International Classification of Diseases - XV Pregnancy Childbirth

From Embryology

Contents

Introduction

The International Classification of Diseases (ICD) World Health Organization's classification used worldwide as the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems. Within this classification "congenital malformations, deformations and chromosomal abnormalities" are (Q00-Q99) but excludes "inborn errors of metabolism" (E70-E90).

(ICD) ICD-10 was endorsed by the Forty-third World Health Assembly in May 1990 and came into use in WHO Member States as from 1994. The classification is the latest in a series which has its origins in the 1850s. The first edition, known as the International List of Causes of Death, was adopted by the International Statistical Institute in 1893. WHO took over the responsibility for the ICD at its creation in 1948 when the Sixth Revision, which included causes of morbidity for the first time, was published. The World Health Assembly adopted in 1967 the WHO Nomenclature Regulations that stipulate use of ICD in its most current revision for mortality and morbidity statistics by all Member States.

The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use.


ICD-10 Links: XVII Congenital Malformations | System Tables | XVI Perinatal Period | XV Pregnancy Childbirth | Abnormal Development | Reports
| Birth


International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2010

Note - this is not a full listing of the classifications, only the major sub-headings that relate to development (there are additional sub-sub-headings not yet listed here).

Chapter XV Pregnancy, childbirth and the puerperium (O00-O99)

The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes)

Excludes Certain diseases or injuries complicating pregnancy, childbirth and the puerperium classified elsewhere: external causes (for mortality) (V, W, X, Y); injury, poisoning and certain other consequences of external cause (S00-T88.1, , T88.6-T98); mental and behavioural disorders associated with the puerperium (F53.-); obstetrical tetanus (A34); postpartum necrosis of pituitary gland (E23.0); puerperal osteomalacia (M83.0); supervision of high-risk pregnancy (Z35.-); supervision of normal pregnancy (Z34.-).

Pregnancy with abortive outcome (O00-O08)

Excl.: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1) The following fourth-character subdivisions are for use with categories O03-O06:

Incomplete abortion includes retained products of conception following abortion.

.0 Incomplete, complicated by genital tract and pelvic infection With conditions in O08.0

.1 Incomplete, complicated by delayed or excessive haemorrhage With conditions in O08.1

.2 Incomplete, complicated by embolism With conditions in O08.2

.3 Incomplete, with other and unspecified complications With conditions in O08.3-O08.9

.4 Incomplete, without complication

.5 Complete or unspecified, complicated by genital tract and pelvic infection With conditions in O08.0

.6 Complete or unspecified, complicated by delayed or excessive haemorrhage With conditions in O08.1

.7 Complete or unspecified, complicated by embolism With conditions in O08.2

.8 Complete or unspecified, with other and unspecified complications With conditions in O08.3-O08.9

.9 Complete or unspecified, without complication

O00 Ectopic pregnancy

Incl.: ruptured ectopic pregnancy

Use additional code from category O08.-, if desired, to identify any associated complication.
  • O00.0 Abdominal pregnancy Excl.: delivery of viable fetus in abdominal pregnancy (O83.3) maternal care for viable fetus in abdominal pregnancy (O36.7)
  • O00.1 Tubal pregnancy Fallopian pregnancy Rupture of (fallopian) tube due to pregnancy Tubal abortion
  • O00.2 Ovarian pregnancy
  • O00.8 Other ectopic pregnancy Pregnancy: cervical, corneal, intraligamentous, mural
  • O00.9 Ectopic pregnancy, unspecified

O01 Hydatidiform mole

Use additional code from category O08.-, if desired, to identify any associated complication.

Excl.: malignant hydatidiform mole (D39.2)
  • O01.0 Classical hydatidiform mole Complete hydatidiform mole
  • O01.1 Incomplete and partial hydatidiform mole
  • O01.9 Hydatidiform mole, unspecified Trophoblastic disease NOS, Vesicular mole NOS

Oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16)

O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium

Incl.: the listed conditions with pre-existing proteinuria Excl.: that with increased or superimposed proteinuria (O11)

  • O10.0 Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
  • O10.1 Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium Any condition in I11.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
  • O10.2 Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the puerperium Any condition in I12.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
  • O10.3 Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium Any condition in I13.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
  • O10.4 Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium Any condition in I15.- specified as a reason for obstetric care during pregnancy, childbirth or the puerperium
  • O10.9 Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium

O11 Pre-existing hypertensive disorder with superimposed proteinuria

Incl.: Conditions in O10.- complicated by increased proteinuria Superimposed pre-eclampsia

O12 Gestational oedema and proteinuria without hypertension

[pregnancy-induced]

  • O12.0 Gestational oedema
  • O12.1 Gestational proteinuria
  • O12.2 Gestational oedema with proteinuria

O13 Gestational hypertension without significant proteinuria

[pregnancy-induced]

Incl.: Gestational hypertension NOS Mild pre-eclampsia

O14 Gestational hypertension with significant proteinuria

[pregnancy-induced] Excl.: superimposed pre-eclampsia (O11)

