Measure Up/Pressure Down National Hypertension Campaign American Medical Group Foundation Version 3.0 • October 2015 Appendix B Appendix B: ICD-10-CM Codes for Pregnancy Exclusion Source: HEDIS® Pregnancy Value Set Code Only Code and Description O00.0 [O00.0] Abdominal pregnancy O00.1 [O00.1] Tubal pregnancy O00.2 [O00.2] Ovarian pregnancy O00.8 [O00.8] Other ectopic pregnancy O00.9 [O00.9] Ectopic pregnancy, unspecified O01.0 [O01.0] Classical hydatidiform mole O01.1 [O01.1] Incomplete and partial hydatidiform mole O01.9 [O01.9] Hydatidiform mole, unspecified O02.0 [O02.0] Blighted ovum and nonhydatidiform mole O02.1 [O02.1] Missed abortion O02.81 [O02.81] Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy O02.89 [O02.89] Other abnormal products of conception O02.9 [O02.9] Abnormal product of conception, unspecified O03.0 [O03.0] Genital tract and pelvic infection following incomplete spontaneous abortion O03.1 [O03.1] Delayed or excessive hemorrhage following incomplete spontaneous abortion O03.2 [O03.2] Embolism following incomplete spontaneous abortion O03.30 [O03.30] Unspecified complication following incomplete spontaneous abortion O03.31 [O03.31] Shock following incomplete spontaneous abortion O03.32 [O03.32] Renal failure following incomplete spontaneous abortion O03.33 [O03.33] Metabolic disorder following incomplete spontaneous abortion O03.34 [O03.34] Damage to pelvic organs following incomplete spontaneous abortion O03.35 [O03.35] Other venous complications following incomplete spontaneous abortion O03.36 [O03.36] Cardiac arrest following incomplete spontaneous abortion O03.37 [O03.37] Sepsis following incomplete spontaneous abortion O03.38 [O03.38] Urinary tract infection following incomplete spontaneous abortion O03.39 [O03.39] Incomplete spontaneous abortion with other complications O03.4 [O03.4] Incomplete spontaneous abortion without complication O03.5 [O03.5] Genital tract and pelvic infection following complete or unspecified spontaneous abortion O03.6 [O03.6] Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion O03.7 [O03.7] Embolism following complete or unspecified spontaneous abortion O03.80 [O03.80] Unspecified complication following complete or unspecified spontaneous abortion O03.81 [O03.81] Shock following complete or unspecified spontaneous abortion O03.82 [O03.82] Renal failure following complete or unspecified spontaneous abortion O03.83 [O03.83] Metabolic disorder following complete or unspecified spontaneous abortion 1 Code Only Code and Description O03.84 [O03.84] Damage to pelvic organs following complete or unspecified spontaneous abortion O03.85 [O03.85] Other venous complications following complete or unspecified spontaneous abortion O03.86 [O03.86] Cardiac arrest following complete or unspecified spontaneous abortion O03.87 [O03.87] Sepsis following complete or unspecified spontaneous abortion O03.88 [O03.88] Urinary tract infection following complete or unspecified spontaneous abortion O03.89 [O03.89] Complete or unspecified spontaneous abortion with other complications O03.9 [O03.9] Complete or unspecified spontaneous abortion without complication O04.5 [O04.5] Genital tract and pelvic infection following (induced) termination of pregnancy O04.6 [O04.6] Delayed or excessive hemorrhage following (induced) termination of pregnancy O04.7 [O04.7] Embolism following (induced) termination of pregnancy O04.80 [O04.80] (Induced) termination of pregnancy with unspecified complications O04.81 [O04.81] Shock following (induced) termination of pregnancy O04.82 [O04.82] Renal failure following (induced) termination of pregnancy O04.83 [O04.83] Metabolic disorder following (induced) termination of pregnancy O04.84 [O04.84] Damage to pelvic organs following (induced) termination of pregnancy O04.85 [O04.85] Other venous complications following (induced) termination of pregnancy O04.86 [O04.86] Cardiac arrest following (induced) termination of pregnancy O04.87 [O04.87] Sepsis following (induced) termination of pregnancy O04.88 [O04.88] Urinary tract infection following (induced) termination of pregnancy O04.89 [O04.89] (Induced) termination of pregnancy with other complications O07.0 [O07.0] Genital tract and pelvic infection following failed attempted termination of pregnancy O07.1 [O07.1] Delayed or excessive hemorrhage following failed attempted termination of pregnancy O07.2 [O07.2] Embolism following failed attempted termination of pregnancy O07.30 [O07.30] Failed attempted termination of pregnancy with unspecified complications O07.31 [O07.31] Shock following failed attempted termination of pregnancy O07.32 [O07.32] Renal failure following failed attempted termination of pregnancy O07.33 [O07.33] Metabolic disorder following failed attempted termination