O44.22 [O44.22] Partial placenta previa NOS or without hemorrhage, second trimester ICD10CM
Pregnancy O44.23 [O44.23] Partial placenta previa NOS or without hemorrhage, third trimester ICD10CM
Pregnancy O44.30 [O44.30] Partial placenta previa with hemorrhage, unspecified trimester ICD10CM
Pregnancy O44.31 [O44.31] Partial placenta previa with hemorrhage, first trimester ICD10CM
Pregnancy O44.32 [O44.32] Partial placenta previa with hemorrhage, second trimester ICD10CM
Pregnancy O44.33 [O44.33] Partial placenta previa with hemorrhage, third trimester ICD10CM
Pregnancy O44.40 [O44.40] Low lying placenta NOS or without hemorrhage, unspecified trimester ICD10CM
Pregnancy O44.41 [O44.41] Low lying placenta NOS or without hemorrhage, first trimester ICD10CM
Pregnancy O44.42 [O44.42] Low lying placenta NOS or without hemorrhage, second trimester ICD10CM
Pregnancy O44.43 [O44.43] Low lying placenta NOS or without hemorrhage, third trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O44.50 [O44.50] Low lying placenta with hemorrhage, unspecified trimester ICD10CM
Pregnancy O44.51 [O44.51] Low lying placenta with hemorrhage, first trimester ICD10CM
Pregnancy O44.52 [O44.52] Low lying placenta with hemorrhage, second trimester ICD10CM
Pregnancy O44.53 [O44.53] Low lying placenta with hemorrhage, third trimester ICD10CM [O45.001] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.001 ICD10CM first trimester [O45.002] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.002 ICD10CM second trimester [O45.003] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.003 ICD10CM third trimester [O45.009] Premature separation of placenta with coagulation defect, unspecified, Pregnancy O45.009 ICD10CM unspecified trimester
Pregnancy O45.011 [O45.011] Premature separation of placenta with afibrinogenemia, first trimester ICD10CM [O45.012] Premature separation of placenta with afibrinogenemia, second Pregnancy O45.012 ICD10CM trimester Pregnancy O45.013 [O45.013] Premature separation of placenta with afibrinogenemia, third trimester ICD10CM [O45.019] Premature separation of placenta with afibrinogenemia, unspecified Pregnancy O45.019 ICD10CM trimester [O45.021] Premature separation of placenta with disseminated intravascular Pregnancy O45.021 ICD10CM coagulation, first trimester
[O45.022] Premature separation of placenta with disseminated intravascular Pregnancy O45.022 ICD10CM coagulation, second trimester
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Exclusions Value Set Name Code Definition Code System [O45.023] Premature separation of placenta with disseminated intravascular Pregnancy O45.023 ICD10CM coagulation, third trimester
[O45.029] Premature separation of placenta with disseminated intravascular Pregnancy O45.029 ICD10CM coagulation, unspecified trimester [O45.091] Premature separation of placenta with other coagulation defect, first Pregnancy O45.091 ICD10CM trimester [O45.092] Premature separation of placenta with other coagulation defect, second Pregnancy O45.092 ICD10CM trimester [O45.093] Premature separation of placenta with other coagulation defect, third Pregnancy O45.093 ICD10CM trimester [O45.099] Premature separation of placenta with other coagulation defect, Pregnancy O45.099 ICD10CM unspecified trimester Pregnancy O45.8X1 [O45.8X1] Other premature separation of placenta, first trimester ICD10CM
Pregnancy O45.8X2 [O45.8X2] Other premature separation of placenta, second trimester ICD10CM
Pregnancy O45.8X3 [O45.8X3] Other premature separation of placenta, third trimester ICD10CM
Pregnancy O45.8X9 [O45.8X9] Other premature separation of placenta, unspecified trimester ICD10CM
Pregnancy O45.90 [O45.90] Premature separation of placenta, unspecified, unspecified trimester ICD10CM
Pregnancy O45.91 [O45.91] Premature separation of placenta, unspecified, first trimester ICD10CM
Pregnancy O45.92 [O45.92] Premature separation of placenta, unspecified, second trimester ICD10CM
Pregnancy O45.93 [O45.93] Premature separation of placenta, unspecified, third trimester ICD10CM [O46.001] Antepartum hemorrhage with coagulation defect, unspecified, first Pregnancy O46.001 ICD10CM trimester
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Exclusions Value Set Name Code Definition Code System [O46.002] Antepartum hemorrhage with coagulation defect, unspecified, second Pregnancy O46.002 ICD10CM trimester [O46.003] Antepartum hemorrhage with coagulation defect, unspecified, third Pregnancy O46.003 ICD10CM trimester [O46.009] Antepartum hemorrhage with coagulation defect, unspecified, Pregnancy O46.009 ICD10CM unspecified trimester Pregnancy O46.011 [O46.011] Antepartum hemorrhage with afibrinogenemia, first trimester ICD10CM
Pregnancy O46.012 [O46.012] Antepartum hemorrhage with afibrinogenemia, second trimester ICD10CM
Pregnancy O46.013 [O46.013] Antepartum hemorrhage with afibrinogenemia, third trimester ICD10CM
Pregnancy O46.019 [O46.019] Antepartum hemorrhage with afibrinogenemia, unspecified trimester ICD10CM
[O46.021] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.021 ICD10CM first trimester
[O46.022] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.022 ICD10CM second trimester
[O46.023] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.023 ICD10CM third trimester
[O46.029] Antepartum hemorrhage with disseminated intravascular coagulation, Pregnancy O46.029 ICD10CM unspecified trimester
Pregnancy O46.091 [O46.091] Antepartum hemorrhage with other coagulation defect, first trimester ICD10CM
Pregnancy O46.092 [O46.092] Antepartum hemorrhage with other coagulation defect, second trimester ICD10CM
Pregnancy O46.093 [O46.093] Antepartum hemorrhage with other coagulation defect, third trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System [O46.099] Antepartum hemorrhage with other coagulation defect, unspecified Pregnancy O46.099 ICD10CM trimester Pregnancy O46.8X1 [O46.8X1] Other antepartum hemorrhage, first trimester ICD10CM
Pregnancy O46.8X2 [O46.8X2] Other antepartum hemorrhage, second trimester ICD10CM
Pregnancy O46.8X3 [O46.8X3] Other antepartum hemorrhage, third trimester ICD10CM
Pregnancy O46.8X9 [O46.8X9] Other antepartum hemorrhage, unspecified trimester ICD10CM
Pregnancy O46.90 [O46.90] Antepartum hemorrhage, unspecified, unspecified trimester ICD10CM
Pregnancy O46.91 [O46.91] Antepartum hemorrhage, unspecified, first trimester ICD10CM
Pregnancy O46.92 [O46.92] Antepartum hemorrhage, unspecified, second trimester ICD10CM
Pregnancy O46.93 [O46.93] Antepartum hemorrhage, unspecified, third trimester ICD10CM
Pregnancy O47.00 [O47.00] False labor before 37 completed weeks of gestation, unspecified trimester ICD10CM
Pregnancy O47.02 [O47.02] False labor before 37 completed weeks of gestation, second trimester ICD10CM
Pregnancy O47.03 [O47.03] False labor before 37 completed weeks of gestation, third trimester ICD10CM
Pregnancy O47.1 [O47.1] False labor at or after 37 completed weeks of gestation ICD10CM Pregnancy O47.9 [O47.9] False labor, unspecified ICD10CM Pregnancy O48.0 [O48.0] Post-term pregnancy ICD10CM Pregnancy O48.1 [O48.1] Prolonged pregnancy ICD10CM Pregnancy O60.00 [O60.00] Preterm labor without delivery, unspecified trimester ICD10CM
Pregnancy O60.02 [O60.02] Preterm labor without delivery, second trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O60.03 [O60.03] Preterm labor without delivery, third trimester ICD10CM [O60.10X0] Preterm labor with preterm delivery, unspecified trimester, not Pregnancy O60.10X0 ICD10CM applicable or unspecified Pregnancy O60.10X1 [O60.10X1] Preterm labor with preterm delivery, unspecified trimester, fetus 1 ICD10CM
Pregnancy O60.10X2 [O60.10X2] Preterm labor with preterm delivery, unspecified trimester, fetus 2 ICD10CM
Pregnancy O60.10X3 [O60.10X3] Preterm labor with preterm delivery, unspecified trimester, fetus 3 ICD10CM
Pregnancy O60.10X4 [O60.10X4] Preterm labor with preterm delivery, unspecified trimester, fetus 4 ICD10CM
Pregnancy O60.10X5 [O60.10X5] Preterm labor with preterm delivery, unspecified trimester, fetus 5 ICD10CM
Pregnancy O60.10X9 [O60.10X9] Preterm labor with preterm delivery, unspecified trimester, other fetus ICD10CM
[O60.12X0] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X0 ICD10CM not applicable or unspecified [O60.12X1] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X1 ICD10CM fetus 1 [O60.12X2] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X2 ICD10CM fetus 2 [O60.12X3] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X3 ICD10CM fetus 3 [O60.12X4] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X4 ICD10CM fetus 4 [O60.12X5] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X5 ICD10CM fetus 5 [O60.12X9] Preterm labor second trimester with preterm delivery second trimester, Pregnancy O60.12X9 ICD10CM other fetus
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Exclusions Value Set Name Code Definition Code System [O60.13X0] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X0 ICD10CM not applicable or unspecified [O60.13X1] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X1 ICD10CM fetus 1 [O60.13X2] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X2 ICD10CM fetus 2 [O60.13X3] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X3 ICD10CM fetus 3 [O60.13X4] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X4 ICD10CM fetus 4 [O60.13X5] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X5 ICD10CM fetus 5 [O60.13X9] Preterm labor second trimester with preterm delivery third trimester, Pregnancy O60.13X9 ICD10CM other fetus [O60.14X0] Preterm labor third trimester with preterm delivery third trimester, not Pregnancy O60.14X0 ICD10CM applicable or unspecified [O60.14X1] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X1 ICD10CM fetus 1 [O60.14X2] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X2 ICD10CM fetus 2 [O60.14X3] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X3 ICD10CM fetus 3 [O60.14X4] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X4 ICD10CM fetus 4 [O60.14X5] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X5 ICD10CM fetus 5 [O60.14X9] Preterm labor third trimester with preterm delivery third trimester, Pregnancy O60.14X9 ICD10CM other fetus [O60.20X0] Term delivery with preterm labor, unspecified trimester, not applicable Pregnancy O60.20X0 ICD10CM or unspecified
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Exclusions Value Set Name Code Definition Code System Pregnancy O60.20X1 [O60.20X1] Term delivery with preterm labor, unspecified trimester, fetus 1 ICD10CM
Pregnancy O60.20X2 [O60.20X2] Term delivery with preterm labor, unspecified trimester, fetus 2 ICD10CM
Pregnancy O60.20X3 [O60.20X3] Term delivery with preterm labor, unspecified trimester, fetus 3 ICD10CM
Pregnancy O60.20X4 [O60.20X4] Term delivery with preterm labor, unspecified trimester, fetus 4 ICD10CM
Pregnancy O60.20X5 [O60.20X5] Term delivery with preterm labor, unspecified trimester, fetus 5 ICD10CM
Pregnancy O60.20X9 [O60.20X9] Term delivery with preterm labor, unspecified trimester, other fetus ICD10CM [O60.22X0] Term delivery with preterm labor, second trimester, not applicable or Pregnancy O60.22X0 ICD10CM unspecified Pregnancy O60.22X1 [O60.22X1] Term delivery with preterm labor, second trimester, fetus 1 ICD10CM
Pregnancy O60.22X2 [O60.22X2] Term delivery with preterm labor, second trimester, fetus 2 ICD10CM
Pregnancy O60.22X3 [O60.22X3] Term delivery with preterm labor, second trimester, fetus 3 ICD10CM
Pregnancy O60.22X4 [O60.22X4] Term delivery with preterm labor, second trimester, fetus 4 ICD10CM
Pregnancy O60.22X5 [O60.22X5] Term delivery with preterm labor, second trimester, fetus 5 ICD10CM
Pregnancy O60.22X9 [O60.22X9] Term delivery with preterm labor, second trimester, other fetus ICD10CM [O60.23X0] Term delivery with preterm labor, third trimester, not applicable or Pregnancy O60.23X0 ICD10CM unspecified Pregnancy O60.23X1 [O60.23X1] Term delivery with preterm labor, third trimester, fetus 1 ICD10CM
Pregnancy O60.23X2 [O60.23X2] Term delivery with preterm labor, third trimester, fetus 2 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O60.23X3 [O60.23X3] Term delivery with preterm labor, third trimester, fetus 3 ICD10CM
Pregnancy O60.23X4 [O60.23X4] Term delivery with preterm labor, third trimester, fetus 4 ICD10CM
Pregnancy O60.23X5 [O60.23X5] Term delivery with preterm labor, third trimester, fetus 5 ICD10CM
Pregnancy O60.23X9 [O60.23X9] Term delivery with preterm labor, third trimester, other fetus ICD10CM Pregnancy O61.0 [O61.0] Failed medical induction of labor ICD10CM Pregnancy O61.1 [O61.1] Failed instrumental induction of labor ICD10CM Pregnancy O61.8 [O61.8] Other failed induction of labor ICD10CM Pregnancy O61.9 [O61.9] Failed induction of labor, unspecified ICD10CM Pregnancy O62.0 [O62.0] Primary inadequate contractions ICD10CM Pregnancy O62.1 [O62.1] Secondary uterine inertia ICD10CM Pregnancy O62.2 [O62.2] Other uterine inertia ICD10CM Pregnancy O62.3 [O62.3] Precipitate labor ICD10CM Pregnancy O62.4 [O62.4] Hypertonic, incoordinate, and prolonged uterine contractions ICD10CM Pregnancy O62.8 [O62.8] Other abnormalities of forces of labor ICD10CM Pregnancy O62.9 [O62.9] Abnormality of forces of labor, unspecified ICD10CM Pregnancy O63.0 [O63.0] Prolonged first stage (of labor) ICD10CM Pregnancy O63.1 [O63.1] Prolonged second stage (of labor) ICD10CM Pregnancy O63.2 [O63.2] Delayed delivery of second twin, triplet, etc. ICD10CM Pregnancy O63.9 [O63.9] Long labor, unspecified ICD10CM [O64.0XX0] Obstructed labor due to incomplete rotation of fetal head, not Pregnancy O64.0XX0 ICD10CM applicable or unspecified Pregnancy O64.0XX1 [O64.0XX1] Obstructed labor due to incomplete rotation of fetal head, fetus 1 ICD10CM
Pregnancy O64.0XX2 [O64.0XX2] Obstructed labor due to incomplete rotation of fetal head, fetus 2 ICD10CM
Pregnancy O64.0XX3 [O64.0XX3] Obstructed labor due to incomplete rotation of fetal head, fetus 3 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O64.0XX4 [O64.0XX4] Obstructed labor due to incomplete rotation of fetal head, fetus 4 ICD10CM
Pregnancy O64.0XX5 [O64.0XX5] Obstructed labor due to incomplete rotation of fetal head, fetus 5 ICD10CM
Pregnancy O64.0XX9 [O64.0XX9] Obstructed labor due to incomplete rotation of fetal head, other fetus ICD10CM [O64.1XX0] Obstructed labor due to breech presentation, not applicable or Pregnancy O64.1XX0 ICD10CM unspecified Pregnancy O64.1XX1 [O64.1XX1] Obstructed labor due to breech presentation, fetus 1 ICD10CM
Pregnancy O64.1XX2 [O64.1XX2] Obstructed labor due to breech presentation, fetus 2 ICD10CM
Pregnancy O64.1XX3 [O64.1XX3] Obstructed labor due to breech presentation, fetus 3 ICD10CM
Pregnancy O64.1XX4 [O64.1XX4] Obstructed labor due to breech presentation, fetus 4 ICD10CM
Pregnancy O64.1XX5 [O64.1XX5] Obstructed labor due to breech presentation, fetus 5 ICD10CM
Pregnancy O64.1XX9 [O64.1XX9] Obstructed labor due to breech presentation, other fetus ICD10CM [O64.2XX0] Obstructed labor due to face presentation, not applicable or Pregnancy O64.2XX0 ICD10CM unspecified Pregnancy O64.2XX1 [O64.2XX1] Obstructed labor due to face presentation, fetus 1 ICD10CM
Pregnancy O64.2XX2 [O64.2XX2] Obstructed labor due to face presentation, fetus 2 ICD10CM
Pregnancy O64.2XX3 [O64.2XX3] Obstructed labor due to face presentation, fetus 3 ICD10CM
Pregnancy O64.2XX4 [O64.2XX4] Obstructed labor due to face presentation, fetus 4 ICD10CM
Pregnancy O64.2XX5 [O64.2XX5] Obstructed labor due to face presentation, fetus 5 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O64.2XX9 [O64.2XX9] Obstructed labor due to face presentation, other fetus ICD10CM [O64.3XX0] Obstructed labor due to brow presentation, not applicable or Pregnancy O64.3XX0 ICD10CM unspecified Pregnancy O64.3XX1 [O64.3XX1] Obstructed labor due to brow presentation, fetus 1 ICD10CM
Pregnancy O64.3XX2 [O64.3XX2] Obstructed labor due to brow presentation, fetus 2 ICD10CM
Pregnancy O64.3XX3 [O64.3XX3] Obstructed labor due to brow presentation, fetus 3 ICD10CM
Pregnancy O64.3XX4 [O64.3XX4] Obstructed labor due to brow presentation, fetus 4 ICD10CM
Pregnancy O64.3XX5 [O64.3XX5] Obstructed labor due to brow presentation, fetus 5 ICD10CM
Pregnancy O64.3XX9 [O64.3XX9] Obstructed labor due to brow presentation, other fetus ICD10CM [O64.4XX0] Obstructed labor due to shoulder presentation, not applicable or Pregnancy O64.4XX0 ICD10CM unspecified Pregnancy O64.4XX1 [O64.4XX1] Obstructed labor due to shoulder presentation, fetus 1 ICD10CM
Pregnancy O64.4XX2 [O64.4XX2] Obstructed labor due to shoulder presentation, fetus 2 ICD10CM
Pregnancy O64.4XX3 [O64.4XX3] Obstructed labor due to shoulder presentation, fetus 3 ICD10CM
Pregnancy O64.4XX4 [O64.4XX4] Obstructed labor due to shoulder presentation, fetus 4 ICD10CM
Pregnancy O64.4XX5 [O64.4XX5] Obstructed labor due to shoulder presentation, fetus 5 ICD10CM
Pregnancy O64.4XX9 [O64.4XX9] Obstructed labor due to shoulder presentation, other fetus ICD10CM [O64.5XX0] Obstructed labor due to compound presentation, not applicable or Pregnancy O64.5XX0 ICD10CM unspecified
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Exclusions Value Set Name Code Definition Code System Pregnancy O64.5XX1 [O64.5XX1] Obstructed labor due to compound presentation, fetus 1 ICD10CM
Pregnancy O64.5XX2 [O64.5XX2] Obstructed labor due to compound presentation, fetus 2 ICD10CM
Pregnancy O64.5XX3 [O64.5XX3] Obstructed labor due to compound presentation, fetus 3 ICD10CM
Pregnancy O64.5XX4 [O64.5XX4] Obstructed labor due to compound presentation, fetus 4 ICD10CM
Pregnancy O64.5XX5 [O64.5XX5] Obstructed labor due to compound presentation, fetus 5 ICD10CM
Pregnancy O64.5XX9 [O64.5XX9] Obstructed labor due to compound presentation, other fetus ICD10CM
[O64.8XX0] Obstructed labor due to other malposition and malpresentation, not Pregnancy O64.8XX0 ICD10CM applicable or unspecified
Pregnancy O64.8XX1 [O64.8XX1] Obstructed labor due to other malposition and malpresentation, fetus 1 ICD10CM
Pregnancy O64.8XX2 [O64.8XX2] Obstructed labor due to other malposition and malpresentation, fetus 2 ICD10CM
Pregnancy O64.8XX3 [O64.8XX3] Obstructed labor due to other malposition and malpresentation, fetus 3 ICD10CM
Pregnancy O64.8XX4 [O64.8XX4] Obstructed labor due to other malposition and malpresentation, fetus 4 ICD10CM
Pregnancy O64.8XX5 [O64.8XX5] Obstructed labor due to other malposition and malpresentation, fetus 5 ICD10CM [O64.8XX9] Obstructed labor due to other malposition and malpresentation, other Pregnancy O64.8XX9 ICD10CM fetus [O64.9XX0] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX0 ICD10CM not applicable or unspecified [O64.9XX1] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX1 ICD10CM fetus 1
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Exclusions Value Set Name Code Definition Code System [O64.9XX2] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX2 ICD10CM fetus 2 [O64.9XX3] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX3 ICD10CM fetus 3 [O64.9XX4] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX4 ICD10CM fetus 4 [O64.9XX5] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX5 ICD10CM fetus 5 [O64.9XX9] Obstructed labor due to malposition and malpresentation, unspecified, Pregnancy O64.9XX9 ICD10CM other fetus Pregnancy O65.0 [O65.0] Obstructed labor due to deformed pelvis ICD10CM Pregnancy O65.1 [O65.1] Obstructed labor due to generally contracted pelvis ICD10CM
Pregnancy O65.2 [O65.2] Obstructed labor due to pelvic inlet contraction ICD10CM
Pregnancy O65.3 [O65.3] Obstructed labor due to pelvic outlet and mid-cavity contraction ICD10CM
Pregnancy O65.4 [O65.4] Obstructed labor due to fetopelvic disproportion, unspecified ICD10CM
Pregnancy O65.5 [O65.5] Obstructed labor due to abnormality of maternal pelvic organs ICD10CM
Pregnancy O65.8 [O65.8] Obstructed labor due to other maternal pelvic abnormalities ICD10CM
Pregnancy O65.9 [O65.9] Obstructed labor due to maternal pelvic abnormality, unspecified ICD10CM Pregnancy O66.0 [O66.0] Obstructed labor due to shoulder dystocia ICD10CM Pregnancy O66.1 [O66.1] Obstructed labor due to locked twins ICD10CM Pregnancy O66.2 [O66.2] Obstructed labor due to unusually large fetus ICD10CM
Pregnancy O66.3 [O66.3] Obstructed labor due to other abnormalities of fetus ICD10CM Pregnancy O66.40 [O66.40] Failed trial of labor, unspecified ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O66.41 [O66.41] Failed attempted vaginal birth after previous cesarean delivery ICD10CM
Pregnancy O66.5 [O66.5] Attempted application of vacuum extractor and forceps ICD10CM
Pregnancy O66.6 [O66.6] Obstructed labor due to other multiple fetuses ICD10CM Pregnancy O66.8 [O66.8] Other specified obstructed labor ICD10CM Pregnancy O66.9 [O66.9] Obstructed labor, unspecified ICD10CM Pregnancy O67.0 [O67.0] Intrapartum hemorrhage with coagulation defect ICD10CM Pregnancy O67.8 [O67.8] Other intrapartum hemorrhage ICD10CM Pregnancy O67.9 [O67.9] Intrapartum hemorrhage, unspecified ICD10CM Pregnancy O68 [O68] Labor and delivery complicated by abnormality of fetal acid-base balance ICD10CM [O69.0XX0] Labor and delivery complicated by prolapse of cord, not applicable or Pregnancy O69.0XX0 ICD10CM unspecified Pregnancy O69.0XX1 [O69.0XX1] Labor and delivery complicated by prolapse of cord, fetus 1 ICD10CM
Pregnancy O69.0XX2 [O69.0XX2] Labor and delivery complicated by prolapse of cord, fetus 2 ICD10CM
Pregnancy O69.0XX3 [O69.0XX3] Labor and delivery complicated by prolapse of cord, fetus 3 ICD10CM
Pregnancy O69.0XX4 [O69.0XX4] Labor and delivery complicated by prolapse of cord, fetus 4 ICD10CM
Pregnancy O69.0XX5 [O69.0XX5] Labor and delivery complicated by prolapse of cord, fetus 5 ICD10CM
Pregnancy O69.0XX9 [O69.0XX9] Labor and delivery complicated by prolapse of cord, other fetus ICD10CM
[O69.1XX0] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX0 ICD10CM not applicable or unspecified [O69.1XX1] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX1 ICD10CM fetus 1
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Exclusions Value Set Name Code Definition Code System [O69.1XX2] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX2 ICD10CM fetus 2 [O69.1XX3] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX3 ICD10CM fetus 3 [O69.1XX4] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX4 ICD10CM fetus 4 [O69.1XX5] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX5 ICD10CM fetus 5 [O69.1XX9] Labor and delivery complicated by cord around neck, with compression, Pregnancy O69.1XX9 ICD10CM other fetus [O69.2XX0] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX0 ICD10CM compression, not applicable or unspecified [O69.2XX1] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX1 ICD10CM compression, fetus 1 [O69.2XX2] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX2 ICD10CM compression, fetus 2 [O69.2XX3] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX3 ICD10CM compression, fetus 3 [O69.2XX4] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX4 ICD10CM compression, fetus 4 [O69.2XX5] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX5 ICD10CM compression, fetus 5 [O69.2XX9] Labor and delivery complicated by other cord entanglement, with Pregnancy O69.2XX9 ICD10CM compression, other fetus [O69.3XX0] Labor and delivery complicated by short cord, not applicable or Pregnancy O69.3XX0 ICD10CM unspecified Pregnancy O69.3XX1 [O69.3XX1] Labor and delivery complicated by short cord, fetus 1 ICD10CM
Pregnancy O69.3XX2 [O69.3XX2] Labor and delivery complicated by short cord, fetus 2 ICD10CM
Pregnancy O69.3XX3 [O69.3XX3] Labor and delivery complicated by short cord, fetus 3 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O69.3XX4 [O69.3XX4] Labor and delivery complicated by short cord, fetus 4 ICD10CM
Pregnancy O69.3XX5 [O69.3XX5] Labor and delivery complicated by short cord, fetus 5 ICD10CM
Pregnancy O69.3XX9 [O69.3XX9] Labor and delivery complicated by short cord, other fetus ICD10CM [O69.4XX0] Labor and delivery complicated by vasa previa, not applicable or Pregnancy O69.4XX0 ICD10CM unspecified Pregnancy O69.4XX1 [O69.4XX1] Labor and delivery complicated by vasa previa, fetus 1 ICD10CM
Pregnancy O69.4XX2 [O69.4XX2] Labor and delivery complicated by vasa previa, fetus 2 ICD10CM
Pregnancy O69.4XX3 [O69.4XX3] Labor and delivery complicated by vasa previa, fetus 3 ICD10CM
Pregnancy O69.4XX4 [O69.4XX4] Labor and delivery complicated by vasa previa, fetus 4 ICD10CM
Pregnancy O69.4XX5 [O69.4XX5] Labor and delivery complicated by vasa previa, fetus 5 ICD10CM
Pregnancy O69.4XX9 [O69.4XX9] Labor and delivery complicated by vasa previa, other fetus ICD10CM [O69.5XX0] Labor and delivery complicated by vascular lesion of cord, not Pregnancy O69.5XX0 ICD10CM applicable or unspecified Pregnancy O69.5XX1 [O69.5XX1] Labor and delivery complicated by vascular lesion of cord, fetus 1 ICD10CM
Pregnancy O69.5XX2 [O69.5XX2] Labor and delivery complicated by vascular lesion of cord, fetus 2 ICD10CM
Pregnancy O69.5XX3 [O69.5XX3] Labor and delivery complicated by vascular lesion of cord, fetus 3 ICD10CM
Pregnancy O69.5XX4 [O69.5XX4] Labor and delivery complicated by vascular lesion of cord, fetus 4 ICD10CM
Pregnancy O69.5XX5 [O69.5XX5] Labor and delivery complicated by vascular lesion of cord, fetus 5 ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O69.5XX9 [O69.5XX9] Labor and delivery complicated by vascular lesion of cord, other fetus ICD10CM
[O69.81X0] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X0 ICD10CM compression, not applicable or unspecified [O69.81X1] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X1 ICD10CM compression, fetus 1 [O69.81X2] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X2 ICD10CM compression, fetus 2 [O69.81X3] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X3 ICD10CM compression, fetus 3 [O69.81X4] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X4 ICD10CM compression, fetus 4 [O69.81X5] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X5 ICD10CM compression, fetus 5 [O69.81X9] Labor and delivery complicated by cord around neck, without Pregnancy O69.81X9 ICD10CM compression, other fetus [O69.82X0] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X0 ICD10CM compression, not applicable or unspecified [O69.82X1] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X1 ICD10CM compression, fetus 1 [O69.82X2] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X2 ICD10CM compression, fetus 2 [O69.82X3] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X3 ICD10CM compression, fetus 3 [O69.82X4] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X4 ICD10CM compression, fetus 4 [O69.82X5] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X5 ICD10CM compression, fetus 5 [O69.82X9] Labor and delivery complicated by other cord entanglement, without Pregnancy O69.82X9 ICD10CM compression, other fetus
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Exclusions Value Set Name Code Definition Code System [O69.89X0] Labor and delivery complicated by other cord complications, not Pregnancy O69.89X0 ICD10CM applicable or unspecified Pregnancy O69.89X1 [O69.89X1] Labor and delivery complicated by other cord complications, fetus 1 ICD10CM
Pregnancy O69.89X2 [O69.89X2] Labor and delivery complicated by other cord complications, fetus 2 ICD10CM
Pregnancy O69.89X3 [O69.89X3] Labor and delivery complicated by other cord complications, fetus 3 ICD10CM
Pregnancy O69.89X4 [O69.89X4] Labor and delivery complicated by other cord complications, fetus 4 ICD10CM
Pregnancy O69.89X5 [O69.89X5] Labor and delivery complicated by other cord complications, fetus 5 ICD10CM
Pregnancy O69.89X9 [O69.89X9] Labor and delivery complicated by other cord complications, other fetus ICD10CM
[O69.9XX0] Labor and delivery complicated by cord complication, unspecified, not Pregnancy O69.9XX0 ICD10CM applicable or unspecified [O69.9XX1] Labor and delivery complicated by cord complication, unspecified, fetus Pregnancy O69.9XX1 ICD10CM 1 [O69.9XX2] Labor and delivery complicated by cord complication, unspecified, fetus Pregnancy O69.9XX2 ICD10CM 2 [O69.9XX3] Labor and delivery complicated by cord complication, unspecified, fetus Pregnancy O69.9XX3 ICD10CM 3 [O69.9XX4] Labor and delivery complicated by cord complication, unspecified, fetus Pregnancy O69.9XX4 ICD10CM 4 [O69.9XX5] Labor and delivery complicated by cord complication, unspecified, fetus Pregnancy O69.9XX5 ICD10CM 5 [O69.9XX9] Labor and delivery complicated by cord complication, unspecified, other Pregnancy O69.9XX9 ICD10CM fetus Pregnancy O70.0 [O70.0] First degree perineal laceration during delivery ICD10CM
Pregnancy O70.1 [O70.1] Second degree perineal laceration during delivery ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O70.2 [O70.2] Third degree perineal laceration during delivery ICD10CM
Pregnancy O70.20 [O70.20] Third degree perineal laceration during delivery, unspecified ICD10CM
Pregnancy O70.21 [O70.21] Third degree perineal laceration during delivery, IIIa ICD10CM
Pregnancy O70.22 [O70.22] Third degree perineal laceration during delivery, IIIb ICD10CM
Pregnancy O70.23 [O70.23] Third degree perineal laceration during delivery, IIIc ICD10CM
Pregnancy O70.3 [O70.3] Fourth degree perineal laceration during delivery ICD10CM [O70.4] Anal sphincter tear complicating delivery, not associated with third degree Pregnancy O70.4 ICD10CM laceration Pregnancy O70.9 [O70.9] Perineal laceration during delivery, unspecified ICD10CM
Pregnancy O71.00 [O71.00] Rupture of uterus before onset of labor, unspecified trimester ICD10CM
Pregnancy O71.02 [O71.02] Rupture of uterus before onset of labor, second trimester ICD10CM
Pregnancy O71.03 [O71.03] Rupture of uterus before onset of labor, third trimester ICD10CM Pregnancy O71.1 [O71.1] Rupture of uterus during labor ICD10CM Pregnancy O71.2 [O71.2] Postpartum inversion of uterus ICD10CM Pregnancy O71.3 [O71.3] Obstetric laceration of cervix ICD10CM Pregnancy O71.4 [O71.4] Obstetric high vaginal laceration alone ICD10CM Pregnancy O71.5 [O71.5] Other obstetric injury to pelvic organs ICD10CM Pregnancy O71.6 [O71.6] Obstetric damage to pelvic joints and ligaments ICD10CM Pregnancy O71.7 [O71.7] Obstetric hematoma of pelvis ICD10CM Pregnancy O71.81 [O71.81] Laceration of uterus, not elsewhere classified ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O71.82 [O71.82] Other specified trauma to perineum and vulva ICD10CM Pregnancy O71.89 [O71.89] Other specified obstetric trauma ICD10CM Pregnancy O71.9 [O71.9] Obstetric trauma, unspecified ICD10CM Pregnancy O72.0 [O72.0] Third-stage hemorrhage ICD10CM Pregnancy O72.1 [O72.1] Other immediate postpartum hemorrhage ICD10CM Pregnancy O72.2 [O72.2] Delayed and secondary postpartum hemorrhage ICD10CM Pregnancy O72.3 [O72.3] Postpartum coagulation defects ICD10CM Pregnancy O73.0 [O73.0] Retained placenta without hemorrhage ICD10CM Pregnancy O73.1 [O73.1] Retained portions of placenta and membranes, without hemorrhage ICD10CM
Pregnancy O74.0 [O74.0] Aspiration pneumonitis due to anesthesia during labor and delivery ICD10CM
Pregnancy O74.1 [O74.1] Other pulmonary complications of anesthesia during labor and delivery ICD10CM
Pregnancy O74.2 [O74.2] Cardiac complications of anesthesia during labor and delivery ICD10CM [O74.3] Central nervous system complications of anesthesia during labor and Pregnancy O74.3 ICD10CM delivery Pregnancy O74.4 [O74.4] Toxic reaction to local anesthesia during labor and delivery ICD10CM
Pregnancy O74.5 [O74.5] Spinal and epidural anesthesia-induced headache during labor and delivery ICD10CM [O74.6] Other complications of spinal and epidural anesthesia during labor and Pregnancy O74.6 ICD10CM delivery Pregnancy O74.7 [O74.7] Failed or difficult intubation for anesthesia during labor and delivery ICD10CM
Pregnancy O74.8 [O74.8] Other complications of anesthesia during labor and delivery ICD10CM
Pregnancy O74.9 [O74.9] Complication of anesthesia during labor and delivery, unspecified ICD10CM Pregnancy O75.0 [O75.0] Maternal distress during labor and delivery ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O75.1 [O75.1] Shock during or following labor and delivery ICD10CM Pregnancy O75.2 [O75.2] Pyrexia during labor, not elsewhere classified ICD10CM Pregnancy O75.3 [O75.3] Other infection during labor ICD10CM Pregnancy O75.4 [O75.4] Other complications of obstetric surgery and procedures ICD10CM
Pregnancy O75.5 [O75.5] Delayed delivery after artificial rupture of membranes ICD10CM
Pregnancy O75.81 [O75.81] Maternal exhaustion complicating labor and delivery ICD10CM
[O75.82] Onset (spontaneous) of labor after 37 completed weeks of gestation but Pregnancy O75.82 ICD10CM before 39 completed weeks gestation, with delivery by (planned) cesarean section
Pregnancy O75.89 [O75.89] Other specified complications of labor and delivery ICD10CM
Pregnancy O75.9 [O75.9] Complication of labor and delivery, unspecified ICD10CM
Pregnancy O76 [O76] Abnormality in fetal heart rate and rhythm complicating labor and delivery ICD10CM
Pregnancy O77.0 [O77.0] Labor and delivery complicated by meconium in amniotic fluid ICD10CM
Pregnancy O77.1 [O77.1] Fetal stress in labor or delivery due to drug administration ICD10CM
Pregnancy O77.8 [O77.8] Labor and delivery complicated by other evidence of fetal stress ICD10CM
Pregnancy O77.9 [O77.9] Labor and delivery complicated by fetal stress, unspecified ICD10CM
Pregnancy O80 [O80] Encounter for full-term uncomplicated delivery ICD10CM
Pregnancy O82 [O82] Encounter for cesarean delivery without indication ICD10CM Pregnancy O85 [O85] Puerperal sepsis ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O86.0 [O86.0] Infection of obstetric surgical wound ICD10CM Pregnancy O86.00 [O86.00] Infection of obstetric surgical wound, unspecified ICD10CM
Pregnancy O86.01 [O86.01] Infection of obstetric surgical wound, superficial incisional site ICD10CM
Pregnancy O86.02 [O86.02] Infection of obstetric surgical wound, deep incisional site ICD10CM
Pregnancy O86.03 [O86.03] Infection of obstetric surgical wound, organ and space site ICD10CM Pregnancy O86.04 [O86.04] Sepsis following an obstetrical procedure ICD10CM Pregnancy O86.09 [O86.09] Infection of obstetric surgical wound, other surgical site ICD10CM Pregnancy O86.11 [O86.11] Cervicitis following delivery ICD10CM Pregnancy O86.12 [O86.12] Endometritis following delivery ICD10CM Pregnancy O86.13 [O86.13] Vaginitis following delivery ICD10CM Pregnancy O86.19 [O86.19] Other infection of genital tract following delivery ICD10CM
Pregnancy O86.20 [O86.20] Urinary tract infection following delivery, unspecified ICD10CM Pregnancy O86.21 [O86.21] Infection of kidney following delivery ICD10CM Pregnancy O86.22 [O86.22] Infection of bladder following delivery ICD10CM Pregnancy O86.29 [O86.29] Other urinary tract infection following delivery ICD10CM Pregnancy O86.4 [O86.4] Pyrexia of unknown origin following delivery ICD10CM Pregnancy O86.81 [O86.81] Puerperal septic thrombophlebitis ICD10CM Pregnancy O86.89 [O86.89] Other specified puerperal infections ICD10CM Pregnancy O87.0 [O87.0] Superficial thrombophlebitis in the puerperium ICD10CM Pregnancy O87.1 [O87.1] Deep phlebothrombosis in the puerperium ICD10CM Pregnancy O87.2 [O87.2] Hemorrhoids in the puerperium ICD10CM Pregnancy O87.3 [O87.3] Cerebral venous thrombosis in the puerperium ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O87.4 [O87.4] Varicose veins of lower extremity in the puerperium ICD10CM
Pregnancy O87.8 [O87.8] Other venous complications in the puerperium ICD10CM
Pregnancy O87.9 [O87.9] Venous complication in the puerperium, unspecified ICD10CM Pregnancy O88.011 [O88.011] Air embolism in pregnancy, first trimester ICD10CM Pregnancy O88.012 [O88.012] Air embolism in pregnancy, second trimester ICD10CM Pregnancy O88.013 [O88.013] Air embolism in pregnancy, third trimester ICD10CM Pregnancy O88.019 [O88.019] Air embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.02 [O88.02] Air embolism in childbirth ICD10CM Pregnancy O88.03 [O88.03] Air embolism in the puerperium ICD10CM Pregnancy O88.111 [O88.111] Amniotic fluid embolism in pregnancy, first trimester ICD10CM
Pregnancy O88.112 [O88.112] Amniotic fluid embolism in pregnancy, second trimester ICD10CM
Pregnancy O88.113 [O88.113] Amniotic fluid embolism in pregnancy, third trimester ICD10CM
Pregnancy O88.119 [O88.119] Amniotic fluid embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.12 [O88.12] Amniotic fluid embolism in childbirth ICD10CM Pregnancy O88.13 [O88.13] Amniotic fluid embolism in the puerperium ICD10CM Pregnancy O88.211 [O88.211] Thromboembolism in pregnancy, first trimester ICD10CM
Pregnancy O88.212 [O88.212] Thromboembolism in pregnancy, second trimester ICD10CM
Pregnancy O88.213 [O88.213] Thromboembolism in pregnancy, third trimester ICD10CM
Pregnancy O88.219 [O88.219] Thromboembolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.22 [O88.22] Thromboembolism in childbirth ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O88.23 [O88.23] Thromboembolism in the puerperium ICD10CM Pregnancy O88.311 [O88.311] Pyemic and septic embolism in pregnancy, first trimester ICD10CM
Pregnancy O88.312 [O88.312] Pyemic and septic embolism in pregnancy, second trimester ICD10CM
Pregnancy O88.313 [O88.313] Pyemic and septic embolism in pregnancy, third trimester ICD10CM
Pregnancy O88.319 [O88.319] Pyemic and septic embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.32 [O88.32] Pyemic and septic embolism in childbirth ICD10CM Pregnancy O88.33 [O88.33] Pyemic and septic embolism in the puerperium ICD10CM
Pregnancy O88.811 [O88.811] Other embolism in pregnancy, first trimester ICD10CM
Pregnancy O88.812 [O88.812] Other embolism in pregnancy, second trimester ICD10CM
Pregnancy O88.813 [O88.813] Other embolism in pregnancy, third trimester ICD10CM
Pregnancy O88.819 [O88.819] Other embolism in pregnancy, unspecified trimester ICD10CM Pregnancy O88.82 [O88.82] Other embolism in childbirth ICD10CM Pregnancy O88.83 [O88.83] Other embolism in the puerperium ICD10CM Pregnancy O89.01 [O89.01] Aspiration pneumonitis due to anesthesia during the puerperium ICD10CM
Pregnancy O89.09 [O89.09] Other pulmonary complications of anesthesia during the puerperium ICD10CM
Pregnancy O89.1 [O89.1] Cardiac complications of anesthesia during the puerperium ICD10CM
Pregnancy O89.2 [O89.2] Central nervous system complications of anesthesia during the puerperium ICD10CM
Pregnancy O89.3 [O89.3] Toxic reaction to local anesthesia during the puerperium ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O89.4 [O89.4] Spinal and epidural anesthesia-induced headache during the puerperium ICD10CM [O89.5] Other complications of spinal and epidural anesthesia during the Pregnancy O89.5 ICD10CM puerperium Pregnancy O89.6 [O89.6] Failed or difficult intubation for anesthesia during the puerperium ICD10CM
Pregnancy O89.8 [O89.8] Other complications of anesthesia during the puerperium ICD10CM
Pregnancy O89.9 [O89.9] Complication of anesthesia during the puerperium, unspecified ICD10CM Pregnancy O90.0 [O90.0] Disruption of cesarean delivery wound ICD10CM Pregnancy O90.1 [O90.1] Disruption of perineal obstetric wound ICD10CM Pregnancy O90.2 [O90.2] Hematoma of obstetric wound ICD10CM Pregnancy O90.3 [O90.3] Peripartum cardiomyopathy ICD10CM Pregnancy O90.4 [O90.4] Postpartum acute kidney failure ICD10CM Pregnancy O90.5 [O90.5] Postpartum thyroiditis ICD10CM Pregnancy O90.6 [O90.6] Postpartum mood disturbance ICD10CM Pregnancy O90.81 [O90.81] Anemia of the puerperium ICD10CM Pregnancy O90.89 [O90.89] Other complications of the puerperium, not elsewhere classified ICD10CM Pregnancy O90.9 [O90.9] Complication of the puerperium, unspecified ICD10CM Pregnancy O91.011 [O91.011] Infection of nipple associated with pregnancy, first trimester ICD10CM
Pregnancy O91.012 [O91.012] Infection of nipple associated with pregnancy, second trimester ICD10CM
Pregnancy O91.013 [O91.013] Infection of nipple associated with pregnancy, third trimester ICD10CM
Pregnancy O91.019 [O91.019] Infection of nipple associated with pregnancy, unspecified trimester ICD10CM
Pregnancy O91.02 [O91.02] Infection of nipple associated with the puerperium ICD10CM
Pregnancy O91.03 [O91.03] Infection of nipple associated with lactation ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O91.111 [O91.111] Abscess of breast associated with pregnancy, first trimester ICD10CM
Pregnancy O91.112 [O91.112] Abscess of breast associated with pregnancy, second trimester ICD10CM
Pregnancy O91.113 [O91.113] Abscess of breast associated with pregnancy, third trimester ICD10CM
Pregnancy O91.119 [O91.119] Abscess of breast associated with pregnancy, unspecified trimester ICD10CM
Pregnancy O91.12 [O91.12] Abscess of breast associated with the puerperium ICD10CM Pregnancy O91.13 [O91.13] Abscess of breast associated with lactation ICD10CM Pregnancy O91.211 [O91.211] Nonpurulent mastitis associated with pregnancy, first trimester ICD10CM
Pregnancy O91.212 [O91.212] Nonpurulent mastitis associated with pregnancy, second trimester ICD10CM
Pregnancy O91.213 [O91.213] Nonpurulent mastitis associated with pregnancy, third trimester ICD10CM
Pregnancy O91.219 [O91.219] Nonpurulent mastitis associated with pregnancy, unspecified trimester ICD10CM
Pregnancy O91.22 [O91.22] Nonpurulent mastitis associated with the puerperium ICD10CM
Pregnancy O91.23 [O91.23] Nonpurulent mastitis associated with lactation ICD10CM
Pregnancy O92.011 [O92.011] Retracted nipple associated with pregnancy, first trimester ICD10CM
Pregnancy O92.012 [O92.012] Retracted nipple associated with pregnancy, second trimester ICD10CM
Pregnancy O92.013 [O92.013] Retracted nipple associated with pregnancy, third trimester ICD10CM