  • O14.0 Moderate pre-eclampsia
  • O14.1 Severe pre-eclampsia
  • O14.2 HELLP syndrome Combination of hemolysis, elevated liver enzymes and low platelet count
  • O14.9 Pre-eclampsia, unspecified

O15 Eclampsia

Incl.: convulsions following conditions in O10-O14 and O16 eclampsia with pregnancy-induced or pre-existing hypertension

  • O15.0 Eclampsia in pregnancy
  • O15.1 Eclampsia in labour
  • O15.2 Eclampsia in the puerperium
  • O15.9 Eclampsia, unspecified as to time period Eclampsia NOS

O16 Unspecified maternal hypertension

Other maternal disorders predominantly related to pregnancy (O20-O29)

(content to be added)

Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

O30 Multiple gestation

Excl.: complications specific to multiple gestation (O31.-)

  • O30.0 Twin pregnancy
  • O30.1 Triplet pregnancy
  • O30.2 Quadruplet pregnancy
  • O30.8 Other multiple gestation
  • O30.9 Multiple gestation, unspecified Multiple pregnancy NOS

O31 Complications specific to multiple gestation

Excl.: conjoined twins causing disproportion (O33.7) delayed delivery of second twin, triplet, etc. (O63.2) malpresentation of one fetus or more (O32.5) with obstructed labour (O64-O66)

  • O31.0 Papyraceous fetus Fetus compressus
  • O31.1 Continuing pregnancy after abortion of one fetus or more
  • O31.2 Continuing pregnancy after intrauterine death of one fetus or more
  • O31.8 Other complications specific to multiple gestation

O32 Maternal care for known or suspected malpresentation of fetus

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour Excl.: the listed conditions with obstructed labour (O64.-)

  • O32.0 Maternal care for unstable lie
  • O32.1 Maternal care for breech presentation
  • O32.2 Maternal care for transverse and oblique lie Presentation: oblique transverse
  • O32.3 Maternal care for face, brow and chin presentation
  • O32.4 Maternal care for high head at term Failure of head to enter pelvic brim
  • O32.5 Maternal care for multiple gestation with malpresentation of one fetus or more
  • O32.6 Maternal care for compound presentation
  • O32.8 Maternal care for other malpresentation of fetus
  • O32.9 Maternal care for malpresentation of fetus, unspecified

O33 Maternal care for known or suspected disproportion

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour Excl.: the listed conditions with obstructed labour (O65-O66)

  • O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones Pelvic deformity causing disproportion NOS
  • O33.1 Maternal care for disproportion due to generally contracted pelvis Contracted pelvis NOS causing disproportion
  • O33.2 Maternal care for disproportion due to inlet contraction of pelvis Inlet contraction (pelvis) causing disproportion
  • O33.3 Maternal care for disproportion due to outlet contraction of pelvis Mid-cavity contraction (pelvis) Outlet contraction (pelvis) causing disproportion
  • O33.4 Maternal care for disproportion of mixed maternal and fetal origin
  • O33.5 Maternal care for disproportion due to unusually large fetus Disproportion of fetal origin with normally formed fetus Fetal disproportion NOS
  • O33.6 Maternal care for disproportion due to hydrocephalic fetus
  • O33.7 Maternal care for disproportion due to other fetal deformities Conjoined twins Fetal: ascites hydrops meningomyelocele sacral teratoma tumour causing disproportion
  • O33.8 Maternal care for disproportion of other origin
  • O33.9 Maternal care for disproportion, unspecified Cephalopelvic disproportion NOS Fetopelvic disproportion NOS

O34 Maternal care for known or suspected abnormality of pelvic organs

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for caesarean section before onset of labour Excl.: the listed conditions with obstructed labour (O65.5)

  • O34.0 Maternal care for congenital malformation of uterus Maternal care for: double uterus uterus bicornis
  • O34.1 Maternal care for tumour of corpus uteri Maternal care for: polyp of corpus uteri uterine fibroid Excl.: maternal care for tumour of cervix (O34.4)
  • O34.2 Maternal care due to uterine scar from previous surgery Maternal care for scar from previous caesarean section Excl.: vaginal delivery following previous caesarean section NOS (O75.7)
  • O34.3 Maternal care for cervical incompetence Maternal care for: cerclage Shirodkar suture with or without mention of cervical incompetence
  • O34.4 Maternal care for other abnormalities of cervix Maternal care for: polyp of cervix previous surgery to cervix stricture or stenosis of cervix tumour of cervix
  • O34.5 Maternal care for other abnormalities of gravid uterus Maternal care for: incarceration prolapse retroversion of gravid uterus
  • O34.6 Maternal care for abnormality of vagina Maternal care for: previous surgery to vagina septate vagina stenosis of vagina (acquired)(congenital) stricture of vagina tumour of vagina Excl.: maternal care for vaginal varices in pregnancy (O22.1)
  • O34.7 Maternal care for abnormality of vulva and perineum Maternal care for: fibrosis of perineum previous surgery to perineum or vulva rigid perineum tumour of vulva Excl.: maternal care for perineal and vulval varices in pregnancy (O22.1)
  • O34.8 Maternal care for other abnormalities of pelvic organs Maternal care for: cystocele pelvic floor repair (previous) pendulous abdomen rectocele rigid pelvic floor
  • O34.9 Maternal care for abnormality of pelvic organ, unspecified