of pregnancy O07.34 [O07.34] Damage to pelvic organs following failed attempted termination of pregnancy O07.35 [O07.35] Other venous complications following failed attempted termination of pregnancy O07.36 [O07.36] Cardiac arrest following failed attempted termination of pregnancy O07.37 [O07.37] Sepsis following failed attempted termination of pregnancy O07.38 [O07.38] Urinary tract infection following failed attempted termination of pregnancy O07.39 [O07.39] Failed attempted termination of pregnancy with other complications O07.4 [O07.4] Failed attempted termination of pregnancy without complication O08.0 [O08.0] Genital tract and pelvic infection following ectopic and molar pregnancy O08.1 [O08.1] Delayed or excessive hemorrhage following ectopic and molar pregnancy O08.2 [O08.2] Embolism following ectopic and molar pregnancy O08.3 [O08.3] Shock following ectopic and molar pregnancy O08.4 [O08.4] Renal failure following ectopic and molar pregnancy O08.5 [O08.5] Metabolic disorders following an ectopic and molar pregnancy O08.6 [O08.6] Damage to pelvic organs and tissues following an ectopic and molar pregnancy O08.7 [O08.7] Other venous complications following an ectopic and molar pregnancy 2 Code Only Code and Description O08.81 [O08.81] Cardiac arrest following an ectopic and molar pregnancy O08.82 [O08.82] Sepsis following ectopic and molar pregnancy O08.83 [O08.83] Urinary tract infection following an ectopic and molar pregnancy O08.89 [O08.89] Other complications following an ectopic and molar pregnancy O08.9 [O08.9] Unspecified complication following an ectopic and molar pregnancy O09.00 [O09.00] Supervision of pregnancy with history of infertility, unspecified trimester O09.01 [O09.01] Supervision of pregnancy with history of infertility, first trimester O09.02 [O09.02] Supervision of pregnancy with history of infertility, second trimester O09.03 [O09.03] Supervision of pregnancy with history of infertility, third trimester O09.10 [O09.10] Supervision of pregnancy with history of ectopic or molar pregnancy, unspecified trimester O09.11 [O09.11] Supervision of pregnancy with history of ectopic or molar pregnancy, first trimester O09.12 [O09.12] Supervision of pregnancy with history of ectopic or molar pregnancy, second trimester O09.13 [O09.13] Supervision of pregnancy with history of ectopic or molar pregnancy, third trimester O09.211 [O09.211] Supervision of pregnancy with history of pre-term labor, first trimester O09.212 [O09.212] Supervision of pregnancy with history of pre-term labor, second trimester O09.213 [O09.213] Supervision of pregnancy with history of pre-term labor, third trimester O09.219 [O09.219] Supervision of pregnancy with history of pre-term labor, unspecified trimester O09.291 [O09.291] Supervision of pregnancy with other poor reproductive or obstetric history, first trimester O09.292 [O09.292] Supervision of pregnancy with other poor reproductive or obstetric history, second trimester O09.293 [O09.293] Supervision of pregnancy with other poor reproductive or obstetric history, third trimester O09.299 [O09.299] Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester O09.30 [O09.30] Supervision of pregnancy with insufficient antenatal care, unspecified trimester O09.31 [O09.31] Supervision of pregnancy with insufficient antenatal care, first trimester O09.32 [O09.32] Supervision of pregnancy with insufficient antenatal care, second trimester O09.33 [O09.33] Supervision of pregnancy with insufficient antenatal care, third trimester O09.40 [O09.40] Supervision of pregnancy with grand multiparity, unspecified trimester O09.41 [O09.41] Supervision of pregnancy with grand multiparity, first trimester O09.42 [O09.42] Supervision of pregnancy with grand multiparity, second trimester O09.43 [O09.43] Supervision of pregnancy with grand multiparity, third trimester O09.511 [O09.511] Supervision of elderly primigravida, first trimester O09.512 [O09.512] Supervision of elderly primigravida, second trimester O09.513 [O09.513] Supervision of elderly primigravida, third trimester O09.519 [O09.519] Supervision of elderly primigravida, unspecified trimester O09.521 [O09.521] Supervision of elderly multigravida, first trimester O09.522 [O09.522] Supervision of elderly multigravida, second trimester O09.523 [O09.523] Supervision of elderly multigravida, third trimester O09.529 [O09.529] Supervision of elderly multigravida, unspecified trimester O09.611 [O09.611] Supervision of young primigravida, first trimester O09.612 [O09.612] Supervision of young primigravida, second trimester 3 Code Only Code and Description O09.613 [O09.613] Supervision of young primigravida, third trimester O09.619 [O09.619] Supervision of
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