Pregnancy O92.019 [O92.019] Retracted nipple associated with pregnancy, unspecified trimester ICD10CM
Pregnancy O92.02 [O92.02] Retracted nipple associated with the puerperium ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O92.03 [O92.03] Retracted nipple associated with lactation ICD10CM Pregnancy O92.111 [O92.111] Cracked nipple associated with pregnancy, first trimester ICD10CM
Pregnancy O92.112 [O92.112] Cracked nipple associated with pregnancy, second trimester ICD10CM
Pregnancy O92.113 [O92.113] Cracked nipple associated with pregnancy, third trimester ICD10CM
Pregnancy O92.119 [O92.119] Cracked nipple associated with pregnancy, unspecified trimester ICD10CM
Pregnancy O92.12 [O92.12] Cracked nipple associated with the puerperium ICD10CM Pregnancy O92.13 [O92.13] Cracked nipple associated with lactation ICD10CM [O92.20] Unspecified disorder of breast associated with pregnancy and the Pregnancy O92.20 ICD10CM puerperium Pregnancy O92.29 [O92.29] Other disorders of breast associated with pregnancy and the puerperium ICD10CM Pregnancy O92.3 [O92.3] Agalactia ICD10CM Pregnancy O92.4 [O92.4] Hypogalactia ICD10CM Pregnancy O92.5 [O92.5] Suppressed lactation ICD10CM Pregnancy O92.6 [O92.6] Galactorrhea ICD10CM Pregnancy O92.70 [O92.70] Unspecified disorders of lactation ICD10CM Pregnancy O92.79 [O92.79] Other disorders of lactation ICD10CM Pregnancy O98.011 [O98.011] Tuberculosis complicating pregnancy, first trimester ICD10CM
Pregnancy O98.012 [O98.012] Tuberculosis complicating pregnancy, second trimester ICD10CM
Pregnancy O98.013 [O98.013] Tuberculosis complicating pregnancy, third trimester ICD10CM
Pregnancy O98.019 [O98.019] Tuberculosis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.02 [O98.02] Tuberculosis complicating childbirth ICD10CM Pregnancy O98.03 [O98.03] Tuberculosis complicating the puerperium ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O98.111 [O98.111] Syphilis complicating pregnancy, first trimester ICD10CM
Pregnancy O98.112 [O98.112] Syphilis complicating pregnancy, second trimester ICD10CM
Pregnancy O98.113 [O98.113] Syphilis complicating pregnancy, third trimester ICD10CM
Pregnancy O98.119 [O98.119] Syphilis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.12 [O98.12] Syphilis complicating childbirth ICD10CM Pregnancy O98.13 [O98.13] Syphilis complicating the puerperium ICD10CM Pregnancy O98.211 [O98.211] Gonorrhea complicating pregnancy, first trimester ICD10CM
Pregnancy O98.212 [O98.212] Gonorrhea complicating pregnancy, second trimester ICD10CM
Pregnancy O98.213 [O98.213] Gonorrhea complicating pregnancy, third trimester ICD10CM
Pregnancy O98.219 [O98.219] Gonorrhea complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.22 [O98.22] Gonorrhea complicating childbirth ICD10CM Pregnancy O98.23 [O98.23] Gonorrhea complicating the puerperium ICD10CM [O98.311] Other infections with a predominantly sexual mode of transmission Pregnancy O98.311 ICD10CM complicating pregnancy, first trimester
[O98.312] Other infections with a predominantly sexual mode of transmission Pregnancy O98.312 ICD10CM complicating pregnancy, second trimester
[O98.313] Other infections with a predominantly sexual mode of transmission Pregnancy O98.313 ICD10CM complicating pregnancy, third trimester
[O98.319] Other infections with a predominantly sexual mode of transmission Pregnancy O98.319 ICD10CM complicating pregnancy, unspecified trimester
Page 143 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O98.32] Other infections with a predominantly sexual mode of transmission Pregnancy O98.32 ICD10CM complicating childbirth [O98.33] Other infections with a predominantly sexual mode of transmission Pregnancy O98.33 ICD10CM complicating the puerperium
Pregnancy O98.411 [O98.411] Viral hepatitis complicating pregnancy, first trimester ICD10CM
Pregnancy O98.412 [O98.412] Viral hepatitis complicating pregnancy, second trimester ICD10CM
Pregnancy O98.413 [O98.413] Viral hepatitis complicating pregnancy, third trimester ICD10CM
Pregnancy O98.419 [O98.419] Viral hepatitis complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.42 [O98.42] Viral hepatitis complicating childbirth ICD10CM Pregnancy O98.43 [O98.43] Viral hepatitis complicating the puerperium ICD10CM Pregnancy O98.511 [O98.511] Other viral diseases complicating pregnancy, first trimester ICD10CM
Pregnancy O98.512 [O98.512] Other viral diseases complicating pregnancy, second trimester ICD10CM
Pregnancy O98.513 [O98.513] Other viral diseases complicating pregnancy, third trimester ICD10CM
Pregnancy O98.519 [O98.519] Other viral diseases complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.52 [O98.52] Other viral diseases complicating childbirth ICD10CM Pregnancy O98.53 [O98.53] Other viral diseases complicating the puerperium ICD10CM
Pregnancy O98.611 [O98.611] Protozoal diseases complicating pregnancy, first trimester ICD10CM
Pregnancy O98.612 [O98.612] Protozoal diseases complicating pregnancy, second trimester ICD10CM
Pregnancy O98.613 [O98.613] Protozoal diseases complicating pregnancy, third trimester ICD10CM
Page 144 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O98.619 [O98.619] Protozoal diseases complicating pregnancy, unspecified trimester ICD10CM Pregnancy O98.62 [O98.62] Protozoal diseases complicating childbirth ICD10CM Pregnancy O98.63 [O98.63] Protozoal diseases complicating the puerperium ICD10CM [O98.711] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.711 ICD10CM first trimester [O98.712] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.712 ICD10CM second trimester [O98.713] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.713 ICD10CM third trimester [O98.719] Human immunodeficiency virus [HIV] disease complicating pregnancy, Pregnancy O98.719 ICD10CM unspecified trimester
Pregnancy O98.72 [O98.72] Human immunodeficiency virus [HIV] disease complicating childbirth ICD10CM [O98.73] Human immunodeficiency virus [HIV] disease complicating the Pregnancy O98.73 ICD10CM puerperium [O98.811] Other maternal infectious and parasitic diseases complicating pregnancy, Pregnancy O98.811 ICD10CM first trimester [O98.812] Other maternal infectious and parasitic diseases complicating pregnancy, Pregnancy O98.812 ICD10CM second trimester [O98.813] Other maternal infectious and parasitic diseases complicating pregnancy, Pregnancy O98.813 ICD10CM third trimester [O98.819] Other maternal infectious and parasitic diseases complicating pregnancy, Pregnancy O98.819 ICD10CM unspecified trimester
Pregnancy O98.82 [O98.82] Other maternal infectious and parasitic diseases complicating childbirth ICD10CM [O98.83] Other maternal infectious and parasitic diseases complicating the Pregnancy O98.83 ICD10CM puerperium
Page 145 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O98.911] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.911 ICD10CM pregnancy, first trimester
[O98.912] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.912 ICD10CM pregnancy, second trimester
[O98.913] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.913 ICD10CM pregnancy, third trimester
[O98.919] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.919 ICD10CM pregnancy, unspecified trimester [O98.92] Unspecified maternal infectious and parasitic disease complicating Pregnancy O98.92 ICD10CM childbirth [O98.93] Unspecified maternal infectious and parasitic disease complicating the Pregnancy O98.93 ICD10CM puerperium Pregnancy O99.011 [O99.011] Anemia complicating pregnancy, first trimester ICD10CM
Pregnancy O99.012 [O99.012] Anemia complicating pregnancy, second trimester ICD10CM
Pregnancy O99.013 [O99.013] Anemia complicating pregnancy, third trimester ICD10CM
Pregnancy O99.019 [O99.019] Anemia complicating pregnancy, unspecified trimester ICD10CM Pregnancy O99.02 [O99.02] Anemia complicating childbirth ICD10CM Pregnancy O99.03 [O99.03] Anemia complicating the puerperium ICD10CM
[O99.111] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.111 ICD10CM disorders involving the immune mechanism complicating pregnancy, first trimester
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Exclusions Value Set Name Code Definition Code System [O99.112] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.112 disorders involving the immune mechanism complicating pregnancy, second ICD10CM trimester
[O99.113] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.113 ICD10CM disorders involving the immune mechanism complicating pregnancy, third trimester
[O99.119] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.119 disorders involving the immune mechanism complicating pregnancy, unspecified ICD10CM trimester
[O99.12] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.12 ICD10CM disorders involving the immune mechanism complicating childbirth
[O99.13] Other diseases of the blood and blood-forming organs and certain Pregnancy O99.13 ICD10CM disorders involving the immune mechanism complicating the puerperium
Pregnancy O99.210 [O99.210] Obesity complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O99.211 [O99.211] Obesity complicating pregnancy, first trimester ICD10CM
Pregnancy O99.212 [O99.212] Obesity complicating pregnancy, second trimester ICD10CM
Pregnancy O99.213 [O99.213] Obesity complicating pregnancy, third trimester ICD10CM Pregnancy O99.214 [O99.214] Obesity complicating childbirth ICD10CM Pregnancy O99.215 [O99.215] Obesity complicating the puerperium ICD10CM [O99.280] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.280 ICD10CM unspecified trimester [O99.281] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.281 ICD10CM first trimester
Page 147 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O99.282] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.282 ICD10CM second trimester [O99.283] Endocrine, nutritional and metabolic diseases complicating pregnancy, Pregnancy O99.283 ICD10CM third trimester Pregnancy O99.284 [O99.284] Endocrine, nutritional and metabolic diseases complicating childbirth ICD10CM [O99.285] Endocrine, nutritional and metabolic diseases complicating the Pregnancy O99.285 ICD10CM puerperium Pregnancy O99.310 [O99.310] Alcohol use complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O99.311 [O99.311] Alcohol use complicating pregnancy, first trimester ICD10CM
Pregnancy O99.312 [O99.312] Alcohol use complicating pregnancy, second trimester ICD10CM
Pregnancy O99.313 [O99.313] Alcohol use complicating pregnancy, third trimester ICD10CM Pregnancy O99.314 [O99.314] Alcohol use complicating childbirth ICD10CM Pregnancy O99.315 [O99.315] Alcohol use complicating the puerperium ICD10CM Pregnancy O99.320 [O99.320] Drug use complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O99.321 [O99.321] Drug use complicating pregnancy, first trimester ICD10CM
Pregnancy O99.322 [O99.322] Drug use complicating pregnancy, second trimester ICD10CM
Pregnancy O99.323 [O99.323] Drug use complicating pregnancy, third trimester ICD10CM Pregnancy O99.324 [O99.324] Drug use complicating childbirth ICD10CM Pregnancy O99.325 [O99.325] Drug use complicating the puerperium ICD10CM Pregnancy O99.330 [O99.330] Smoking (tobacco) complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O99.331 [O99.331] Smoking (tobacco) complicating pregnancy, first trimester ICD10CM
Page 148 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O99.332 [O99.332] Smoking (tobacco) complicating pregnancy, second trimester ICD10CM
Pregnancy O99.333 [O99.333] Smoking (tobacco) complicating pregnancy, third trimester ICD10CM Pregnancy O99.334 [O99.334] Smoking (tobacco) complicating childbirth ICD10CM Pregnancy O99.335 [O99.335] Smoking (tobacco) complicating the puerperium ICD10CM
Pregnancy O99.340 [O99.340] Other mental disorders complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O99.341 [O99.341] Other mental disorders complicating pregnancy, first trimester ICD10CM
Pregnancy O99.342 [O99.342] Other mental disorders complicating pregnancy, second trimester ICD10CM
Pregnancy O99.343 [O99.343] Other mental disorders complicating pregnancy, third trimester ICD10CM
Pregnancy O99.344 [O99.344] Other mental disorders complicating childbirth ICD10CM
Pregnancy O99.345 [O99.345] Other mental disorders complicating the puerperium ICD10CM [O99.350] Diseases of the nervous system complicating pregnancy, unspecified Pregnancy O99.350 ICD10CM trimester Pregnancy O99.351 [O99.351] Diseases of the nervous system complicating pregnancy, first trimester ICD10CM [O99.352] Diseases of the nervous system complicating pregnancy, second Pregnancy O99.352 ICD10CM trimester Pregnancy O99.353 [O99.353] Diseases of the nervous system complicating pregnancy, third trimester ICD10CM
Pregnancy O99.354 [O99.354] Diseases of the nervous system complicating childbirth ICD10CM
Pregnancy O99.355 [O99.355] Diseases of the nervous system complicating the puerperium ICD10CM
Pregnancy O99.411 [O99.411] Diseases of the circulatory system complicating pregnancy, first trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System [O99.412] Diseases of the circulatory system complicating pregnancy, second Pregnancy O99.412 ICD10CM trimester [O99.413] Diseases of the circulatory system complicating pregnancy, third Pregnancy O99.413 ICD10CM trimester [O99.419] Diseases of the circulatory system complicating pregnancy, unspecified Pregnancy O99.419 ICD10CM trimester Pregnancy O99.42 [O99.42] Diseases of the circulatory system complicating childbirth ICD10CM
Pregnancy O99.43 [O99.43] Diseases of the circulatory system complicating the puerperium ICD10CM [O99.511] Diseases of the respiratory system complicating pregnancy, first Pregnancy O99.511 ICD10CM trimester [O99.512] Diseases of the respiratory system complicating pregnancy, second Pregnancy O99.512 ICD10CM trimester [O99.513] Diseases of the respiratory system complicating pregnancy, third Pregnancy O99.513 ICD10CM trimester [O99.519] Diseases of the respiratory system complicating pregnancy, unspecified Pregnancy O99.519 ICD10CM trimester Pregnancy O99.52 [O99.52] Diseases of the respiratory system complicating childbirth ICD10CM
Pregnancy O99.53 [O99.53] Diseases of the respiratory system complicating the puerperium ICD10CM
Pregnancy O99.611 [O99.611] Diseases of the digestive system complicating pregnancy, first trimester ICD10CM [O99.612] Diseases of the digestive system complicating pregnancy, second Pregnancy O99.612 ICD10CM trimester Pregnancy O99.613 [O99.613] Diseases of the digestive system complicating pregnancy, third trimester ICD10CM [O99.619] Diseases of the digestive system complicating pregnancy, unspecified Pregnancy O99.619 ICD10CM trimester Pregnancy O99.62 [O99.62] Diseases of the digestive system complicating childbirth ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O99.63 [O99.63] Diseases of the digestive system complicating the puerperium ICD10CM [O99.711] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.711 ICD10CM first trimester [O99.712] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.712 ICD10CM second trimester [O99.713] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.713 ICD10CM third trimester [O99.719] Diseases of the skin and subcutaneous tissue complicating pregnancy, Pregnancy O99.719 ICD10CM unspecified trimester Pregnancy O99.72 [O99.72] Diseases of the skin and subcutaneous tissue complicating childbirth ICD10CM
Pregnancy O99.73 [O99.73] Diseases of the skin and subcutaneous tissue complicating the puerperium ICD10CM Pregnancy O99.810 [O99.810] Abnormal glucose complicating pregnancy ICD10CM Pregnancy O99.814 [O99.814] Abnormal glucose complicating childbirth ICD10CM Pregnancy O99.815 [O99.815] Abnormal glucose complicating the puerperium ICD10CM
Pregnancy O99.820 [O99.820] Streptococcus B carrier state complicating pregnancy ICD10CM
Pregnancy O99.824 [O99.824] Streptococcus B carrier state complicating childbirth ICD10CM
Pregnancy O99.825 [O99.825] Streptococcus B carrier state complicating the puerperium ICD10CM
Pregnancy O99.830 [O99.830] Other infection carrier state complicating pregnancy ICD10CM
Pregnancy O99.834 [O99.834] Other infection carrier state complicating childbirth ICD10CM
Pregnancy O99.835 [O99.835] Other infection carrier state complicating the puerperium ICD10CM
Pregnancy O99.840 [O99.840] Bariatric surgery status complicating pregnancy, unspecified trimester ICD10CM
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Exclusions Value Set Name Code Definition Code System Pregnancy O99.841 [O99.841] Bariatric surgery status complicating pregnancy, first trimester ICD10CM
Pregnancy O99.842 [O99.842] Bariatric surgery status complicating pregnancy, second trimester ICD10CM
Pregnancy O99.843 [O99.843] Bariatric surgery status complicating pregnancy, third trimester ICD10CM
Pregnancy O99.844 [O99.844] Bariatric surgery status complicating childbirth ICD10CM
Pregnancy O99.845 [O99.845] Bariatric surgery status complicating the puerperium ICD10CM
[O99.89] Other specified diseases and conditions complicating pregnancy, childbirth Pregnancy O99.89 ICD10CM and the puerperium
Pregnancy O9A.111 [O9A.111] Malignant neoplasm complicating pregnancy, first trimester ICD10CM
Pregnancy O9A.112 [O9A.112] Malignant neoplasm complicating pregnancy, second trimester ICD10CM
Pregnancy O9A.113 [O9A.113] Malignant neoplasm complicating pregnancy, third trimester ICD10CM
Pregnancy O9A.119 [O9A.119] Malignant neoplasm complicating pregnancy, unspecified trimester ICD10CM
Pregnancy O9A.12 [O9A.12] Malignant neoplasm complicating childbirth ICD10CM
Pregnancy O9A.13 [O9A.13] Malignant neoplasm complicating the puerperium ICD10CM
[O9A.211] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.211 ICD10CM complicating pregnancy, first trimester
[O9A.212] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.212 ICD10CM complicating pregnancy, second trimester
Page 152 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System [O9A.213] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.213 ICD10CM complicating pregnancy, third trimester
[O9A.219] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.219 ICD10CM complicating pregnancy, unspecified trimester
[O9A.22] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.22 ICD10CM complicating childbirth
[O9A.23] Injury, poisoning and certain other consequences of external causes Pregnancy O9A.23 ICD10CM complicating the puerperium
Pregnancy O9A.311 [O9A.311] Physical abuse complicating pregnancy, first trimester ICD10CM
Pregnancy O9A.312 [O9A.312] Physical abuse complicating pregnancy, second trimester ICD10CM
Pregnancy O9A.313 [O9A.313] Physical abuse complicating pregnancy, third trimester ICD10CM
Pregnancy O9A.319 [O9A.319] Physical abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.32 [O9A.32] Physical abuse complicating childbirth ICD10CM Pregnancy O9A.33 [O9A.33] Physical abuse complicating the puerperium ICD10CM
Pregnancy O9A.411 [O9A.411] Sexual abuse complicating pregnancy, first trimester ICD10CM
Pregnancy O9A.412 [O9A.412] Sexual abuse complicating pregnancy, second trimester ICD10CM
Pregnancy O9A.413 [O9A.413] Sexual abuse complicating pregnancy, third trimester ICD10CM
Pregnancy O9A.419 [O9A.419] Sexual abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.42 [O9A.42] Sexual abuse complicating childbirth ICD10CM Pregnancy O9A.43 [O9A.43] Sexual abuse complicating the puerperium ICD10CM
Page 153 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy O9A.511 [O9A.511] Psychological abuse complicating pregnancy, first trimester ICD10CM
Pregnancy O9A.512 [O9A.512] Psychological abuse complicating pregnancy, second trimester ICD10CM
Pregnancy O9A.513 [O9A.513] Psychological abuse complicating pregnancy, third trimester ICD10CM
Pregnancy O9A.519 [O9A.519] Psychological abuse complicating pregnancy, unspecified trimester ICD10CM Pregnancy O9A.52 [O9A.52] Psychological abuse complicating childbirth ICD10CM Pregnancy O9A.53 [O9A.53] Psychological abuse complicating the puerperium ICD10CM [Z03.71] Encounter for suspected problem with amniotic cavity and membrane Pregnancy Z03.71 ICD10CM ruled out Pregnancy Z03.72 [Z03.72] Encounter for suspected placental problem ruled out ICD10CM
Pregnancy Z03.73 [Z03.73] Encounter for suspected fetal anomaly ruled out ICD10CM
Pregnancy Z03.74 [Z03.74] Encounter for suspected problem with fetal growth ruled out ICD10CM
Pregnancy Z03.75 [Z03.75] Encounter for suspected cervical shortening ruled out ICD10CM
Pregnancy Z03.79 [Z03.79] Encounter for other suspected maternal and fetal conditions ruled out ICD10CM Pregnancy Z33.1 [Z33.1] Pregnant state, incidental ICD10CM Pregnancy Z33.2 [Z33.2] Encounter for elective termination of pregnancy ICD10CM Pregnancy Z33.3 [Z33.3] Pregnant state, gestational carrier ICD10CM Pregnancy Z34.00 [Z34.00] Encounter for supervision of normal first pregnancy, unspecified trimester ICD10CM
Pregnancy Z34.01 [Z34.01] Encounter for supervision of normal first pregnancy, first trimester ICD10CM
Pregnancy Z34.02 [Z34.02] Encounter for supervision of normal first pregnancy, second trimester ICD10CM
Page 154 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy Z34.03 [Z34.03] Encounter for supervision of normal first pregnancy, third trimester ICD10CM [Z34.80] Encounter for supervision of other normal pregnancy, unspecified Pregnancy Z34.80 ICD10CM trimester Pregnancy Z34.81 [Z34.81] Encounter for supervision of other normal pregnancy, first trimester ICD10CM
Pregnancy Z34.82 [Z34.82] Encounter for supervision of other normal pregnancy, second trimester ICD10CM
Pregnancy Z34.83 [Z34.83] Encounter for supervision of other normal pregnancy, third trimester ICD10CM [Z34.90] Encounter for supervision of normal pregnancy, unspecified, unspecified Pregnancy Z34.90 ICD10CM trimester Pregnancy Z34.91 [Z34.91] Encounter for supervision of normal pregnancy, unspecified, first trimester ICD10CM [Z34.92] Encounter for supervision of normal pregnancy, unspecified, second Pregnancy Z34.92 ICD10CM trimester [Z34.93] Encounter for supervision of normal pregnancy, unspecified, third Pregnancy Z34.93 ICD10CM trimester Pregnancy Z36 [Z36] Encounter for antenatal screening of mother ICD10CM Pregnancy Z36.0 [Z36.0] Encounter for antenatal screening for chromosomal anomalies ICD10CM
Pregnancy Z36.1 [Z36.1] Encounter for antenatal screening for raised alphafetoprotein level ICD10CM
Pregnancy Z36.2 [Z36.2] Encounter for other antenatal screening follow-up ICD10CM
Pregnancy Z36.3 [Z36.3] Encounter for antenatal screening for malformations ICD10CM
Pregnancy Z36.4 [Z36.4] Encounter for antenatal screening for fetal growth retardation ICD10CM
Pregnancy Z36.5 [Z36.5] Encounter for antenatal screening for isoimmunization ICD10CM
Pregnancy Z36.81 [Z36.81] Encounter for antenatal screening for hydrops fetalis ICD10CM
Page 155 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pregnancy Z36.82 [Z36.82] Encounter for antenatal screening for nuchal translucency ICD10CM
Pregnancy Z36.83 [Z36.83] Encounter for fetal screening for congenital cardiac abnormalities ICD10CM
Pregnancy Z36.84 [Z36.84] Encounter for antenatal screening for fetal lung maturity ICD10CM
Pregnancy Z36.85 [Z36.85] Encounter for antenatal screening for Streptococcus B ICD10CM
Pregnancy Z36.86 [Z36.86] Encounter for antenatal screening for cervical length ICD10CM
Pregnancy Z36.87 [Z36.87] Encounter for antenatal screening for uncertain dates ICD10CM
Pregnancy Z36.88 [Z36.88] Encounter for antenatal screening for fetal macrosomia ICD10CM
Pregnancy Z36.89 [Z36.89] Encounter for other specified antenatal screening ICD10CM
Pregnancy Z36.8A [Z36.8A] Encounter for antenatal screening for other genetic defects ICD10CM
Pregnancy Z36.9 [Z36.9] Encounter for antenatal screening, unspecified ICD10CM SNOMED CT US Pregnancy 127009 Miscarriage with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 172001 Endometritis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 195005 Illegal abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 223003 Tumor of body of uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 320003 Cervical dilatation, 1cm (finding) Edition SNOMED CT US Pregnancy 443006 Cystocele affecting pregnancy (disorder) Edition
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Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 663008 Pulmonary embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 682004 Thrombosis complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 871005 Contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 904002 Pinard's sign (finding) Edition SNOMED CT US Pregnancy 931004 Gestation period, 9 weeks (finding) Edition SNOMED CT US Pregnancy 1124005 Postpartum period, 6 days (finding) Edition SNOMED CT US Pregnancy 1125006 Sepsis during labor (disorder) Edition SNOMED CT US Pregnancy 1343000 Deep transverse arrest (disorder) Edition SNOMED CT US Pregnancy 1469007 Miscarriage with urinary tract infection (disorder) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 1474004 childbirth (disorder) Edition SNOMED CT US Pregnancy 1538006 Central nervous system malformation in fetus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 1592005 Failed attempted abortion with uremia (disorder) Edition SNOMED CT US Pregnancy 1639007 Abnormality of organs AND/OR soft tissues of pelvis affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 2239004 Previous pregnancies 6 (finding) Edition SNOMED CT US Pregnancy 2261009 Obstetrical pulmonary fat embolism (disorder) Edition SNOMED CT US Pregnancy 2437000 Placenta circumvallata (disorder) Edition
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Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 2781009 Miscarriage complicated by delayed and/or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 2858002 Puerperal sepsis (disorder) Edition SNOMED CT US Pregnancy 2989004 Complication following molar AND/OR ectopic pregnancy (disorder) Edition Bone AND/OR joint disorder of pelvis in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 3033000 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 3230006 Illegal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 3634007 Legal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 3798002 Premature birth of identical twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 3873005 Failed attempted abortion with acute yellow atrophy of liver (disorder) Edition SNOMED CT US Pregnancy 3885002 ABO isoimmunization affecting pregnancy (disorder) Edition Placental sulfatase deficiency (X-linked steryl-sulfatase deficiency) in a female SNOMED CT US Pregnancy 3944006 (disorder) Edition SNOMED CT US Pregnancy 3950001 Birth (finding) Edition SNOMED CT US Pregnancy 4006006 Fetal tachycardia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 4026005 Interstitial mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 4174008 Placenta tripartita (disorder) Edition SNOMED CT US Pregnancy 4426000 Ten previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 4451004 Illegal abortion with renal tubular necrosis (disorder) Edition
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Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 4576001 Legal abortion complicated by renal failure (disorder) Edition Maternal diabetes mellitus with hypoglycemia affecting fetus OR newborn SNOMED CT US Pregnancy 4783006 (disorder) Edition SNOMED CT US Pregnancy 4787007 Fetal or neonatal effect of breech delivery and extraction (disorder) Edition SNOMED CT US Pregnancy 4886009 Premature birth of newborn male (finding) Edition SNOMED CT US Pregnancy 4907004 Non-involution of uterus (disorder) Edition SNOMED CT US Pregnancy 4910006 Premature abnormal placenta (disorder) Edition SNOMED CT US Pregnancy 5010004 Amniotic fluid embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 5577003 Legal abortion with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 5626004 Varicose veins of legs complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 5740008 Pelvic hematoma during delivery (disorder) Edition SNOMED CT US Pregnancy 5792004 Legal abortion with acute yellow atrophy of liver (disorder) Edition SNOMED CT US Pregnancy 5939002 Failed attempted abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 5945005 Legal abortion with urinary tract infection (disorder) Edition Fetal or neonatal effect of malpresentation, malposition and/or disproportion SNOMED CT US Pregnancy 5984000 during labor and/or delivery (disorder) Edition SNOMED CT US Pregnancy 6134000 Illegal abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 6176008 Mycotic abortion (disorder) Edition
Page 159 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 6234006 Second degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 6383007 Premature labor (finding) Edition SNOMED CT US Pregnancy 6509007 Electrolyte imbalance following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 6594005 Cerebrovascular disorder in the puerperium (disorder) Edition Congenital cardiovascular disorder in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 6636004 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 6647006 Legal abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 6678005 Gestation period, 15 weeks (finding) Edition SNOMED CT US Pregnancy 6802007 Illegal abortion with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 6825008 Perineal laceration involving rectovaginal septum (disorder) Edition SNOMED CT US Pregnancy 6867004 Previous pregnancies more than 10 (finding) Edition SNOMED CT US Pregnancy 6891008 Uterine incoordination, second degree (disorder) Edition SNOMED CT US Pregnancy 6893006 First stage of labor (finding) Edition SNOMED CT US Pregnancy 7166002 Legal abortion with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 7245003 Fetal dystocia (disorder) Edition SNOMED CT US Pregnancy 7266006 Total placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 7504005 Trauma to vulva during delivery (disorder) Edition
Page 160 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 7707000 Gestation period, 32 weeks (finding) Edition SNOMED CT US Pregnancy 7768008 Failure of cervical dilation (disorder) Edition SNOMED CT US Pregnancy 7792000 Placenta previa without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 7802000 Illegal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 7809009 Miscarriage with laceration of uterus (disorder) Edition Failed attempted abortion complicated by damage to pelvic organs AND/OR tissues SNOMED CT US Pregnancy 7822001 (disorder) Edition SNOMED CT US Pregnancy 7860005 Stillbirth of mature male (2500 gms. or more) (finding) Edition SNOMED CT US Pregnancy 7888004 Term birth of newborn quadruplets (finding) Edition SNOMED CT US Pregnancy 7907005 Cylindrical embryo (disorder) Edition SNOMED CT US Pregnancy 7910003 Miscarriage with salpingitis (disorder) Edition SNOMED CT US Pregnancy 8071005 Miscarriage with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 8076000 Postmature abnormal placenta (disorder) Edition Chronic hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 8218002 (disorder) Edition SNOMED CT US Pregnancy 8333008 Term birth of newborn triplets (finding) Edition SNOMED CT US Pregnancy 8393005 Tetanic contractions of uterus (disorder) Edition SNOMED CT US Pregnancy 8445003 Tumor of vulva affecting pregnancy (disorder) Edition
Page 161 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 8468007 Legal abortion with uremia (disorder) Edition SNOMED CT US Pregnancy 8670007 Illegal abortion with salpingo-oophoritis (disorder) Edition SNOMED CT US Pregnancy 8762007 Chronic hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 8884000 Fetal ascites causing disproportion (disorder) Edition SNOMED CT US Pregnancy 8996006 Illegal abortion complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 9107002 Perineal laceration involving perineal muscles (disorder) Edition SNOMED CT US Pregnancy 9279009 Extra-amniotic pregnancy (finding) Edition SNOMED CT US Pregnancy 9293002 Atony of uterus (disorder) Edition SNOMED CT US Pregnancy 9297001 Uterus bicornis affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 9343003 Term birth of newborn female (finding) Edition SNOMED CT US Pregnancy 9402004 Five previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 9442009 Parturient hemorrhage associated with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 9516007 Salpingitis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 9686009 Goodell's sign (finding) Edition SNOMED CT US Pregnancy 9720009 Cicatrix of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 9780006 Presentation of prolapsed arm of fetus (disorder) Edition
Page 162 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 9864005 Placenta multipartita (disorder) Edition SNOMED CT US Pregnancy 9899009 Ovarian pregnancy (disorder) Edition Essential hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 9901000 (disorder) Edition SNOMED CT US Pregnancy 10058006 Miscarriage with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 10152009 Postpartum state, 4 weeks (finding) Edition SNOMED CT US Pregnancy 10217006 Third degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 10423003 Braun von Fernwald's sign (finding) Edition Malignant hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 10562009 (disorder) Edition SNOMED CT US Pregnancy 10573002 Infection of amniotic cavity (disorder) Edition SNOMED CT US Pregnancy 10697004 Miscarriage complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 10853001 Obstetrical complication of general anesthesia (disorder) Edition SNOMED CT US Pregnancy 10884004 Threatened abortion in third trimester (disorder) Edition SNOMED CT US Pregnancy 11026009 Miscarriage with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 11082009 Abnormal pregnancy (finding) Edition SNOMED CT US Pregnancy 11109001 Miscarriage with uremia (disorder) Edition SNOMED CT US Pregnancy 11209007 Cord entanglement without compression (disorder) Edition
Page 163 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 11337002 Quickening of fetus (finding) Edition SNOMED CT US Pregnancy 11373009 Illegal abortion with sepsis (disorder) Edition SNOMED CT US Pregnancy 11454006 Failed attempted abortion with amniotic fluid embolism (disorder) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 11511004 puerperium (disorder) Edition SNOMED CT US Pregnancy 11669000 Postoperative shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 11687002 Gestational diabetes mellitus (disorder) Edition SNOMED CT US Pregnancy 11763009 Placenta increta (disorder) Edition SNOMED CT US Pregnancy 11914001 Transverse OR oblique presentation of fetus (disorder) Edition SNOMED CT US Pregnancy 11942004 Perineal laceration involving pelvic floor (disorder) Edition SNOMED CT US Pregnancy 12062007 Puerperal pelvic cellulitis (disorder) Edition SNOMED CT US Pregnancy 12095001 Legal abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 12296009 Legal abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 12349003 Danforth's sign (finding) Edition SNOMED CT US Pregnancy 12394009 Miscarriage with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 12729009 Prolonged rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 12803000 High maternal weight gain (finding) Edition
Page 164 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 12867002 Fetal distress affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 12983003 Failed attempted abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 13100007 Legal abortion with laceration of uterus (disorder) Edition SNOMED CT US Pregnancy 13273002 Postpartum period, 4 days (finding) Edition SNOMED CT US Pregnancy 13384007 Miscarriage complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 13404009 Twin-to-twin blood transfer (disorder) Edition SNOMED CT US Pregnancy 13763000 Gestation period, 34 weeks (finding) Edition SNOMED CT US Pregnancy 13798002 Gestation period, 38 weeks (finding) Edition SNOMED CT US Pregnancy 13842006 Sub-involution of uterus (disorder) Edition SNOMED CT US Pregnancy 13859001 Premature birth of newborn twins (finding) Edition SNOMED CT US Pregnancy 13866000 Fetal acidemia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 13868004 Para 5 (finding) Edition SNOMED CT US Pregnancy 13943000 Failed attempted abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 14022007 Fetal death, affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 14049007 Chaussier's sign (finding) Edition SNOMED CT US Pregnancy 14094001 Excessive vomiting in pregnancy (disorder) Edition
Page 165 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 14136000 Miscarriage with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 14209008 Para 1 (finding) Edition SNOMED CT US Pregnancy 14331002 Failed vacuum extraction delivery (disorder) Edition SNOMED CT US Pregnancy 14418008 Precocious pregnancy (finding) Edition SNOMED CT US Pregnancy 14918004 Disruption of perineal wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 15100005 Postpartum state, 2 weeks (finding) Edition SNOMED CT US Pregnancy 15196006 Intraplacental hematoma (disorder) Edition SNOMED CT US Pregnancy 15230009 Liver disorder in pregnancy (disorder) Edition SNOMED CT US Pregnancy 15394000 Toxemia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 15400003 Obstetrical air embolism (disorder) Edition SNOMED CT US Pregnancy 15406009 Retromammary abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 15467003 Term birth of identical twins, both living (finding) Edition SNOMED CT US Pregnancy 15504009 Rupture of gravid uterus (disorder) Edition SNOMED CT US Pregnancy 15511008 Legal abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 15539009 Hydrops fetalis due to isoimmunization (disorder) Edition SNOMED CT US Pregnancy 15592002 Previous pregnancy 1 (finding) Edition
Page 166 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 15633004 Gestation period, 16 weeks (finding) Edition SNOMED CT US Pregnancy 15663008 Placenta previa centralis (disorder) Edition SNOMED CT US Pregnancy 15809008 Miscarriage with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 15898009 Third stage of labor (finding) Edition SNOMED CT US Pregnancy 15938005 Eclampsia (disorder) Edition SNOMED CT US Pregnancy 16038004 Abortion due to Leptospira (disorder) Edition Damage to pelvic organs AND/OR tissues following molar AND/OR ectopic SNOMED CT US Pregnancy 16083003 pregnancy (disorder) Edition SNOMED CT US Pregnancy 16356006 Multiple pregnancy (disorder) Edition SNOMED CT US Pregnancy 16538005 Early postpartum state (finding) Edition Cardiac arrest after obstetrical surgery AND/OR other procedure including delivery SNOMED CT US Pregnancy 16574001 (disorder) Edition SNOMED CT US Pregnancy 16607004 Missed abortion (disorder) Edition SNOMED CT US Pregnancy 16714009 Miscarriage with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 16756008 Albuminuria in pregnancy without hypertension (disorder) Edition SNOMED CT US Pregnancy 16950007 Fourth degree perineal laceration involving anal mucosa (disorder) Edition SNOMED CT US Pregnancy 17263003 Amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 17285009 Intraperitoneal pregnancy (disorder) Edition
Page 167 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 17333005 Term birth of multiple newborns (finding) Edition SNOMED CT US Pregnancy 17335003 Illegal abortion with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 17369002 Miscarriage (disorder) Edition SNOMED CT US Pregnancy 17380002 Failed attempted abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 17382005 Cervical incompetence (disorder) Edition SNOMED CT US Pregnancy 17433009 Ruptured ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 17532001 Breech malpresentation successfully converted to cephalic presentation (disorder) Edition SNOMED CT US Pregnancy 17588005 Abnormal yolk sac (disorder) Edition SNOMED CT US Pregnancy 17594002 Fetal bradycardia affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 17618008 Previous pregnancies 9 (finding) Edition SNOMED CT US Pregnancy 17787002 Peripheral neuritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 18122002 Normal uterine contraction wave (finding) Edition SNOMED CT US Pregnancy 18237006 Parenchymatous mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 18260003 Postpartum psychosis (disorder) Edition SNOMED CT US Pregnancy 18391007 Elective abortion (disorder) Edition Essential hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 18416000 (disorder) Edition
Page 168 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 18606002 Dyscoordinate labor (disorder) Edition SNOMED CT US Pregnancy 18613002 Miscarriage with septic shock (disorder) Edition SNOMED CT US Pregnancy 18656007 Grand multipara (finding) Edition SNOMED CT US Pregnancy 18684002 Illegal abortion complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 18872002 Illegal abortion with laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 18894005 Legal abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 18909006 Fetal or neonatal effect of transverse lie (disorder) Edition SNOMED CT US Pregnancy 19099008 Failed attempted abortion with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 19117007 Placenta reflexa (disorder) Edition SNOMED CT US Pregnancy 19169002 Miscarriage in first trimester (disorder) Edition SNOMED CT US Pregnancy 19228003 Failed attempted abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 19236007 Immature abnormal placenta (disorder) Edition SNOMED CT US Pregnancy 19258009 Placenta extrachorales (disorder) Edition SNOMED CT US Pregnancy 19337000 Fully effaced cervix (finding) Edition SNOMED CT US Pregnancy 19363005 Failed attempted abortion with blood-clot embolism (disorder) Edition SNOMED CT US Pregnancy 19564003 Illegal abortion with laceration of periurethral tissue (disorder) Edition