O35 Maternal care for known or suspected fetal abnormality and damage

Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy Excl.: maternal care for known or suspected disproportion (O33.-)

  • O35.0 Maternal care for (suspected) central nervous system malformation in fetus Maternal care for (suspected) fetal: anencephaly spina bifida Excl.: chromosomal abnormality in fetus (O35.1)
  • O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
  • O35.2 Maternal care for (suspected) hereditary disease in fetus Excl.: chromosomal abnormality in fetus (O35.1)
  • O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother Maternal care for (suspected) damage to fetus from maternal: cytomegalovirus infection rubella
  • O35.4 Maternal care for (suspected) damage to fetus from alcohol
  • O35.5 Maternal care for (suspected) damage to fetus by drugs Maternal care for (suspected) damage to fetus from drug addiction Excl.: fetal distress in labour and delivery due to drug administration (O68.-)
  • O35.6 Maternal care for (suspected) damage to fetus by radiation
  • O35.7 Maternal care for (suspected) damage to fetus by other medical procedures Maternal care for (suspected) damage to fetus by: amniocentesis biopsy procedures haematological investigation intrauterine contraceptive device intrauterine surgery
  • O35.8 Maternal care for other (suspected) fetal abnormality and damage Maternal care for (suspected) damage to fetus from maternal: listeriosis toxoplasmosis
  • O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified

O36 Maternal care for other known or suspected fetal problems

Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric care of the mother, or for termination of pregnancy Excl.: labour and delivery complicated by fetal stress [distress] (O68.-) placental transfusion syndromes (O43.0)

  • O36.0 Maternal care for rhesus isoimmunization Anti-D [Rh] antibodies Rh incompatibility (with hydrops fetalis)
  • O36.1 Maternal care for other isoimmunization ABO isoimmunization Isoimmunization NOS (with hydrops fetalis)
  • O36.2 Maternal care for hydrops fetalis Hydrops fetalis: NOS not associated with isoimmunization
  • O36.3 Maternal care for signs of fetal hypoxia
  • O36.4 Maternal care for intrauterine death Excl.: missed abortion (O02.1)
  • O36.5 Maternal care for poor fetal growth Maternal care for known or suspected: light-for-dates placental insufficiency small-for-dates
  • O36.6 Maternal care for excessive fetal growth Maternal care for known or suspected large-for-dates
  • O36.7 Maternal care for viable fetus in abdominal pregnancy
  • O36.8 Maternal care for other specified fetal problems
  • O36.9 Maternal care for fetal problem, unspecified

O40 Polyhydramnios

Incl.: Hydramnios

O41 Other disorders of amniotic fluid and membranes

Excl.: premature rupture of membranes (O42.-)

  • O41.0 Oligohydramnios Oligohydramnios without mention of rupture of membranes
  • O41.1 Infection of amniotic sac and membranes Amnionitis Chorioamnionitis Membranitis Placentitis
  • O41.8 Other specified disorders of amniotic fluid and membranes
  • O41.9 Disorder of amniotic fluid and membranes, unspecified

O42 Premature rupture of membranes

  • O42.0 Premature rupture of membranes, onset of labour within 24 hours
  • O42.1 Premature rupture of membranes, onset of labour after 24 hours Excl.: with labour delayed by therapy (O42.2)
  • O42.2 Premature rupture of membranes, labour delayed by therapy
  • O42.9 Premature rupture of membranes, unspecified

O43 Placental disorders

Excl.: maternal care for poor fetal growth due to placental insufficiency (O36.5) placenta praevia (O44.-) premature separation of placenta [abruptio placentae] (O45.-)

  • O43.0 Placental transfusion syndromes Transfusion: fetomaternal maternofetal twin-to-twin
  • O43.1 Malformation of placenta Abnormal placenta NOS Circumvallate placenta
  • O43.8 Other placental disorders Placental: dysfunction infarction
  • O43.9 Placental disorder, unspecified

O44 Placenta praevia

  • O44.0 Placenta praevia specified as without haemorrhage Low implantation of placenta specified as without haemorrhage
  • O44.1 Placenta praevia with haemorrhage Low implantation of placenta, NOS or with haemorrhage Placenta praevia: marginal partial total NOS or with haemorrhage Excl.: labour and delivery complicated by haemorrhage from vasa praevia (O69.4)

O45 Premature separation of placenta

[abruptio placentae]

  • O45.0 Premature separation of placenta with coagulation defect Abruptio placentae with (excessive) haemorrhage associated with: afibrinogenaemia disseminated intravascular coagulation hyperfibrinolysis hypofibrinogenaemia
  • O45.8 Other premature separation of placenta
  • O45.9 Premature separation of placenta, unspecified Abruptio placentae NOS

