Talk:International Classification of Diseases - XV Pregnancy Childbirth

From Embryology

Contents

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 cornual 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

O02 Other abnormal products of conception

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

Excl.: papyraceous fetus (O31.0)

  • O02.0 Blighted ovum and nonhydatidiform mole

Mole: carneous fleshy intrauterine NOS Pathological ovum

  • O02.1

Missed abortion Early fetal death with retention of dead fetus Excl.: missed abortion with: blighted ovum (O02.0) mole: hydatidiform (O01.-) nonhydatidiform (O02.0)

  • O02.8

Other specified abnormal products of conception Excl.: those with: blighted ovum (O02.0) mole: hydatidiform (O01.-) nonhydatidiform (O02.0) O02.9 Abnormal product of conception, unspecified

O03 Spontaneous abortion

[See before O03 for subdivisions] Incl.: miscarriage

O04 Medical abortion

[See before O03 for subdivisions] Incl.: termination of pregnancy: legal, therapeutic, therapeutic abortion

O05 Other abortion

[See before O03 for subdivisions]

O06 Unspecified abortion

[See before O03 for subdivisions] Incl.: induced abortion NOS

O07 Failed attempted abortion

Incl.: failure of attempted induction of abortion Excl.: incomplete abortion (O03-O06) O07.0 Failed medical abortion, complicated by genital tract and pelvic infection With conditions in O08.0 O07.1 Failed medical abortion, complicated by delayed or excessive haemorrhage With conditions in O08.1 O07.2 Failed medical abortion, complicated by embolism With conditions in O08.2 O07.3 Failed medical abortion, with other and unspecified complications With conditions in O08.3-O08.9 O07.4 Failed medical abortion, without complication Failed medical abortion NOS O07.5 Other and unspecified failed attempted abortion, complicated by genital tract and pelvic infection With conditions in O08.0 O07.6 Other and unspecified failed attempted abortion, complicated by delayed or excessive haemorrhage With conditions in O08.1 O07.7 Other and unspecified failed attempted abortion, complicated by embolism With conditions in O08.2 O07.8 Other and unspecified failed attempted abortion, with other and unspecified complications With conditions in O08.3-O08.9 O07.9 Other and unspecified failed attempted abortion, without complication Failed attempted abortion NOS O08 Complications following abortion and ectopic and molar pregnancy Note: This code is provided primarily for morbidity coding. For use of this category reference should be made to the morbidity coding rules and guidelines in Volume 2.

O08.0 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy

Endometritis Oophoritis Parametritis Pelvic peritonitis Salpingitis Salpingo-oophoritis Sepsis following conditions classifiable to O00-O07 Use additional code (R57.2) , if desired, to identify septic shock. Excl.: septic or septicopyaemic embolism (O08.2) urinary tract infection (O08.8) O08.1 Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy Afibrinogenaemia Defibrination syndrome Intravascular coagulation following conditions classifiable to O00-O07 O08.2 Embolism following abortion and ectopic and molar pregnancy Embolism: NOS air amniotic fluid blood-clot pulmonary pyaemic septic or septicopyaemic soap following conditions classifiable to O00-O07 O08.3 Shock following abortion and ectopic and molar pregnancy Circulatory collapse Shock (postoperative) following conditions classifiable to O00-O07 Excl.: septic shock (R57.2) O08.4 Renal failure following abortion and ectopic and molar pregnancy Oliguria Renal: failure (acute) shutdown tubular necrosis Uraemia following conditions classifiable to O00-O07 O08.5 Metabolic disorders following abortion and ectopic and molar pregnancy Electrolyte imbalance following conditions classifiable to O00-O07 O08.6 Damage to pelvic organs and tissues following abortion and ectopic and molar pregnancy Laceration, perforation, tear or chemical damage of: bladder bowel broad ligament cervix periurethral tissue uterus following conditions classifiable to O00-O07 O08.7 Other venous complications following abortion and ectopic and molar pregnancy O08.8 Other complications following abortion and ectopic and molar pregnancy Cardiac arrest Urinary tract infection following conditions classifiable to O00-O07 O08.9 Complication following abortion and ectopic and molar pregnancy, unspecified Unspecified complication following conditions classifiable to O00-O07

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 [pregnancy-induced] oedema and proteinuria without hypertension

  • O12.0 Gestational oedema

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

O13 Gestational [pregnancy-induced] hypertension without significant proteinuria

Incl.: Gestational hypertension NOS Mild pre-eclampsia O14 Gestational [pregnancy-induced] hypertension with significant proteinuria 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)

Note: Categories O24.- and O25 include the listed conditions even if they occur during childbirth or the puerperium.