Page 169 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 19569008 Mild hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 19729005 Prolapse of anterior lip of cervix obstructing labor (disorder) Edition SNOMED CT US Pregnancy 19773009 Infection of the breast AND/OR nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 19866007 Previous operation to cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 20084001 Intravascular hemolysis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 20216003 Legal abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 20236002 Labor established (finding) Edition SNOMED CT US Pregnancy 20259008 Finding of ballottement of fetal parts (finding) Edition SNOMED CT US Pregnancy 20272009 Premature birth of multiple newborns (finding) Edition SNOMED CT US Pregnancy 20286008 Gorissenne's sign (finding) Edition SNOMED CT US Pregnancy 20391007 Amniotic cyst (disorder) Edition SNOMED CT US Pregnancy 20483002 Legal abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 20625004 Obstruction caused by position of fetus at onset of labor (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 20753005 (disorder) Edition SNOMED CT US Pregnancy 20845005 Meconium in amniotic fluid affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 20932005 Puerperal salpingitis (disorder) Edition
Page 170 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 20956009 Phlebitis complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 21127004 Term birth of newborn male (finding) Edition SNOMED CT US Pregnancy 21243004 Term birth of newborn (finding) Edition SNOMED CT US Pregnancy 21280005 Legal abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 21334005 Failed attempted abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 21346009 Double uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 21360006 Miscarriage with afibrinogenemia (disorder) Edition Pressure collapse of lung after anesthesia AND/OR sedation in labor AND/OR SNOMED CT US Pregnancy 21504004 delivery (disorder) Edition SNOMED CT US Pregnancy 21604008 Illegal abortion with blood-clot embolism (disorder) Edition SNOMED CT US Pregnancy 21737000 Retained fetal tissue (disorder) Edition SNOMED CT US Pregnancy 21987001 Delayed delivery of second of multiple births (disorder) Edition SNOMED CT US Pregnancy 22046002 Illegal abortion with salpingitis (disorder) Edition SNOMED CT US Pregnancy 22173004 Excessive fetal growth affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 22178008 Postpartum state, 8 weeks (finding) Edition Abnormal fetal heart beat first noted during labor AND/OR delivery in liveborn SNOMED CT US Pregnancy 22271007 infant (disorder) Edition SNOMED CT US Pregnancy 22288000 Tumor of cervix affecting pregnancy (disorder) Edition
Page 171 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 22399000 Puerperal endometritis (disorder) Edition SNOMED CT US Pregnancy 22514005 Term birth of fraternal twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 22753004 Fetal AND/OR placental disorder affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 22758008 Spalding-Horner sign (finding) Edition SNOMED CT US Pregnancy 22846003 Hepatorenal syndrome following delivery (disorder) Edition SNOMED CT US Pregnancy 22879003 Previous pregnancies 2 (finding) Edition Hypertensive heart AND renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 22966008 pregnancy (disorder) Edition SNOMED CT US Pregnancy 23001005 Stenosis AND/OR stricture of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 23037000 Parity ten or more (finding) Edition SNOMED CT US Pregnancy 23128002 Cervical dilatation, 5cm (finding) Edition SNOMED CT US Pregnancy 23171006 Delayed AND/OR secondary postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 23177005 Crepitus uteri (finding) Edition SNOMED CT US Pregnancy 23332002 Failed trial of labor (disorder) Edition SNOMED CT US Pregnancy 23401002 Illegal abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 23464008 Gestation period, 20 weeks (finding) Edition SNOMED CT US Pregnancy 23508005 Uterine incoordination, first degree (disorder) Edition
Page 172 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 23652008 Cervical dilatation, 3cm (finding) Edition SNOMED CT US Pregnancy 23667007 Term pregnancy delivered (finding) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 23717007 pregnancy (disorder) Edition Malignant hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 23786008 (disorder) Edition SNOMED CT US Pregnancy 23793007 Miscarriage without complication (disorder) Edition SNOMED CT US Pregnancy 23885003 Inversion of uterus during delivery (disorder) Edition SNOMED CT US Pregnancy 23960006 Funicular hernia of umbilical cord (disorder) Edition Chronic hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 24042004 (disorder) Edition SNOMED CT US Pregnancy 24051007 Septic shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 24082006 Bruising of cord (disorder) Edition SNOMED CT US Pregnancy 24095001 Placenta previa partialis (disorder) Edition SNOMED CT US Pregnancy 24146004 Premature birth of newborn quintuplets (finding) Edition SNOMED CT US Pregnancy 24258008 Damage to pelvic joints AND/OR ligaments during delivery (disorder) Edition SNOMED CT US Pregnancy 24342007 Infection of cesarean section AND/OR perineal wound (disorder) Edition SNOMED CT US Pregnancy 24444009 Failed attempted abortion with sepsis (disorder) Edition SNOMED CT US Pregnancy 24699006 Arrested active phase of labor (disorder) Edition
Page 173 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 25026004 Gestation period, 18 weeks (finding) Edition SNOMED CT US Pregnancy 25032009 Failed attempted abortion with laceration of cervix (disorder) Edition Obstetrical central nervous system complication of anesthesia AND/OR sedation SNOMED CT US Pregnancy 25053000 (disorder) Edition SNOMED CT US Pregnancy 25113000 Chorea gravidarum (disorder) Edition SNOMED CT US Pregnancy 25192009 Premature birth of fraternal twins, both living (finding) Edition SNOMED CT US Pregnancy 25404008 Illegal abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 25519006 Illegal abortion with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 25585008 Placenta percreta (disorder) Edition SNOMED CT US Pregnancy 25691001 Legal abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 25725007 Septic embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 25749005 Disproportion between fetus and pelvis (disorder) Edition SNOMED CT US Pregnancy 25825004 Hemorrhage in early pregnancy (disorder) Edition SNOMED CT US Pregnancy 25922000 Major depressive disorder, single episode with postpartum onset (disorder) Edition SNOMED CT US Pregnancy 26010008 Legal abortion with pelvic peritonitis (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 26078007 during childbirth (disorder) Edition SNOMED CT US Pregnancy 26158002 Uterine inertia (disorder) Edition
Page 174 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 26224003 Failed attempted abortion complicated by genital-pelvic infection (disorder) Edition SNOMED CT US Pregnancy 26235008 Renal tubular necrosis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 26358008 Ectopic placenta (disorder) Edition SNOMED CT US Pregnancy 26528001 Hemorrhage of cesarean section AND/OR perineal wound (disorder) Edition SNOMED CT US Pregnancy 26611006 Para 7 (finding) Edition Failed attempted termination of pregnancy complicated by delayed and/or SNOMED CT US Pregnancy 26623000 excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 26690008 Gestation period, 8 weeks (finding) Edition SNOMED CT US Pregnancy 26741000 Abnormal amnion (disorder) Edition SNOMED CT US Pregnancy 26743002 Illegal abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 26828006 Rectocele affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 26840006 Ante AND/OR intrapartum hemorrhage associated with leiomyoma (disorder) Edition Phlebitis AND/OR thrombosis complicating pregnancy AND/OR puerperium SNOMED CT US Pregnancy 26850007 (disorder) Edition SNOMED CT US Pregnancy 26886008 Para 6 (finding) Edition SNOMED CT US Pregnancy 27015006 Legal abortion with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 27068000 Failed attempted abortion with afibrinogenemia (disorder) Edition Venereal disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 27075004 (disorder) Edition
Page 175 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Hyperemesis gravidarum before end of 22 week gestation with carbohydrate SNOMED CT US Pregnancy 27152008 depletion (disorder) Edition SNOMED CT US Pregnancy 27169005 Legal abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 27214003 Atonic postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 27215002 Uterine inversion (disorder) Edition SNOMED CT US Pregnancy 27342004 Anemia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 27388005 Partial placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 27552001 Damage to bladder following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 27574007 Fertilization in vivo (finding) Edition SNOMED CT US Pregnancy 27696007 True knot of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 28030000 Twin birth (finding) Edition SNOMED CT US Pregnancy 28079008 Multiparous (finding) Edition SNOMED CT US Pregnancy 28196006 Uremia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 28493005 Two previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 28608002 Choriovitelline placenta (disorder) Edition SNOMED CT US Pregnancy 28701003 Low maternal weight gain (finding) Edition SNOMED CT US Pregnancy 28735000 Blood clot embolism following molar AND/OR ectopic pregnancy (disorder) Edition
Page 176 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 28773001 Thrombosis of vessels of cord (disorder) Edition SNOMED CT US Pregnancy 28911003 Adherent placenta (disorder) Edition SNOMED CT US Pregnancy 28996007 Stillbirth of premature female (1000-2499 gms.) (finding) Edition SNOMED CT US Pregnancy 29123003 Postpartum state, 3 weeks (finding) Edition SNOMED CT US Pregnancy 29171003 Trapped placenta (disorder) Edition Malignant hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 29259002 (disorder) Edition SNOMED CT US Pregnancy 29399001 Elderly primigravida (finding) Edition SNOMED CT US Pregnancy 29421008 Failed attempted abortion complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 29583006 Illegal abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 29847008 Obstetrical complication of anesthesia AND/OR sedation (disorder) Edition SNOMED CT US Pregnancy 29851005 Halo sign (finding) Edition SNOMED CT US Pregnancy 29908007 Oliguria following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 29950007 Legal abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 29995000 Illegal abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 29997008 Premature birth of newborn triplets (finding) Edition SNOMED CT US Pregnancy 30118000 Postpartum period, 1 day (finding) Edition
Page 177 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 30165006 Premature birth of fraternal twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 30243004 Cerebral anoxia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 30479005 Legal abortion with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 30653008 Previous pregnancies 5 (finding) Edition SNOMED CT US Pregnancy 30806007 Miscarriage with endometritis (disorder) Edition SNOMED CT US Pregnancy 30850008 Hemorrhage in early pregnancy, antepartum (disorder) Edition SNOMED CT US Pregnancy 31026002 Obstetrical complication of sedation (disorder) Edition SNOMED CT US Pregnancy 31159001 Bluish discoloration of cervix (finding) Edition SNOMED CT US Pregnancy 31207002 Self-induced abortion (disorder) Edition SNOMED CT US Pregnancy 31227001 Twelve previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 31383003 Tumor of vagina affecting pregnancy (disorder) Edition Pre-existing hypertension complicating AND/OR reason for care during puerperium SNOMED CT US Pregnancy 31407004 (disorder) Edition SNOMED CT US Pregnancy 31465005 Cervical effacement, 80% (finding) Edition SNOMED CT US Pregnancy 31481000 Vascular anomaly of umbilical cord (disorder) Edition Viral disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 31516002 (disorder) Edition SNOMED CT US Pregnancy 31563000 Asymptomatic bacteriuria in pregnancy (disorder) Edition
Page 178 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 31601007 Combined pregnancy (disorder) Edition SNOMED CT US Pregnancy 31805001 Fetal disproportion (disorder) Edition SNOMED CT US Pregnancy 31821006 Uterine scar from previous surgery affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 32644009 Braxton Hicks contractions (finding) Edition SNOMED CT US Pregnancy 32999002 Complication of obstetrical surgical wound (disorder) Edition SNOMED CT US Pregnancy 33046001 Illegal abortion with urinary tract infection (disorder) Edition SNOMED CT US Pregnancy 33058001 Placenta accreta without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 33128005 Air embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 33340004 Multiple conception (finding) Edition SNOMED CT US Pregnancy 33348006 Previous pregnancies 7 (finding) Edition Hyperemesis gravidarum before end of 22 week gestation with electrolyte SNOMED CT US Pregnancy 33370009 imbalance (disorder) Edition SNOMED CT US Pregnancy 33490001 Failed attempted abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 33552005 Anomaly of placenta (disorder) Edition SNOMED CT US Pregnancy 33561005 Illegal abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 33627001 Prolonged first stage of labor (disorder) Edition SNOMED CT US Pregnancy 34089005 Premature birth of newborn quadruplets (finding) Edition
Page 179 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 34100008 Premature birth of identical twins, both living (finding) Edition Drug dependence in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 34150001 puerperium (disorder) Edition SNOMED CT US Pregnancy 34165000 Gestational proteinuria (disorder) Edition Syphilis in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 34242002 (disorder) Edition SNOMED CT US Pregnancy 34262005 Fourth degree perineal laceration involving rectal mucosa (disorder) Edition SNOMED CT US Pregnancy 34270000 Miscarriage complicated by shock (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 34273003 puerperium (disorder) Edition SNOMED CT US Pregnancy 34327003 Parturient hemorrhage associated with hyperfibrinolysis (disorder) Edition SNOMED CT US Pregnancy 34367002 Failed attempted abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 34478009 Failed attempted abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 34500003 Legal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 34530006 Failed attempted abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 34614007 Miscarriage with complication (disorder) Edition Pre-existing hypertension complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 34694006 (disorder) Edition SNOMED CT US Pregnancy 34701001 Illegal abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 34801009 Ectopic pregnancy (disorder) Edition
Page 180 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 34842007 Antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 34981006 Hypertonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 35208003 Metabolic disorder following molar AND/OR ectopic pregnancy (disorder) Edition Gonorrhea in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 35255008 (disorder) Edition SNOMED CT US Pregnancy 35258005 Placenta cirsoides (disorder) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 35303009 puerperium (disorder) Edition SNOMED CT US Pregnancy 35347003 Delayed delivery after artificial rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 35537000 Ladin's sign (finding) Edition SNOMED CT US Pregnancy 35608009 Stillbirth of immature male (500-999 gms.) (finding) Edition SNOMED CT US Pregnancy 35656003 Intraligamentous pregnancy (disorder) Edition SNOMED CT US Pregnancy 35716006 Cracked nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 35746009 Uterine fibroids affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 35874009 Normal labor (finding) Edition SNOMED CT US Pregnancy 35882009 Abnormality of forces of labor (disorder) Edition SNOMED CT US Pregnancy 35999006 Blighted ovum (disorder) Edition SNOMED CT US Pregnancy 36144008 McClintock's sign (finding) Edition
Page 181 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 36297009 Septate vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 36323001 Soap embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 36428009 Gestation period, 42 weeks (finding) Edition SNOMED CT US Pregnancy 36473002 Legal abortion with oliguria (disorder) Edition SNOMED CT US Pregnancy 36497006 Traumatic extension of episiotomy (disorder) Edition SNOMED CT US Pregnancy 36614009 Parity eight (finding) Edition SNOMED CT US Pregnancy 36664002 Failed attempted abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 36697001 False knot of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 36798000 Cervical effacement, 10% (finding) Edition SNOMED CT US Pregnancy 36813001 Placenta previa (disorder) Edition SNOMED CT US Pregnancy 36854009 Inlet contraction of pelvis (disorder) Edition Bone AND/OR joint disorder of back in mother complicating pregnancy, childbirth SNOMED CT US Pregnancy 36916008 AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 37005007 Gestation period, 5 weeks (finding) Edition Varicose veins of vulva AND/OR perineum complicating pregnancy AND/OR SNOMED CT US Pregnancy 37139009 puerperium (disorder) Edition SNOMED CT US Pregnancy 37141005 Maternal pyrexia during labor (disorder) Edition
Page 182 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 37292007 Acute yellow atrophy of liver following molar AND/OR ectopic pregnancy (disorder) Edition Known OR suspected fetal spina bifida with myelomeningocele affecting obstetrical SNOMED CT US Pregnancy 37382001 care (disorder) Edition Chronic hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 37618003 (disorder) Edition SNOMED CT US Pregnancy 37762002 Face OR brow presentation of fetus (disorder) Edition SNOMED CT US Pregnancy 37787009 Legal abortion with blood-clot embolism (disorder) Edition SNOMED CT US Pregnancy 38010008 Intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 38039008 Gestation period, 10 weeks (finding) Edition SNOMED CT US Pregnancy 38099005 Failed attempted abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 38176009 Urinary tract infection following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 38250004 Arrested labor (finding) Edition SNOMED CT US Pregnancy 38257001 Term birth of identical twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 38331001 Late vomiting of pregnancy (disorder) [38331001] Edition Aspiration of stomach contents after anesthesia AND/OR sedation in labor AND/OR SNOMED CT US Pregnancy 38534008 delivery (disorder) Edition SNOMED CT US Pregnancy 38720006 Septuplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 38784004 Illegal abortion complicated by damage to pelvic organs AND/OR tissues (disorder) Edition
Page 183 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 38802008 Postpartum state, 5 weeks (finding) Edition SNOMED CT US Pregnancy 38835003 One previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 38905006 Illegal abortion with amniotic fluid embolism (disorder) Edition SNOMED CT US Pregnancy 38951007 Failed attempted abortion with laceration of bowel (disorder) Edition SNOMED CT US Pregnancy 39120007 Failed attempted abortion with salpingo-oophoritis (disorder) Edition SNOMED CT US Pregnancy 39199000 Miscarriage with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 39208009 Fetal hydrops causing disproportion (disorder) Edition SNOMED CT US Pregnancy 39213008 Premature birth of identical twins, one living, one stillborn (finding) Edition SNOMED CT US Pregnancy 39239006 Legal abortion with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 39246002 Legal abortion with sepsis (disorder) Edition SNOMED CT US Pregnancy 39249009 Placentitis (disorder) Edition SNOMED CT US Pregnancy 39333005 Cervical dilatation, 8cm (finding) Edition SNOMED CT US Pregnancy 39406005 Legally induced abortion (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 39727004 during puerperium (disorder) Edition Abnormal glucose tolerance in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 39763004 puerperium (disorder) Edition SNOMED CT US Pregnancy 39804004 Abnormal products of conception (disorder) Edition
Page 184 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 40096002 Major abnormality of bony pelvis (disorder) Edition SNOMED CT US Pregnancy 40125005 Major puerperal infection (disorder) Edition SNOMED CT US Pregnancy 40156002 Postpartum state, 7 weeks (finding) Edition SNOMED CT US Pregnancy 40193008 Single vessel of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 40405003 Illegal abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 40444006 Miscarriage with acute necrosis of liver (disorder) Edition SNOMED CT US Pregnancy 40500006 Illegal abortion with laceration of uterus (disorder) Edition Infectious disease in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 40609001 puerperium (disorder) Edition SNOMED CT US Pregnancy 41114007 Mild pre-eclampsia (disorder) Edition SNOMED CT US Pregnancy 41215002 Congenital abnormality of uterus, affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 41438001 Gestation period, 21 weeks (finding) Edition SNOMED CT US Pregnancy 41587001 Third trimester pregnancy (finding) Edition SNOMED CT US Pregnancy 41806003 Legal abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 41957003 Ruptured membranes (disorder) Edition SNOMED CT US Pregnancy 41962002 Oligohydramnios sequence (disorder) Edition SNOMED CT US Pregnancy 41991004 Angiectasis pregnancy (disorder) Edition
Page 185 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 42070007 Embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 42170009 Abnormal amniotic fluid (disorder) Edition SNOMED CT US Pregnancy 42279001 Para 4 (finding) Edition SNOMED CT US Pregnancy 42294002 Damage to cervix following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 42466007 Cervical effacement, 70% (finding) Edition Damage to periurethral tissue following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 42536002 (disorder) Edition SNOMED CT US Pregnancy 42537006 Secondary perineal tear in the puerperium (disorder) Edition SNOMED CT US Pregnancy 42553009 Deficiency of placental barrier function (disorder) Edition SNOMED CT US Pregnancy 42571002 Failed induction of labor (disorder) Edition SNOMED CT US Pregnancy 42599006 Trauma from instrument during delivery (disorder) Edition SNOMED CT US Pregnancy 42686001 Chromosomal abnormality in fetus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 42718004 Cervical effacement, 90% (finding) Edition SNOMED CT US Pregnancy 42783002 Spontaneous placental expulsion, Schultz mechanism (finding) Edition SNOMED CT US Pregnancy 42814007 Mid postpartum state (finding) Edition SNOMED CT US Pregnancy 42857002 Second stage of labor (finding) Edition SNOMED CT US Pregnancy 43195002 Tenney changes of placenta (disorder) Edition
Page 186 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 43293004 Failed attempted abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 43306002 Miscarriage complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 43629001 Renal failure following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 43651009 Acquired stenosis of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 43673002 Fetal souffle (finding) Edition SNOMED CT US Pregnancy 43697006 Gestation period, 37 weeks (finding) Edition SNOMED CT US Pregnancy 43715006 Secondary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 43808007 Cervical dilatation, 4cm (finding) Edition SNOMED CT US Pregnancy 43970002 Congenital stenosis of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 43990006 Sextuplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 44017002 Damage to bowel following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 44101005 Illegal abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 44108004 Seven previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 44216000 Retained products of conception, following delivery with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 44223004 Premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 44398003 Gestation period, 4 weeks (finding) Edition
Page 187 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 44464006 Postpartum AND/OR puerperal erysipelas (disorder) Edition SNOMED CT US Pregnancy 44638009 No previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 44640004 Failed attempted abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 44772007 Maternal obesity syndrome (disorder) Edition SNOMED CT US Pregnancy 44782008 Molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 44795003 Rhesus isoimmunization affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 44814008 Miscarriage with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 44918005 Varicose veins complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 44979007 Carneous mole (disorder) Edition SNOMED CT US Pregnancy 44992005 Failed attempted abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 45139008 Gestation period, 29 weeks (finding) Edition SNOMED CT US Pregnancy 45307008 Extrachorial pregnancy (finding) Edition SNOMED CT US Pregnancy 45384004 Multiple birth (finding) Edition SNOMED CT US Pregnancy 45757002 Labor problem (finding) Edition SNOMED CT US Pregnancy 45759004 Rigid perineum affecting pregnancy (disorder) Edition Anemia in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 45828008 (disorder) Edition
Page 188 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 46022004 Bearing down reflex (finding) Edition SNOMED CT US Pregnancy 46230007 Gestation period, 40 weeks (finding) Edition SNOMED CT US Pregnancy 46273003 Abscess of nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 46311005 Perineal laceration involving fourchette (disorder) Edition SNOMED CT US Pregnancy 46365005 Failed attempted abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 46502006 Hematoma of vagina during delivery (disorder) Edition SNOMED CT US Pregnancy 46764007 Severe pre-eclampsia (disorder) Edition SNOMED CT US Pregnancy 46848006 Sepsis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 46894009 Gestational diabetes mellitus, class A>2< (disorder) Edition SNOMED CT US Pregnancy 46906003 Gestation period, 27 weeks (finding) Edition SNOMED CT US Pregnancy 46914009 Intact fetal membranes (finding) Edition SNOMED CT US Pregnancy 47161002 Failed attempted abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 47200007 High risk pregnancy (finding) Edition SNOMED CT US Pregnancy 47236005 Third stage hemorrhage (disorder) Edition Fetal or neonatal effect of destructive operation on live fetus to facilitate delivery SNOMED CT US Pregnancy 47267007 (disorder) Edition SNOMED CT US Pregnancy 47537002 Miscarriage with postoperative shock (disorder) Edition
Page 189 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 47574003 Immature cervix (finding) Edition Superficial thrombophlebitis complicating pregnancy AND/OR puerperium SNOMED CT US Pregnancy 47780009 (disorder) Edition SNOMED CT US Pregnancy 47821001 Postpartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 48194001 Pregnancy-induced hypertension (disorder) Edition Bone AND/OR joint disorder of lower extremities in mother complicating SNOMED CT US Pregnancy 48200009 pregnancy, childbirth AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 48287005 Umbilical cord complication (disorder) Edition SNOMED CT US Pregnancy 48395006 Para 2 (finding) Edition SNOMED CT US Pregnancy 48433002 Legal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 48485000 Miscarriage in third trimester (disorder) Edition Hypertension secondary to renal disease complicating AND/OR reason for care SNOMED CT US Pregnancy 48552006 during pregnancy (disorder) Edition SNOMED CT US Pregnancy 48688005 Gestation period, 26 weeks (finding) Edition SNOMED CT US Pregnancy 48739004 Miscarriage with cardiac arrest and/or cardiac failure (disorder) Edition SNOMED CT US Pregnancy 48782003 Delivery normal (finding) Edition Placenta previa found before labor AND delivery by cesarean section without SNOMED CT US Pregnancy 48888007 hemorrhage (disorder) Edition SNOMED CT US Pregnancy 48975005 Stimulated labor (finding) Edition
Page 190 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 49071005 Postpartum period, 2 days (finding) Edition SNOMED CT US Pregnancy 49102001 Hypertensive heart AND renal disease in obstetric context (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 49171007 (disorder) Edition SNOMED CT US Pregnancy 49177006 Postpartum coagulation defect with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 49279000 Slow slope active phase of labor (disorder) Edition SNOMED CT US Pregnancy 49342001 Stricture of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 49364005 Subareolar abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 49416000 Failed attempted abortion (disorder) Edition SNOMED CT US Pregnancy 49550006 Premature pregnancy delivered (finding) Edition SNOMED CT US Pregnancy 49561003 Rupture of gravid uterus before onset of labor (disorder) Edition SNOMED CT US Pregnancy 49632008 Illegally induced abortion (disorder) Edition SNOMED CT US Pregnancy 49794002 Auscultatory sign (finding) Edition SNOMED CT US Pregnancy 49815007 Damage to coccyx during delivery (disorder) Edition SNOMED CT US Pregnancy 49955008 Para 3 (finding) Edition SNOMED CT US Pregnancy 49964003 Ectopic fetus (disorder) Edition SNOMED CT US Pregnancy 50120008 Abnormal acid-base balance affecting management of mother (disorder) Edition
Page 191 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 50258003 Fetal or neonatal effect of hypotonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 50367001 Gestation period, 11 weeks (finding) Edition SNOMED CT US Pregnancy 50404009 Postpartum state, 9 weeks (finding) Edition SNOMED CT US Pregnancy 50557007 Healed pelvic floor repair affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 50726009 Failed attempted abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 50758004 Term birth of newborn twins (finding) Edition SNOMED CT US Pregnancy 50764006 Vomiting due to organic disease during pregnancy (disorder) Edition SNOMED CT US Pregnancy 50770000 Miscarriage with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 50844007 Failed attempted abortion with pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 51096002 Legal abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 51154004 Obstetrical pulmonary complication of anesthesia AND/OR sedation (disorder) Edition SNOMED CT US Pregnancy 51195001 Placental polyp (disorder) Edition Cerebral anoxia following anesthesia AND/OR sedation in labor AND/OR delivery SNOMED CT US Pregnancy 51495008 (disorder) Edition SNOMED CT US Pregnancy 51519001 Marginal insertion of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 51707007 Legal abortion with salpingo-oophoritis (disorder) Edition SNOMED CT US Pregnancy 51885006 Morning sickness (finding) Edition
Page 192 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 51953009 Legal abortion with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 51954003 Miscarriage with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 52327008 Fetal myelomeningocele causing disproportion (disorder) Edition SNOMED CT US Pregnancy 52342006 Legal abortion with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 52483005 Term birth of newborn sextuplets (finding) Edition SNOMED CT US Pregnancy 52588004 Robert's sign (finding) Edition SNOMED CT US Pregnancy 52700006 Obstetrical pyemic AND/OR septic embolism (disorder) Edition SNOMED CT US Pregnancy 52772002 Postpartum thyroiditis (disorder) Edition SNOMED CT US Pregnancy 52942000 Term birth of stillborn twins (finding) Edition SNOMED CT US Pregnancy 53024001 Insufficient weight gain of pregnancy (disorder) Edition SNOMED CT US Pregnancy 53098006 Legal abortion with salpingitis (disorder) Edition SNOMED CT US Pregnancy 53111003 Failed attempted abortion with postoperative shock (disorder) Edition SNOMED CT US Pregnancy 53183006 Miscarriage with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 53247006 Illegal abortion with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 53419009 Cord entanglement (disorder) Edition SNOMED CT US Pregnancy 53443007 Prolonged labor (disorder) Edition
Page 193 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 53638009 Therapeutic abortion (disorder) Edition SNOMED CT US Pregnancy 53881005 Gravida 0 (finding) Edition SNOMED CT US Pregnancy 54044001 Legal abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 54048003 Threatened abortion (disorder) Edition SNOMED CT US Pregnancy 54155004 Illegal abortion with uremia (disorder) Edition SNOMED CT US Pregnancy 54212005 Irregular uterine contractions (disorder) Edition SNOMED CT US Pregnancy 54213000 Oligohydramnios without rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 54318006 Gestation period, 19 weeks (finding) Edition SNOMED CT US Pregnancy 54449002 Forced uterine inversion (disorder) Edition SNOMED CT US Pregnancy 54529009 Illegal abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 54559004 Uterine souffle (finding) Edition SNOMED CT US Pregnancy 54650005 Premature birth of stillborn twins (finding) Edition SNOMED CT US Pregnancy 54679003 Obstetrical trauma to bladder (disorder) Edition SNOMED CT US Pregnancy 54844002 Prolapse of gravid uterus (disorder) Edition SNOMED CT US Pregnancy 55187005 Tarnier's sign (finding) Edition SNOMED CT US Pregnancy 55466006 Missed labor (finding) Edition
Page 194 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 55472006 Submammary abscess associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55543007 Previous pregnancies 3 (finding) Edition Cardiac failure after obstetrical surgery AND/OR other procedure including delivery SNOMED CT US Pregnancy 55565007 (disorder) Edition Meconium in amniotic fluid first noted during labor AND/OR delivery in liveborn SNOMED CT US Pregnancy 55581002 infant (disorder) Edition SNOMED CT US Pregnancy 55589000 Illegal abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 55613002 Engorgement of breasts associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55639004 Failed attempted abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 55704005 Abscess of breast, associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 55861007 Postpartum period, 5 days (finding) Edition SNOMED CT US Pregnancy 55933000 Legal abortion with perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 55976003 Miscarriage with blood-clot embolism (disorder) Edition SNOMED CT US Pregnancy 56026007 Late postpartum state (finding) Edition SNOMED CT US Pregnancy 56029000 Three previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 56160003 Hydrorrhea gravidarum (finding) Edition SNOMED CT US Pregnancy 56272000 Postpartum deep phlebothrombosis (disorder) Edition SNOMED CT US Pregnancy 56313000 Abnormal placenta affecting management of mother (disorder) Edition
Page 195 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 56404003 False uterine contraction (finding) Edition SNOMED CT US Pregnancy 56425003 Placenta edematous (disorder) Edition SNOMED CT US Pregnancy 56451001 Failed attempted abortion with perforation of broad ligament (disorder) Edition SNOMED CT US Pregnancy 56462001 Failed attempted abortion with soap embolism (disorder) Edition SNOMED CT US Pregnancy 56624009 Cervical effacement, 20% (finding) Edition SNOMED CT US Pregnancy 57197002 Nine previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 57220000 Obstetrical complication of local anesthesia (disorder) Edition SNOMED CT US Pregnancy 57296000 Incarcerated gravid uterus (disorder) Edition SNOMED CT US Pregnancy 57420002 Listeria abortion (disorder) Edition SNOMED CT US Pregnancy 57468008 Salpingo-oophoritis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 57469000 Miscarriage with acute renal failure (disorder) Edition SNOMED CT US Pregnancy 57480000 Known OR suspected fetal anencephaly affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 57576007 Retroverted gravid uterus (disorder) Edition SNOMED CT US Pregnancy 57630001 First trimester pregnancy (finding) Edition SNOMED CT US Pregnancy 57734001 Legal abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 57759005 First degree perineal laceration (disorder) Edition
Page 196 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 57797005 Induced termination of pregnancy (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during SNOMED CT US Pregnancy 57873008 puerperium (disorder) Edition SNOMED CT US Pregnancy 57907009 Gestation period, 36 weeks (finding) Edition SNOMED CT US Pregnancy 58071009 Legal abortion complicated by delayed AND/OR excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 58123006 Failed attempted abortion with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 58289000 Prodromal stage labor (finding) Edition SNOMED CT US Pregnancy 58532003 Unwanted pregnancy (finding) Edition SNOMED CT US Pregnancy 58699001 Cervical dilatation, 2cm (finding) Edition SNOMED CT US Pregnancy 58703003 Postpartum depression (disorder) Edition SNOMED CT US Pregnancy 58881007 Polyp of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 58990004 Miscarriage complicated by damage to pelvic organs and/or tissues (disorder) Edition Thyroid disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 59136001 (disorder) Edition SNOMED CT US Pregnancy 59204004 Miscarriage with septic embolism (disorder) Edition SNOMED CT US Pregnancy 59363009 Inevitable abortion (disorder) Edition SNOMED CT US Pregnancy 59403008 Premature birth of newborn female (finding) Edition SNOMED CT US Pregnancy 59466002 Second trimester pregnancy (finding) Edition
Page 197 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 59566000 Oligohydramnios (disorder) Edition Hypertensive heart disease complicating AND/OR reason for care during childbirth SNOMED CT US Pregnancy 59733002 (disorder) Edition SNOMED CT US Pregnancy 59795007 Short cord (disorder) Edition SNOMED CT US Pregnancy 59859005 Legal abortion with laceration of bladder (disorder) Edition SNOMED CT US Pregnancy 59919008 Failed attempted abortion with complication (disorder) Edition SNOMED CT US Pregnancy 59932003 Cervical effacement, 50% (finding) Edition SNOMED CT US Pregnancy 60000008 Mesometric pregnancy (disorder) Edition SNOMED CT US Pregnancy 60001007 Not pregnant (finding) Edition SNOMED CT US Pregnancy 60265009 Miscarriage with air embolism (disorder) Edition SNOMED CT US Pregnancy 60328005 Previous pregnancies 4 (finding) Edition SNOMED CT US Pregnancy 60574005 Twin placenta (disorder) Edition SNOMED CT US Pregnancy 60601008 Obstetrical blood clot embolism (disorder) Edition SNOMED CT US Pregnancy 60755004 Persistent hymen affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 60810003 Quadruplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 61007003 Separation of symphysis pubis during delivery (disorder) Edition SNOMED CT US Pregnancy 61452007 Failed attempted abortion with laceration of uterus (disorder) Edition
Page 198 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 61568004 Miscarriage with salpingo-oophoritis (disorder) Edition SNOMED CT US Pregnancy 61714007 Metabolic disturbance in labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 61752008 Illegal abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 61810006 Illegal abortion with defibrination syndrome (disorder) Edition SNOMED CT US Pregnancy 61881000 Osiander's sign (finding) Edition SNOMED CT US Pregnancy 61951009 Failed attempted abortion with laceration of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 62098001 Head not engaged (disorder) Edition SNOMED CT US Pregnancy 62129004 Contraction ring dystocia (disorder) Edition SNOMED CT US Pregnancy 62131008 Couvelaire uterus (disorder) Edition SNOMED CT US Pregnancy 62331000 Six previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 62333002 Gestation period, 13 weeks (finding) Edition SNOMED CT US Pregnancy 62377009 Postpartum cardiomyopathy (disorder) Edition SNOMED CT US Pregnancy 62410004 Postpartum fibrinolysis with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 62472004 Cervix fully dilated (finding) Edition SNOMED CT US Pregnancy 62531004 Placenta previa marginalis (disorder) Edition SNOMED CT US Pregnancy 62583006 Puerperal phlegmasia alba dolens (disorder) Edition