O46 Antepartum haemorrhage, not elsewhere classified

Excl.: haemorrhage in early pregnancy (O20.-) intrapartum haemorrhage NEC (O67.-) placenta praevia (O44.-) premature separation of placenta [abruptio placentae] (O45.-)

  • O46.0 Antepartum haemorrhage with coagulation defect Antepartum haemorrhage (excessive) associated with: afibrinogenaemia disseminated intravascular coagulation hyperfibrinolysis hypofibrinogenaemia
  • O46.8 Other antepartum haemorrhage
  • O46.9 Antepartum haemorrhage, unspecified

O47 False labour

  • O47.0 False labour before 37 completed weeks of gestation
  • O47.1 False labour at or after 37 completed weeks of gestation
  • O47.9 False labour, unspecified

O48 Prolonged pregnancy

Incl.: Post-dates Post-term

Complications of labour and delivery (O60-O75)

O60 Preterm labour and delivery

Incl.: Onset (spontaneous) of labour before 37 completed weeks of gestation

  • O60.0 Preterm labour without delivery Preterm labour: , induced , spontaneous
  • O60.1 Preterm spontaneous labour with preterm delivery Preterm labour with delivery NOS Preterm spontaneous labour with preterm delivery by caesarean section
  • O60.2 Preterm labour with term delivery Preterm spontaneous labour with term delivery by caesarean section
  • O60.3 Preterm delivery without spontaneous labour Preterm delivery by: , caesarean section, without spontaneous labour , induction

O61 Failed induction of labour

  • O61.0 Failed medical induction of labour Failed induction (of labour) by: , oxytocin , prostaglandins
  • O61.1 Failed instrumental induction of labour Failed induction (of labour): , mechanical , surgical
  • O61.8 Other failed induction of labour
  • O61.9 Failed induction of labour, unspecified

O62 Abnormalities of forces of labour

  • O62.0 Primary inadequate contractions Failure of cervical dilatation Primary hypotonic uterine dysfunction Uterine inertia during latent phase of labour
  • O62.1 Secondary uterine inertia Arrested active phase of labour Secondary hypotonic uterine dysfunction
  • O62.2 Other uterine inertia Atony of uterus Desultory labour Hypotonic uterine dysfunction NOS Irregular labour Poor contractions Uterine inertia NOS
  • O62.3 Precipitate labour
  • O62.4 Hypertonic, incoordinate, and prolonged uterine contractions Contraction ring dystocia Dyscoordinate labour Hour-glass contraction of uterus Hypertonic uterine dysfunction Incoordinate uterine action Tetanic contractions Uterine dystocia NOS Excl.: dystocia (fetal)(maternal) NOS (O66.9)
  • O62.8 Other abnormalities of forces of labour
  • O62.9 Abnormality of forces of labour, unspecified

O63 Long labour

  • O63.0 Prolonged first stage (of labour)
  • O63.1 Prolonged second stage (of labour)
  • O63.2 Delayed delivery of second twin, triplet, etc.
  • O63.9 Long labour, unspecified Prolonged labour NOS

O64 Obstructed labour due to malposition and malpresentation of fetus

  • O64.0 Obstructed labour due to incomplete rotation of fetal head Deep transverse arrest Obstructed labour due to persistent (position): , occipitoiliac , occipitoposterior , occipitosacral , occipitotransverse
  • O64.1 Obstructed labour due to breech presentation
  • O64.2 Obstructed labour due to face presentation Obstructed labour due to chin presentation
  • O64.3 Obstructed labour due to brow presentation
  • O64.4 Obstructed labour due to shoulder presentation Prolapsed arm Excl.: impacted shoulders (O66.0) shoulder dystocia (O66.0)
  • O64.5 Obstructed labour due to compound presentation
  • O64.8 Obstructed labour due to other malposition and malpresentation
  • O64.9 Obstructed labour due to malposition and malpresentation, unspecified

O65 Obstructed labour due to maternal pelvic abnormality

  • O65.0 Obstructed labour due to deformed pelvis
  • O65.1 Obstructed labour due to generally contracted pelvis
  • O65.2 Obstructed labour due to pelvic inlet contraction
  • O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
  • O65.4 Obstructed labour due to fetopelvic disproportion, unspecified Excl.: dystocia due to abnormality of fetus (O66.2-O66.3)
  • O65.5 Obstructed labour due to abnormality of maternal pelvic organs Obstructed labour due to conditions listed in O34.-
  • O65.8 Obstructed labour due to other maternal pelvic abnormalities
  • O65.9 Obstructed labour due to maternal pelvic abnormality, unspecified