Excl.: maternal: care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) diseases classifiable elsewhere but complicating pregnancy, labour and delivery, and the puerperium (O98-O99)

O20 Haemorrhage in early pregnancy

Excl.: pregnancy with abortive outcome (O00-O08) O20.0 Threatened abortion Haemorrhage specified as due to threatened abortion O20.8 Other haemorrhage in early pregnancy O20.9 Haemorrhage in early pregnancy, unspecified

O21 Excessive vomiting in pregnancy

O21.0 Mild hyperemesis gravidarum Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation O21.1 Hyperemesis gravidarum with metabolic disturbance Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance such as: carbohydrate depletion dehydration electrolyte imbalance O21.2 Late vomiting of pregnancy Excessive vomiting starting after 22 completed weeks of gestation O21.8 Other vomiting complicating pregnancy Vomiting due to diseases classified elsewhere, complicating pregnancy Use additional code, if desired, to identify cause. O21.9 Vomiting of pregnancy, unspecified

O22 Venous complications in pregnancy

Excl.: obstetric pulmonary embolism (O88.-) the listed conditions as complications of: abortion or ectopic or molar pregnancy (O00-O07, O08.7) childbirth and the puerperium (O87.-) O22.0 Varicose veins of lower extremity in pregnancy Varicose veins NOS in pregnancy O22.1 Genital varices in pregnancy Perineal Vaginal Vulval varices in pregnancy O22.2 Superficial thrombophlebitis in pregnancy Thrombophlebitis of legs in pregnancy O22.3 Deep phlebothrombosis in pregnancy Deep-vein thrombosis, antepartum O22.4 Haemorrhoids in pregnancy O22.5 Cerebral venous thrombosis in pregnancy Cerebrovenous sinus thrombosis in pregnancy O22.8 Other venous complications in pregnancy O22.9 Venous complication in pregnancy, unspecified Gestational: phlebitis NOS phlebopathy NOS thrombosis NOS

O23 Infections of genitourinary tract in pregnancy

O23.0 Infections of kidney in pregnancy O23.1 Infections of bladder in pregnancy O23.2 Infections of urethra in pregnancy O23.3 Infections of other parts of urinary tract in pregnancy O23.4 Unspecified infection of urinary tract in pregnancy O23.5 Infections of the genital tract in pregnancy O23.9 Other and unspecified genitourinary tract infection in pregnancy Genitourinary tract infection in pregnancy NOS

O24 Diabetes mellitus in pregnancy

Incl.: in childbirth and the puerperium O24.0 Pre-existing diabetes mellitus, insulin-dependent O24.1 Pre-existing diabetes mellitus, non-insulin-dependent O24.2 Pre-existing malnutrition-related diabetes mellitus O24.3 Pre-existing diabetes mellitus, unspecified O24.4 Diabetes mellitus arising in pregnancy Gestational diabetes mellitus NOS O24.9 Diabetes mellitus in pregnancy, unspecified

O25 Malnutrition in pregnancy

Incl.: Malnutrition in childbirth and the puerperium

O26 Maternal care for other conditions predominantly related to pregnancy

O26.0 Excessive weight gain in pregnancy Excl.: gestational oedema (O12.0, O12.2) O26.1 Low weight gain in pregnancy O26.2 Pregnancy care of habitual aborter Excl.: habitual aborter: with current abortion (O03-O06) without current pregnancy (N96) O26.3 Retained intrauterine contraceptive device in pregnancy O26.4 Herpes gestationis O26.5 Maternal hypotension syndrome Supine hypotensive syndrome O26.6 Liver disorders in pregnancy, childbirth and the puerperium Cholestasis (intrahepatic) in pregnancy Obstetric cholestasis Excl.: hepatorenal syndrome following labour and delivery (O90.4) O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium Excl.: traumatic separation of symphysis (pubis) during childbirth (O71.6) O26.8 Other specified pregnancy-related conditions Exhaustion and fatigue Peripheral neuritis Renal disease pregnancy-related O26.9 Pregnancy-related condition, unspecified

O28 Abnormal findings on antenatal screening of mother

Excl.: diagnostic findings classified elsewhere - see Alphabetical Index maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) O28.0 Abnormal haematological finding on antenatal screening of mother O28.1 Abnormal biochemical finding on antenatal screening of mother O28.2 Abnormal cytological finding on antenatal screening of mother O28.3 Abnormal ultrasonic finding on antenatal screening of mother O28.4 Abnormal radiological finding on antenatal screening of mother O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother O28.8 Other abnormal findings on antenatal screening of mother O28.9 Abnormal finding on antenatal screening of mother, unspecified

O29 Complications of anaesthesia during pregnancy

Incl.: maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during pregnancy Excl.: complications of anaesthesia during: abortion or ectopic or molar pregnancy (O00-O08) labour and delivery (O74.-) puerperium (O89.-) O29.0 Pulmonary complications of anaesthesia during pregnancy Aspiration pneumonitis Inhalation of stomach contents or secretions NOS Mendelson's syndrome Pressure collapse of lung due to anaesthesia during pregnancy O29.1 Cardiac complications of anaesthesia during pregnancy Cardiac: arrest failure due to anaesthesia during pregnancy O29.2 Central nervous system complications of anaesthesia during pregnancy Cerebral anoxia due to anaesthesia during pregnancy O29.3 Toxic reaction to local anaesthesia during pregnancy O29.4 Spinal and epidural anaesthesia-induced headache during pregnancy O29.5 Other complications of spinal and epidural anaesthesia during pregnancy O29.6 Failed or difficult intubation during pregnancy O29.8 Other complications of anaesthesia during pregnancy O29.9 Complication of anaesthesia during pregnancy, unspecified



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)