Page 199 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 62612003 Fibrosis of perineum affecting pregnancy (disorder) Edition Cardiac arrest AND/OR failure following anesthesia AND/OR sedation in labor SNOMED CT US Pregnancy 62657007 AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 62698000 Defibrination syndrome following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 62774004 Cervical dilatation, 9cm (finding) Edition SNOMED CT US Pregnancy 62888008 Legal abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 63040001 Hemorrhoids complicating pregnancy AND/OR puerperium (disorder) Edition SNOMED CT US Pregnancy 63110000 Gestation period, 7 weeks (finding) Edition SNOMED CT US Pregnancy 63287004 Benign essential hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 63503002 Gestation period, 41 weeks (finding) Edition SNOMED CT US Pregnancy 63637002 Failed attempted abortion with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 63662002 Purulent mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 63750008 Oblique lie (disorder) Edition Thrombosis of intracranial venous sinus of pregnancy AND/OR puerperium SNOMED CT US Pregnancy 63795001 (disorder) Edition SNOMED CT US Pregnancy 64171002 Obstetrical cardiac complication of anesthesia AND/OR sedation (disorder) Edition SNOMED CT US Pregnancy 64181003 Failed attempted abortion with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 64229006 Traumatic lesion during delivery (disorder) Edition
Page 200 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 64254006 Triplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 64541000 Postpartum period, 3 days (finding) Edition SNOMED CT US Pregnancy 64646001 Failed forceps delivery (disorder) Edition SNOMED CT US Pregnancy 64814003 Miscarriage with electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 64890008 Stone mole (disorder) Edition SNOMED CT US Pregnancy 64920003 Gestation period, 31 weeks (finding) Edition SNOMED CT US Pregnancy 64954002 Avulsion of inner symphyseal cartilage during delivery (disorder) Edition SNOMED CT US Pregnancy 65035007 Gestation period, 22 weeks (finding) Edition SNOMED CT US Pregnancy 65147003 Twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 65336003 Cervical effacement, 60% (finding) Edition SNOMED CT US Pregnancy 65375007 Postpartum state, 6 weeks (finding) Edition SNOMED CT US Pregnancy 65377004 Polygalactia (disorder) Edition Pre-existing hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 65402008 (disorder) Edition SNOMED CT US Pregnancy 65409004 Obstetrical complication of anesthesia (disorder) Edition SNOMED CT US Pregnancy 65483000 Placenta of multiple birth higher than twin (disorder) Edition SNOMED CT US Pregnancy 65539006 Impetigo herpetiformis (disorder) Edition
Page 201 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 65683006 Gestation period, 17 weeks (finding) Edition SNOMED CT US Pregnancy 65727000 Intrauterine pregnancy (finding) Edition SNOMED CT US Pregnancy 65809005 Cervical effacement, 40% (finding) Edition SNOMED CT US Pregnancy 66119008 Disruption of perineal laceration repair in the puerperium (disorder) Edition SNOMED CT US Pregnancy 66131005 Miscarriage with fat embolism (disorder) Edition Fetal OR intrauterine asphyxia, not clear if noted before OR after onset of labor in SNOMED CT US Pregnancy 66231000 liveborn infant (disorder) Edition SNOMED CT US Pregnancy 66294006 Obstruction by abnormal pelvic soft tissues (disorder) Edition Hypertensive renal disease complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 66709007 (disorder) Edition SNOMED CT US Pregnancy 66844003 Generalized infection during labor (disorder) Edition SNOMED CT US Pregnancy 66892003 Failed attempted abortion with urinary tract infection (disorder) Edition SNOMED CT US Pregnancy 66895001 Cervical dilatation, 6cm (finding) Edition Isoimmunization from non-ABO, non-Rh blood-group incompatibility affecting SNOMED CT US Pregnancy 66958002 pregnancy (disorder) Edition SNOMED CT US Pregnancy 67042008 Failed attempted abortion complicated by shock (disorder) Edition SNOMED CT US Pregnancy 67229002 Spontaneous uterine inversion (disorder) Edition SNOMED CT US Pregnancy 67359005 Pre-eclampsia added to pre-existing hypertension (disorder) Edition SNOMED CT US Pregnancy 67465009 Miscarriage with sepsis (disorder) Edition
Page 202 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 67480003 Indication for care AND/OR intervention in labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 67486009 Postpartum pelvic thrombophlebitis (disorder) Edition Malpresentation other than breech, successfully converted to cephalic presentation SNOMED CT US Pregnancy 67802002 (disorder) Edition SNOMED CT US Pregnancy 67881007 Annular placenta (disorder) Edition SNOMED CT US Pregnancy 68189005 Illegal abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 68214002 Lymphangitis of breast associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 68509000 Stillbirth of immature female (500-999 gms.) (finding) Edition SNOMED CT US Pregnancy 68635007 Deficiency of placental function (disorder) Edition SNOMED CT US Pregnancy 69217004 Outlet contraction of pelvis (disorder) Edition SNOMED CT US Pregnancy 69270005 Rupture of uterus during AND/OR after labor (disorder) Edition SNOMED CT US Pregnancy 69302000 Abortion on demand (disorder) Edition SNOMED CT US Pregnancy 69338007 Kanter's sign (finding) Edition SNOMED CT US Pregnancy 69344006 Shock following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 69532007 Mural pregnancy (disorder) Edition SNOMED CT US Pregnancy 69777007 Interlocked twins (finding) Edition SNOMED CT US Pregnancy 69802008 Cervical cerclage suture present (disorder) Edition
Page 203 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 69840006 Normal breast feeding (finding) Edition SNOMED CT US Pregnancy 69897008 Icterus gravis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 69909000 Eclampsia added to pre-existing hypertension (disorder) Edition SNOMED CT US Pregnancy 70068004 Persistent occipitoposterior position (disorder) Edition SNOMED CT US Pregnancy 70112005 Stillbirth of mature female (2500 gms. or more) (finding) Edition SNOMED CT US Pregnancy 70129008 Placenta accreta (disorder) Edition SNOMED CT US Pregnancy 70137000 Deficiency of placental endocrine function (disorder) Edition SNOMED CT US Pregnancy 70425008 Piskacek's sign (finding) Edition SNOMED CT US Pregnancy 70537007 Hegar's sign (finding) Edition SNOMED CT US Pregnancy 70603007 Rupture of cord (disorder) Edition SNOMED CT US Pregnancy 70651004 Calkin's sign (finding) Edition SNOMED CT US Pregnancy 70823006 Illegal abortion with intravascular hemolysis (disorder) Edition SNOMED CT US Pregnancy 70964000 Postparturient hemoglobinuria (disorder) Edition SNOMED CT US Pregnancy 71028008 Fetal-maternal hemorrhage (disorder) Edition SNOMED CT US Pregnancy 71096001 Inversion of uterine contraction (finding) Edition SNOMED CT US Pregnancy 71216006 Legal abortion with laceration of periurethral tissue (disorder) Edition
Page 204 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 71355009 Gestation period, 30 weeks (finding) Edition SNOMED CT US Pregnancy 71362000 Illegal abortion with septic embolism (disorder) Edition SNOMED CT US Pregnancy 71473008 Amnion nodosum (disorder) Edition SNOMED CT US Pregnancy 71612002 Postpartum uterine hypertrophy (disorder) Edition SNOMED CT US Pregnancy 71639005 Galactorrhea associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 71848002 Bolt's sign (finding) Edition Benign essential hypertension complicating AND/OR reason for care during SNOMED CT US Pregnancy 71874008 childbirth (disorder) Edition SNOMED CT US Pregnancy 71901000 Congenital contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 71909003 Acute renal failure following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 72014004 Abnormal fetal duplication (disorder) Edition SNOMED CT US Pregnancy 72022006 Essential hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 72209007 Damage to vagina following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 72417002 Tumultuous uterine contraction (finding) Edition SNOMED CT US Pregnancy 72543004 Stillbirth of immature fetus, sex undetermined (500-999 gms.) (finding) Edition SNOMED CT US Pregnancy 72544005 Gestation period, 25 weeks (finding) Edition SNOMED CT US Pregnancy 72613009 Miscarriage with oliguria (disorder) Edition
Page 205 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 72846000 Gestation period, 14 weeks (finding) Edition SNOMED CT US Pregnancy 72860003 Disorder of amniotic cavity AND/OR membrane (disorder) Edition SNOMED CT US Pregnancy 72892002 Normal pregnancy (finding) Edition SNOMED CT US Pregnancy 73030000 Hypertensive renal disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 73161006 Transverse lie (disorder) Edition SNOMED CT US Pregnancy 73280003 Illegal abortion with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 73790007 Threatened abortion in first trimester (disorder) Edition SNOMED CT US Pregnancy 73837001 Failed attempted abortion with cardiac arrest AND/OR failure (disorder) Edition SNOMED CT US Pregnancy 73972002 Postpartum neurosis (disorder) Edition SNOMED CT US Pregnancy 74369005 Miscarriage with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 74437002 Ahlfeld's sign (finding) Edition SNOMED CT US Pregnancy 74522004 Cervical dilatation, 7cm (finding) Edition SNOMED CT US Pregnancy 74952004 Gestation period, 3 weeks (finding) Edition SNOMED CT US Pregnancy 74955002 Retracted nipple associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 74978008 Illegal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 75013000 Legal abortion with perforation of vagina (disorder) Edition
Page 206 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 75022004 Gestational diabetes mellitus, class A>1< (disorder) Edition SNOMED CT US Pregnancy 75094005 Hydrops of placenta (disorder) Edition SNOMED CT US Pregnancy 75150001 Renal disease in pregnancy AND/OR puerperium without hypertension (disorder) Edition SNOMED CT US Pregnancy 75428007 Chorioallantoic placenta (disorder) Edition SNOMED CT US Pregnancy 75697004 Term birth of identical twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 75798003 Twin dichorionic diamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 75825001 Legal abortion with fat embolism (disorder) Edition SNOMED CT US Pregnancy 75836008 Ante AND/OR intrapartum hemorrhage associated with trauma (disorder) Edition SNOMED CT US Pregnancy 75933004 Threatened abortion in second trimester (disorder) Edition SNOMED CT US Pregnancy 75947000 Legal abortion with endometritis (disorder) Edition SNOMED CT US Pregnancy 76012002 Fetal or neonatal effect of complication of labor and/or delivery (disorder) Edition SNOMED CT US Pregnancy 76037007 Rigid cervix uteri affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 76380008 Placenta membranacea (disorder) Edition SNOMED CT US Pregnancy 76472002 Legal abortion with perforation of periurethral tissue (disorder) Edition SNOMED CT US Pregnancy 76491002 Four previous induced terminations of pregnancy (finding) Edition Diabetes mellitus in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 76751001 puerperium (disorder) Edition
Page 207 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 76771005 Parturient hemorrhage associated with hypofibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 76843005 Tetanus complicating ectopic AND/OR molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 76871004 Previous surgery to vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 76889003 Failed attempted abortion with cerebral anoxia (disorder) Edition SNOMED CT US Pregnancy 77099001 Illegal abortion with perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 77186001 Failed attempted abortion with renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 77206006 Puerperal pelvic sepsis (disorder) Edition SNOMED CT US Pregnancy 77259008 Prolonged second stage of labor (disorder) Edition SNOMED CT US Pregnancy 77278008 Velamentous insertion of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 77285007 Placental infarct affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 77376005 Gestational edema without hypertension (disorder) Edition SNOMED CT US Pregnancy 77386006 Pregnant (finding) Edition SNOMED CT US Pregnancy 77563000 Obstruction by bony pelvis (disorder) Edition SNOMED CT US Pregnancy 77814006 Stillbirth of premature male (1000-2499 gms.) (finding) Edition SNOMED CT US Pregnancy 77854008 Failed medical induction of labor (disorder) Edition SNOMED CT US Pregnancy 77913004 Submammary mastitis associated with childbirth (disorder) Edition
Page 208 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Heart disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 78381004 (disorder) Edition SNOMED CT US Pregnancy 78395001 Gestation period, 33 weeks (finding) Edition SNOMED CT US Pregnancy 78408007 Complication of obstetrical surgery AND/OR procedure (disorder) Edition SNOMED CT US Pregnancy 78697003 Nonpurulent mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 78789000 Mature abnormal placenta (disorder) Edition Essential hypertension complicating AND/OR reason for care during pregnancy SNOMED CT US Pregnancy 78808002 (disorder) Edition SNOMED CT US Pregnancy 79114003 Fetal head molding (finding) Edition Delayed AND/OR excessive hemorrhage following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 79133008 (disorder) Edition SNOMED CT US Pregnancy 79179003 Desultory labor (disorder) Edition SNOMED CT US Pregnancy 79222000 Compression of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 79255005 Mentum presentation of fetus (disorder) Edition SNOMED CT US Pregnancy 79290002 Cervical pregnancy (disorder) Edition SNOMED CT US Pregnancy 79333004 Damage to uterus following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 79355007 Hypertensive heart disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 79414005 Retraction ring dystocia (disorder) Edition SNOMED CT US Pregnancy 79586000 Tubal pregnancy (disorder) Edition
Page 209 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 79668009 Vasa previa (disorder) Edition SNOMED CT US Pregnancy 79748007 Maternal dystocia (disorder) Edition SNOMED CT US Pregnancy 79839005 Perineal laceration involving vulva (disorder) Edition SNOMED CT US Pregnancy 79986005 Incomplete amnion (disorder) Edition SNOMED CT US Pregnancy 79992004 Gestation period, 12 weeks (finding) Edition SNOMED CT US Pregnancy 80002007 Malpresentation of fetus (disorder) Edition SNOMED CT US Pregnancy 80113008 Complication of the puerperium (disorder) Edition SNOMED CT US Pregnancy 80190007 Known OR suspected fetal hydrocephalus affecting obstetrical care (disorder) Edition SNOMED CT US Pregnancy 80224003 Multiple gestation with one OR more fetal malpresentations (disorder) Edition SNOMED CT US Pregnancy 80228000 Lightening of fetus (finding) Edition SNOMED CT US Pregnancy 80256005 Intervillous thrombosis (disorder) Edition SNOMED CT US Pregnancy 80438008 Illegal abortion with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 80487005 Gestation period, 39 weeks (finding) Edition SNOMED CT US Pregnancy 80818002 Previous surgery to perineum AND/OR vulva affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 80847009 Tubal-cornual placenta (disorder) Edition SNOMED CT US Pregnancy 80856001 Previous pregnancies 8 (finding) Edition
Page 210 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 80997009 Quintuplet pregnancy (disorder) Edition SNOMED CT US Pregnancy 81131001 Eleven previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 81328008 Fundal dominance of uterine contraction (finding) Edition SNOMED CT US Pregnancy 81448000 Hemorrhage in early pregnancy, delivered (disorder) Edition SNOMED CT US Pregnancy 81514003 Parity nine (finding) Edition SNOMED CT US Pregnancy 81521003 Failed attempted abortion with salpingitis (disorder) Edition Parasitic disease in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 81557008 (disorder) Edition SNOMED CT US Pregnancy 81626002 Malignant hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 81677009 Lactation tetany (disorder) Edition SNOMED CT US Pregnancy 82118009 Gestation period, 2 weeks (finding) Edition SNOMED CT US Pregnancy 82153002 Miscarriage with pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 82204006 Illegal abortion with parametritis (disorder) Edition SNOMED CT US Pregnancy 82338001 Illegal abortion with septic shock (disorder) Edition SNOMED CT US Pregnancy 82634006 Previous pregnancies 10 (finding) Edition SNOMED CT US Pregnancy 82661006 Abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 82664003 Placenta succenturiata (disorder) Edition
Page 211 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 82897000 Spontaneous placental expulsion, Duncan mechanism (finding) Edition SNOMED CT US Pregnancy 83056001 Cervical effacement, 30% (finding) Edition SNOMED CT US Pregnancy 83074005 Unplanned pregnancy (finding) Edition SNOMED CT US Pregnancy 83094001 Perineal hematoma during delivery (disorder) Edition SNOMED CT US Pregnancy 83121003 Term birth of fraternal twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 83243004 Rigid pelvic floor affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 83712005 Eight previous induced terminations of pregnancy (finding) Edition SNOMED CT US Pregnancy 83741001 Placenta spuria (disorder) Edition SNOMED CT US Pregnancy 83787007 Twin monochorionic diamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 83916000 Postpartum thrombophlebitis (disorder) Edition SNOMED CT US Pregnancy 83922009 Miscarriage with parametritis (disorder) Edition SNOMED CT US Pregnancy 84007008 Shock during AND/OR following labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 84032005 Halban's sign (finding) Edition SNOMED CT US Pregnancy 84132007 Gestation period, 35 weeks (finding) Edition SNOMED CT US Pregnancy 84143004 Illegal abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 84216001 Cerebral venous thrombosis of pregnancy AND/OR puerperium (disorder) Edition
Page 212 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 84235001 Cephalic version (disorder) Edition SNOMED CT US Pregnancy 84357006 Twin monochorionic monoamniotic placenta (disorder) Edition SNOMED CT US Pregnancy 84382006 Premature birth of fraternal twins, both stillborn (finding) Edition SNOMED CT US Pregnancy 84457005 Spontaneous onset of labor (finding) Edition SNOMED CT US Pregnancy 84693004 Intervillous hemorrhage of placenta (disorder) Edition Rubella in mother complicating pregnancy, childbirth AND/OR puerperium SNOMED CT US Pregnancy 84939004 (disorder) Edition SNOMED CT US Pregnancy 85039006 Postpartum amenorrhea-galactorrhea syndrome (disorder) Edition SNOMED CT US Pregnancy 85076009 Placenta fenestrata (disorder) Edition SNOMED CT US Pregnancy 85116003 Miscarriage in second trimester (disorder) Edition SNOMED CT US Pregnancy 85331004 Miscarriage with laceration of broad ligament (disorder) Edition SNOMED CT US Pregnancy 85467007 Miscarriage with perforation of bladder (disorder) Edition SNOMED CT US Pregnancy 85542007 Perineal laceration involving skin (disorder) Edition SNOMED CT US Pregnancy 85632001 Miscarriage with laceration of vagina (disorder) Edition SNOMED CT US Pregnancy 85652000 Legal abortion with perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 85796009 Afibrinogenemia following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 85991008 Miscarriage with pelvic peritonitis (disorder) Edition
Page 213 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 86041002 Pre-existing hypertension in obstetric context (disorder) Edition SNOMED CT US Pregnancy 86081009 Herpes gestationis (disorder) Edition SNOMED CT US Pregnancy 86196005 Disorder of breast associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 86203003 Polyhydramnios (disorder) Edition SNOMED CT US Pregnancy 86256001 Hematoma of cord (disorder) Edition SNOMED CT US Pregnancy 86356004 Unstable lie (disorder) Edition SNOMED CT US Pregnancy 86569001 Postpartum state (finding) Edition SNOMED CT US Pregnancy 86687009 Fat embolism following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 86709000 Pelvic peritonitis following molar AND/OR ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 86801005 Gestation period, 6 weeks (finding) Edition SNOMED CT US Pregnancy 86803008 Term birth of newborn quintuplets (finding) Edition SNOMED CT US Pregnancy 86883006 Gestation period, 23 weeks (finding) Edition SNOMED CT US Pregnancy 86891002 Illegal abortion complicated by delayed AND/OR excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 87038002 Postpartum alopecia (disorder) Edition Cerebral anoxia after obstetrical surgery AND/OR other procedure including SNOMED CT US Pregnancy 87043009 delivery (disorder) Edition SNOMED CT US Pregnancy 87169001 Parametritis following molar AND/OR ectopic pregnancy (disorder) Edition
Page 214 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 87178007 Gestation period, 1 week (finding) Edition SNOMED CT US Pregnancy 87383005 Maternal distress (disorder) Edition SNOMED CT US Pregnancy 87527008 Term pregnancy (finding) Edition SNOMED CT US Pregnancy 87605005 Cornual pregnancy (disorder) Edition Hyperemesis gravidarum before end of 22 week gestation with dehydration SNOMED CT US Pregnancy 87621000 (disorder) Edition SNOMED CT US Pregnancy 87662006 Term birth of fraternal twins, both living (finding) Edition SNOMED CT US Pregnancy 87814002 Marginal placenta previa with intrapartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 87840008 Galactocele associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 87967003 Miscarriage with perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 88178009 Puerperal peritonitis (disorder) Edition SNOMED CT US Pregnancy 88387008 Postpartum period, 7 days (finding) Edition SNOMED CT US Pregnancy 88697005 Papular dermatitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 88887003 Maternal hypotension syndrome (disorder) Edition SNOMED CT US Pregnancy 88895004 Fatigue during pregnancy (disorder) Edition SNOMED CT US Pregnancy 89244003 Entanglement of cords of twins in monoamniotic sac (disorder) Edition SNOMED CT US Pregnancy 89573004 Damage to broad ligament following molar AND/OR ectopic pregnancy (disorder) Edition
Page 215 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 89672000 Retromammary mastitis associated with childbirth (disorder) Edition SNOMED CT US Pregnancy 89700002 Shoulder girdle dystocia (disorder) Edition SNOMED CT US Pregnancy 89934007 Crowning (finding) Edition SNOMED CT US Pregnancy 90009001 Abnormal umbilical cord (disorder) Edition SNOMED CT US Pregnancy 90188009 Failed mechanical induction (disorder) Edition SNOMED CT US Pregnancy 90306000 Trial labor (finding) Edition SNOMED CT US Pregnancy 90325002 Vomiting of pregnancy (disorder) Edition SNOMED CT US Pregnancy 90450000 Illegal abortion with pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 90532005 Central laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 90645002 Failed attempted abortion without complication (disorder) Edition SNOMED CT US Pregnancy 90751002 Linea nigra (finding) Edition SNOMED CT US Pregnancy 90781005 Illegal abortion with acute yellow atrophy of liver (disorder) Edition SNOMED CT US Pregnancy 90797000 Gestation period, 28 weeks (finding) Edition SNOMED CT US Pregnancy 90968009 Prolonged pregnancy (disorder) Edition SNOMED CT US Pregnancy 91153002 Placenta marginalis (disorder) Edition SNOMED CT US Pregnancy 91162000 Necrosis of liver of pregnancy (disorder) Edition
Page 216 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 91217009 Megaloblastic anemia due to pregnancy (disorder) Edition SNOMED CT US Pregnancy 91271004 Superfetation (finding) Edition SNOMED CT US Pregnancy 91484005 Failure of induction of labor by oxytocic drugs (disorder) Edition SNOMED CT US Pregnancy 91948008 Asymptomatic human immunodeficiency virus infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 91957002 Back pain complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 92297008 Benign neoplasm of placenta (disorder) Edition SNOMED CT US Pregnancy 92684002 Carcinoma in situ of placenta (disorder) Edition SNOMED CT US Pregnancy 95605009 Hemolysis-elevated liver enzymes-low platelet count syndrome (disorder) Edition SNOMED CT US Pregnancy 95606005 Maternal drug exposure (disorder) Edition SNOMED CT US Pregnancy 95607001 Maternal drug use (disorder) Edition SNOMED CT US Pregnancy 95608006 Necrosis of placenta (disorder) Edition SNOMED CT US Pregnancy 102500002 Good neonatal condition at birth (finding) Edition SNOMED CT US Pregnancy 102501003 Well male newborn (finding) Edition SNOMED CT US Pregnancy 102502005 Well female newborn (finding) Edition SNOMED CT US Pregnancy 102503000 Well premature newborn (finding) Edition SNOMED CT US Pregnancy 102504006 Well premature male newborn (finding) Edition
Page 217 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 102505007 Well premature female newborn (finding) Edition SNOMED CT US Pregnancy 102872000 Pregnancy on oral contraceptive (finding) Edition SNOMED CT US Pregnancy 102873005 Pregnancy on intrauterine device (finding) Edition SNOMED CT US Pregnancy 102874004 Possible pregnancy (finding) Edition SNOMED CT US Pregnancy 102875003 Surrogate pregnancy (finding) Edition SNOMED CT US Pregnancy 102876002 Multigravida (finding) Edition SNOMED CT US Pregnancy 102877006 Nulliparous (finding) Edition SNOMED CT US Pregnancy 102878001 Recurrent miscarriage (disorder) Edition SNOMED CT US Pregnancy 102879009 Post-term delivery (finding) Edition SNOMED CT US Pregnancy 102881006 Normal placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102882004 Abnormal placental secretion of chorionic gonadotropin (disorder) Edition SNOMED CT US Pregnancy 102883009 Increased placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102884003 Decreased placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 102885002 Absence of placental secretion of chorionic gonadotropin (disorder) Edition SNOMED CT US Pregnancy 102886001 Increased amniotic fluid production (finding) Edition SNOMED CT US Pregnancy 102887005 Decreased amniotic fluid production (finding) Edition
Page 218 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 103008008 Postpartum headache (finding) Edition SNOMED CT US Pregnancy 106004004 Hemorrhagic complication of pregnancy (disorder) Edition Hypertension AND/OR vomiting complicating pregnancy childbirth AND/OR SNOMED CT US Pregnancy 106005003 puerperium (disorder) Edition SNOMED CT US Pregnancy 106007006 Maternal AND/OR fetal condition affecting labor AND/OR delivery (disorder) Edition SNOMED CT US Pregnancy 106008001 Delivery AND/OR maternal condition affecting management (disorder) Edition SNOMED CT US Pregnancy 106009009 Fetal condition affecting obstetrical care of mother (disorder) Edition SNOMED CT US Pregnancy 106010004 Pelvic dystocia AND/OR uterine disorder (disorder) Edition SNOMED CT US Pregnancy 106109006 Number of previous induced termination of pregnancy (finding) Edition SNOMED CT US Pregnancy 106111002 Clinical sign related to pregnancy (finding) Edition SNOMED CT US Pregnancy 109562007 Abnormal chorion (disorder) Edition SNOMED CT US Pregnancy 109891004 Detached products of conception (disorder) Edition SNOMED CT US Pregnancy 109892006 Detached chorionic villi (disorder) Edition SNOMED CT US Pregnancy 109893001 Detached trophoblast (disorder) Edition SNOMED CT US Pregnancy 109894007 Retained placenta (disorder) Edition SNOMED CT US Pregnancy 109895008 Retained placental fragment (disorder) Edition SNOMED CT US Pregnancy 111208003 Melasma gravidarum (disorder) Edition
Page 219 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 111424000 Retained products of conception not following abortion (disorder) Edition Genital tract AND/OR pelvic infection following molar AND/OR ectopic pregnancy SNOMED CT US Pregnancy 111425004 (disorder) Edition SNOMED CT US Pregnancy 111431001 Legal abortion complicated by damage to pelvic organs AND/OR tissues (disorder) Edition SNOMED CT US Pregnancy 111432008 Legal abortion with air embolism (disorder) Edition SNOMED CT US Pregnancy 111438007 Hypertension secondary to renal disease in obstetric context (disorder) Edition SNOMED CT US Pregnancy 111440002 Conjoined twins causing disproportion (disorder) Edition SNOMED CT US Pregnancy 111443000 Congenital OR acquired abnormality of cervix affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111444006 Congenital OR acquired abnormality of vagina affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111445007 Congenital OR acquired abnormality of vulva affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 111447004 Placental condition affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 111451002 Obstetrical injury to pelvic organ (disorder) Edition SNOMED CT US Pregnancy 111452009 Postpartum afibrinogenemia with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 111453004 Retained placenta, without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 111454005 Retained portions of placenta AND/OR membranes without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 111458008 Postpartum venous thrombosis (disorder) Edition SNOMED CT US Pregnancy 111459000 Infection of nipple, associated with childbirth (disorder) Edition
Page 220 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 112070001 Onset of labor induced (finding) Edition SNOMED CT US Pregnancy 112071002 Postmature pregnancy delivered (finding) Edition SNOMED CT US Pregnancy 112074005 Condition of fetal membrane (finding) Edition SNOMED CT US Pregnancy 112075006 Premature birth of newborn sextuplets (finding) Edition SNOMED CT US Pregnancy 118178000 Finding of placental function (finding) Edition SNOMED CT US Pregnancy 118179008 Finding related to placental secretion of chorionic gonadotropin (finding) Edition SNOMED CT US Pregnancy 118180006 Finding related to amniotic fluid function (finding) Edition SNOMED CT US Pregnancy 118181005 Finding related to amniotic fluid production (finding) Edition SNOMED CT US Pregnancy 118182003 Finding related to amniotic fluid turnover (finding) Edition SNOMED CT US Pregnancy 118185001 Finding related to pregnancy (finding) Edition SNOMED CT US Pregnancy 118189007 Prenatal finding (finding) Edition SNOMED CT US Pregnancy 118212000 Parity finding (finding) Edition SNOMED CT US Pregnancy 118213005 Postpartum finding (finding) Edition SNOMED CT US Pregnancy 118215003 Delivery finding (finding) Edition SNOMED CT US Pregnancy 118216002 Labor finding (finding) Edition SNOMED CT US Pregnancy 123667006 Abnormal mature chorion (disorder) Edition
Page 221 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 124735008 Late onset of labor (finding) Edition SNOMED CT US Pregnancy 125586008 Disorder of placenta (disorder) Edition SNOMED CT US Pregnancy 126941005 Subdural intracranial hemorrhage due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 127362006 Previous pregnancies (finding) Edition SNOMED CT US Pregnancy 127363001 Number of pregnancies, currently pregnant (finding) Edition SNOMED CT US Pregnancy 127364007 Primigravida (finding) Edition SNOMED CT US Pregnancy 127365008 Gravida 2 (finding) Edition SNOMED CT US Pregnancy 127366009 Gravida 3 (finding) Edition SNOMED CT US Pregnancy 127367000 Gravida 4 (finding) Edition SNOMED CT US Pregnancy 127368005 Gravida 5 (finding) Edition SNOMED CT US Pregnancy 127369002 Gravida 6 (finding) Edition SNOMED CT US Pregnancy 127370001 Gravida 7 (finding) Edition SNOMED CT US Pregnancy 127371002 Gravida 8 (finding) Edition SNOMED CT US Pregnancy 127372009 Gravida 9 (finding) Edition SNOMED CT US Pregnancy 127373004 Gravida 10 (finding) Edition SNOMED CT US Pregnancy 127374005 Gravida more than 10 (finding) Edition
Page 222 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 127375006 Cervical dilatation finding (finding) Edition SNOMED CT US Pregnancy 127376007 Cervical effacement finding (finding) Edition Bone AND/OR joint disorder in mother complicating pregnancy, childbirth AND/OR SNOMED CT US Pregnancy 128076000 puerperium (disorder) Edition SNOMED CT US Pregnancy 128077009 Trauma to vagina during delivery (disorder) Edition SNOMED CT US Pregnancy 128604004 Disorder of product of conception (disorder) Edition SNOMED CT US Pregnancy 129597002 Moderate hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 129598007 Severe hyperemesis gravidarum (disorder) Edition SNOMED CT US Pregnancy 129600001 Placental hemangioma syndrome (disorder) Edition SNOMED CT US Pregnancy 130958001 Disorder of placental circulatory function (disorder) Edition SNOMED CT US Pregnancy 130959009 Disorder of amniotic fluid turnover (disorder) Edition SNOMED CT US Pregnancy 130960004 Disorder of amniotic fluid production (disorder) Edition SNOMED CT US Pregnancy 156072005 Incomplete miscarriage (disorder) Edition SNOMED CT US Pregnancy 156073000 Complete miscarriage (disorder) Edition SNOMED CT US Pregnancy 163403004 On examination - vaginal examination - gravid uterus (finding) Edition SNOMED CT US Pregnancy 163498004 On examination - gravid uterus size (finding) Edition SNOMED CT US Pregnancy 163499007 On examination - fundus 12-16 week size (finding) Edition
Page 223 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 163500003 On examination - fundus 16-20 week size (finding) Edition SNOMED CT US Pregnancy 163501004 On examination - fundus 20-24 week size (finding) Edition SNOMED CT US Pregnancy 163502006 On examination - fundus 24-28 week size (finding) Edition SNOMED CT US Pregnancy 163504007 On examination - fundus 28-32 week size (finding) Edition SNOMED CT US Pregnancy 163505008 On examination - fundus 32-34 week size (finding) Edition SNOMED CT US Pregnancy 163506009 On examination - fundus 34-36 week size (finding) Edition SNOMED CT US Pregnancy 163507000 On examination - fundus 36-38 week size (finding) Edition SNOMED CT US Pregnancy 163508005 On examination - fundus 38 weeks-term size (finding) Edition SNOMED CT US Pregnancy 163509002 On examination - fundus = term size (finding) Edition SNOMED CT US Pregnancy 163510007 On examination - fundal size = dates (finding) Edition SNOMED CT US Pregnancy 163515002 On examination - oblique lie (disorder) Edition SNOMED CT US Pregnancy 163516001 On examination - transverse lie (disorder) Edition SNOMED CT US Pregnancy 163520002 On examination - presenting part position (finding) Edition SNOMED CT US Pregnancy 163521003 On examination - presenting part left occipitoanterior (finding) Edition SNOMED CT US Pregnancy 163522005 On examination - presenting right occipitoanterior (finding) Edition SNOMED CT US Pregnancy 163524006 On examination - presenting part right occipitoposterior (finding) Edition
Page 224 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 163525007 On examination - presenting part left sacroanterior (finding) Edition SNOMED CT US Pregnancy 163526008 On examination - presenting part right sacroanterior (finding) Edition SNOMED CT US Pregnancy 163531005 On examination - partial engagement - 3/5 (finding) Edition SNOMED CT US Pregnancy 163532003 On examination - partial engagement - 2/5 (finding) Edition SNOMED CT US Pregnancy 163533008 On examination - presentation engaged-1/5 (finding) Edition SNOMED CT US Pregnancy 163535001 On examination - fetal movements (finding) Edition SNOMED CT US Pregnancy 163539007 On examination - fetus very active (finding) Edition SNOMED CT US Pregnancy 163540009 On examination - fetal movement diminished (finding) Edition SNOMED CT US Pregnancy 163542001 On examination - fetal heart heard (finding) Edition SNOMED CT US Pregnancy 163555000 On examination - vaginal examination for pelvic assessment (finding) Edition SNOMED CT US Pregnancy 163556004 On examination - vaginal examination - pelvis adequate (finding) Edition SNOMED CT US Pregnancy 163559006 On examination - vaginal examination - cervical ripeness (finding) Edition SNOMED CT US Pregnancy 163561002 On examination - vaginal examination - cervix ripe (finding) Edition SNOMED CT US Pregnancy 163563004 On examination - vaginal examination - cervical dilatation (finding) Edition SNOMED CT US Pregnancy 163564005 On examination - vaginal examination - cervical os closed (finding) Edition SNOMED CT US Pregnancy 163565006 On examination - vaginal examination - os 0-1 cm dilated (finding) Edition
Page 225 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 163566007 On examination - vaginal examination - os 1-2cm dilated (finding) Edition SNOMED CT US Pregnancy 163567003 On examination - vaginal examination - os 2-4 cm dilated (finding) Edition SNOMED CT US Pregnancy 163568008 On examination - vaginal examination - os 4-6cm dilated (finding) Edition SNOMED CT US Pregnancy 163569000 On examination - vaginal examination - os 6-8cm dilated (finding) Edition SNOMED CT US Pregnancy 163570004 On examination - vaginal examination - os 8-10cm dilated (finding) Edition SNOMED CT US Pregnancy 163571000 On examination - vaginal examination - os fully dilated (finding) Edition SNOMED CT US Pregnancy 163574008 On examination - vaginal examination - presenting part high (finding) Edition SNOMED CT US Pregnancy 163575009 On examination - vaginal examination - presenting part in mid cavity (finding) Edition SNOMED CT US Pregnancy 163576005 On examination - vaginal examination - presenting part at spines (finding) Edition SNOMED CT US Pregnancy 163577001 On examination - vaginal examination - presenting part visible (finding) Edition SNOMED CT US Pregnancy 168097000 Amniotic fluid cell content OK (finding) Edition SNOMED CT US Pregnancy 169560008 Pregnant - urine test confirms (finding) Edition SNOMED CT US Pregnancy 169561007 Pregnant - blood test confirms (finding) Edition SNOMED CT US Pregnancy 169562000 Pregnant - vaginal examination confirms (finding) Edition SNOMED CT US Pregnancy 169563005 Pregnant - on history (finding) Edition SNOMED CT US Pregnancy 169564004 Pregnant - on abdominal palpation (finding) Edition
Page 226 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169565003 Pregnant - planned (finding) Edition SNOMED CT US Pregnancy 169566002 Pregnant - unplanned - wanted (finding) Edition SNOMED CT US Pregnancy 169567006 Pregnant -unplanned-not wanted (finding) Edition SNOMED CT US Pregnancy 169568001 Unplanned pregnancy unknown if child is wanted (finding) Edition SNOMED CT US Pregnancy 169569009 Questionable if pregnancy was planned (finding) Edition SNOMED CT US Pregnancy 169613008 Antenatal care provider (finding) Edition SNOMED CT US Pregnancy 169614002 Antenatal care from general practitioner (finding) Edition SNOMED CT US Pregnancy 169615001 Antenatal care from consultant (finding) Edition SNOMED CT US Pregnancy 169616000 Antenatal - shared care (finding) Edition SNOMED CT US Pregnancy 169620001 Delivery: no place booked (finding) Edition SNOMED CT US Pregnancy 169628008 Delivery booking - length of stay (finding) Edition SNOMED CT US Pregnancy 169632002 Parent craft classes (finding) Edition SNOMED CT US Pregnancy 169633007 Parent craft classes offered (finding) [169633007] Edition SNOMED CT US Pregnancy 169636004 Parent craft class attended (finding) Edition SNOMED CT US Pregnancy 169637008 Parent craft -individual class (finding) Edition SNOMED CT US Pregnancy 169638003 Parent craft - group class (finding) Edition
Page 227 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169646002 Antenatal amniocentesis (finding) Edition SNOMED CT US Pregnancy 169648001 Antenatal amniocentesis - offered (finding) Edition SNOMED CT US Pregnancy 169650009 Antenatal amniocentesis wanted (finding) Edition SNOMED CT US Pregnancy 169651008 Antenatal amniocentesis - awaited (finding) Edition SNOMED CT US Pregnancy 169657007 Antenatal ultrasound scan status (finding) Edition SNOMED CT US Pregnancy 169659005 Antenatal ultrasound scan offered (finding) Edition SNOMED CT US Pregnancy 169661001 Antenatal ultrasound scan wanted (finding) Edition SNOMED CT US Pregnancy 169662008 Antenatal ultrasound scan awaited (finding) Edition SNOMED CT US Pregnancy 169667002 Antenatal ultrasound scan for slow growth (finding) Edition SNOMED CT US Pregnancy 169675008 Antenatal RhD screening offered (finding) Edition SNOMED CT US Pregnancy 169684008 Alpha-fetoprotein blood test offered (finding) Edition SNOMED CT US Pregnancy 169686005 Alpha-fetoprotein blood test wanted (finding) Edition SNOMED CT US Pregnancy 169688006 Alpha-fetoprotein blood sent (finding) Edition SNOMED CT US Pregnancy 169692004 Rubella screening offered (finding) Edition SNOMED CT US Pregnancy 169694003 Rubella screening wanted (finding) Edition SNOMED CT US Pregnancy 169695002 Rubella screening - blood sent (finding) Edition
Page 228 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169696001 Rubella status not known (finding) Edition SNOMED CT US Pregnancy 169734005 Spontaneous rupture of membranes (finding) Edition SNOMED CT US Pregnancy 169750002 Mother currently breast-feeding (finding) Edition SNOMED CT US Pregnancy 169783009 Postnatal examination minor problem found (finding) Edition SNOMED CT US Pregnancy 169784003 Postnatal examination normal (finding) Edition SNOMED CT US Pregnancy 169813005 Home birth (finding) Edition SNOMED CT US Pregnancy 169814004 General practice unit birth (finding) Edition SNOMED CT US Pregnancy 169815003 Consultant unit birth (finding) Edition SNOMED CT US Pregnancy 169817006 Ambulance birth (finding) Edition SNOMED CT US Pregnancy 169826009 Single live birth (finding) Edition SNOMED CT US Pregnancy 169827000 Single stillbirth (finding) Edition SNOMED CT US Pregnancy 169828005 Twins - both live born (finding) Edition SNOMED CT US Pregnancy 169829002 Twins - one still and one live born (finding) Edition SNOMED CT US Pregnancy 169830007 Twins - both stillborn (finding) Edition SNOMED CT US Pregnancy 169831006 Triplets - all live born (finding) Edition SNOMED CT US Pregnancy 169832004 Triplets - two live and one stillborn (finding) Edition