O66 Other obstructed labour

  • O66.0 Obstructed labour due to shoulder dystocia Impacted shoulders
  • O66.1 Obstructed labour due to locked twins
  • O66.2 Obstructed labour due to unusually large fetus
  • O66.3 Obstructed labour due to other abnormalities of fetus Dystocia due to: conjoined twins , fetal: ◦ ascites ◦ hydrops ◦ meningomyelocele ◦ sacral teratoma ◦ tumour , hydrocephalic fetus
  • O66.4 Failed trial of labour, unspecified Failed trial of labour with subsequent delivery by caesarean section
  • O66.5 Failed application of vacuum extractor and forceps, unspecified Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean section respectively
  • O66.8 Other specified obstructed labour
  • O66.9 Obstructed labour, unspecified Dystocia: , NOS , fetal NOS , maternal NOS

O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified

Excl.: antepartum haemorrhage NEC (O46.-) placenta praevia (O44.-) postpartum haemorrhage (O72.-) premature separation of placenta [abruptio placentae] (O45.-)

  • O67.0 Intrapartum haemorrhage with coagulation defect Intrapartum haemorrhage (excessive) associated with: , afibrinogenaemia , disseminated intravascular coagulation , hyperfibrinolysis , hypofibrinogenaemia
  • O67.8 Other intrapartum haemorrhage Excessive intrapartum haemorrhage
  • O67.9 Intrapartum haemorrhage, unspecified

O68 Labour and delivery complicated by fetal stress

[distress] Incl.: fetal distress in labour or delivery due to drug administration

  • O68.0 Labour and delivery complicated by fetal heart rate anomaly Fetal: , bradycardia , heart rate irregularity , tachycardia Excl.: with meconium in amniotic fluid (O68.2)
  • O68.1 Labour and delivery complicated by meconium in amniotic fluid Excl.: with fetal heart rate anomaly (O68.2)
  • O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid
  • O68.3 Labour and delivery complicated by biochemical evidence of fetal stress Abnormal fetal: , acidaemia , acid-base balance
  • O68.8 Labour and delivery complicated by other evidence of fetal stress Evidence of fetal distress: , electrocardiographic , ultrasonic
  • O68.9 Labour and delivery complicated by fetal stress, unspecified

O69 Labour and delivery complicated by umbilical cord complications

  • O69.0 Labour and delivery complicated by prolapse of cord
  • O69.1 Labour and delivery complicated by cord around neck, with compression
  • O69.2 Labour and delivery complicated by other cord entanglement, with compression Compression of cord NOS Entanglement of cords of twins in monoamniotic sac Knot in cord
  • O69.3 Labour and delivery complicated by short cord
  • O69.4 Labour and delivery complicated by vasa praevia Haemorrhage from vasa praevia
  • O69.5 Labour and delivery complicated by vascular lesion of cord Cord: , bruising , haematoma Thrombosis of umbilical vessels
  • O69.8 Labour and delivery complicated by other cord complications Cord around neck without compression
  • O69.9 Labour and delivery complicated by cord complication, unspecified

O70 Perineal laceration during delivery Incl.: episiotomy extended by laceration

Excl.: obstetric high vaginal laceration alone (O71.4)

  • O70.0 First degree perineal laceration during delivery Perineal laceration, rupture or tear (involving): , fourchette , labia , skin , slight , vagina , vulva during delivery
  • O70.1 Second degree perineal laceration during delivery Perineal laceration, rupture or tear as in
  • O70.0, also involving: , pelvic floor , perineal muscles , vaginal muscles during delivery Excl.: that involving anal sphincter (O70.2)
  • O70.2 Third degree perineal laceration during delivery Perineal laceration, rupture or tear as in
  • O70.1, also involving: , anal sphincter , rectovaginal septum , sphincter NOS during delivery Excl.: that involving anal or rectal mucosa (O70.3)
  • O70.3 Fourth degree perineal laceration during delivery Perineal laceration, rupture or tear as in
  • O70.2, also involving: , anal mucosa , rectal mucosa during delivery
  • O70.9 Perineal laceration during delivery, unspecified

O71 Other obstetric trauma

Incl.: damage from instruments

  • O71.0 Rupture of uterus before onset of labour
  • O71.1 Rupture of uterus during labour Rupture of uterus not stated as occurring before onset of labour
  • O71.2 Postpartum inversion of uterus
  • O71.3 Obstetric laceration of cervix Annular detachment of cervix
  • O71.4 Obstetric high vaginal laceration alone Laceration of vaginal wall without mention of perineal laceration Excl.: with perineal laceration (O70.-)
  • O71.5 Other obstetric injury to pelvic organs Obstetric injury to: , bladder , urethra
  • O71.6 Obstetric damage to pelvic joints and ligaments Avulsion of inner symphyseal cartilage Damage to coccyx Traumatic separation of symphysis (pubis) obstetric
  • O71.7 Obstetric haematoma of pelvis Obstetric haematoma of: , perineum , vagina , vulva
  • O71.8 Other specified obstetric trauma
  • O71.9 Obstetric trauma, unspecified