Page 229 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 169833009 Triplets - one live and two stillborn (finding) Edition SNOMED CT US Pregnancy 169834003 Triplets - three stillborn (finding) Edition SNOMED CT US Pregnancy 169836001 Birth of child (finding) Edition SNOMED CT US Pregnancy 169952004 Placental finding (finding) Edition SNOMED CT US Pregnancy 169954003 Placenta normal O/E (finding) Edition SNOMED CT US Pregnancy 169957005 Placental abnormality (finding) Edition SNOMED CT US Pregnancy 169958000 Placenta incomplete (disorder) Edition SNOMED CT US Pregnancy 169960003 Labor details (finding) Edition SNOMED CT US Pregnancy 169961004 Normal birth (finding) Edition SNOMED CT US Pregnancy 169963001 Birth details not known (finding) Edition SNOMED CT US Pregnancy 173300003 Disorder of pregnancy (disorder) Edition SNOMED CT US Pregnancy 178280004 Postnatal infection (disorder) Edition SNOMED CT US Pregnancy 184339009 Miscarriage at 8 to 28 weeks (disorder) Edition SNOMED CT US Pregnancy 198332009 Old uterine laceration due to obstetric cause (disorder) Edition SNOMED CT US Pregnancy 198347000 Cicatrix (postpartum) of cervix (disorder) Edition SNOMED CT US Pregnancy 198609003 Complication of pregnancy, childbirth and/or the puerperium (disorder) Edition
Page 230 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198617006 Delivery of viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 198620003 Ruptured tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 198624007 Membranous pregnancy (disorder) Edition SNOMED CT US Pregnancy 198626009 Mesenteric pregnancy (disorder) Edition SNOMED CT US Pregnancy 198627000 Angular pregnancy (disorder) Edition SNOMED CT US Pregnancy 198644001 Incomplete miscarriage with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198645000 Incomplete miscarriage with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198646004 Incomplete miscarriage with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198647008 Incomplete miscarriage with renal failure (disorder) Edition SNOMED CT US Pregnancy 198648003 Incomplete miscarriage with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198649006 Incomplete miscarriage with shock (disorder) Edition SNOMED CT US Pregnancy 198650006 Incomplete miscarriage with embolism (disorder) Edition SNOMED CT US Pregnancy 198655001 Complete miscarriage with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198656000 Complete miscarriage with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198657009 Complete miscarriage with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198659007 Complete miscarriage with renal failure (disorder) Edition
Page 231 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198660002 Complete miscarriage with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198661003 Complete miscarriage with shock (disorder) Edition SNOMED CT US Pregnancy 198663000 Complete miscarriage with embolism (disorder) Edition SNOMED CT US Pregnancy 198705001 Incomplete legal abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198706000 Incomplete legal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198707009 Incomplete legal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198708004 Incomplete legal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198709007 Incomplete legal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198710002 Incomplete legal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198711003 Incomplete legal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198718009 Complete legal abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198719001 Complete legal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198720007 Complete legal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198721006 Complete legal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198722004 Complete legal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198723009 Complete legal abortion with shock (disorder) Edition
Page 232 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198724003 Complete legal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198743003 Illegal abortion incomplete (disorder) Edition SNOMED CT US Pregnancy 198744009 Incomplete illegal abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198745005 Incomplete illegal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198746006 Incomplete illegal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198747002 Incomplete illegal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198748007 Incomplete illegal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198749004 Incomplete illegal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198750004 Incomplete illegal abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198755009 Illegal abortion complete (disorder) Edition SNOMED CT US Pregnancy 198757001 Complete illegal abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198758006 Complete illegal abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198759003 Complete illegal abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198760008 Complete illegal abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198761007 Complete illegal abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198762000 Complete illegal abortion with embolism (disorder) Edition
Page 233 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198806007 Failed attempted abortion with genital tract or pelvic infection (disorder) Edition SNOMED CT US Pregnancy 198807003 Failed attempted abortion with delayed or excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198808008 Failed attempted abortion with damage to pelvic organs or tissues (disorder) Edition SNOMED CT US Pregnancy 198809000 Failed attempted abortion with renal failure (disorder) Edition SNOMED CT US Pregnancy 198810005 Failed attempted abortion with metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 198811009 Failed attempted abortion with shock (disorder) Edition SNOMED CT US Pregnancy 198812002 Failed attempted abortion with embolism (disorder) Edition SNOMED CT US Pregnancy 198861000 Readmission for retained products of conception, spontaneous abortion (disorder) Edition SNOMED CT US Pregnancy 198862007 Readmission for retained products of conception, legal abortion (disorder) Edition SNOMED CT US Pregnancy 198863002 Readmission for retained products of conception, illegal abortion (disorder) Edition SNOMED CT US Pregnancy 198874006 Failed medical abortion, complicated by genital tract and pelvic infection (disorder) Edition Failed medical abortion, complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 198875007 (disorder) Edition SNOMED CT US Pregnancy 198876008 Failed medical abortion, complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 198878009 Failed medical abortion, without complication (disorder) Edition SNOMED CT US Pregnancy 198899007 Placenta previa without hemorrhage - delivered (disorder) Edition SNOMED CT US Pregnancy 198900002 Placenta previa without hemorrhage - not delivered (disorder) Edition
Page 234 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198903000 Placenta previa with hemorrhage (disorder) Edition SNOMED CT US Pregnancy 198905007 Placenta previa with hemorrhage - delivered (disorder) Edition SNOMED CT US Pregnancy 198906008 Placenta previa with hemorrhage - not delivered (disorder) Edition SNOMED CT US Pregnancy 198910006 Placental abruption - delivered (disorder) Edition SNOMED CT US Pregnancy 198911005 Placental abruption - not delivered (disorder) Edition SNOMED CT US Pregnancy 198912003 Premature separation of placenta with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 198917009 Antepartum hemorrhage with coagulation defect - delivered (disorder) Edition SNOMED CT US Pregnancy 198918004 Antepartum hemorrhage with coagulation defect - not delivered (disorder) Edition SNOMED CT US Pregnancy 198920001 Antepartum hemorrhage with trauma (disorder) Edition SNOMED CT US Pregnancy 198922009 Antepartum hemorrhage with trauma - delivered (disorder) Edition SNOMED CT US Pregnancy 198923004 Antepartum hemorrhage with trauma - not delivered (disorder) Edition SNOMED CT US Pregnancy 198925006 Antepartum hemorrhage with uterine leiomyoma (disorder) Edition SNOMED CT US Pregnancy 198927003 Antepartum hemorrhage with uterine leiomyoma - delivered (disorder) Edition SNOMED CT US Pregnancy 198928008 Antepartum hemorrhage with uterine leiomyoma - not delivered (disorder) Edition SNOMED CT US Pregnancy 198941007 Hypertension complicating pregnancy, childbirth and the puerperium (disorder) Edition Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198942000 puerperium (disorder) Edition
Page 235 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198944004 puerperium - delivered (disorder) Edition
Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198945003 puerperium - delivered with postnatal complication (disorder) Edition
Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198946002 puerperium - not delivered (disorder) Edition
Benign essential hypertension complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 198947006 puerperium with postnatal complication (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 198949009 (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium - SNOMED CT US Pregnancy 198951008 delivered (disorder) Edition Renal hypertension complicating pregnancy, childbirth and the puerperium - SNOMED CT US Pregnancy 198952001 delivered with postnatal complication (disorder) Edition
Renal hypertension complicating pregnancy, childbirth and the puerperium - not SNOMED CT US Pregnancy 198953006 delivered (disorder) Edition
Renal hypertension complicating pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 198954000 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198965005 Transient hypertension of pregnancy - delivered (disorder) Edition Transient hypertension of pregnancy - delivered with postnatal complication SNOMED CT US Pregnancy 198966006 (disorder) Edition SNOMED CT US Pregnancy 198967002 Transient hypertension of pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 198968007 Transient hypertension of pregnancy with postnatal complication (disorder) Edition
Page 236 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 198983002 Severe pre-eclampsia - delivered (disorder) Edition SNOMED CT US Pregnancy 198984008 Severe pre-eclampsia - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198985009 Severe pre-eclampsia - not delivered (disorder) Edition SNOMED CT US Pregnancy 198986005 Severe pre-eclampsia with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198990007 Eclampsia - delivered (disorder) Edition SNOMED CT US Pregnancy 198991006 Eclampsia - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198992004 Eclampsia in pregnancy (disorder) Edition SNOMED CT US Pregnancy 198993009 Eclampsia with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 198997005 Pre-eclampsia or eclampsia with pre-existing hypertension (disorder) Edition SNOMED CT US Pregnancy 198999008 Pre-eclampsia or eclampsia with pre-existing hypertension - delivered (disorder) Edition Pre-eclampsia or eclampsia with pre-existing hypertension - delivered with SNOMED CT US Pregnancy 199000005 postnatal complication (disorder) Edition Pre-eclampsia or eclampsia with pre-existing hypertension - not delivered SNOMED CT US Pregnancy 199002002 (disorder) Edition Pre-eclampsia or eclampsia with pre-existing hypertension with postnatal SNOMED CT US Pregnancy 199003007 complication (disorder) Edition Pre-existing hypertension complicating pregnancy, childbirth and puerperium SNOMED CT US Pregnancy 199005000 (disorder) Edition Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the SNOMED CT US Pregnancy 199006004 puerperium (disorder) Edition
Page 237 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pre-existing hypertensive heart and renal disease complicating pregnancy, SNOMED CT US Pregnancy 199007008 childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199022003 Mild hyperemesis-delivered (disorder) Edition SNOMED CT US Pregnancy 199023008 Mild hyperemesis-not delivered (disorder) Edition SNOMED CT US Pregnancy 199025001 Hyperemesis gravidarum with metabolic disturbance (disorder) Edition SNOMED CT US Pregnancy 199027009 Hyperemesis gravidarum with metabolic disturbance - delivered (disorder) Edition SNOMED CT US Pregnancy 199028004 Hyperemesis gravidarum with metabolic disturbance - not delivered (disorder) Edition SNOMED CT US Pregnancy 199032005 Late pregnancy vomiting - delivered (disorder) Edition SNOMED CT US Pregnancy 199033000 Late pregnancy vomiting - not delivered (disorder) Edition SNOMED CT US Pregnancy 199047001 False labor (finding) Edition SNOMED CT US Pregnancy 199049003 Threatened premature labor - not delivered (finding) Edition SNOMED CT US Pregnancy 199050003 False labor at or after 37 completed weeks of gestation (finding) Edition SNOMED CT US Pregnancy 199063009 Post-term pregnancy - delivered (disorder) Edition SNOMED CT US Pregnancy 199064003 Post-term pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199087006 Habitual aborter - delivered (finding) Edition SNOMED CT US Pregnancy 199088001 Habitual aborter - not delivered (finding) Edition SNOMED CT US Pregnancy 199093003 Peripheral neuritis in pregnancy - delivered (disorder) Edition
Page 238 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199095005 Peripheral neuritis in pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199096006 Peripheral neuritis in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199099004 Asymptomatic bacteriuria in pregnancy - delivered (disorder) Edition Asymptomatic bacteriuria in pregnancy - delivered with postnatal complication SNOMED CT US Pregnancy 199100007 (disorder) Edition SNOMED CT US Pregnancy 199101006 Asymptomatic bacteriuria in pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199102004 Asymptomatic bacteriuria in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199106001 Genitourinary tract infection in pregnancy - delivered (disorder) Edition Genitourinary tract infection in pregnancy - delivered with postnatal complication SNOMED CT US Pregnancy 199107005 (disorder) Edition SNOMED CT US Pregnancy 199108000 Genitourinary tract infection in pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199109008 Genitourinary tract infection in pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199110003 Infections of kidney in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199111004 Urinary tract infection following delivery (disorder) Edition SNOMED CT US Pregnancy 199112006 Infections of the genital tract in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199117000 Liver disorder in pregnancy - delivered (disorder) Edition SNOMED CT US Pregnancy 199118005 Liver disorder in pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199121007 Fatigue during pregnancy - delivered (disorder) Edition
Page 239 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199122000 Fatigue during pregnancy - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199123005 Fatigue during pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199124004 Fatigue during pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199127006 Herpes gestationis - delivered (disorder) Edition SNOMED CT US Pregnancy 199128001 Herpes gestationis - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199129009 Herpes gestationis - not delivered (disorder) Edition SNOMED CT US Pregnancy 199130004 Herpes gestationis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199132007 Pregnancy-related glycosuria (disorder) Edition SNOMED CT US Pregnancy 199134008 Glycosuria during pregnancy - delivered (disorder) Edition SNOMED CT US Pregnancy 199135009 Glycosuria during pregnancy - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199136005 Glycosuria during pregnancy - not delivered (disorder) Edition SNOMED CT US Pregnancy 199137001 Glycosuria during pregnancy with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199139003 Pregnancy-induced edema and proteinuria without hypertension (disorder) Edition SNOMED CT US Pregnancy 199141002 Gestational edema with proteinuria (disorder) Edition SNOMED CT US Pregnancy 199153003 Infective/parasitic disease in preg/childbirth/puerperium (disorder) Edition SNOMED CT US Pregnancy 199154009 Maternal syphilis during pregnancy, childbirth and the puerperium (disorder) Edition
Page 240 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199156006 Maternal syphilis during pregnancy - baby delivered (disorder) Edition Maternal syphilis in the puerperium - baby delivered during current episode of care SNOMED CT US Pregnancy 199157002 (disorder) Edition SNOMED CT US Pregnancy 199158007 Maternal syphilis during pregnancy - baby not yet delivered (disorder) Edition Maternal syphilis in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199159004 care (disorder) Edition SNOMED CT US Pregnancy 199161008 Maternal gonorrhea during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199163006 Maternal gonorrhea during pregnancy - baby delivered (disorder) Edition Maternal gonorrhea in the puerperium - baby delivered during current episode of SNOMED CT US Pregnancy 199164000 care (disorder) Edition SNOMED CT US Pregnancy 199165004 Maternal gonorrhea during pregnancy - baby not yet delivered (disorder) Edition Maternal gonorrhea in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199166003 care (disorder) Edition SNOMED CT US Pregnancy 199175001 Maternal tuberculosis during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199178004 Tuberculosis in pregnancy, childbirth and the puerperium - delivered (disorder) Edition Maternal tuberculosis in the puerperium - baby delivered during current episode of SNOMED CT US Pregnancy 199179007 care (disorder) Edition SNOMED CT US Pregnancy 199180005 Maternal tuberculosis during pregnancy - baby not yet delivered (disorder) Edition Maternal tuberculosis in the puerperium - baby delivered during previous episode SNOMED CT US Pregnancy 199181009 of care (disorder) Edition SNOMED CT US Pregnancy 199183007 Maternal malaria during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199185000 Maternal malaria during pregnancy - baby delivered (disorder) Edition
Page 241 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Maternal malaria in the puerperium - baby delivered during current episode of care SNOMED CT US Pregnancy 199186004 (disorder) Edition SNOMED CT US Pregnancy 199187008 Maternal malaria during pregnancy - baby not yet delivered (disorder) Edition Maternal malaria in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199188003 care (disorder) Edition SNOMED CT US Pregnancy 199192005 Maternal rubella during pregnancy - baby delivered (disorder) Edition Maternal rubella in the puerperium - baby delivered during current episode of care SNOMED CT US Pregnancy 199193000 (disorder) Edition SNOMED CT US Pregnancy 199194006 Maternal rubella during pregnancy - baby not yet delivered (disorder) Edition Maternal rubella in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199195007 care (disorder) Edition SNOMED CT US Pregnancy 199203001 Viral hepatitis complicating pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199205008 Infections of bladder in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199225007 Diabetes mellitus during pregnancy - baby delivered (disorder) Edition SNOMED CT US Pregnancy 199227004 Diabetes mellitus during pregnancy - baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 199244000 Anemia during pregnancy - baby delivered (disorder) Edition Anemia in the puerperium - baby delivered during current episode of care SNOMED CT US Pregnancy 199245004 (disorder) Edition SNOMED CT US Pregnancy 199246003 Anemia during pregnancy - baby not yet delivered (disorder) Edition Anemia in the puerperium - baby delivered during previous episode of care SNOMED CT US Pregnancy 199247007 (disorder) Edition SNOMED CT US Pregnancy 199252002 Drug dependence during pregnancy - baby delivered (disorder) Edition
Page 242 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199253007 Drug dependence in the puerperium - baby delivered (disorder) Edition SNOMED CT US Pregnancy 199254001 Drug dependence during pregnancy - baby not yet delivered (disorder) Edition Drug dependence in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199255000 care (disorder) Edition SNOMED CT US Pregnancy 199257008 Mental disorders during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199259006 Mental disorder during pregnancy - baby delivered (disorder) Edition SNOMED CT US Pregnancy 199260001 Mental disorder in the puerperium - baby delivered (disorder) Edition SNOMED CT US Pregnancy 199261002 Mental disorder during pregnancy - baby not yet delivered (disorder) Edition Mental disorder in the puerperium - baby delivered during previous episode of care SNOMED CT US Pregnancy 199262009 (disorder) Edition SNOMED CT US Pregnancy 199266007 Congenital cardiovascular disorder during pregnancy - baby delivered (disorder) Edition Congenital cardiovascular disorder in the puerperium - baby delivered during SNOMED CT US Pregnancy 199267003 current episode of care (disorder) Edition Congenital cardiovascular disorder during pregnancy - baby not yet delivered SNOMED CT US Pregnancy 199268008 (disorder) Edition Congenital cardiovascular disorder in the puerperium - baby delivered during SNOMED CT US Pregnancy 199269000 previous episode of care (disorder) Edition SNOMED CT US Pregnancy 199279003 Orthopedic disorders during pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 199281001 Orthopedic disorder during pregnancy - baby delivered (disorder) Edition Orthopedic disorder in the puerperium - baby delivered during current episode of SNOMED CT US Pregnancy 199282008 care (disorder) Edition
Page 243 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199283003 Orthopedic disorder during pregnancy - baby not yet delivered (disorder) Edition Orthopedic disorder in the puerperium - baby delivered during previous episode of SNOMED CT US Pregnancy 199284009 care (disorder) Edition Disease of the respiratory system complicating pregnancy, childbirth and/or the SNOMED CT US Pregnancy 199293005 puerperium (disorder) Edition
Disease of the digestive system complicating pregnancy, childbirth and/or the SNOMED CT US Pregnancy 199294004 puerperium (disorder) Edition
Disease of the skin and subcutaneous tissue complicating pregnancy, childbirth SNOMED CT US Pregnancy 199295003 and/or the puerperium (disorder) Edition
Endocrine, nutritional and metabolic disease complicating pregnancy, childbirth SNOMED CT US Pregnancy 199296002 and puerperium (disorder) Edition Disease of nervous system complicating pregnancy, childbirth and puerperium SNOMED CT US Pregnancy 199297006 (disorder) Edition SNOMED CT US Pregnancy 199305006 Complications specific to multiple gestation (disorder) Edition SNOMED CT US Pregnancy 199306007 Continuing pregnancy after abortion of one fetus or more (disorder) Edition SNOMED CT US Pregnancy 199307003 Continuing pregnancy after intrauterine death of one or more fetuses (disorder) Edition SNOMED CT US Pregnancy 199314001 Normal delivery but ante- or post- natal conditions present (disorder) Edition SNOMED CT US Pregnancy 199317008 Twin pregnancy - delivered (finding) Edition SNOMED CT US Pregnancy 199318003 Twin pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199321001 Triplet pregnancy - delivered (finding) Edition
Page 244 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199322008 Triplet pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199325005 Quadruplet pregnancy - delivered (finding) Edition SNOMED CT US Pregnancy 199326006 Quadruplet pregnancy with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199329004 Multiple delivery, all spontaneous (finding) Edition SNOMED CT US Pregnancy 199330009 Multiple delivery, all by forceps and vacuum extractor (finding) Edition SNOMED CT US Pregnancy 199331008 Multiple delivery, all by cesarean section (finding) Edition SNOMED CT US Pregnancy 199344003 Unstable lie - delivered (disorder) Edition SNOMED CT US Pregnancy 199345002 Unstable lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199358001 Oblique lie - delivered (disorder) Edition SNOMED CT US Pregnancy 199359009 Oblique lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199362007 Transverse lie - delivered (disorder) Edition SNOMED CT US Pregnancy 199363002 Transverse lie with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199373000 High head at term (disorder) Edition SNOMED CT US Pregnancy 199375007 High head at term - delivered (disorder) Edition SNOMED CT US Pregnancy 199376008 High head at term with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199378009 Multiple pregnancy with malpresentation (disorder) Edition
Page 245 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199380003 Multiple pregnancy with malpresentation - delivered (disorder) Edition SNOMED CT US Pregnancy 199381004 Multiple pregnancy with malpresentation with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199384007 Prolapsed arm - delivered (disorder) Edition SNOMED CT US Pregnancy 199385008 Prolapsed arm with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199397009 Cephalopelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 199405005 Generally contracted pelvis - delivered (disorder) Edition SNOMED CT US Pregnancy 199406006 Generally contracted pelvis with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199409004 Inlet pelvic contraction - delivered (disorder) Edition SNOMED CT US Pregnancy 199410009 Inlet pelvic contraction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199413006 Outlet pelvic contraction - delivered (disorder) Edition SNOMED CT US Pregnancy 199414000 Outlet pelvic contraction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199416003 Mixed feto-pelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 199418002 Mixed feto-pelvic disproportion - delivered (disorder) Edition SNOMED CT US Pregnancy 199419005 Mixed feto-pelvic disproportion with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199422007 Large fetus causing disproportion - delivered (disorder) Edition SNOMED CT US Pregnancy 199423002 Large fetus causing disproportion with antenatal problem (disorder) Edition
Page 246 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199425009 Hydrocephalic disproportion (disorder) Edition SNOMED CT US Pregnancy 199427001 Hydrocephalic disproportion - delivered (disorder) Edition SNOMED CT US Pregnancy 199428006 Hydrocephalic disproportion with antenatal problem (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199446000 (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199461004 (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium - SNOMED CT US Pregnancy 199463001 delivered (disorder) Edition Uterine scar from previous surgery in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 199464007 with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199466009 Retroverted incarcerated gravid uterus (disorder) Edition SNOMED CT US Pregnancy 199468005 Retroverted incarcerated gravid uterus - delivered (disorder) Edition Retroverted incarcerated gravid uterus - delivered with postnatal complication SNOMED CT US Pregnancy 199469002 (disorder) Edition SNOMED CT US Pregnancy 199470001 Retroverted incarcerated gravid uterus with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199471002 Retroverted incarcerated gravid uterus with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199482005 Cervical incompetence - delivered (disorder) Edition SNOMED CT US Pregnancy 199483000 Cervical incompetence - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199484006 Cervical incompetence with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199485007 Cervical incompetence with postnatal complication (disorder) Edition
Page 247 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium - SNOMED CT US Pregnancy 199511005 delivered (disorder) Edition Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium - SNOMED CT US Pregnancy 199512003 delivered with postnatal complication (disorder) Edition
Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 199513008 antenatal problem (disorder) Edition
Pelvic soft tissue abnormality in pregnancy, childbirth and the puerperium with SNOMED CT US Pregnancy 199514002 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 199551008 Maternal care for (suspected) damage to fetus from alcohol (disorder) Edition SNOMED CT US Pregnancy 199577000 Fetal-maternal hemorrhage - delivered (disorder) Edition SNOMED CT US Pregnancy 199578005 Fetal-maternal hemorrhage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199582007 Rhesus isoimmunization - delivered (disorder) Edition SNOMED CT US Pregnancy 199583002 Rhesus isoimmunization with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199595002 Labor and delivery complication by meconium in amniotic fluid (disorder) Edition Labor and delivery complicated by fetal heart rate anomaly with meconium in SNOMED CT US Pregnancy 199596001 amniotic fluid (disorder) Edition SNOMED CT US Pregnancy 199597005 Labor and delivery complicated by biochemical evidence of fetal stress (disorder) Edition SNOMED CT US Pregnancy 199598000 Maternal care for fetal hypoxia (disorder) Edition SNOMED CT US Pregnancy 199625002 Placental transfusion syndromes (disorder) Edition SNOMED CT US Pregnancy 199646006 Polyhydramnios - delivered (disorder) Edition
Page 248 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199647002 Polyhydramnios with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199653002 Oligohydramnios - delivered (disorder) Edition SNOMED CT US Pregnancy 199654008 Oligohydramnios with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199658006 Premature rupture of membranes - delivered (disorder) Edition SNOMED CT US Pregnancy 199659003 Premature rupture of membranes with antenatal problem (disorder) Edition Premature rupture of membranes with onset of labor within 24 hours of the SNOMED CT US Pregnancy 199660008 rupture (disorder) Edition SNOMED CT US Pregnancy 199661007 Premature rupture of membranes, labor delayed by therapy (disorder) Edition Premature rupture of membranes with onset of labor after 24 hours of the rupture SNOMED CT US Pregnancy 199662000 (disorder) Edition SNOMED CT US Pregnancy 199670005 Prolonged artificial rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 199672002 Prolonged artificial rupture of membranes - delivered (disorder) Edition SNOMED CT US Pregnancy 199673007 Prolonged artificial rupture of membranes with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199677008 Amniotic cavity infection - delivered (disorder) Edition SNOMED CT US Pregnancy 199678003 Amniotic cavity infection with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199694005 Failed mechanical induction - delivered (disorder) Edition SNOMED CT US Pregnancy 199695006 Failed mechanical induction with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199710008 Sepsis during labor, delivered (disorder) Edition
Page 249 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199711007 Sepsis during labor with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199714004 Grand multiparity - delivered (finding) Edition SNOMED CT US Pregnancy 199715003 Grand multiparity with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199718001 Elderly primigravida - delivered (finding) Edition SNOMED CT US Pregnancy 199719009 Elderly primigravida with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199732004 Abnormal findings on antenatal screening of mother (disorder) Edition SNOMED CT US Pregnancy 199733009 Abnormal hematologic finding on antenatal screening of mother (finding) Edition SNOMED CT US Pregnancy 199741009 Malnutrition in pregnancy (disorder) Edition SNOMED CT US Pregnancy 199745000 Complication occurring during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 199746004 Obstructed labor (finding) Edition SNOMED CT US Pregnancy 199747008 Obstructed labor due to fetal malposition (finding) Edition SNOMED CT US Pregnancy 199749006 Obstructed labor due to fetal malposition - delivered (finding) Edition SNOMED CT US Pregnancy 199750006 Obstructed labor due to fetal malposition with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199751005 Obstructed labor due to breech presentation (finding) Edition SNOMED CT US Pregnancy 199752003 Obstructed labor due to face presentation (finding) Edition SNOMED CT US Pregnancy 199753008 Obstructed labor due to brow presentation (finding) Edition
Page 250 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199754002 Obstructed labor due to shoulder presentation (finding) Edition SNOMED CT US Pregnancy 199755001 Obstructed labor due to compound presentation (finding) Edition SNOMED CT US Pregnancy 199757009 Obstructed labor caused by bony pelvis (finding) Edition SNOMED CT US Pregnancy 199759007 Obstructed labor caused by bony pelvis - delivered (finding) Edition SNOMED CT US Pregnancy 199760002 Obstructed labor caused by bony pelvis with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199761003 Obstructed labor due to deformed pelvis (finding) Edition SNOMED CT US Pregnancy 199762005 Obstructed labor due to generally contracted pelvis (finding) Edition SNOMED CT US Pregnancy 199763000 Obstructed labor due to pelvic inlet contraction (finding) Edition SNOMED CT US Pregnancy 199764006 Obstructed labor due to pelvic outlet and mid-cavity contraction (finding) Edition SNOMED CT US Pregnancy 199765007 Obstructed labor due to abnormality of maternal pelvic organs (finding) Edition SNOMED CT US Pregnancy 199767004 Obstructed labor caused by pelvic soft tissues (finding) Edition SNOMED CT US Pregnancy 199769001 Obstructed labor caused by pelvic soft tissues - delivered (finding) Edition SNOMED CT US Pregnancy 199770000 Obstructed labor caused by pelvic soft tissues with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199774009 Deep transverse arrest - delivered (disorder) Edition SNOMED CT US Pregnancy 199775005 Deep transverse arrest with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199777002 Persistent occipitoposterior or occipitoanterior position (finding) Edition
Page 251 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199779004 Persistent occipitoposterior or occipitoanterior position - delivered (finding) Edition Persistent occipitoposterior or occipitoanterior position with antenatal problem SNOMED CT US Pregnancy 199780001 (finding) Edition SNOMED CT US Pregnancy 199783004 Shoulder dystocia - delivered (disorder) Edition SNOMED CT US Pregnancy 199784005 Shoulder dystocia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199787003 Locked twins - delivered (finding) Edition SNOMED CT US Pregnancy 199788008 Locked twins with antenatal problem (finding) Edition SNOMED CT US Pregnancy 199806003 Obstructed labor due to unusually large fetus (finding) Edition SNOMED CT US Pregnancy 199819004 Primary uterine inertia - delivered (disorder) Edition SNOMED CT US Pregnancy 199821009 Primary uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199824001 Secondary uterine inertia - delivered (disorder) Edition SNOMED CT US Pregnancy 199825000 Secondary uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199838008 Hypertonic uterine inertia - delivered (disorder) Edition SNOMED CT US Pregnancy 199839000 Hypertonic uterine inertia with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199847000 Prolonged first stage - delivered (disorder) Edition SNOMED CT US Pregnancy 199848005 Prolonged first stage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199857004 Prolonged second stage - delivered (disorder) Edition
Page 252 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199858009 Prolonged second stage with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199860006 Delayed delivery of second twin, triplet etc (disorder) Edition SNOMED CT US Pregnancy 199862003 Delayed delivery second twin - delivered (disorder) Edition SNOMED CT US Pregnancy 199863008 Delayed delivery second twin with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199869007 Prolapse of cord - delivered (disorder) Edition SNOMED CT US Pregnancy 199870008 Prolapse of cord with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199874004 Umbilical cord tight around neck - delivered (disorder) Edition SNOMED CT US Pregnancy 199875003 Umbilical cord tight around neck with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199880007 Cord tangled with compression - delivered (disorder) Edition SNOMED CT US Pregnancy 199881006 Cord tangled with compression with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199889008 Short cord - delivered (disorder) Edition SNOMED CT US Pregnancy 199890004 Short cord with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199895009 Vasa previa - delivered (disorder) Edition SNOMED CT US Pregnancy 199896005 Vasa previa with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199916005 First degree perineal tear during delivery - delivered (disorder) Edition SNOMED CT US Pregnancy 199917001 First degree perineal tear during delivery with postnatal problem (disorder) Edition
Page 253 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199925004 Second degree perineal tear during delivery - delivered (disorder) Edition SNOMED CT US Pregnancy 199926003 Second degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199930000 Third degree perineal tear during delivery - delivered (disorder) Edition SNOMED CT US Pregnancy 199931001 Third degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199934009 Fourth degree perineal tear during delivery - delivered (disorder) Edition SNOMED CT US Pregnancy 199935005 Fourth degree perineal tear during delivery with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199958008 Ruptured uterus before labor (disorder) Edition SNOMED CT US Pregnancy 199960005 Rupture of uterus before labor - delivered (disorder) Edition SNOMED CT US Pregnancy 199961009 Rupture of uterus before labor with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 199964001 Rupture of uterus during and after labor - delivered (disorder) Edition Rupture of uterus during and after labor - delivered with postnatal problem SNOMED CT US Pregnancy 199965000 (disorder) Edition SNOMED CT US Pregnancy 199969006 Obstetric inversion of uterus - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199970007 Obstetric inversion of uterus with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199972004 Laceration of cervix - obstetric (disorder) Edition SNOMED CT US Pregnancy 199974003 Obstetric laceration of cervix - delivered (disorder) Edition SNOMED CT US Pregnancy 199975002 Obstetric laceration of cervix with postnatal problem (disorder) Edition
Page 254 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 199977005 Obstetric high vaginal laceration (disorder) Edition SNOMED CT US Pregnancy 199979008 Obstetric high vaginal laceration - delivered (disorder) Edition SNOMED CT US Pregnancy 199980006 Obstetric high vaginal laceration with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199990003 Obstetric damage to pelvic joints and ligaments - delivered (disorder) Edition SNOMED CT US Pregnancy 199991004 Obstetric damage to pelvic joints and ligaments with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 199993001 Obstetric trauma causing pelvic hematoma (disorder) Edition SNOMED CT US Pregnancy 199995008 Obstetric pelvic hematoma - delivered (disorder) Edition SNOMED CT US Pregnancy 199997000 Obstetric pelvic hematoma with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200025008 Secondary postpartum hemorrhage - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200030007 Postpartum coagulation defects - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200031006 Postpartum coagulation defects with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200038000 Retained placenta with no hemorrhage with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200040005 Retained portion of placenta or membranes with no hemorrhage (disorder) Edition SNOMED CT US Pregnancy 200043007 Retained products with no hemorrhage with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200046004 Complications of anesthesia during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200049006 Obstetric anesthesia with pulmonary complications - delivered (disorder) Edition