O72 Postpartum haemorrhage

Incl.: haemorrhage after delivery of fetus or infant

  • O72.0 Third-stage haemorrhage Haemorrhage associated with retained, trapped or adherent placenta Retained placenta NOS Use additional code, if desired, to identify any morbidly adherent placenta (O43-O45)
  • O72.1 Other immediate postpartum haemorrhage Haemorrhage following delivery of placenta Postpartum haemorrhage (atonic) NOS
  • O72.2 Delayed and secondary postpartum haemorrhage Haemorrhage associated with retained portions of placenta or membranes Retained products of conception NOS, following delivery
  • O72.3 Postpartum coagulation defects Postpartum: , afibrinogenaemia , fibrinolysis

O73 Retained placenta and membranes, without haemorrhage

  • O73.0 Retained placenta without haemorrhage Use additional code, if desired, to identify any morbidly adherent placenta (O43-O45)
  • O73.1 Retained portions of placenta and membranes, without haemorrhage Retained products of conception following delivery, without haemorrhage

O74 Complications of anaesthesia during labour and delivery

Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during labour and delivery

  • O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery Inhalation of stomach contents or secretions NOS Mendelson's syndrome due to anaesthesia during labour and delivery
  • O74.1 Other pulmonary complications of anaesthesia during labour and delivery Pressure collapse of lung due to anaesthesia during labour and delivery
  • O74.2 Cardiac complications of anaesthesia during labour and delivery Cardiac: , arrest , failure due to anaesthesia during labour and delivery
  • O74.3 Central nervous system complications of anaesthesia during labour and delivery Cerebral anoxia due to anaesthesia during labour and delivery
  • O74.4 Toxic reaction to local anaesthesia during labour and delivery
  • O74.5 Spinal and epidural anaesthesia-induced headache during labour and delivery
  • O74.6 Other complications of spinal and epidural anaesthesia during labour and delivery
  • O74.7 Failed or difficult intubation during labour and delivery
  • O74.8 Other complications of anaesthesia during labour and delivery
  • O74.9 Complication of anaesthesia during labour and delivery, unspecified

O75 Other complications of labour and delivery, not elsewhere classified

Excl.: puerperal: infection (O86.-) sepsis (O85)

  • O75.0 Maternal distress during labour and delivery
  • O75.1 Shock during or following labour and delivery Obstetric shock
  • O75.2 Pyrexia during labour, not elsewhere classified
  • O75.3 Other infection during labour Sepsis during labour
  • O75.4 Other complications of obstetric surgery and procedures Cardiac: , arrest , failure Cerebral anoxia following caesarean or other obstetric surgery or procedures, including delivery NOS Excl.: complications of anaesthesia during labour and delivery (O74.-) obstetric (surgical) wound: , disruption (O90.0-O90.1) , haematoma (O90.2) , infection (O86.0)
  • O75.5 Delayed delivery after artificial rupture of membranes
  • O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes Excl.: spontaneous premature rupture of membranes (O42.-)
  • O75.7 Vaginal delivery following previous caesarean section
  • O75.8 Other specified complications of labour and delivery
  • O75.9 Complication of labour and delivery, unspecified

Delivery (O80-O84)

Note: For use of these categories reference should be made to the mortality and morbidity coding rules and guidelines in Volume 2.

O80 Single spontaneous delivery

Incl.: cases with minimal or no assistance, with or without episiotomy delivery in a completely normal case

  • O80.0 Spontaneous vertex delivery
  • O80.1 Spontaneous breech delivery
  • O80.8 Other single spontaneous delivery
  • O80.9 Single spontaneous delivery, unspecified Spontaneous delivery NOS

O81 Single delivery by forceps and vacuum extractor

Excl.: failed application of vacuum extractor or forceps (O66.5)

  • O81.0 Low forceps delivery
  • O81.1 Mid-cavity forceps delivery
  • O81.2 Mid-cavity forceps with rotation
  • O81.3 Other and unspecified forceps delivery
  • O81.4 Vacuum extractor delivery Ventouse delivery
  • O81.5 Delivery by combination of forceps and vacuum extractor Forceps and ventouse delivery

O82 Single delivery by caesarean section

  • O82.0 Delivery by elective caesarean section Repeat caesarean section NOS
  • O82.1 Delivery by emergency caesarean section
  • O82.2 Delivery by caesarean hysterectomy
  • O82.8 Other single delivery by caesarean section
  • O82.9 Delivery by caesarean section, unspecified

O83 Other assisted single delivery

  • O83.0 Breech extraction
  • O83.1 Other assisted breech delivery Breech delivery NOS
  • O83.2 Other manipulation-assisted delivery Version with extraction
  • O83.3 Delivery of viable fetus in abdominal pregnancy
  • O83.4 Destructive operation for delivery Cleidotomy, Craniotomy, Embryotomy to facilitate delivery
  • O83.8 Other specified assisted single delivery
  • O83.9 Assisted single delivery, unspecified Assisted delivery NOS

O84 Multiple delivery

Use additional code (O80-O83), if desired, to indicate the method of delivery of each fetus or infant.