Page 255 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Obstetric anesthesia with pulmonary complications - delivered with postnatal SNOMED CT US Pregnancy 200050006 problem (disorder) Edition Obstetric anesthesia with pulmonary complications with antenatal problem SNOMED CT US Pregnancy 200051005 (disorder) Edition Obstetric anesthesia with pulmonary complications with postnatal problem SNOMED CT US Pregnancy 200052003 (disorder) Edition SNOMED CT US Pregnancy 200054002 Obstetric anesthesia with cardiac complications (disorder) Edition SNOMED CT US Pregnancy 200056000 Obstetric anesthesia with cardiac complications - delivered (disorder) Edition Obstetric anesthesia with cardiac complications - delivered with postnatal problem SNOMED CT US Pregnancy 200057009 (disorder) Edition SNOMED CT US Pregnancy 200058004 Obstetric anesthesia with cardiac complications with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200059007 Obstetric anesthesia with cardiac complications with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200061003 Obstetric anesthesia with central nervous system complications (disorder) Edition Obstetric anesthesia with central nervous system complications - delivered SNOMED CT US Pregnancy 200063000 (disorder) Edition Obstetric anesthesia with central nervous system complication - delivered with SNOMED CT US Pregnancy 200064006 postnatal problem (disorder) Edition Obstetric anesthesia with central nervous system complication with antenatal SNOMED CT US Pregnancy 200065007 problem (disorder) Edition Obstetric anesthesia with central nervous system complication with postnatal SNOMED CT US Pregnancy 200066008 problem (disorder) Edition SNOMED CT US Pregnancy 200068009 Obstetric toxic reaction caused by local anesthesia (disorder) Edition SNOMED CT US Pregnancy 200069001 Toxic reaction caused by local anesthesia during pregnancy (disorder) Edition SNOMED CT US Pregnancy 200070000 Toxic reaction caused by local anesthesia during puerperium (disorder) Edition
Page 256 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200075005 Toxic reaction caused by local anesthetic during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200077002 Cardiac complications of anesthesia during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 200099005 Maternal distress - delivered (disorder) Edition SNOMED CT US Pregnancy 200100002 Maternal distress - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200101003 Maternal distress with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200102005 Maternal distress with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200105007 Obstetric shock - delivered (disorder) Edition SNOMED CT US Pregnancy 200106008 Obstetric shock - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200107004 Obstetric shock with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200108009 Obstetric shock with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200111005 Maternal hypotension syndrome - delivered (disorder) Edition SNOMED CT US Pregnancy 200112003 Maternal hypotension syndrome - delivered with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200113008 Maternal hypotension syndrome with antenatal problem (disorder) Edition SNOMED CT US Pregnancy 200114002 Maternal hypotension syndrome with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200118004 Post-delivery acute renal failure with postnatal problem (disorder) Edition SNOMED CT US Pregnancy 200125006 Infection of obstetric surgical wound (disorder) Edition
Page 257 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200130005 Forceps delivery - delivered (finding) Edition SNOMED CT US Pregnancy 200133007 Delivery by combination of forceps and vacuum extractor (finding) Edition SNOMED CT US Pregnancy 200134001 Delivered by mid-cavity forceps with rotation (finding) Edition SNOMED CT US Pregnancy 200138003 Vacuum extractor delivery - delivered (finding) Edition SNOMED CT US Pregnancy 200142000 Breech extraction - delivered (finding) Edition SNOMED CT US Pregnancy 200144004 Deliveries by cesarean (finding) Edition SNOMED CT US Pregnancy 200146002 Cesarean delivery - delivered (finding) Edition SNOMED CT US Pregnancy 200147006 Cesarean section - pregnancy at term (finding) Edition SNOMED CT US Pregnancy 200148001 Delivery by elective cesarean section (finding) Edition SNOMED CT US Pregnancy 200149009 Delivery by emergency cesarean section (finding) Edition SNOMED CT US Pregnancy 200150009 Delivery by cesarean hysterectomy (finding) Edition SNOMED CT US Pregnancy 200151008 Cesarean section following previous cesarean section (finding) Edition SNOMED CT US Pregnancy 200154000 Deliveries by destructive operation (finding) Edition SNOMED CT US Pregnancy 200164009 Exhaustion during labor (disorder) Edition SNOMED CT US Pregnancy 200173001 Intrapartum hemorrhage with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 200181000 Puerperal endometritis - delivered with postnatal complication (disorder) Edition
Page 258 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200182007 Puerperal endometritis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200185009 Puerperal salpingitis - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200187001 Puerperal salpingitis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200190007 Puerperal peritonitis - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200191006 Puerperal peritonitis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200195002 Puerperal septicemia - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200196001 Puerperal sepsis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200204002 Varicose veins of legs in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200206000 Varicose veins of legs in pregnancy and the puerperium - delivered (disorder) Edition Varicose veins of legs in pregnancy and the puerperium - delivered with postnatal SNOMED CT US Pregnancy 200207009 complication (disorder) Edition Varicose veins of legs in pregnancy and the puerperium with antenatal complication SNOMED CT US Pregnancy 200208004 (disorder) Edition Varicose veins of legs in pregnancy and the puerperium with postnatal complication SNOMED CT US Pregnancy 200209007 (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium - delivered SNOMED CT US Pregnancy 200215007 (disorder) Edition Varicose veins of perineum and vulva in pregnancy and the puerperium - delivered SNOMED CT US Pregnancy 200216008 with postnatal complication (disorder) Edition
Varicose veins of perineum and vulva in pregnancy and the puerperium with SNOMED CT US Pregnancy 200217004 antenatal complication (disorder) Edition
Page 259 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Varicose veins of perineum and vulva in pregnancy and the puerperium with SNOMED CT US Pregnancy 200218009 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200222004 Superficial thrombophlebitis in pregnancy and the puerperium (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium - delivered SNOMED CT US Pregnancy 200224003 (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium with antenatal SNOMED CT US Pregnancy 200226001 complication (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium with postnatal SNOMED CT US Pregnancy 200227005 complication (disorder) Edition SNOMED CT US Pregnancy 200237000 Postnatal deep vein thrombosis - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200238005 Postnatal deep vein thrombosis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200249004 Hemorrhoids in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200251000 Hemorrhoids in pregnancy and the puerperium - delivered (disorder) Edition Hemorrhoids in pregnancy and the puerperium - delivered with postnatal SNOMED CT US Pregnancy 200252007 complication (disorder) Edition Hemorrhoids in pregnancy and the puerperium with antenatal complication SNOMED CT US Pregnancy 200253002 (disorder) Edition Hemorrhoids in pregnancy and the puerperium with postnatal complication SNOMED CT US Pregnancy 200254008 (disorder) Edition SNOMED CT US Pregnancy 200277008 Puerperal pyrexia of unknown origin (disorder) Edition Puerperal pyrexia of unknown origin - delivered with postnatal complication SNOMED CT US Pregnancy 200280009 (disorder) Edition SNOMED CT US Pregnancy 200281008 Puerperal pyrexia of unknown origin with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200284000 Obstetric pulmonary embolism (disorder) Edition
Page 260 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200286003 Obstetric air pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 200288002 Obstetric air pulmonary embolism - delivered (disorder) Edition Obstetric air pulmonary embolism - delivered with postnatal complication SNOMED CT US Pregnancy 200289005 (disorder) Edition SNOMED CT US Pregnancy 200290001 Obstetric air pulmonary embolism with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200291002 Obstetric air pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200294005 Amniotic fluid pulmonary embolism - delivered (disorder) Edition Amniotic fluid pulmonary embolism - delivered with postnatal complication SNOMED CT US Pregnancy 200295006 (disorder) Edition SNOMED CT US Pregnancy 200296007 Amniotic fluid pulmonary embolism with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200297003 Amniotic fluid pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200299000 Obstetric blood-clot pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 200301007 Obstetric blood-clot pulmonary embolism - delivered (disorder) Edition Obstetric blood-clot pulmonary embolism - delivered with postnatal complication SNOMED CT US Pregnancy 200302000 (disorder) Edition SNOMED CT US Pregnancy 200303005 Obstetric blood-clot pulmonary embolism with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200304004 Obstetric blood-clot pulmonary embolism with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200308001 Obstetric pyemic and septic pulmonary embolism - delivered (disorder) Edition Obstetric pyemic and septic pulmonary embolism - delivered with postnatal SNOMED CT US Pregnancy 200309009 complication (disorder) Edition
Page 261 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Obstetric pyemic and septic pulmonary embolism with antenatal complication SNOMED CT US Pregnancy 200310004 (disorder) Edition Obstetric pyemic and septic pulmonary embolism with postnatal complication SNOMED CT US Pregnancy 200311000 (disorder) Edition SNOMED CT US Pregnancy 200330000 Puerperal cerebrovascular disorder - delivered (disorder) Edition Puerperal cerebrovascular disorder - delivered with postnatal complication SNOMED CT US Pregnancy 200331001 (disorder) Edition SNOMED CT US Pregnancy 200332008 Puerperal cerebrovascular disorder with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200333003 Puerperal cerebrovascular disorder with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200337002 Cesarean wound disruption - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200338007 Cesarean wound disruption with postnatal complication (disorder) Edition Obstetric perineal wound disruption - delivered with postnatal complication SNOMED CT US Pregnancy 200342005 (disorder) Edition SNOMED CT US Pregnancy 200343000 Obstetric perineal wound disruption with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200351002 Placental polyp - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200352009 Placental polyp with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200364001 Obstetric breast infections (disorder) Edition SNOMED CT US Pregnancy 200367008 Obstetric nipple infection - delivered (disorder) Edition SNOMED CT US Pregnancy 200368003 Obstetric nipple infection - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200369006 Obstetric nipple infection with antenatal complication (disorder) Edition
Page 262 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200370007 Obstetric nipple infection with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200374003 Obstetric breast abscess - delivered (disorder) Edition SNOMED CT US Pregnancy 200375002 Obstetric breast abscess - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200376001 Obstetric breast abscess with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200377005 Obstetric breast abscess with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200381005 Obstetric non-purulent mastitis - delivered (disorder) Edition SNOMED CT US Pregnancy 200382003 Obstetric non-purulent mastitis - delivered with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200383008 Obstetric non-purulent mastitis with antenatal complication (disorder) Edition SNOMED CT US Pregnancy 200385001 Obstetric non-purulent mastitis with postnatal complication (disorder) Edition SNOMED CT US Pregnancy 200444007 Galactorrhea in pregnancy and the puerperium (disorder) Edition SNOMED CT US Pregnancy 200446009 Galactorrhea in pregnancy and the puerperium - delivered (disorder) Edition Galactorrhea in pregnancy and the puerperium - delivered with postnatal SNOMED CT US Pregnancy 200447000 complication (disorder) Edition Galactorrhea in pregnancy and the puerperium with antenatal complication SNOMED CT US Pregnancy 200448005 (disorder) Edition Galactorrhea in pregnancy and the puerperium with postnatal complication SNOMED CT US Pregnancy 200449002 (disorder) Edition SNOMED CT US Pregnancy 200468004 Maternal care for fetus (disorder) Edition SNOMED CT US Pregnancy 200469007 Maternal care for compound presentation (disorder) Edition
Page 263 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 200471007 Maternal care for hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 200472000 Maternal care for viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 200473005 Maternal care for diminished fetal movements (disorder) Edition SNOMED CT US Pregnancy 200474004 Maternal care for poor fetal growth (disorder) [200474004] Edition SNOMED CT US Pregnancy 201134009 Alopecia of pregnancy (disorder) Edition SNOMED CT US Pregnancy 204470001 Single umbilical artery (disorder) Edition SNOMED CT US Pregnancy 206057002 Fetal or neonatal effect of transverse lie before labor (disorder) Edition SNOMED CT US Pregnancy 206070006 Fetal or neonatal effect of placental damage caused by cesarean section (disorder) Edition Fetal or neonatal effect of maternal bony pelvis abnormality during labor and SNOMED CT US Pregnancy 206112008 delivery (disorder) Edition Fetal or neonatal effect of maternal contracted pelvis during labor and delivery SNOMED CT US Pregnancy 206113003 (disorder) Edition Fetal or neonatal effect of persistent occipito-posterior malposition during labor SNOMED CT US Pregnancy 206114009 and delivery (disorder) Edition Fetal or neonatal effect of shoulder presentation during labor and delivery SNOMED CT US Pregnancy 206115005 (disorder) Edition SNOMED CT US Pregnancy 206116006 Fetal or neonatal effect of transverse lie during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206117002 Fetal or neonatal effect of face presentation during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206118007 Fetal or neonatal effect of disproportion during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 206121009 Fetal or neonatal effect of forceps delivery (disorder) Edition
Page 264 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 206122002 Fetal or neonatal effect of vacuum extraction delivery (disorder) Edition SNOMED CT US Pregnancy 206123007 Fetal or neonatal effect of cesarean section (disorder) Edition SNOMED CT US Pregnancy 206134005 Fetal or neonatal effect of precipitate delivery (disorder) Edition SNOMED CT US Pregnancy 206137003 Fetal or neonatal effect of maternal contraction ring (disorder) Edition SNOMED CT US Pregnancy 206138008 Fetal or neonatal effect of hypertonic labor (disorder) Edition SNOMED CT US Pregnancy 206139000 Fetal or neonatal effect of hypertonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 206146009 Fetal or neonatal effect of induction of labor (disorder) Edition SNOMED CT US Pregnancy 206148005 Fetal or neonatal effect of long labor (disorder) Edition SNOMED CT US Pregnancy 206149002 Fetal or neonatal effect of instrumental delivery (disorder) Edition SNOMED CT US Pregnancy 206191000 Local intracranial subdural hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206242003 Liver subcapsular hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206244002 Vulval hematoma due to birth trauma (disorder) Edition SNOMED CT US Pregnancy 206365006 Clostridial intra-amniotic fetal infection (disorder) Edition SNOMED CT US Pregnancy 206538000 Idiopathic hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 234058009 Genital varices in pregnancy (disorder) Edition SNOMED CT US Pregnancy 234380002 Kell isoimmunization of the newborn (disorder) Edition
Page 265 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 235888006 Cholestasis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237036002 Habitual aborter-not pregnant (finding) Edition SNOMED CT US Pregnancy 237186006 Stenosis of cervix in pregnancy, childbirth and the puerperium (disorder) Edition Stenosis of cervix complicating postnatal care - baby delivered during previous SNOMED CT US Pregnancy 237188007 episode of care (disorder) Edition SNOMED CT US Pregnancy 237189004 Stenosis of cervix complicating antenatal care - baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237190008 Stenosis of cervix - baby delivered with postpartum complication (disorder) Edition Rectocele complicating postpartum care - baby delivered during previous episode SNOMED CT US Pregnancy 237198001 of care (disorder) Edition SNOMED CT US Pregnancy 237201006 Rectocele complicating antenatal care - baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237202004 Rectocele - delivered with postpartum complication (disorder) Edition SNOMED CT US Pregnancy 237205002 Rectocele affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 237206001 Rectocele - baby delivered (disorder) Edition SNOMED CT US Pregnancy 237208000 Rectocele in pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 237209008 Pendulous abdomen in pregnancy, childbirth and/or the puerperium (disorder) Edition Bicornuate uterus complicating postpartum care - baby delivered during previous SNOMED CT US Pregnancy 237219002 episode of care (disorder) Edition SNOMED CT US Pregnancy 237220008 Bicornuate uterus complicating antenatal care, baby not yet delivered (disorder) Edition SNOMED CT US Pregnancy 237221007 Bicornuate uterus - baby delivered with postpartum complication (disorder) Edition
Page 266 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237223005 Bicornuate uterus - baby delivered (disorder) Edition SNOMED CT US Pregnancy 237224004 Bicornuate uterus affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 237225003 Bicornuate uterus in pregnancy, childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 237227006 Congenital heart disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237228001 Pregnancy and drug dependence (disorder) Edition SNOMED CT US Pregnancy 237230004 Uremia in pregnancy without hypertension (disorder) Edition SNOMED CT US Pregnancy 237233002 Concealed pregnancy (finding) Edition SNOMED CT US Pregnancy 237234008 Undiagnosed pregnancy (finding) Edition SNOMED CT US Pregnancy 237235009 Undiagnosed breech (disorder) Edition SNOMED CT US Pregnancy 237236005 Undiagnosed multiple pregnancy (disorder) Edition SNOMED CT US Pregnancy 237237001 Undiagnosed twin (disorder) Edition SNOMED CT US Pregnancy 237238006 Pregnancy with uncertain dates (finding) Edition SNOMED CT US Pregnancy 237239003 Low risk pregnancy (finding) Edition SNOMED CT US Pregnancy 237240001 Teenage pregnancy (finding) Edition SNOMED CT US Pregnancy 237241002 Viable pregnancy (finding) Edition SNOMED CT US Pregnancy 237242009 Non-viable pregnancy (finding) Edition
Page 267 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237243004 Biochemical pregnancy (finding) Edition SNOMED CT US Pregnancy 237244005 Single pregnancy (finding) Edition SNOMED CT US Pregnancy 237245006 Vanishing twin syndrome (disorder) Edition SNOMED CT US Pregnancy 237247003 Continuing pregnancy after abortion of sibling fetus (disorder) Edition SNOMED CT US Pregnancy 237249000 Complete hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 237250000 Incomplete hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 237252008 Placental site trophoblastic tumor (disorder) Edition SNOMED CT US Pregnancy 237253003 Viable fetus in abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 237254009 Unruptured tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 237256006 Disorder of pelvic size and disproportion (disorder) Edition SNOMED CT US Pregnancy 237257002 Midpelvic contraction (disorder) Edition SNOMED CT US Pregnancy 237259004 Variation of placental position (disorder) Edition SNOMED CT US Pregnancy 237260009 Variation of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237261008 Long umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237262001 Bleeding from umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237264000 Spontaneous hindwater rupture of membranes (finding) Edition
Page 268 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237265004 Spontaneous forewater rupture of membranes (finding) Edition SNOMED CT US Pregnancy 237266003 Preterm rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 237267007 Prolonged premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 237268002 Chorioangioma (disorder) Edition SNOMED CT US Pregnancy 237270006 Antepartum hemorrhage with hypofibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 237271005 Antepartum hemorrhage with hyperfibrinolysis (disorder) Edition SNOMED CT US Pregnancy 237272003 Antepartum hemorrhage with afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 237273008 Revealed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237274002 Concealed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237275001 Mixed accidental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237276000 Indeterminate antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237277009 Marginal placental hemorrhage (disorder) Edition SNOMED CT US Pregnancy 237279007 Transient hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237281009 Moderate proteinuric hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 237282002 Impending eclampsia (disorder) Edition SNOMED CT US Pregnancy 237283007 Eclampsia in labor (disorder) Edition
Page 269 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237284001 Symptomatic disorders in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237285000 Gestational edema (disorder) Edition SNOMED CT US Pregnancy 237286004 Vulval varices in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237288003 Abnormal weight gain in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237292005 Placental insufficiency (disorder) Edition SNOMED CT US Pregnancy 237294006 Retained placenta and membranes (disorder) Edition SNOMED CT US Pregnancy 237296008 Morbidly adherent placenta (disorder) Edition SNOMED CT US Pregnancy 237297004 Placenta adherent to previous uterine scar (disorder) Edition SNOMED CT US Pregnancy 237298009 Maternofetal transfusion (disorder) Edition SNOMED CT US Pregnancy 237300009 Pregnancy with isoimmunization (disorder) Edition SNOMED CT US Pregnancy 237302001 Kell isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237303006 Duffy isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237304000 Lewis isoimmunization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237305004 Presentation of cord (disorder) Edition SNOMED CT US Pregnancy 237306003 Cord beside head (disorder) Edition SNOMED CT US Pregnancy 237307007 Umbilical cord around body (disorder) Edition
Page 270 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237309005 Knot in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 237310000 Umbilical cord trauma (disorder) Edition SNOMED CT US Pregnancy 237313003 Vaginal delivery following previous cesarean section (finding) Edition SNOMED CT US Pregnancy 237319004 Failure to progress in labor (finding) Edition SNOMED CT US Pregnancy 237320005 Failure to progress in first stage of labor (finding) Edition SNOMED CT US Pregnancy 237321009 Delayed delivery of triplet (disorder) Edition SNOMED CT US Pregnancy 237324001 Cervical dystocia (finding) Edition SNOMED CT US Pregnancy 237325000 Head entrapment during breech delivery (disorder) Edition SNOMED CT US Pregnancy 237327008 Obstetric pelvic ligament damage (disorder) Edition SNOMED CT US Pregnancy 237328003 Obstetric pelvic joint damage (disorder) Edition SNOMED CT US Pregnancy 237329006 Urethra injury - obstetric (disorder) Edition SNOMED CT US Pregnancy 237336007 Fibrinolysis - postpartum (disorder) Edition SNOMED CT US Pregnancy 237337003 Afibrinogenemia - postpartum (disorder) Edition SNOMED CT US Pregnancy 237338008 Blood dyscrasia puerperal (disorder) Edition SNOMED CT US Pregnancy 237342006 Fat embolism - obstetric (disorder) Edition SNOMED CT US Pregnancy 237343001 Puerperal phlebitis (disorder) Edition
Page 271 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 237345008 Varicose veins - obstetric (disorder) Edition SNOMED CT US Pregnancy 237346009 Vulval obstetric varicose veins (disorder) Edition SNOMED CT US Pregnancy 237347000 Perineal obstetric varicose veins (disorder) Edition SNOMED CT US Pregnancy 237348005 Puerperal pyrexia (disorder) Edition SNOMED CT US Pregnancy 237349002 Mild postnatal depression (disorder) Edition SNOMED CT US Pregnancy 237350002 Severe postnatal depression (disorder) Edition SNOMED CT US Pregnancy 237351003 Mild postnatal psychosis (disorder) Edition SNOMED CT US Pregnancy 237352005 Severe postnatal psychosis (disorder) Edition SNOMED CT US Pregnancy 237353000 Obstetric disorders of breast and lactation (disorder) Edition SNOMED CT US Pregnancy 237355007 Milk engorgement of breast (disorder) Edition SNOMED CT US Pregnancy 237357004 Vascular engorgement of breast (disorder) Edition SNOMED CT US Pregnancy 237364002 Stillbirth (finding) Edition SNOMED CT US Pregnancy 237365001 Fresh stillbirth (finding) Edition SNOMED CT US Pregnancy 237366000 Macerated stillbirth (finding) Edition SNOMED CT US Pregnancy 237506002 Thyrotoxicosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 237507006 Human chorionic gonadotrophin-induced thyrotoxicosis (disorder) Edition
Page 272 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 238820002 Erythema multiforme of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239101008 Pregnancy eruption (disorder) Edition SNOMED CT US Pregnancy 239102001 Pruritus of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239103006 Prurigo of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239104000 Pruritic folliculitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 239105004 Transplacental herpes gestationis (disorder) Edition SNOMED CT US Pregnancy 240160002 Transient osteoporosis of hip in pregnancy (disorder) Edition SNOMED CT US Pregnancy 240167004 Osteomalacia secondary to pregnancy (disorder) Edition SNOMED CT US Pregnancy 243826008 Antenatal care status (finding) Edition SNOMED CT US Pregnancy 243827004 Antenatal RhD antibody status (finding) Edition SNOMED CT US Pregnancy 243828009 Alpha-fetoprotein blood test status (finding) Edition SNOMED CT US Pregnancy 243829001 Rubella screening status (finding) Edition SNOMED CT US Pregnancy 248896000 Products of conception in vagina (finding) Edition SNOMED CT US Pregnancy 248937008 Products of conception at uterine os cervix (finding) Edition SNOMED CT US Pregnancy 248982007 Pregnancy, childbirth and puerperium finding (finding) Edition SNOMED CT US Pregnancy 248985009 Presentation of pregnancy (finding) Edition
Page 273 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 248994003 Obstetric pelvic finding (finding) Edition SNOMED CT US Pregnancy 248996001 Transversely contracted pelvis (disorder) Edition SNOMED CT US Pregnancy 248997005 Position of ischial tuberosities (finding) Edition SNOMED CT US Pregnancy 249004001 Pelvic side wall finding (finding) Edition SNOMED CT US Pregnancy 249005000 Convergent pelvic side walls (finding) Edition SNOMED CT US Pregnancy 249006004 Divergent pelvic side walls (finding) Edition SNOMED CT US Pregnancy 249007008 Subpubic arch (finding) Edition SNOMED CT US Pregnancy 249013004 Pregnant abdomen finding (finding) Edition SNOMED CT US Pregnancy 249014005 Finding of shape of pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 249017003 Pregnant uterus displaced laterally (finding) Edition SNOMED CT US Pregnancy 249018008 Irritable uterus (finding) Edition SNOMED CT US Pregnancy 249020006 Cervical observation during pregnancy and labor (finding) Edition SNOMED CT US Pregnancy 249032005 Finding of speed of delivery (finding) Edition SNOMED CT US Pregnancy 249034006 Position of umbilical cord during labor (finding) Edition SNOMED CT US Pregnancy 249037004 Caul membrane over baby's head at delivery (finding) Edition SNOMED CT US Pregnancy 249064003 Oblique lie, head in iliac fossa (disorder) Edition
Page 274 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249065002 Oblique lie, breech in iliac fossa (disorder) Edition SNOMED CT US Pregnancy 249073006 Sutures touching without overlapping (finding) Edition SNOMED CT US Pregnancy 249074000 Reducible suture overlap (finding) Edition SNOMED CT US Pregnancy 249075004 Fixed suture overlap (finding) Edition SNOMED CT US Pregnancy 249089009 Fetal mouth presenting (disorder) Edition SNOMED CT US Pregnancy 249090000 Fetal ear presenting (disorder) Edition SNOMED CT US Pregnancy 249091001 Fetal nose presenting (disorder) Edition SNOMED CT US Pregnancy 249098007 Knee presentation (disorder) Edition SNOMED CT US Pregnancy 249099004 Single knee presentation (disorder) Edition SNOMED CT US Pregnancy 249100007 Double knee presentation (disorder) Edition SNOMED CT US Pregnancy 249104003 Dorsoanterior shoulder presentation (disorder) Edition SNOMED CT US Pregnancy 249105002 Dorsoposterior shoulder presentation (disorder) Edition SNOMED CT US Pregnancy 249122000 Baby overdue (finding) Edition SNOMED CT US Pregnancy 249124004 Condition of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 249125003 Intact membranes (finding) Edition SNOMED CT US Pregnancy 249127006 Intact membranes bulging through cervix (finding) Edition
Page 275 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249128001 Hourglass membranes (finding) Edition SNOMED CT US Pregnancy 249131000 Finding of quantity of liquor (finding) Edition SNOMED CT US Pregnancy 249132007 Change in quantity of liquor (finding) Edition SNOMED CT US Pregnancy 249134008 Bloodstained liquor (finding) Edition SNOMED CT US Pregnancy 249135009 Meconium stained liquor (finding) Edition SNOMED CT US Pregnancy 249136005 Fresh meconium staining liquor (finding) Edition SNOMED CT US Pregnancy 249137001 Old meconium staining liquor (finding) Edition SNOMED CT US Pregnancy 249141002 Labor not established (finding) Edition SNOMED CT US Pregnancy 249142009 Slow progress in first stage of labor (finding) Edition SNOMED CT US Pregnancy 249144005 Rapid first stage of labor (finding) Edition SNOMED CT US Pregnancy 249145006 Uterine observation in labor (finding) Edition SNOMED CT US Pregnancy 249146007 Segments of uterus distinguishable in labor (finding) Edition SNOMED CT US Pregnancy 249147003 State of upper segment retraction during labor (finding) Edition SNOMED CT US Pregnancy 249148008 Hypertonic lower uterine segment during labor (finding) Edition SNOMED CT US Pregnancy 249149000 Contraction of uterus during labor (finding) Edition SNOMED CT US Pregnancy 249150000 Transmission of uterine contraction wave (finding) Edition
Page 276 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249151001 Reversal of uterine contraction wave (finding) Edition SNOMED CT US Pregnancy 249161008 Maternal effort during second stage of labor (finding) Edition SNOMED CT US Pregnancy 249162001 Desire to push in labor (finding) Edition SNOMED CT US Pregnancy 249166003 Failure to progress in second stage of labor (finding) Edition SNOMED CT US Pregnancy 249170006 Complete placenta at delivery (finding) Edition SNOMED CT US Pregnancy 249172003 Finding of consistency of placenta (finding) Edition SNOMED CT US Pregnancy 249173008 Placenta gritty (finding) Edition SNOMED CT US Pregnancy 249174002 Placenta calcified (finding) Edition SNOMED CT US Pregnancy 249175001 Placental vessel finding (finding) Edition SNOMED CT US Pregnancy 249177009 Retroplacental clot (finding) Edition SNOMED CT US Pregnancy 249179007 Condition of membranes at delivery (finding) Edition SNOMED CT US Pregnancy 249180005 Membranes absent (finding) Edition SNOMED CT US Pregnancy 249181009 Membranes complete (finding) Edition SNOMED CT US Pregnancy 249182002 Membranes incomplete (finding) Edition SNOMED CT US Pregnancy 249186004 Blood clots in membranes (finding) Edition SNOMED CT US Pregnancy 249187008 Condition of umbilical cord at delivery (finding) Edition
Page 277 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 249189006 Wharton's jelly excessive (disorder) Edition SNOMED CT US Pregnancy 249195007 Maternal condition during labor (finding) Edition SNOMED CT US Pregnancy 249196008 Distress from pain in labor (disorder) Edition SNOMED CT US Pregnancy 249202006 Flaccid uterus after delivery (finding) Edition SNOMED CT US Pregnancy 249203001 Loss of fundal mass after delivery (finding) Edition SNOMED CT US Pregnancy 249205008 Placental fragments in uterus (finding) Edition SNOMED CT US Pregnancy 249206009 Placental fragments at cervical os (finding) Edition SNOMED CT US Pregnancy 249207000 Membrane at cervical os (finding) Edition SNOMED CT US Pregnancy 249211006 Lochia finding (finding) Edition SNOMED CT US Pregnancy 249213009 Finding of consistency of lochia (finding) Edition SNOMED CT US Pregnancy 249215002 Odor of lochia (finding) Edition SNOMED CT US Pregnancy 249218000 Postpartum vulval hematoma (disorder) Edition SNOMED CT US Pregnancy 249219008 Genital tear resulting from childbirth (disorder) Edition SNOMED CT US Pregnancy 249220002 Vaginal tear resulting from childbirth (disorder) Edition SNOMED CT US Pregnancy 251665008 Obstetric investigative finding (finding) Edition SNOMED CT US Pregnancy 267193004 Incomplete legal abortion (disorder) Edition
Page 278 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 267194005 Complete legal abortion (disorder) Edition SNOMED CT US Pregnancy 267197003 Antepartum hemorrhage, abruptio placentae and placenta previa (disorder) Edition SNOMED CT US Pregnancy 267199000 Antepartum hemorrhage with coagulation defect (disorder) Edition SNOMED CT US Pregnancy 267204006 Genitourinary tract infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 267206008 Drug dependence during pregnancy, childbirth and the puerperium (disorder) Edition Congenital cardiovascular disorders during pregnancy, childbirth and the SNOMED CT US Pregnancy 267207004 puerperium (disorder) Edition Congenital abnormality of uterus in pregnancy, childbirth and the puerperium SNOMED CT US Pregnancy 267212003 (disorder) Edition SNOMED CT US Pregnancy 267213008 Congenital abnormality of uterus affecting obstetric care (disorder) Edition SNOMED CT US Pregnancy 267214002 Congenital abnormality of uterus - baby delivered (disorder) Edition Congenital abnormality of uterus - baby delivered with postpartum complication SNOMED CT US Pregnancy 267215001 (disorder) Edition Congenital abnormality of uterus complicating antenatal care, baby not yet SNOMED CT US Pregnancy 267216000 delivered (disorder) Edition Congenital abnormality of uterus complicating postpartum care - baby delivered SNOMED CT US Pregnancy 267217009 during previous episode of care (disorder) Edition SNOMED CT US Pregnancy 267257007 Labor and delivery complicated by fetal heart rate anomaly (disorder) Edition SNOMED CT US Pregnancy 267262008 Prolonged spontaneous rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 267265005 Hypertonic uterine inertia (disorder) Edition SNOMED CT US Pregnancy 267266006 Cord tangled or knotted with compression (disorder) Edition
Page 279 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 267268007 Trauma to perineum and/or vulva during delivery (disorder) Edition SNOMED CT US Pregnancy 267271004 Obstetric trauma damaging pelvic joints and ligaments (disorder) Edition SNOMED CT US Pregnancy 267272006 Postpartum coagulation defects (disorder) Edition SNOMED CT US Pregnancy 267273001 Retained placenta or membranes with no hemorrhage (disorder) Edition SNOMED CT US Pregnancy 267276009 Obstetric anesthesia with pulmonary complications (disorder) Edition SNOMED CT US Pregnancy 267278005 Deliveries by vacuum extractor (finding) Edition SNOMED CT US Pregnancy 267280004 Venous complication of pregnancy and/or the puerperium (disorder) Edition SNOMED CT US Pregnancy 267282007 Varicose veins of perineum and vulva in pregnancy and the puerperium (disorder) Edition Superficial thrombophlebitis in pregnancy and the puerperium - delivered with SNOMED CT US Pregnancy 267283002 postnatal complication (disorder) Edition SNOMED CT US Pregnancy 267284008 Obstetric pyemic and septic pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 267289003 Obstetric nipple infection (disorder) Edition SNOMED CT US Pregnancy 267317007 Tuberculosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 267320004 Pregnancy with mental disorders (disorder) Edition SNOMED CT US Pregnancy 267322007 Pregnancy with orthopedic problem (disorder) Edition SNOMED CT US Pregnancy 267335003 Fetoplacental problems (disorder) Edition SNOMED CT US Pregnancy 267340006 Maternal pyrexia in labor (disorder) Edition
Page 280 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 267350007 Obstetric anesthesia problems (disorder) Edition SNOMED CT US Pregnancy 268479002 Incomplete placenta at delivery (finding) Edition SNOMED CT US Pregnancy 268585006 Placental infarct (disorder) Edition Fetal or neonatal effect of malposition or disproportion during labor or delivery SNOMED CT US Pregnancy 268809007 (disorder) Edition SNOMED CT US Pregnancy 268811003 Fetal or neonatal effect of abnormal uterine contractions (disorder) Edition SNOMED CT US Pregnancy 268812005 Fetal or neonatal effect of uterine inertia or dysfunction (disorder) Edition SNOMED CT US Pregnancy 268813000 Fetal or neonatal effect of destructive operation to aid delivery (disorder) Edition SNOMED CT US Pregnancy 268863005 Had umbilical cord around neck (disorder) Edition SNOMED CT US Pregnancy 268864004 Had knot in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 268865003 Had short umbilical cord (disorder) Edition SNOMED CT US Pregnancy 268954007 On examination - presenting part station (finding) Edition SNOMED CT US Pregnancy 268955008 On examination - vaginal examination - descent of presenting part (finding) Edition SNOMED CT US Pregnancy 270498000 Malposition and malpresentation of fetus (disorder) Edition SNOMED CT US Pregnancy 270500004 Prolapsed cord (disorder) Edition SNOMED CT US Pregnancy 270502007 Obstetric breast abscess (disorder) Edition SNOMED CT US Pregnancy 271368004 Delivered by low forceps delivery (finding) Edition
Page 281 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 271369007 Delivered by mid-cavity forceps delivery (finding) Edition SNOMED CT US Pregnancy 271370008 Deliveries by breech extraction (finding) Edition SNOMED CT US Pregnancy 271372000 Obstetric non-purulent mastitis (disorder) Edition SNOMED CT US Pregnancy 271373005 Deliveries by spontaneous breech delivery (finding) Edition SNOMED CT US Pregnancy 271403007 Placenta infarcted (finding) Edition SNOMED CT US Pregnancy 271693006 Pelvis adequate for delivery (finding) Edition SNOMED CT US Pregnancy 271887000 On examination - obstetric (finding) Edition SNOMED CT US Pregnancy 271954000 Failed attempted medical abortion (disorder) Edition SNOMED CT US Pregnancy 273982004 Obstetric problem affecting fetus (disorder) Edition SNOMED CT US Pregnancy 273983009 Maternal cord or placental problem (disorder) Edition SNOMED CT US Pregnancy 273984003 Delivery problem for fetus (finding) Edition SNOMED CT US Pregnancy 274117006 Pregnancy and infectious disease (disorder) Edition SNOMED CT US Pregnancy 274118001 Venereal disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274119009 Rubella in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274120003 Thyroid disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 274121004 Cardiac disease in pregnancy (disorder) Edition
Page 282 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 274122006 Gravid uterus - retroverted (finding) Edition SNOMED CT US Pregnancy 274124007 Grand multip in labor (finding) Edition SNOMED CT US Pregnancy 274125008 Elderly primiparous with labor (finding) Edition SNOMED CT US Pregnancy 274126009 Failed forceps/ventouse (disorder) Edition SNOMED CT US Pregnancy 274127000 Abnormal delivery (finding) Edition SNOMED CT US Pregnancy 274128005 Brow delivery (finding) Edition SNOMED CT US Pregnancy 274129002 Face delivery (finding) Edition SNOMED CT US Pregnancy 274131006 Mastitis - obstetric (disorder) Edition SNOMED CT US Pregnancy 274297000 On examination - vaginal exam - obstetric (finding) Edition SNOMED CT US Pregnancy 275306006 Postnatal data (finding) Edition SNOMED CT US Pregnancy 275412000 Cystitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 275421004 Miscarriage with heavy bleeding (disorder) Edition SNOMED CT US Pregnancy 275425008 Retained products after miscarriage (disorder) Edition SNOMED CT US Pregnancy 275426009 Pelvic disproportion (disorder) Edition SNOMED CT US Pregnancy 275427000 Retained membrane without hemorrhage (disorder) Edition SNOMED CT US Pregnancy 275429002 Delayed delivery of second twin (disorder) Edition
Page 283 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 275433009 Lymphangitis of breast - obstetric (disorder) Edition SNOMED CT US Pregnancy 275434003 Stroke in the puerperium (disorder) Edition SNOMED CT US Pregnancy 275969005 On examination - presenting part engaged (finding) Edition SNOMED CT US Pregnancy 276367008 Wanted pregnancy (finding) Edition SNOMED CT US Pregnancy 276375002 Offensive lochia (finding) Edition SNOMED CT US Pregnancy 276479009 Retained membrane (disorder) Edition SNOMED CT US Pregnancy 276508000 Hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 276509008 Non-immune hydrops fetalis (disorder) Edition SNOMED CT US Pregnancy 276580005 Atypical isoimmunization of newborn (disorder) Edition SNOMED CT US Pregnancy 276641008 Intrauterine asphyxia (disorder) Edition SNOMED CT US Pregnancy 276642001 Antepartum fetal asphyxia (disorder) Edition SNOMED CT US Pregnancy 276879000 Hydropic degeneration (disorder) Edition SNOMED CT US Pregnancy 276881003 Secondary abdominal pregnancy (disorder) Edition SNOMED CT US Pregnancy 278056007 Uneffaced cervix (finding) Edition SNOMED CT US Pregnancy 278058008 Partially effaced cervix (finding) Edition SNOMED CT US Pregnancy 278072004 Lochia rubra (finding) Edition
Page 284 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 278087009 Concave sacral curve (finding) Edition SNOMED CT US Pregnancy 278088004 Flat sacral curve (finding) Edition SNOMED CT US Pregnancy 278092006 Normal liquor volume (finding) Edition SNOMED CT US Pregnancy 278094007 Rapid rate of delivery (finding) Edition SNOMED CT US Pregnancy 278095008 Normal rate of delivery (finding) Edition SNOMED CT US Pregnancy 278096009 Slow rate of delivery (finding) Edition SNOMED CT US Pregnancy 279225001 Maternity blues (disorder) Edition SNOMED CT US Pregnancy 280732008 Obstetric disorder of uterus (disorder) Edition SNOMED CT US Pregnancy 281050002 Livebirth (finding) Edition SNOMED CT US Pregnancy 281052005 Triplet birth (finding) Edition SNOMED CT US Pregnancy 281307002 Uncertain viability of pregnancy (finding) Edition SNOMED CT US Pregnancy 281687006 Face to pubes birth (finding) Edition SNOMED CT US Pregnancy 282020008 Premature delivery (finding) Edition SNOMED CT US Pregnancy 284075002 Spotting per vagina in pregnancy (finding) Edition SNOMED CT US Pregnancy 286996009 Blighted ovum and/or carneous mole (disorder) Edition SNOMED CT US Pregnancy 287979001 Premature/false labor (finding) Edition
Page 285 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 288207006 Membrane rupture with delivery delay (disorder) [288207006] Edition SNOMED CT US Pregnancy 288208001 Obstetric bladder/urethra damage (disorder) Edition SNOMED CT US Pregnancy 288209009 Normal delivery - occipitoanterior (finding) Edition SNOMED CT US Pregnancy 288210004 Abnormal head presentation delivery (finding) Edition SNOMED CT US Pregnancy 288250001 Maternal hypertension (disorder) Edition SNOMED CT US Pregnancy 288259000 Born after multiple pregnancy (disorder) Edition SNOMED CT US Pregnancy 288261009 Was malpresentation pre-labor (disorder) Edition SNOMED CT US Pregnancy 288265000 Born after precipitate delivery (finding) Edition SNOMED CT US Pregnancy 288266004 Born after induced labor (finding) Edition SNOMED CT US Pregnancy 289080009 Able to perform breast-feeding (finding) Edition SNOMED CT US Pregnancy 289081008 Unable to perform breast-feeding (finding) Edition SNOMED CT US Pregnancy 289083006 Does not perform breast-feeding (finding) Edition SNOMED CT US Pregnancy 289084000 Difficulty performing breast-feeding (finding) Edition SNOMED CT US Pregnancy 289086003 Able to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289087007 Unable to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289088002 Does position baby at breast for feeding (finding) Edition
Page 286 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289089005 Does not position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289090001 Difficulty positioning baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 289203002 Finding of pattern of pregnancy (finding) Edition SNOMED CT US Pregnancy 289204008 Finding of quantity of pregnancy (finding) Edition SNOMED CT US Pregnancy 289205009 Finding of measures of pregnancy (finding) Edition SNOMED CT US Pregnancy 289208006 Finding of viability of pregnancy (finding) Edition SNOMED CT US Pregnancy 289209003 Pregnancy problem (finding) Edition SNOMED CT US Pregnancy 289210008 Finding of first stage of labor (finding) Edition SNOMED CT US Pregnancy 289211007 First stage of labor established (finding) Edition SNOMED CT US Pregnancy 289212000 First stage of labor not established (finding) Edition SNOMED CT US Pregnancy 289213005 Normal length of first stage of labor (finding) Edition SNOMED CT US Pregnancy 289214004 Normal first stage of labor (finding) Edition SNOMED CT US Pregnancy 289215003 First stage of labor problem (finding) Edition SNOMED CT US Pregnancy 289216002 Finding of second stage of labor (finding) Edition SNOMED CT US Pregnancy 289217006 Second stage of labor established (finding) Edition SNOMED CT US Pregnancy 289218001 Second stage of labor not established (finding) Edition
Page 287 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289219009 Rapid second stage of labor (finding) Edition SNOMED CT US Pregnancy 289220003 Progressing well in second stage (finding) Edition SNOMED CT US Pregnancy 289221004 Normal length of second stage of labor (finding) Edition SNOMED CT US Pregnancy 289222006 Second stage of labor problem (finding) Edition SNOMED CT US Pregnancy 289223001 Normal second stage of labor (finding) Edition SNOMED CT US Pregnancy 289224007 Finding of delivery push in labor (finding) Edition SNOMED CT US Pregnancy 289226009 Pushing effectively in labor (finding) Edition SNOMED CT US Pregnancy 289227000 Not pushing well in labor (finding) Edition SNOMED CT US Pregnancy 289228005 Urge to push in labor (finding) Edition SNOMED CT US Pregnancy 289229002 Reluctant to push in labor (finding) Edition SNOMED CT US Pregnancy 289230007 Pushing voluntarily in labor (finding) Edition SNOMED CT US Pregnancy 289231006 Pushing involuntarily in labor (finding) Edition SNOMED CT US Pregnancy 289232004 Finding of third stage of labor (finding) Edition SNOMED CT US Pregnancy 289233009 Normal length of third stage of labor (finding) Edition SNOMED CT US Pregnancy 289234003 Prolonged third stage of labor (finding) Edition SNOMED CT US Pregnancy 289235002 Rapid expulsion of placenta (finding) Edition
Page 288 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289236001 Delayed expulsion of placenta (finding) Edition SNOMED CT US Pregnancy 289237005 Normal rate of expulsion of placenta (finding) Edition SNOMED CT US Pregnancy 289238000 Finding of pattern of labor (finding) Edition SNOMED CT US Pregnancy 289239008 Finding of duration of labor (finding) Edition SNOMED CT US Pregnancy 289240005 Long duration of labor (finding) Edition SNOMED CT US Pregnancy 289241009 Short duration of labor (finding) Edition SNOMED CT US Pregnancy 289242002 Finding of blood loss in labor (finding) Edition SNOMED CT US Pregnancy 289243007 Maternal blood loss minimal (finding) Edition SNOMED CT US Pregnancy 289244001 Maternal blood loss within normal limits (finding) Edition SNOMED CT US Pregnancy 289245000 Maternal blood loss moderate (finding) Edition SNOMED CT US Pregnancy 289246004 Maternal blood loss heavy (finding) Edition SNOMED CT US Pregnancy 289247008 Finding of measures of labor (finding) Edition SNOMED CT US Pregnancy 289252003 Estimated maternal blood loss (finding) Edition SNOMED CT US Pregnancy 289253008 Device-associated finding of labor (finding) Edition SNOMED CT US Pregnancy 289254002 Expulsion of intrauterine contraceptive device during third stage of labor (finding) Edition SNOMED CT US Pregnancy 289256000 Mother delivered (finding) Edition
Page 289 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289257009 Mother not delivered (finding) Edition SNOMED CT US Pregnancy 289258004 Finding of pattern of delivery (finding) Edition SNOMED CT US Pregnancy 289259007 Vaginal delivery (finding) Edition SNOMED CT US Pregnancy 289261003 Delivery problem (finding) Edition SNOMED CT US Pregnancy 289262005 Finding of structures of conception (finding) Edition SNOMED CT US Pregnancy 289263000 Large placenta (finding) Edition SNOMED CT US Pregnancy 289264006 Small placenta (finding) Edition SNOMED CT US Pregnancy 289265007 Placenta normal size (finding) Edition SNOMED CT US Pregnancy 289266008 Finding of form of placenta (finding) Edition SNOMED CT US Pregnancy 289267004 Finding of completeness of placenta (finding) Edition SNOMED CT US Pregnancy 289269001 Lesion of placenta (finding) Edition SNOMED CT US Pregnancy 289270000 Fresh retroplacental clot (finding) Edition SNOMED CT US Pregnancy 289271001 Old retroplacental clot (finding) Edition SNOMED CT US Pregnancy 289272008 Placenta infected (finding) Edition SNOMED CT US Pregnancy 289273003 Placenta fatty deposits (finding) Edition SNOMED CT US Pregnancy 289275005 Placenta offensive odor (finding) Edition
Page 290 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289276006 Finding of color of placenta (finding) Edition SNOMED CT US Pregnancy 289277002 Placenta pale (finding) Edition SNOMED CT US Pregnancy 289278007 Finding of measures of placenta (finding) Edition SNOMED CT US Pregnancy 289279004 Placenta healthy (finding) Edition SNOMED CT US Pregnancy 289280001 Placenta unhealthy (finding) Edition SNOMED CT US Pregnancy 289281002 Placenta problem (finding) Edition SNOMED CT US Pregnancy 289282009 Amniotic membrane finding (finding) Edition SNOMED CT US Pregnancy 289283004 Amniotic membranes present (finding) Edition SNOMED CT US Pregnancy 289284005 Finding of form of amniotic membrane (finding) Edition SNOMED CT US Pregnancy 289285006 Finding of completeness of membranes (finding) Edition SNOMED CT US Pregnancy 289286007 Finding of number of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 289287003 Two placental membranes present (finding) Edition SNOMED CT US Pregnancy 289288008 One placental membrane present (finding) Edition SNOMED CT US Pregnancy 289289000 Lesion of amniotic membrane (finding) Edition SNOMED CT US Pregnancy 289290009 Finding of measures of amniotic membranes (finding) Edition SNOMED CT US Pregnancy 289291008 Amniotic membranes normal (finding) Edition
Page 291 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289292001 Reduced amniotic fluid (finding) Edition SNOMED CT US Pregnancy 289293006 Excessive amniotic fluid (finding) Edition SNOMED CT US Pregnancy 289294000 Thick meconium stained liquor (finding) Edition SNOMED CT US Pregnancy 289295004 Finding of fluid thrill of amniotic fluid (finding) Edition SNOMED CT US Pregnancy 289296003 Fluid thrill of amniotic fluid present (finding) Edition SNOMED CT US Pregnancy 289297007 Fluid thrill of amniotic fluid absent (finding) Edition SNOMED CT US Pregnancy 289298002 Amniotic fluid normal (finding) Edition SNOMED CT US Pregnancy 289299005 Umbilical cord finding (finding) Edition SNOMED CT US Pregnancy 289300002 Finding of form of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289301003 Umbilical cord thin (finding) Edition SNOMED CT US Pregnancy 289302005 Umbilical cord thick (finding) Edition SNOMED CT US Pregnancy 289303000 Finding of pulsation of cord (finding) Edition SNOMED CT US Pregnancy 289304006 Finding of pulsation of cord through intact membranes (finding) Edition SNOMED CT US Pregnancy 289305007 Pulsation of umbilical cord palpable through intact membrane (finding) Edition SNOMED CT US Pregnancy 289306008 Pulsation umbilical cord not palp through intact membranes (finding) Edition SNOMED CT US Pregnancy 289307004 Finding of pulsation of prolapsed cord (finding) Edition
Page 292 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289308009 Pulsation present in prolapsed cord (finding) Edition SNOMED CT US Pregnancy 289309001 Pulsation absent in prolapsed cord (finding) Edition SNOMED CT US Pregnancy 289310006 Finding of arrangement of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289311005 Umbilical cord tight around baby's neck (disorder) Edition SNOMED CT US Pregnancy 289312003 Umbilical cord entangled around baby's limbs (disorder) Edition SNOMED CT US Pregnancy 289313008 Umbilical cord not around baby's neck at delivery (finding) Edition SNOMED CT US Pregnancy 289314002 Finding of measures of umbilical cord (finding) Edition SNOMED CT US Pregnancy 289315001 Umbilical cord normal (finding) Edition SNOMED CT US Pregnancy 289316000 Umbilical cord problem (finding) Edition SNOMED CT US Pregnancy 289349009 Presenting part ballottable (finding) Edition SNOMED CT US Pregnancy 289350009 Ballottement of fetal head abdominally (finding) Edition SNOMED CT US Pregnancy 289351008 Ballottement of fetal head at fundus (finding) Edition SNOMED CT US Pregnancy 289352001 Ballottement of fetal head in suprapubic area (finding) Edition SNOMED CT US Pregnancy 289353006 Ballottement of fetal head vaginally (finding) Edition SNOMED CT US Pregnancy 289354000 Presenting part not ballottable (finding) Edition SNOMED CT US Pregnancy 289355004 Oblique lie head in right iliac fossa (disorder) Edition
Page 293 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289356003 Oblique lie head in left iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289357007 Oblique lie breech in right iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289358002 Oblique lie breech in left iliac fossa (disorder) Edition SNOMED CT US Pregnancy 289450008 Finding of size of female pelvis (finding) Edition SNOMED CT US Pregnancy 289451007 Finding of pubic arch (finding) Edition SNOMED CT US Pregnancy 289452000 Small pubic arch (finding) Edition SNOMED CT US Pregnancy 289453005 Narrow pubic arch (finding) Edition SNOMED CT US Pregnancy 289454004 Prominent ischial spines (finding) Edition SNOMED CT US Pregnancy 289455003 Finding of sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289456002 Wide sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289457006 Narrow sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289458001 Rounded sacrosciatic notch (finding) Edition SNOMED CT US Pregnancy 289459009 Finding of arrangement of female pelvis (finding) Edition SNOMED CT US Pregnancy 289460004 Finding of proportion of female pelvis (finding) Edition SNOMED CT US Pregnancy 289461000 Finding of measures of female pelvis (finding) Edition SNOMED CT US Pregnancy 289463002 Pelvis not adequate for delivery (finding) Edition
Page 294 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289464008 Problem of pelvis for delivery (finding) Edition SNOMED CT US Pregnancy 289572007 No liquor observed vaginally (finding) Edition SNOMED CT US Pregnancy 289573002 Finding of passing of operculum (finding) Edition SNOMED CT US Pregnancy 289574008 Operculum passed (finding) Edition SNOMED CT US Pregnancy 289575009 Operculum not passed (finding) Edition SNOMED CT US Pregnancy 289576005 Lochia present (finding) Edition SNOMED CT US Pregnancy 289577001 Lochia reducing (finding) Edition SNOMED CT US Pregnancy 289578006 Lochia absent (finding) Edition SNOMED CT US Pregnancy 289579003 Lochia ceased (finding) Edition SNOMED CT US Pregnancy 289580000 Lochia heavy (finding) Edition SNOMED CT US Pregnancy 289581001 Lochia scanty (finding) Edition SNOMED CT US Pregnancy 289582008 Lochia minimal (finding) Edition SNOMED CT US Pregnancy 289583003 Lochia watery (finding) Edition SNOMED CT US Pregnancy 289584009 Lochia thick (finding) Edition SNOMED CT US Pregnancy 289585005 Lochia normal (finding) Edition SNOMED CT US Pregnancy 289586006 Lochia abnormal (finding) Edition
Page 295 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289606001 Maternity pad damp with liquor (finding) Edition SNOMED CT US Pregnancy 289607005 Maternity pad wet with liquor (finding) Edition SNOMED CT US Pregnancy 289608000 Maternity pad soaked with liquor (finding) Edition SNOMED CT US Pregnancy 289675001 Finding of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289676000 Gravid uterus present (finding) Edition SNOMED CT US Pregnancy 289677009 Gravid uterus absent (finding) Edition SNOMED CT US Pregnancy 289678004 Gravid uterus not observed (finding) Edition SNOMED CT US Pregnancy 289679007 Finding of size of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289680005 Gravid uterus large-for-dates (finding) Edition SNOMED CT US Pregnancy 289681009 Gravid uterus small-for-dates (finding) Edition SNOMED CT US Pregnancy 289682002 Finding of height of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289683007 Fundal height high for dates (finding) Edition SNOMED CT US Pregnancy 289684001 Fundal height equal to dates (finding) Edition SNOMED CT US Pregnancy 289685000 Fundal height low for dates (finding) Edition SNOMED CT US Pregnancy 289686004 Ovoid pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 289687008 Rounded pregnant abdomen (finding) Edition
Page 296 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289688003 Transversely enlarged pregnant abdomen (finding) Edition SNOMED CT US Pregnancy 289689006 Finding of arrangement of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289690002 Gravid uterus central (finding) Edition SNOMED CT US Pregnancy 289691003 Gravid uterus deviated to left (finding) Edition SNOMED CT US Pregnancy 289692005 Gravid uterus deviated to right (finding) Edition SNOMED CT US Pregnancy 289693000 Normal position of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289694006 Finding of sensation of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289695007 Tender scar of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289696008 Tender scar of upper uterine segment (finding) Edition SNOMED CT US Pregnancy 289697004 Tender scar of lower uterine segment (finding) Edition SNOMED CT US Pregnancy 289698009 Non-tender scar of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289699001 Finding of uterine contractions (finding) Edition SNOMED CT US Pregnancy 289700000 Uterine contractions present (finding) Edition SNOMED CT US Pregnancy 289701001 Uterine contractions absent (finding) Edition SNOMED CT US Pregnancy 289702008 Uterine contractions ceased (finding) Edition SNOMED CT US Pregnancy 289703003 Finding of pattern of uterine contractions (finding) Edition
Page 297 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289704009 Finding of frequency of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289705005 Intermittent uterine contractions (finding) Edition SNOMED CT US Pregnancy 289706006 Occasional uterine tightenings (finding) Edition SNOMED CT US Pregnancy 289707002 Finding of regularity of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289708007 Regular uterine contractions (finding) Edition SNOMED CT US Pregnancy 289709004 Finding of quantity of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289710009 Excessive uterine contraction (finding) Edition SNOMED CT US Pregnancy 289711008 Reduced uterine contraction (finding) Edition SNOMED CT US Pregnancy 289712001 Niggling uterine contractions (finding) Edition SNOMED CT US Pregnancy 289714000 Finding of strength of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289715004 Mild uterine contractions (finding) Edition SNOMED CT US Pregnancy 289716003 Moderate uterine contractions (finding) Edition SNOMED CT US Pregnancy 289717007 Fair uterine contractions (finding) Edition SNOMED CT US Pregnancy 289718002 Good uterine contractions (finding) Edition SNOMED CT US Pregnancy 289719005 Strong uterine contractions (finding) Edition SNOMED CT US Pregnancy 289720004 Very strong uterine contractions (finding) Edition
Page 298 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289721000 Variable strength uterine contractions (finding) Edition SNOMED CT US Pregnancy 289722007 Normal strength uterine contractions (finding) Edition SNOMED CT US Pregnancy 289723002 Finding of duration of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289724008 Continuous contractions (finding) Edition SNOMED CT US Pregnancy 289725009 Hypertonic contractions (finding) Edition SNOMED CT US Pregnancy 289726005 Finding of effectiveness of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289727001 Effective uterine contractions (finding) Edition SNOMED CT US Pregnancy 289728006 Non-effective uterine contractions (finding) Edition SNOMED CT US Pregnancy 289729003 Expulsive uterine contractions (finding) Edition SNOMED CT US Pregnancy 289730008 Finding of painfulness of uterine contraction (finding) Edition SNOMED CT US Pregnancy 289731007 Painless uterine contractions (finding) Edition SNOMED CT US Pregnancy 289732000 Painful uterine contractions (finding) Edition SNOMED CT US Pregnancy 289733005 Premature uterine contraction (finding) Edition SNOMED CT US Pregnancy 289734004 Delayed uterine contraction (finding) Edition SNOMED CT US Pregnancy 289735003 Persistent uterine contraction (finding) Edition SNOMED CT US Pregnancy 289736002 Inappropriate uterine contraction (finding) Edition
Page 299 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289737006 Finding of measures of uterine contractions (finding) Edition SNOMED CT US Pregnancy 289738001 Uterine contractions normal (finding) Edition SNOMED CT US Pregnancy 289739009 Uterine contractions problem (finding) Edition SNOMED CT US Pregnancy 289740006 Finding of contraction state of uterus (finding) Edition SNOMED CT US Pregnancy 289741005 Uterus contracted (finding) Edition SNOMED CT US Pregnancy 289742003 Uterus relaxed (finding) Edition SNOMED CT US Pregnancy 289743008 Finding of upper segment retraction (finding) Edition SNOMED CT US Pregnancy 289744002 Poor retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289745001 Excessive retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289746000 Normal retraction of upper segment (finding) Edition SNOMED CT US Pregnancy 289747009 Finding of measures of gravid uterus (finding) Edition SNOMED CT US Pregnancy 289748004 Gravid uterus normal (finding) Edition SNOMED CT US Pregnancy 289749007 Gravid uterus problem (finding) Edition SNOMED CT US Pregnancy 289750007 Finding of involution of uterus (finding) Edition SNOMED CT US Pregnancy 289751006 Uterus involuting (finding) Edition SNOMED CT US Pregnancy 289752004 Uterus involuted (finding) Edition
Page 300 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 289753009 No further involution of the uterus (finding) Edition SNOMED CT US Pregnancy 289761004 Finding of cervical dilatation (finding) Edition SNOMED CT US Pregnancy 289762006 Cervix dilated (finding) Edition SNOMED CT US Pregnancy 289763001 Rim of cervix palpable (finding) Edition SNOMED CT US Pregnancy 289764007 Cervix undilated (finding) Edition SNOMED CT US Pregnancy 289765008 Ripe cervix (finding) Edition SNOMED CT US Pregnancy 289766009 Finding of thickness of cervix (finding) Edition SNOMED CT US Pregnancy 289768005 Cervix thick (finding) Edition SNOMED CT US Pregnancy 289769002 Cervix thinning (finding) Edition SNOMED CT US Pregnancy 289770001 Cervix thin (finding) Edition SNOMED CT US Pregnancy 289771002 Cervix paper thin (finding) Edition SNOMED CT US Pregnancy 289783000 Cervix central (finding) Edition SNOMED CT US Pregnancy 289827009 Finding of cervical cerclage suture (finding) Edition SNOMED CT US Pregnancy 289828004 Cervical cerclage suture absent (finding) Edition SNOMED CT US Pregnancy 290653008 Postpartum hypopituitarism (disorder) Edition SNOMED CT US Pregnancy 291665000 Postpartum intrapituitary hemorrhage (disorder) Edition
Page 301 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 300571009 Finding of gestational sac (finding) Edition SNOMED CT US Pregnancy 300572002 Gestational sac present (finding) Edition SNOMED CT US Pregnancy 300573007 Gestational sac absent (finding) Edition SNOMED CT US Pregnancy 300927001 Episiotomy infection (disorder) Edition SNOMED CT US Pregnancy 301801008 Finding of position of pregnancy (finding) Edition SNOMED CT US Pregnancy 302078000 Abnormal immature chorionic villi (disorder) Edition SNOMED CT US Pregnancy 302080006 Finding of birth outcome (finding) Edition SNOMED CT US Pregnancy 302253005 Delivered by cesarean section - pregnancy at term (finding) Edition SNOMED CT US Pregnancy 302254004 Delivered by cesarean delivery following previous cesarean delivery (finding) Edition SNOMED CT US Pregnancy 302644007 Abnormal immature chorion (disorder) Edition SNOMED CT US Pregnancy 302929008 Umbilical cord around neck (disorder) Edition SNOMED CT US Pregnancy 302945005 Absent blood vessel in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 303063000 Eclampsia in puerperium (disorder) Edition SNOMED CT US Pregnancy 304598004 Postnatal examination finding (finding) Edition SNOMED CT US Pregnancy 307337003 Duffy isoimmunization of the newborn (disorder) Edition SNOMED CT US Pregnancy 307338008 Kidd isoimmunization of the newborn (disorder) Edition
Page 302 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 307517001 Pregnancy-related factor VIII deficiency (disorder) Edition SNOMED CT US Pregnancy 307534009 Urinary tract infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 307632004 Non-proteinuric hypertension of pregnancy (disorder) Edition SNOMED CT US Pregnancy 307733001 Inevitable abortion complete (disorder) Edition Complete inevitable abortion complicated by genital tract and pelvic infection SNOMED CT US Pregnancy 307734007 (disorder) Edition Complete inevitable abortion complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 307735008 (disorder) Edition SNOMED CT US Pregnancy 307737000 Inevitable abortion incomplete (disorder) Edition SNOMED CT US Pregnancy 307738005 Complete inevitable abortion without complication (disorder) Edition SNOMED CT US Pregnancy 307746006 Incomplete inevitable abortion complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 307748007 Incomplete inevitable abortion without complication (disorder) Edition Incomplete inevitable abortion complicated by genital tract and pelvic infection SNOMED CT US Pregnancy 307749004 (disorder) Edition SNOMED CT US Pregnancy 307750004 Complete inevitable abortion complicated by embolism (disorder) Edition Incomplete inevitable abortion complicated by delayed or excessive hemorrhage SNOMED CT US Pregnancy 307752007 (disorder) Edition SNOMED CT US Pregnancy 308133005 Varicose veins of legs in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308134004 Varicose veins of legs in the puerperium (disorder) Edition SNOMED CT US Pregnancy 308135003 Genital varices in the puerperium (disorder) Edition
Page 303 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 308136002 Superficial thrombophlebitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308137006 Superficial thrombophlebitis in the puerperium (disorder) Edition SNOMED CT US Pregnancy 308140006 Hemorrhoids in pregnancy (disorder) Edition SNOMED CT US Pregnancy 308187004 Vaginal varices in the puerperium (disorder) Edition SNOMED CT US Pregnancy 309469004 Spontaneous vertex delivery (finding) Edition SNOMED CT US Pregnancy 309670007 On examination - fetus (finding) Edition SNOMED CT US Pregnancy 310248000 Antenatal care midwifery led (finding) Edition SNOMED CT US Pregnancy 310592002 Pregnancy prolonged - 41 weeks (disorder) Edition SNOMED CT US Pregnancy 310594001 Pregnancy prolonged - 42 weeks (disorder) Edition SNOMED CT US Pregnancy 310650002 Ragged placenta (disorder) Edition SNOMED CT US Pregnancy 312354009 On examination - viable fetus (finding) Edition Maternal care for suspected central nervous system malformation in fetus SNOMED CT US Pregnancy 312652001 (disorder) [312652001] Edition Maternal care for central nervous system malformation in fetus (disorder) SNOMED CT US Pregnancy 312653006 [312653006] Edition Maternal care for suspected chromosomal abnormality in fetus (disorder) SNOMED CT US Pregnancy 312654000 [312654000] Edition SNOMED CT US Pregnancy 312656003 Maternal care for chromosomal abnormality in fetus (disorder) [312656003] Edition SNOMED CT US Pregnancy 312657007 Maternal care for damage to fetus from maternal rubella (disorder) [312657007] Edition
Page 304 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 312974005 Preterm premature rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 312977003 Maternal care for fetal bradycardia during pregnancy (disorder) [312977003] Edition SNOMED CT US Pregnancy 312988009 Maternal care for fetal decelerations during pregnancy (disorder) [312988009] Edition SNOMED CT US Pregnancy 312989001 Maternal care for fetal tachycardia during pregnancy (disorder) [312989001] Edition SNOMED CT US Pregnancy 312990005 Maternal care for fetal acidosis during pregnancy (disorder) [312990005] Edition SNOMED CT US Pregnancy 313017000 Anhydramnios (disorder) Edition SNOMED CT US Pregnancy 313130001 Uterine membrane finding (finding) Edition SNOMED CT US Pregnancy 313178001 Gestation less than 24 weeks (finding) Edition SNOMED CT US Pregnancy 313179009 Gestation period, 24 weeks (finding) Edition SNOMED CT US Pregnancy 313180007 Gestation greater than 24 weeks (finding) Edition SNOMED CT US Pregnancy 313291009 Anemia during the puerperium (disorder) Edition SNOMED CT US Pregnancy 314204000 Early stage of pregnancy (finding) Edition SNOMED CT US Pregnancy 361095003 Dehiscence AND/OR disruption of uterine wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 361096002 Disruption of cesarean wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 363681007 Pregnancy with abortive outcome (disorder) Edition SNOMED CT US Pregnancy 364738009 Finding of outcome of delivery (finding) Edition
Page 305 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 364826005 Finding related to ability to perform breast-feeding (finding) Edition SNOMED CT US Pregnancy 364827001 Finding related to ability to position baby at breast for feeding (finding) Edition SNOMED CT US Pregnancy 366298006 Finding of color of lochia (finding) Edition SNOMED CT US Pregnancy 366299003 Finding of quantity of lochia (finding) Edition SNOMED CT US Pregnancy 366321006 Finding of gravida (finding) Edition SNOMED CT US Pregnancy 366322004 Finding of estimated date of delivery (finding) Edition SNOMED CT US Pregnancy 366323009 Finding of length of gestation (finding) Edition SNOMED CT US Pregnancy 366325002 Finding of progress of labor - first stage (finding) Edition SNOMED CT US Pregnancy 366327005 Finding of progress of second stage of labor (finding) Edition SNOMED CT US Pregnancy 366328000 Finding related to ability to push in labor (finding) Edition SNOMED CT US Pregnancy 366329008 Finding of speed of delivery of placenta (finding) Edition SNOMED CT US Pregnancy 366330003 Finding of size of placenta (finding) Edition SNOMED CT US Pregnancy 366332006 Finding of odor of placenta (finding) Edition SNOMED CT US Pregnancy 366333001 Finding of number of membranes (finding) Edition SNOMED CT US Pregnancy 366334007 Finding of condition of amniotic fluid (finding) Edition SNOMED CT US Pregnancy 366335008 Finding of consistency of liquor (finding) Edition
Page 306 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 366339002 Finding of general shape of pelvis (finding) Edition SNOMED CT US Pregnancy 366340000 Finding of shape of sacral curve (finding) Edition SNOMED CT US Pregnancy 366341001 Finding of position of ischial spines (finding) Edition SNOMED CT US Pregnancy 366343003 Finding of birth details (finding) Edition SNOMED CT US Pregnancy 366344009 Finding of place of birth (finding) Edition SNOMED CT US Pregnancy 366345005 Finding of antenatal data (finding) Edition SNOMED CT US Pregnancy 367390009 Hypertension in the obstetric context (disorder) Edition SNOMED CT US Pregnancy 367494004 Premature birth of newborn (finding) Edition SNOMED CT US Pregnancy 371106008 Idiopathic maternal thrombocytopenia (disorder) Edition SNOMED CT US Pregnancy 371374003 Retained products of conception (disorder) Edition SNOMED CT US Pregnancy 371375002 Retained secundines (disorder) Edition SNOMED CT US Pregnancy 371380006 Amniotic fluid leaking (disorder) Edition SNOMED CT US Pregnancy 371607000 Hematoma of cesarean section (disorder) Edition SNOMED CT US Pregnancy 372043009 Hydrops of allantois (disorder) Edition SNOMED CT US Pregnancy 373663005 Perinatal period (finding) Edition SNOMED CT US Pregnancy 373680009 Avulsion of cord (disorder) Edition
Page 307 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 373896005 Miscarriage complicated by genital-pelvic infection (disorder) Edition SNOMED CT US Pregnancy 373901007 Legal abortion complicated by genital-pelvic infection (disorder) Edition SNOMED CT US Pregnancy 373902000 Illegal abortion complicated by genital-pelvic infection (disorder) Edition SNOMED CT US Pregnancy 387692004 Hypotonic uterine inertia (disorder) Edition SNOMED CT US Pregnancy 387696001 Primary hypotonic uterine dysfunction (disorder) Edition SNOMED CT US Pregnancy 387699008 Primary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 387700009 Prolonged latent phase of labor (disorder) Edition SNOMED CT US Pregnancy 388602007 Villitis of unknown etiology (disorder) Edition SNOMED CT US Pregnancy 388604008 Villitis (disorder) Edition SNOMED CT US Pregnancy 388605009 Disorder of chorion (disorder) Edition SNOMED CT US Pregnancy 390959009 Live birth surviving more than one year (finding) Edition SNOMED CT US Pregnancy 392280004 Obstetrical laceration (disorder) Edition SNOMED CT US Pregnancy 396544001 Cesarean wound disruption (disorder) Edition SNOMED CT US Pregnancy 397752008 Obstetric perineal wound disruption (disorder) Edition SNOMED CT US Pregnancy 397949005 Poor fetal growth affecting management (disorder) Edition SNOMED CT US Pregnancy 397952002 Trauma to perineum during delivery (disorder) Edition
Page 308 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 398019008 Perineal laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 398254007 Pre-eclampsia (disorder) Edition SNOMED CT US Pregnancy 398262004 Disruption of episiotomy wound in the puerperium (disorder) Edition SNOMED CT US Pregnancy 398276003 Placental insufficiency affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 399031001 Fourth degree perineal laceration (disorder) Edition SNOMED CT US Pregnancy 399363000 Late fetal death affecting management of mother (disorder) Edition SNOMED CT US Pregnancy 400170001 Hypocalcemia of puerperium (disorder) Edition SNOMED CT US Pregnancy 402836009 Spider telangiectasis in association with pregnancy (disorder) Edition SNOMED CT US Pregnancy 403528000 Pregnancy-related exacerbation of dermatosis (disorder) Edition SNOMED CT US Pregnancy 405256006 Parturient paresis (disorder) Edition SNOMED CT US Pregnancy 405733001 Hypocalcemia of late pregnancy or lactation (disorder) Edition SNOMED CT US Pregnancy 405736009 Accidental antepartum hemorrhage (disorder) Edition SNOMED CT US Pregnancy 408780005 Finding of color of amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408781009 Straw colored amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408782002 Purulent amniotic fluid (finding) Edition SNOMED CT US Pregnancy 408783007 Antenatal Anti-D prophylaxis status (finding) Edition
Page 309 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 408784001 Antenatal Anti-D prophylaxis offered (finding) Edition SNOMED CT US Pregnancy 408786004 Antenatal Anti-D prophylaxis refused (finding) Edition SNOMED CT US Pregnancy 408792005 Meconium stained liquor - grade I (finding) Edition SNOMED CT US Pregnancy 408793000 Meconium stained liquor - grade II (finding) Edition SNOMED CT US Pregnancy 408794006 Meconium stained liquor - grade III (finding) Edition SNOMED CT US Pregnancy 408796008 Stillbirth - unknown if fetal death intrapartum or prior to labor (finding) Edition SNOMED CT US Pregnancy 408800002 Antenatal chorionic villus sampling status (finding) Edition SNOMED CT US Pregnancy 408801003 Antenatal chorionic villus sampling refused (finding) Edition SNOMED CT US Pregnancy 408802005 On examination - presentation engaged- 0/5 (finding) Edition SNOMED CT US Pregnancy 408823004 Antenatal hepatitis B blood screening test status (finding) Edition SNOMED CT US Pregnancy 408825006 Antenatal hepatitis B blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408826007 Antenatal hepatitis B blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408827003 Antenatal human immunodeficiency virus blood screening test status (finding) Edition SNOMED CT US Pregnancy 408828008 Antenatal human immunodeficiency virus blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408830005 Antenatal human immunodeficiency virus blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408831009 Antenatal thalassemia blood screening test status (finding) Edition
Page 310 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 408833007 Antenatal thalassemia blood screening test sent (finding) Edition SNOMED CT US Pregnancy 408834001 Antenatal thalassemia blood screening test refused (finding) Edition SNOMED CT US Pregnancy 408838003 Unplanned home birth (finding) Edition SNOMED CT US Pregnancy 408839006 Planned home birth (finding) Edition SNOMED CT US Pregnancy 408841007 Antenatal hepatitis B blood screening test offered (finding) Edition SNOMED CT US Pregnancy 408842000 Antenatal human immunodeficiency virus blood screening test requested (finding) Edition SNOMED CT US Pregnancy 408843005 Antenatal thalassemia blood screening test requested (finding) Edition SNOMED CT US Pregnancy 408844004 Antenatal thalassemia blood screening test offered (finding) Edition SNOMED CT US Pregnancy 413338003 Incomplete miscarriage with complication (disorder) Edition SNOMED CT US Pregnancy 413339006 Failed trial of labor - delivered (disorder) Edition Fetal or neonatal effect of diethylstilbestrol transmitted via placenta and/or breast SNOMED CT US Pregnancy 413340008 milk (disorder) Edition SNOMED CT US Pregnancy 413567003 Aplastic anemia associated with pregnancy (disorder) Edition SNOMED CT US Pregnancy 415105001 Placental abruption (disorder) Edition SNOMED CT US Pregnancy 415810004 Varices of umbilical cord (disorder) Edition SNOMED CT US Pregnancy 416402001 Gestational trophoblastic disease (disorder) Edition SNOMED CT US Pregnancy 416413003 Advanced maternal age gravida (finding) Edition
Page 311 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 416669000 Invasive hydatidiform mole (disorder) Edition SNOMED CT US Pregnancy 417006004 Twin reversal arterial perfusion syndrome (disorder) Edition SNOMED CT US Pregnancy 417044008 Hydatidiform mole, benign (disorder) Edition SNOMED CT US Pregnancy 417150000 Exaggerated placental site (disorder) Edition SNOMED CT US Pregnancy 417364008 Placental site nodule (disorder) Edition SNOMED CT US Pregnancy 417426005 Four vessels in umbilical cord (disorder) Edition SNOMED CT US Pregnancy 417570003 Gestational choriocarcinoma (disorder) Edition SNOMED CT US Pregnancy 423445003 Difficulty following prenatal diet (finding) Edition SNOMED CT US Pregnancy 423502007 Difficulty with postpartum rest pattern (finding) Edition SNOMED CT US Pregnancy 423675002 Difficulty following postpartum exercise routine (finding) Edition SNOMED CT US Pregnancy 423834007 Difficulty with prenatal rest pattern (finding) Edition SNOMED CT US Pregnancy 424009001 Fears delivery procedure (finding) Edition SNOMED CT US Pregnancy 424037008 Difficulty following prenatal exercise routine (finding) Edition SNOMED CT US Pregnancy 424474002 Difficulty coping with postpartum changes (finding) Edition SNOMED CT US Pregnancy 424712007 Difficulty following postpartum diet (finding) Edition SNOMED CT US Pregnancy 425708006 Placental aromatase deficiency (disorder) Edition
Page 312 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 426403007 Late entry into prenatal care (finding) Edition SNOMED CT US Pregnancy 426997005 Traumatic injury during pregnancy (disorder) Edition SNOMED CT US Pregnancy 427013000 Alcohol consumption during pregnancy (finding) Edition SNOMED CT US Pregnancy 427139004 Third trimester bleeding (disorder) Edition SNOMED CT US Pregnancy 428017002 Condyloma acuminata of vulva in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428058009 Gestation less than 9 weeks (finding) Edition SNOMED CT US Pregnancy 428164004 Mitral valve disorder in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428165003 Hypothyroidism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428230005 Trichomonal vaginitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428252001 Vaginitis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 428508008 Abortion due to Brucella abortus (disorder) Edition SNOMED CT US Pregnancy 428511009 Multiple pregnancy with one fetal loss (disorder) Edition SNOMED CT US Pregnancy 428566005 Gestation less than 20 weeks (finding) Edition SNOMED CT US Pregnancy 428567001 Gestation 14 - 20 weeks (finding) Edition SNOMED CT US Pregnancy 428593008 Abortion due to Brucella canis (disorder) Edition SNOMED CT US Pregnancy 428707000 Nutritional deficiency in pregnancy (disorder) Edition
Page 313 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 428930004 Gestation 9- 13 weeks (finding) Edition SNOMED CT US Pregnancy 429187001 Continuing pregnancy after intrauterine death of twin fetus (disorder) Edition SNOMED CT US Pregnancy 429240000 Third trimester pregnancy less than 36 weeks (finding) Edition SNOMED CT US Pregnancy 429715006 Gestation greater than 20 weeks (finding) Edition SNOMED CT US Pregnancy 430881000 Second trimester bleeding (disorder) Edition SNOMED CT US Pregnancy 430883002 Failed instrumental delivery (disorder) Edition SNOMED CT US Pregnancy 430933008 Gravid uterus size for dates discrepancy (finding) Edition SNOMED CT US Pregnancy 439107005 Constriction band abnormality of placental amnion (disorder) Edition SNOMED CT US Pregnancy 439311009 Intends to continue pregnancy (finding) Edition SNOMED CT US Pregnancy 441697004 Thrombophilia associated with pregnancy (disorder) Edition SNOMED CT US Pregnancy 441924001 Gestational age unknown (finding) Edition SNOMED CT US Pregnancy 442478007 Multiple pregnancy involving intrauterine pregnancy and tubal pregnancy (disorder) Edition SNOMED CT US Pregnancy 443460007 Multigravida of advanced maternal age (finding) Edition SNOMED CT US Pregnancy 444661007 High risk pregnancy due to history of preterm labor (finding) Edition SNOMED CT US Pregnancy 445086005 Chemical pregnancy (disorder) Edition SNOMED CT US Pregnancy 445122007 Low lying placenta (finding) Edition