  • O84.0 Multiple delivery, all spontaneous
  • O84.1 Multiple delivery, all by forceps and vacuum extractor
  • O84.2 Multiple delivery, all by caesarean section
  • O84.8 Other multiple delivery Multiple delivery by combination of methods
  • O84.9 Multiple delivery, unspecified

Complications predominantly related to the puerperium (O85-O92)

Note: Categories O88.-, O91.- and O92.- include the listed conditions even if they occur during pregnancy and childbirth. Excl.: mental and behavioural disorders associated with the puerperium (F53.-) obstetrical tetanus (A34) puerperal osteomalacia (M83.0)

O85 Puerperal sepsis

Incl.: Puerperal: endometritis, fever, peritonitis, sepsis Use additional code (B95-B97) , if desired, to identify infectious agent. Excl.: obstetric pyaemic and septic embolism (O88.3) sepsis during labour (O75.3)

O86 Other puerperal infections

Use additional code (B95-B97) , if desired, to identify infectious agent. Excl.: infection during labour (O75.3)

  • O86.0 Infection of obstetric surgical wound Infected: • caesarean section wound • perineal repair following delivery
  • O86.1 Other infection of genital tract following delivery Cervicitis Vaginitis following delivery
  • O86.2 Urinary tract infection following delivery Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
  • O86.3 Other genitourinary tract infections following delivery Puerperal genitourinary tract infection NOS
  • O86.4 Pyrexia of unknown origin following delivery Puerperal: • infection NOS • pyrexia NOS Excl.: puerperal fever (O85) pyrexia during labour (O75.2)
  • O86.8 Other specified puerperal infections

O87 Venous complications in the puerperium

Incl.: in labour, delivery and the puerperium Excl.: obstetric embolism (O88.-) venous complications in pregnancy (O22.-)

  • O87.0 Superficial thrombophlebitis in the puerperium
  • O87.1 Deep phlebothrombosis in the puerperium Deep-vein thrombosis, postpartum Pelvic thrombophlebitis, postpartum
  • O87.2 Haemorrhoids in the puerperium
  • O87.3 Cerebral venous thrombosis in the puerperium Cerebrovenous sinus thrombosis in the puerperium
  • O87.8 Other venous complications in the puerperium Genital varices in the puerperium
  • O87.9 Venous complication in the puerperium, unspecified Puerperal: • phlebitis NOS • phlebopathy NOS • thrombosis NOS

O88 Obstetric embolism

Incl.: pulmonary emboli in pregnancy, childbirth or the puerperium Excl.: embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)

  • O88.0 Obstetric air embolism
  • O88.1 Amniotic fluid embolism Anaphylactoid syndrome of pregnancy
  • O88.2 Obstetric blood-clot embolism Obstetric (pulmonary) embolism NOS Puerperal (pulmonary) embolism NOS
  • O88.3 Obstetric pyaemic and septic embolism
  • O88.8 Other obstetric embolism Obstetric fat embolism

O89 Complications of anaesthesia during the puerperium

Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during the puerperium

  • O89.0 Pulmonary complications of anaesthesia during the puerperium Aspiration pneumonitis, Inhalation of stomach contents or secretions NOS Mendelson's syndrome, Pressure collapse of lung due to anaesthesia during the puerperium
  • O89.1 Cardiac complications of anaesthesia during the puerperium Cardiac: arrest, failure due to anaesthesia during the puerperium
  • O89.2 Central nervous system complications of anaesthesia during the puerperium Cerebral anoxia due to anaesthesia during the puerperium
  • O89.3 Toxic reaction to local anaesthesia during the puerperium
  • O89.4 Spinal and epidural anaesthesia-induced headache during the puerperium
  • O89.5 Other complications of spinal and epidural anaesthesia during the puerperium
  • O89.6 Failed or difficult intubation during the puerperium
  • O89.8 Other complications of anaesthesia during the puerperium
  • O89.9 Complication of anaesthesia during the puerperium, unspecified

O90 Complications of the puerperium, not elsewhere classified

  • O90.0 Disruption of caesarean section wound
  • O90.1 Disruption of perineal obstetric wound Disruption of wound of: • episiotomy • perineal laceration Secondary perineal tear
  • O90.2 Haematoma of obstetric wound
  • O90.3 Cardiomyopathy in the puerperium Conditions in I42.-
  • O90.4 Postpartum acute renal failure Hepatorenal syndrome following labour and delivery
  • O90.5 Postpartum thyroiditis
  • O90.8 Other complications of the puerperium, not elsewhere classified Placental polyp
  • O90.9 Complication of the puerperium, unspecified

O91 Infections of breast associated with childbirth

Incl.: the listed conditions during pregnancy, the puerperium or lactation

  • O91.0 Infection of nipple associated with childbirth Abscess of nipple: • gestational • puerperal
  • O91.1 Abscess of breast associated with childbirth Mammary abscess Purulent mastitis Subareolar abscess gestational or puerperal
  • O91.2 Nonpurulent mastitis associated with childbirth Lymphangitis of breast Mastitis: • NOS • interstitial • parenchymatous gestational or puerperal

O92 Other disorders of breast and lactation associated with childbirth

Incl.: the listed conditions during pregnancy, the puerperium or lactation

  • O92.0 Retracted nipple associated with childbirth
  • O92.1 Cracked nipple associated with childbirth Fissure of nipple, gestational or puerperal
  • O92.2 Other and unspecified disorders of breast associated with childbirth
  • O92.3 Agalactia Primary agalactia
  • O92.4 Hypogalactia
  • O92.5 Suppressed lactation Agalactia: elective, secondary, therapeutic
  • O92.6 Galactorrhoea Excl.: galactorrhoea not associated with childbirth (N64.3)
  • O92.7 Other and unspecified disorders of lactation Puerperal galactocele

Other obstetric conditions, not elsewhere classified (O94-O99)

Note: For use of categories O95-O97 reference should be made to the mortality coding rules and guidelines in Volume 2.

O94 Sequelae of complication of pregnancy, childbirth and the puerperium

Note: This category is to be used for morbidity coding only to indicate conditions in categories O00-O75 and O85-O92 as the cause of sequelae, which are themselves classified elsewhere. The 'sequelae' include conditions specified as such or as late effects, or those present one year or more after the onset of the causal condition. Not to be used for chronic complications of pregnancy, childbirth and the puerperium. Code these to O00-O75 and O85-O92 . Excl.: that resulting in death (O96, O97)

O95 Obstetric death of unspecified cause

Incl.: Maternal death from unspecified cause occurring during pregnancy, labour and delivery, or the puerperium

O96 Death from any obstetric cause occurring more than 42 days but less than one year after delivery

Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.

  • O96.0 Death from direct obstetric cause
  • O96.1 Death from indirect obstetric cause
  • O96.9 Death from unspecified obstetric cause

O97 Death from sequelae of obstetric causes

Incl.: Death from any obstetric cause (direct or indirect) occurring one year or more after delivery Use additional code, if desired, to identify the obstetric cause (direct or indirect) (O43-O45)

  • O97.0 Death from sequelae of direct obstetric cause
  • O97.1 Death from sequelae of indirect obstetric cause
  • O97.9 Death from sequelae of obstetric cause, unspecified

O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Incl.: the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care Use additional code (Chapter I), if desired, to identify specific condition. Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21) laboratory evidence of human immunodeficiency virus [HIV] (R75) obstetrical tetanus (A34) puerperal: infection (O86.-) sepsis (O85) when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)

  • O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium Conditions in A15-A19
  • O98.1 Syphilis complicating pregnancy, childbirth and the puerperium Conditions in A50-A53
  • O98.2 Gonorrhoea complicating pregnancy, childbirth and the puerperium Conditions in A54.-
  • O98.3 Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium Conditions in A55-A64
  • O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium Conditions in B15-B19
  • O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium Conditions in A80-B09, B25-B34
  • O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium Conditions in B50-B64
  • O98.7 Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium Conditions in (B20-B24)
  • O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium
  • O98.9 Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth and the puerperium

O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium

Note: This category includes conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care and for which the Alphabetical Index does not indicate a specific rubric in Chapter XV. Use additional code, if desired, to identify specific condition. Excl.: infectious and parasitic diseases (O98.-) injury, poisoning and certain other consequences of external causes (S00-T98) when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

  • O99.0 Anaemia complicating pregnancy, childbirth and the puerperium Conditions in D50-D64
  • O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium Conditions in D65-D89 Excl.: haemorrhage with coagulation defects (O46.0, O67.0, O72.3)
  • O99.2 Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium Conditions in E00-E90 Excl.: diabetes mellitus (O24.-) malnutrition (O25) postpartum thyroiditis (O90.5)
  • O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium Conditions in F00-F99 and G00-G99 Excl.: postnatal depression (F53.0) pregnancy-related peripheral neuritis (O26.8) puerperal psychosis (F53.1)
  • O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium Conditions in I00-I99 Excl.: cardiomyopathy in the puerperium (O90.3) hypertensive disorders (O10-O16) obstetric embolism (O88.-) venous complications and cerebrovenous sinus thrombosis in: labour, childbirth and the puerperium (O87.-) pregnancy (O22.-)
  • O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium Conditions in J00-J99
  • O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the puerperium Conditions in K00-K93 Excl.: liver disorders in pregnancy, childbirth and the puerperium (O26.6)
  • O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium Conditions in L00-L99 Excl.: herpes gestationis (O26.4)
  • O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium Combination of conditions classifiable to O99.0-O99.7 Conditions in C00-D48, H00-H95, M00-M99, N00-N99, and Q00-Q99 not elsewhere classified Excl.: genitourinary infections in pregnancy (O23.-) infection of genitourinary tract following delivery (O86.0-O86.3) maternal care for known or suspected abnormality of maternal pelvic organs (O34.-) postpartum acute renal failure (O90.4) postpartum nephritis (O90.8)

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Cite this page: Hill, M.A. 2017 Embryology International Classification of Diseases - XV Pregnancy Childbirth. Retrieved November 22, 2017, from https://embryology.med.unsw.edu.au/embryology/index.php/International_Classification_of_Diseases_-_XV_Pregnancy_Childbirth

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