Page 314 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 445149007 Residual trophoblastic disease (disorder) Edition SNOMED CT US Pregnancy 445548006 Dead fetus in utero (finding) Edition SNOMED CT US Pregnancy 449807005 Type 3a third degree laceration of perineum (disorder) Edition SNOMED CT US Pregnancy 449808000 Type 3b third degree laceration of perineum (disorder) Edition SNOMED CT US Pregnancy 449809008 Type 3c third degree laceration of perineum (disorder) Edition SNOMED CT US Pregnancy 449827006 Lochia alba (finding) Edition SNOMED CT US Pregnancy 449828001 Lochia serosa (finding) Edition SNOMED CT US Pregnancy 450852006 Yolk sac present (finding) Edition SNOMED CT US Pregnancy 459166009 Dichorionic diamniotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 459167000 Monochorionic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 459168005 Monochorionic diamniotic twin pregnancy (disorder) Edition Monochorionic diamniotic twin pregnancy with similar amniotic fluid volumes SNOMED CT US Pregnancy 459169002 (disorder) Edition Monochorionic diamniotic twin pregnancy with dissimilar amniotic fluid volumes SNOMED CT US Pregnancy 459170001 (disorder) Edition SNOMED CT US Pregnancy 459171002 Monochorionic monoamniotic twin pregnancy (disorder) Edition Continuing pregnancy after intrauterine death of one twin with intrauterine SNOMED CT US Pregnancy 472321009 retention of dead twin (disorder) Edition SNOMED CT US Pregnancy 472836003 Yolk sac absent (finding) Edition
Page 315 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609133009 Short cervical length in pregnancy (finding) Edition SNOMED CT US Pregnancy 609204004 Subchorionic hematoma (disorder) Edition SNOMED CT US Pregnancy 609441001 Fetal or neonatal effect of breech delivery (disorder) Edition Retained products of conception following induced termination of pregnancy SNOMED CT US Pregnancy 609443003 (disorder) Edition SNOMED CT US Pregnancy 609446006 Induced termination of pregnancy with complication (disorder) Edition Induced termination of pregnancy complicated by damage to pelvic organs and/or SNOMED CT US Pregnancy 609447002 tissues (disorder) Edition Induced termination of pregnancy complicated by delayed and/or excessive SNOMED CT US Pregnancy 609448007 hemorrhage (disorder) Edition SNOMED CT US Pregnancy 609449004 Induced termination of pregnancy complicated by embolism (disorder) Edition SNOMED CT US Pregnancy 609450004 Induced termination of pregnancy complicated by genital-pelvic infection (disorder) Edition SNOMED CT US Pregnancy 609451000 Induced termination of pregnancy complicated by metabolic disorder (disorder) Edition SNOMED CT US Pregnancy 609452007 Induced termination of pregnancy complicated by renal failure (disorder) Edition SNOMED CT US Pregnancy 609453002 Induced termination of pregnancy complicated by shock (disorder) Edition SNOMED CT US Pregnancy 609454008 Induced termination of pregnancy complicated by acute necrosis of liver (disorder) Edition SNOMED CT US Pregnancy 609455009 Induced termination of pregnancy complicated by acute renal failure (disorder) Edition SNOMED CT US Pregnancy 609456005 Induced termination of pregnancy complicated by afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 609457001 Induced termination of pregnancy complicated by air embolism (disorder) Edition
Page 316 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Induced termination of pregnancy complicated by amniotic fluid embolism SNOMED CT US Pregnancy 609458006 (disorder) Edition SNOMED CT US Pregnancy 609459003 Induced termination of pregnancy complicated by blood-clot embolism (disorder) Edition Induced termination of pregnancy complicated by cardiac arrest and/or failure SNOMED CT US Pregnancy 609460008 (disorder) Edition SNOMED CT US Pregnancy 609461007 Induced termination of pregnancy complicated by cerebral anoxia (disorder) Edition Induced termination of pregnancy complicated by defibrination syndrome SNOMED CT US Pregnancy 609462000 (disorder) Edition SNOMED CT US Pregnancy 609463005 Induced termination of pregnancy complicated by electrolyte imbalance (disorder) Edition SNOMED CT US Pregnancy 609464004 Induced termination of pregnancy complicated by endometritis (disorder) Edition SNOMED CT US Pregnancy 609465003 Induced termination of pregnancy complicated by fat embolism (disorder) Edition Induced termination of pregnancy complicated by intravascular hemolysis SNOMED CT US Pregnancy 609466002 (disorder) Edition SNOMED CT US Pregnancy 609467006 Induced termination of pregnancy complicated by laceration of bowel (disorder) Edition Induced termination of pregnancy complicated by laceration of broad ligament SNOMED CT US Pregnancy 609468001 (disorder) Edition SNOMED CT US Pregnancy 609469009 Induced termination of pregnancy complicated by laceration of cervix (disorder) Edition SNOMED CT US Pregnancy 609470005 Induced termination of pregnancy complicated by laceration of uterus (disorder) Edition SNOMED CT US Pregnancy 609471009 Induced termination of pregnancy complicated by laceration of vagina (disorder) Edition Induced termination of pregnancy complicated by acute renal failure with oliguria SNOMED CT US Pregnancy 609472002 (disorder) Edition SNOMED CT US Pregnancy 609473007 Induced termination of pregnancy complicated by parametritis (disorder) Edition
Page 317 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609474001 Induced termination of pregnancy complicated by pelvic peritonitis (disorder) Edition SNOMED CT US Pregnancy 609475000 Induced termination of pregnancy complicated by perforation of bowel (disorder) Edition SNOMED CT US Pregnancy 609476004 Induced termination of pregnancy complicated by perforation of cervix (disorder) Edition SNOMED CT US Pregnancy 609477008 Induced termination of pregnancy complicated by perforation of uterus (disorder) Edition SNOMED CT US Pregnancy 609478003 Induced termination of pregnancy complicated by perforation of vagina (disorder) Edition SNOMED CT US Pregnancy 609479006 Induced termination of pregnancy complicated by postoperative shock (disorder) Edition SNOMED CT US Pregnancy 609480009 Induced termination of pregnancy complicated by pulmonary embolism (disorder) Edition SNOMED CT US Pregnancy 609482001 Induced termination of pregnancy complicated by renal tubular necrosis (disorder) Edition SNOMED CT US Pregnancy 609483006 Induced termination of pregnancy complicated by salpingitis (disorder) Edition SNOMED CT US Pregnancy 609484000 Induced termination of pregnancy complicated by salpingo-oophoritis (disorder) Edition SNOMED CT US Pregnancy 609485004 Induced termination of pregnancy complicated by sepsis (disorder) Edition SNOMED CT US Pregnancy 609486003 Induced termination of pregnancy complicated by septic embolism (disorder) Edition SNOMED CT US Pregnancy 609487007 Induced termination of pregnancy complicated by septic shock (disorder) Edition SNOMED CT US Pregnancy 609489005 Induced termination of pregnancy complicated by soap embolism (disorder) Edition SNOMED CT US Pregnancy 609490001 Induced termination of pregnancy complicated by uremia (disorder) Edition SNOMED CT US Pregnancy 609491002 Induced termination of pregnancy complicated by urinary tract infection (disorder) Edition
Page 318 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609492009 Induced termination of pregnancy without complication (disorder) Edition SNOMED CT US Pregnancy 609493004 Induced termination of pregnancy complicated by tetanus (disorder) Edition SNOMED CT US Pregnancy 609494005 Induced termination of pregnancy complicated by pelvic disorder (disorder) Edition SNOMED CT US Pregnancy 609496007 Complication occurring during pregnancy (disorder) Edition SNOMED CT US Pregnancy 609497003 Venous complication in the puerperium (disorder) Edition SNOMED CT US Pregnancy 609498008 Induced termination of pregnancy complicated by laceration of bladder (disorder) Edition Induced termination of pregnancy complicated by laceration of periurethral tissue SNOMED CT US Pregnancy 609499000 (disorder) Edition SNOMED CT US Pregnancy 609500009 Induced termination of pregnancy complicated by perforation of bladder (disorder) Edition Induced termination of pregnancy complicated by perforation of broad ligament SNOMED CT US Pregnancy 609501008 (disorder) Edition Induced termination of pregnancy complicated by perforation of periurethral tissue SNOMED CT US Pregnancy 609502001 (disorder) Edition SNOMED CT US Pregnancy 609503006 Induced termination of pregnancy complicated by bladder damage (disorder) Edition SNOMED CT US Pregnancy 609504000 Induced termination of pregnancy complicated by bowel damage (disorder) Edition Induced termination of pregnancy complicated by broad ligament damage SNOMED CT US Pregnancy 609505004 (disorder) Edition SNOMED CT US Pregnancy 609506003 Induced termination of pregnancy complicated by cardiac arrest (disorder) Edition SNOMED CT US Pregnancy 609507007 Induced termination of pregnancy complicated by cardiac failure (disorder) Edition SNOMED CT US Pregnancy 609508002 Induced termination of pregnancy complicated by cervix damage (disorder) Edition
Page 319 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 609510000 Induced termination of pregnancy complicated by infectious disease (disorder) Edition Induced termination of pregnancy complicated by periurethral tissue damage SNOMED CT US Pregnancy 609511001 (disorder) Edition SNOMED CT US Pregnancy 609512008 Induced termination of pregnancy complicated by oliguria (disorder) Edition SNOMED CT US Pregnancy 609513003 Induced termination of pregnancy complicated by uterus damage (disorder) Edition SNOMED CT US Pregnancy 609514009 Induced termination of pregnancy complicated by vaginal damage (disorder) Edition SNOMED CT US Pregnancy 609515005 Epithelioid trophoblastic tumor (disorder) Edition SNOMED CT US Pregnancy 609516006 Gestational trophoblastic lesion (disorder) Edition SNOMED CT US Pregnancy 609519004 Gestational trophoblastic neoplasia (disorder) Edition SNOMED CT US Pregnancy 609525000 Miscarriage of tubal ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 698414000 Fetal or neonatal effect of complication of labor (disorder) Edition SNOMED CT US Pregnancy 698415004 Fetal or neonatal effect of complication of delivery (disorder) Edition SNOMED CT US Pregnancy 698497008 Fetal or neonatal effect of disproportion during labor (disorder) Edition SNOMED CT US Pregnancy 698498003 Fetal or neonatal effect of disproportion during delivery (disorder) Edition SNOMED CT US Pregnancy 698554000 Fetal or neonatal effect of malposition during labor (disorder) Edition SNOMED CT US Pregnancy 698555004 Fetal or neonatal effect of malposition during delivery (disorder) Edition SNOMED CT US Pregnancy 698582007 Fetal or neonatal effect of diethylstilbestrol transmitted via placenta (disorder) Edition
Page 320 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 698583002 Fetal or neonatal effect of diethylstilbestrol transmitted via breast milk (disorder) Edition SNOMED CT US Pregnancy 698586005 Complete legal abortion complicated by excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 698587001 Complete illegal abortion complicated by excessive hemorrhage (disorder) Edition SNOMED CT US Pregnancy 698632006 Pregnancy induced edema (disorder) Edition SNOMED CT US Pregnancy 698636009 Complete legal abortion with complication (disorder) Edition SNOMED CT US Pregnancy 698638005 Pregnancy induced hypertension with pulmonary edema (disorder) Edition SNOMED CT US Pregnancy 698640000 Hypertension in the puerperium with pulmonary edema (disorder) Edition SNOMED CT US Pregnancy 698702007 Deep transverse arrest with persistent occipitoposterior position (disorder) Edition SNOMED CT US Pregnancy 698708006 Antepartum hemorrhage due to placenta previa type I (disorder) Edition SNOMED CT US Pregnancy 698709003 Antepartum hemorrhage due to placenta previa type II (disorder) Edition SNOMED CT US Pregnancy 698710008 Antepartum hemorrhage due to placenta previa type III (disorder) Edition SNOMED CT US Pregnancy 698711007 Antepartum hemorrhage due to placenta previa type IV (disorder) Edition SNOMED CT US Pregnancy 698712000 Antepartum hemorrhage due to cervical polyp (disorder) Edition SNOMED CT US Pregnancy 698713005 Antepartum haemorrhage due to cervical erosion (disorder) Edition SNOMED CT US Pregnancy 698716002 Preterm spontaneous labor with preterm delivery (finding) Edition SNOMED CT US Pregnancy 698717006 Preterm spontaneous labor with term delivery (finding) Edition
Page 321 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 698791008 Fetal or neonatal effect of malpresentation during labor (disorder) Edition SNOMED CT US Pregnancy 698795004 Fetal or neonatal effect of malpresentation during delivery (disorder) Edition SNOMED CT US Pregnancy 699240001 Combined intrauterine and ovarian pregnancy (disorder) Edition SNOMED CT US Pregnancy 699949009 Retained placenta due to morbidly adherent placenta (disorder) Edition SNOMED CT US Pregnancy 699950009 Anti-D isoimmunization affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 700038005 Mastitis associated with lactation (disorder) Edition SNOMED CT US Pregnancy 702452007 Quadruplet birth (finding) Edition SNOMED CT US Pregnancy 702453002 Quintuplet birth (finding) Edition SNOMED CT US Pregnancy 702454008 Sextuplet birth (finding) Edition SNOMED CT US Pregnancy 702711004 Mental disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 703309000 Familial gestational hyperthyroidism (disorder) Edition SNOMED CT US Pregnancy 707089008 Genital tract infection in puerperium (disorder) Edition SNOMED CT US Pregnancy 707207004 Incomplete induced termination of pregnancy (disorder) Edition SNOMED CT US Pregnancy 712653003 Delivery by cesarean section for footling breech presentation (finding) Edition SNOMED CT US Pregnancy 712654009 Delivery by cesarean section for breech presentation (finding) Edition SNOMED CT US Pregnancy 712655005 Delivery by cesarean section for flexed breech presentation (finding) Edition
Page 322 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 713187004 Polyhydramnios due to maternal disease (disorder) Edition SNOMED CT US Pregnancy 713191009 Polyhydramnios due to placental anomaly (disorder) Edition SNOMED CT US Pregnancy 713192002 Oligohydramnios due to rupture of membranes (disorder) Edition SNOMED CT US Pregnancy 713202001 Antepartum stillbirth (finding) Edition SNOMED CT US Pregnancy 713204000 Non immune hydrops in newborn (disorder) Edition SNOMED CT US Pregnancy 713232009 Prolonged second stage of labor due to poor maternal effort (disorder) Edition SNOMED CT US Pregnancy 713249002 Pyogenic granuloma of gingiva co-occurrent and due to pregnancy (disorder) Edition SNOMED CT US Pregnancy 713575004 Dizygotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 713576003 Monozygotic twin pregnancy (disorder) Edition SNOMED CT US Pregnancy 715880002 Obstructed labor due to fetal abnormality (finding) Edition SNOMED CT US Pregnancy 716379000 Acute fatty liver of pregnancy (disorder) Edition SNOMED CT US Pregnancy 717816002 Infection of nipple associated with childbirth with attachment difficulty (disorder) Edition SNOMED CT US Pregnancy 717817006 Abscess of breast associated with childbirth with attachment difficulty (disorder) Edition Nonpurulent mastitis associated with childbirth with attachment difficulty SNOMED CT US Pregnancy 717818001 (disorder) Edition SNOMED CT US Pregnancy 717819009 Retracted nipple associated with childbirth with attachment difficulty (disorder) Edition SNOMED CT US Pregnancy 717820003 Cracked nipple associated with childbirth with attachment difficulty (disorder) Edition
Page 323 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 717959008 Cardiac complication of anesthesia during the puerperium (disorder) Edition Central nervous system complication of anesthesia during the puerperium SNOMED CT US Pregnancy 717960003 (disorder) Edition SNOMED CT US Pregnancy 721022000 Complication of anesthesia during the puerperium (disorder) Edition SNOMED CT US Pregnancy 721153000 Congenital anomaly of mother complicating pregnancy (disorder) Edition Human immunodeficiency virus complicating pregnancy childbirth and the SNOMED CT US Pregnancy 721166000 puerperium (disorder) Edition SNOMED CT US Pregnancy 721177006 Injury complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 721201001 Protozoal disease complicating pregnancy childbirth and the puerperium (disorder) Edition SNOMED CT US Pregnancy 722570003 Fetal or neonatal effect of meconium passage during delivery (disorder) Edition SNOMED CT US Pregnancy 723541004 Disease of respiratory system complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 723665008 Vaginal bleeding complicating early pregnancy (disorder) Edition SNOMED CT US Pregnancy 724483001 Concern about body image related to pregnancy (finding) Edition SNOMED CT US Pregnancy 724484007 Incomplete legal abortion without complication (disorder) Edition SNOMED CT US Pregnancy 724485008 Gestational proteinuria without hypertension (disorder) Edition SNOMED CT US Pregnancy 724486009 Venous disorder co-occurrent with pregnancy (disorder) Edition SNOMED CT US Pregnancy 724488005 Preterm delivery following induction of labor (finding) Edition SNOMED CT US Pregnancy 724489002 Preterm delivery following Cesarean section (finding) Edition
Page 324 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Intrapartum hemorrhage co-occurrent and due to obstructed labor with uterine SNOMED CT US Pregnancy 724490006 rupture (disorder) Edition Vesicovaginal fistula with involvement of urinary continence mechanism following SNOMED CT US Pregnancy 724491005 normal delivery (disorder) Edition
Vesicovaginal fistula with involvement of urinary continence mechanism due to and SNOMED CT US Pregnancy 724492003 following obstructed labor (disorder) Edition
Vesicovaginal fistula with involvement of urinary continence mechanism following SNOMED CT US Pregnancy 724493008 obstetric delivery procedure (disorder) Edition
Vesicovaginal fistula with involvement of urinary continence mechanism following SNOMED CT US Pregnancy 724494002 termination of pregnancy procedure (disorder) Edition Postpartum hemorrhage co-occurrent and due to uterine rupture following SNOMED CT US Pregnancy 724496000 obstructed labor (disorder) Edition Disease of circulatory system complicating pregnancy childbirth and puerperium SNOMED CT US Pregnancy 724497009 (disorder) Edition SNOMED CT US Pregnancy 733142005 Sepsis following obstructed labor (disorder) Edition SNOMED CT US Pregnancy 733839001 Postpartum acute renal failure (disorder) Edition SNOMED CT US Pregnancy 734857007 Injury of female genital organ due to obstetric procedure (disorder) Edition SNOMED CT US Pregnancy 735492001 Obstructed labor co-occurrent and due to shoulder dystocia (finding) Edition SNOMED CT US Pregnancy 737318003 Delayed hemorrhage due to and following miscarriage (disorder) Edition SNOMED CT US Pregnancy 737320000 Delayed hemorrhage due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737321001 Excessive hemorrhage due to and following molar pregnancy (disorder) Edition
Page 325 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 737322008 Delayed hemorrhage due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737323003 Excessive hemorrhage due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737324009 Embolism due to and following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737325005 Embolism due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737326006 Physiological shock due to and following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737327002 Renal failure following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737329004 Damage to pelvic organs and tissues following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737330009 Damage to pelvic organs and tissues following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 737331008 Disorder of vein following miscarriage (disorder) Edition SNOMED CT US Pregnancy 737332001 Disorder of vein following ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 737333006 Disorder of vein following molar pregnancy (disorder) Edition SNOMED CT US Pregnancy 739668007 Rupture of uterus due to obstetric procedure (disorder) Edition SNOMED CT US Pregnancy 740597009 Umbilical cord complication during labor and delivery (disorder) Edition SNOMED CT US Pregnancy 762612009 Quadruplets with all four stillborn (finding) Edition SNOMED CT US Pregnancy 762613004 Quintuplets with all five stillborn (finding) Edition SNOMED CT US Pregnancy 762614005 Sextuplets with all six stillborn (finding) Edition
Page 326 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 765182005 Pre-eclampsia in puerperium (disorder) Edition SNOMED CT US Pregnancy 769087009 Vomiting during third trimester of pregnancy (disorder) Edition SNOMED CT US Pregnancy 161000119101 Placental abnormality, antepartum (finding) Edition Maternal obesity complicating pregnancy, childbirth and the puerperium, SNOMED CT US Pregnancy 171000119107 antepartum (disorder) Edition SNOMED CT US Pregnancy 521000119104 Acute cystitis in pregnancy, antepartum (disorder) Edition SNOMED CT US Pregnancy 531000119101 Hypothyroidism in pregnancy, antepartum (disorder) Edition Hypertension complicating pregnancy, childbirth and the puerperium, antepartum SNOMED CT US Pregnancy 541000119105 (disorder) Edition SNOMED CT US Pregnancy 1031000119109 Insufficient prenatal care (finding) Edition SNOMED CT US Pregnancy 1621000119101 Chlamydia trachomatis infection in pregnancy (disorder) Edition SNOMED CT US Pregnancy 4961000124100 White or yellow-green tinged lochia (finding) Edition SNOMED CT US Pregnancy 4971000124107 Red or brown-green tinged lochia (finding) Edition SNOMED CT US Pregnancy 5361000124103 Red-green tinged lochia (finding) Edition SNOMED CT US Pregnancy 6251000119101 Induced termination of pregnancy in first trimester (disorder) Edition SNOMED CT US Pregnancy 6261000119104 Induced termination of pregnancy in second trimester (disorder) Edition SNOMED CT US Pregnancy 9111000119104 Musculoskeletal problem in pregnancy (disorder) Edition SNOMED CT US Pregnancy 9121000119106 Low back pain in pregnancy (finding) Edition
Page 327 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10211000132109 Perinatal depression (disorder) Edition SNOMED CT US Pregnancy 10231000132102 In-vitro fertilization pregnancy (finding) Edition SNOMED CT US Pregnancy 16101000119107 Incomplete induced termination of pregnancy with complication (disorder) Edition SNOMED CT US Pregnancy 16111000119105 Incomplete spontaneous abortion due to hemorrhage (disorder) Edition SNOMED CT US Pregnancy 16271000119108 Pyelonephritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 18491000119109 Psychological disorder during pregnancy (disorder) Edition SNOMED CT US Pregnancy 22281000119101 Post-term pregnancy of 40 to 42 weeks (disorder) Edition SNOMED CT US Pregnancy 23431000119106 Rupture of uterus during labor (disorder) Edition SNOMED CT US Pregnancy 31801000146106 Pre-existing maternal disease complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 32801000119106 Infectious disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 35381000119101 Quadruplet pregnancy with loss of one or more fetuses (disorder) Edition Continuing triplet pregnancy after spontaneous abortion of one or more fetuses SNOMED CT US Pregnancy 36801000119105 (disorder) Edition SNOMED CT US Pregnancy 38451000119105 Failed attempted vaginal birth after previous cesarean section (disorder) Edition Pregnancy with isoimmunization from irregular blood group incompatibility SNOMED CT US Pregnancy 39101000119109 (disorder) Edition SNOMED CT US Pregnancy 39121000119100 Pelvic mass in pregnancy (disorder) Edition SNOMED CT US Pregnancy 40511000119107 Postpartum pre-existing essential hypertension (disorder) Edition
Page 328 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 40521000119100 Postpartum pregnancy-induced hypertension (disorder) Edition SNOMED CT US Pregnancy 40691000119104 Infectious disease of mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 40791000119105 Postpartum gestational diabetes mellitus (disorder) Edition SNOMED CT US Pregnancy 40801000119106 Gestational diabetes mellitus complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 60401000119104 Postpartum psychosis in remission (disorder) Edition SNOMED CT US Pregnancy 71151000119105 Umbilical cord three times around neck (disorder) Edition SNOMED CT US Pregnancy 72161000119100 Antiphospholipid syndrome in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72271000119100 Hyperthyroidism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72301000119103 Asthma in pregnancy (disorder) Edition SNOMED CT US Pregnancy 72321000119107 Sickle cell trait in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 72331000119105 Thalassemia in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 72771000119107 Postpartum episiotomy pain (finding) Edition SNOMED CT US Pregnancy 82771000119102 Hypertension complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 88201000119101 Failure of cervical dilation due to primary uterine inertia (disorder) Edition SNOMED CT US Pregnancy 94631000119100 Depressive disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 94641000119109 Anxiety in pregnancy (disorder) Edition
Page 329 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 97101000119105 Viral disease of mother during pregnancy (disorder) Edition SNOMED CT US Pregnancy 97161000119106 Calculus in biliary tract in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 100801000119107 Maternal tobacco use in pregnancy (finding) Edition SNOMED CT US Pregnancy 100841000119109 Previous bariatric surgery complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 100941000119100 Epilepsy in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 104011000119109 Genital herpes simplex in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 104851000119103 Postpartum major depression in remission (disorder) Edition SNOMED CT US Pregnancy 106281000119103 Pre-existing diabetes mellitus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 110081000119109 Bacterial vaginosis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 110091000119107 Candidiasis of vagina in pregnancy (disorder) Edition SNOMED CT US Pregnancy 114881000119108 Maternal gonorrhea during pregnancy (disorder) Edition Pre-existing hypertensive chronic kidney disease in mother complicating pregnancy SNOMED CT US Pregnancy 118781000119108 (disorder) Edition SNOMED CT US Pregnancy 119891000119105 Postpartum hemorrhage due to total placenta previa (disorder) Edition SNOMED CT US Pregnancy 119901000119109 Hemorrhage co-occurrent and due to partial placenta previa (disorder) Edition SNOMED CT US Pregnancy 120001000119107 Group B streptococcus carrier complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 134781000119106 High risk pregnancy due to recurrent miscarriage (finding) Edition
Page 330 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 151441000119105 Twin live born in hospital by vaginal delivery (finding) Edition SNOMED CT US Pregnancy 152231000119106 Pregnancy not yet confirmed (finding) Edition SNOMED CT US Pregnancy 433601000124106 Gestation period greater than or equal to 37 weeks (finding) Edition SNOMED CT US Pregnancy 451881000124101 Tobacco use in mother complicating puerperium (finding) Edition SNOMED CT US Pregnancy 451891000124103 Tobacco use in mother complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 451901000124104 Tobacco smoking in mother complicating puerperium (finding) Edition SNOMED CT US Pregnancy 451911000124101 Tobacco smoking in mother complicating childbirth (finding) Edition SNOMED CT US Pregnancy 451921000124109 Tobacco smoking in mother complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 457811000124103 Normal pregnancy in primigravida (finding) Edition SNOMED CT US Pregnancy 457821000124106 Normal pregnancy in multigravida (finding) Edition SNOMED CT US Pregnancy 10629511000119102 Rhinitis of pregnancy (disorder) Edition SNOMED CT US Pregnancy 10741751000119100 Anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10741871000119101 Alcohol dependence in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10742121000119104 Asthma in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10742471000119108 Previous bariatric surgery in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743001000119103 Anxiety disorder in mother complicating childbirth (disorder) Edition
Page 331 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10743121000119108 Aortic valve disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743651000119105 Inflammation of cervix in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10743741000119103 Cardiac arrhythmia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10743831000119100 Neoplasm of uterus affecting pregnancy (disorder) Edition SNOMED CT US Pregnancy 10743881000119104 Suspected fetal abnormality affecting management of mother (disorder) Edition Cardiac arrest due to administration of anesthesia for obstetric procedure in SNOMED CT US Pregnancy 10745231000119102 pregnancy (disorder) Edition SNOMED CT US Pregnancy 10745291000119103 Malignant neoplastic disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10746341000119109 Acquired immune deficiency syndrome complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10749581000119100 Blood coagulation disorder complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10749641000119106 Blood coagulation disorder complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10749691000119103 Obstetric anesthesia with cardiac complication in childbirth (disorder) Edition Obstetric anesthesia with central nervous system complication in childbirth SNOMED CT US Pregnancy 10749811000119108 (disorder) Edition SNOMED CT US Pregnancy 10749871000119100 Malignant neoplastic disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10750051000119105 Chlamydia trachomatis infection in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750111000119108 Breast lump in pregnancy (finding) Edition SNOMED CT US Pregnancy 10750161000119106 Cholestasis of pregnancy complicating childbirth (disorder) Edition
Page 332 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10750411000119102 Nonpurulent mastitis associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10750551000119100 Obesity in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750801000119102 False labor before 37 completed weeks of gestation (finding) Edition SNOMED CT US Pregnancy 10750951000119106 Epilepsy in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10750991000119101 Cyst of ovary in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10751471000119101 Nutritional deficiency in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10751511000119105 Obstructed labor due to incomplete rotation of fetal head (finding) Edition SNOMED CT US Pregnancy 10751581000119104 Obstructed labor due to disproportion between fetus and pelvis (finding) Edition SNOMED CT US Pregnancy 10751631000119101 Obstructed labor due to abnormality of maternal pelvis (finding) Edition Spontaneous onset of labor between 37 and 39 weeks gestation with planned SNOMED CT US Pregnancy 10751701000119102 cesarean section (finding) Edition SNOMED CT US Pregnancy 10751771000119107 Placental abruption due to afibrinogenemia (disorder) Edition SNOMED CT US Pregnancy 10752251000119103 Galactorrhea in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10752641000119102 Eclampsia with pre-existing hypertension in childbirth (disorder) Edition SNOMED CT US Pregnancy 10752771000119100 Renal failure after ectopic pregnancy (disorder) Edition SNOMED CT US Pregnancy 10753101000119102 Heart disease in mother complicating childbirth (disorder) Edition
Page 333 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System Premature rupture of membranes in full term pregnancy with onset of labor within SNOMED CT US Pregnancy 10753181000119105 24 hours of rupture (disorder) Edition
Premature rupture of membranes in full term pregnancy with onset of labor more SNOMED CT US Pregnancy 10753231000119104 than 24 hours after rupture (disorder) Edition Premature rupture of membranes in full term pregnancy with onset of labor SNOMED CT US Pregnancy 10753281000119103 unknown (disorder) Edition SNOMED CT US Pregnancy 10753491000119101 Gestational diabetes mellitus in childbirth (disorder) Edition SNOMED CT US Pregnancy 10754031000119105 Gonorrhea in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754331000119108 Air embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10754701000119100 Genital herpes simplex in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754781000119108 Gallbladder calculus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754881000119104 Diabetes mellitus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10754921000119106 Hyperthyroidism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755041000119100 Alcohol dependence in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755161000119102 Drug dependence in childbirth (disorder) Edition SNOMED CT US Pregnancy 10755671000119100 Human immunodeficiency virus in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10755951000119102 Heart murmur in mother in childbirth (finding) Edition SNOMED CT US Pregnancy 10756101000119107 Group B streptococcus infection in mother complicating childbirth (disorder) Edition
Page 334 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10756261000119102 Physical abuse complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10756301000119105 Physical abuse complicating pregnancy (finding) Edition Pre-existing hypertensive heart and chronic kidney disease in mother complicating SNOMED CT US Pregnancy 10757401000119104 childbirth (disorder) Edition SNOMED CT US Pregnancy 10757441000119102 Pre-existing hypertensive heart disease in mother complicating childbirth (disorder) Edition Pre-existing hypertensive heart and chronic kidney disease in mother complicating SNOMED CT US Pregnancy 10757481000119107 pregnancy (disorder) Edition Pre-existing hypertensive heart disease in mother complicating pregnancy SNOMED CT US Pregnancy 10759031000119106 (disorder) Edition SNOMED CT US Pregnancy 10759111000119102 Viral hepatitis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759151000119101 Viral hepatitis in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10759191000119106 Postpartum septic thrombophlebitis (disorder) Edition SNOMED CT US Pregnancy 10759231000119102 Salpingo-oophoritis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10759311000119104 Pulmonary embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10759351000119103 Sickle cell anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759401000119105 Sickle cell trait in mother complicating childbirth (disorder) Edition Preterm premature rupture of membranes with onset of labor later than 24 hours SNOMED CT US Pregnancy 10759611000119105 after rupture (disorder) Edition SNOMED CT US Pregnancy 10759661000119108 Preterm premature rupture of membranes with onset of labor unknown (disorder) Edition Preterm premature rupture of membranes with onset of labor within 24 hours of SNOMED CT US Pregnancy 10759711000119103 rupture (disorder) Edition
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Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10759761000119100 Rubella in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759841000119105 Sexually transmitted infectious disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759881000119100 Tuberculosis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759921000119107 Syphilis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10759961000119102 Viral disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760001000119100 Thyroid disease in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760041000119103 Thyroiditis in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760081000119108 Pyemic and septic embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10760131000119108 Pyemic and septic embolism in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760221000119101 Uterine prolapse in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760261000119106 Uterine laceration during delivery (disorder) Edition SNOMED CT US Pregnancy 10760301000119103 Retraction of nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10760381000119106 Thyroiditis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760421000119102 Psychotic disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10760461000119107 Psychotic disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10760541000119109 Traumatic injury to vulva during pregnancy (disorder) Edition
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Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10760581000119104 Pain in round ligament in pregnancy (finding) Edition SNOMED CT US Pregnancy 10760661000119109 Triplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760701000119102 Quadruplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760741000119100 Quadruplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760781000119105 Quintuplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760821000119100 Quintuplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760861000119105 Sextuplets, all live born (finding) Edition SNOMED CT US Pregnancy 10760901000119104 Sextuplets, some live born (finding) Edition SNOMED CT US Pregnancy 10760981000119107 Psychological abuse complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 10761021000119102 Sexual abuse complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10761061000119107 Sexual abuse complicating pregnancy (finding) Edition SNOMED CT US Pregnancy 10761101000119105 Vacuum assisted vaginal delivery (finding) Edition Preterm labor in second trimester with preterm delivery in second trimester SNOMED CT US Pregnancy 10761141000119107 (finding) Edition SNOMED CT US Pregnancy 10761191000119104 Preterm labor in third trimester with preterm delivery in third trimester (finding) Edition SNOMED CT US Pregnancy 10761241000119104 Preterm labor with preterm delivery (finding) Edition SNOMED CT US Pregnancy 10761341000119105 Preterm labor without delivery (finding) Edition
Page 337 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10761391000119102 Tobacco use in mother complicating childbirth (finding) Edition SNOMED CT US Pregnancy 10805641000119102 Congenital cardiovascular anomaly in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10806041000119104 Infection of nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 10806241000119108 Thalassemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10807061000119103 Liver disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10808861000119105 Maternal distress during childbirth (disorder) Edition SNOMED CT US Pregnancy 10809061000119106 Malaria in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10809101000119109 Hypothyroidism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10809641000119100 Mitral valve disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10811121000119102 Major depressive disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10811161000119107 Major depressive disorder in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10811201000119102 Mental disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10812041000119103 Urinary tract infection due to incomplete miscarriage (disorder) Edition SNOMED CT US Pregnancy 10812081000119108 Iron deficiency anemia in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10812131000119108 Malnutrition in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10835571000119102 Antepartum hemorrhage due to disseminated intravascular coagulation (disorder) Edition
Page 338 of 339 November 2019 PT - 2020 Measure Value Set_Weight Assessment and Counseling
Exclusions Value Set Name Code Definition Code System SNOMED CT US Pregnancy 10835621000119104 Congenital anomaly of vagina in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10835701000119102 Congenital anomaly of vulva in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 10835781000119105 Amniotic fluid embolism in childbirth (disorder) Edition SNOMED CT US Pregnancy 10835871000119104 Depressive disorder in mother complicating childbirth (disorder) Edition SNOMED CT US Pregnancy 10835971000119109 Anti-A sensitization in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10836071000119101 Dislocation of symphysis pubis in pregnancy (disorder) Edition SNOMED CT US Pregnancy 10836241000119104 Cracked nipple associated with lactation (disorder) Edition SNOMED CT US Pregnancy 11718971000119100 Diarrhea in pregnancy (disorder) Edition SNOMED CT US Pregnancy 15643101000119103 Gastroesophageal reflux disease in pregnancy (disorder) Edition SNOMED CT US Pregnancy 15750121000119108 Pre-existing severe obesity in mother complicating pregnancy (disorder) Edition SNOMED CT US Pregnancy 16320551000119109 Bleeding from female genital tract co-occurrent with pregnancy (disorder) Edition
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