| O60 |
Preterm labor [+]
| Includes: |
onset (spontaneous) of labor before 37 completed weeks of gestation
|
| Excludes 1: |
false labor (O47.0-)
threatened labor NOS (O47.0-)
|
|
|
| O60.0 |
Preterm labor without delivery [+]
|
|
| O60.00 |
Preterm labor without delivery, unspecified trimester
|
| O60.02 |
Preterm labor without delivery, second trimester
|
| O60.03 |
Preterm labor without delivery, third trimester
|
|
| O60.1 |
Preterm labor with preterm delivery [+]
One of the following 7th characters is to be assigned to each code under subcategory O60.1. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.1 that has a 7th character of 1 through 9.
0 - not applicable or unspecified
1 - fetus 1
2 - fetus 2
3 - fetus 3
4 - fetus 4
5 - fetus 5
9 - other fetus
|
|
|
| O60.10 |
Preterm labor with preterm delivery, unspecified trimester
Preterm labor with delivery NOS
|
| O60.12 |
Preterm labor second trimester with preterm delivery second trimester
|
| O60.13 |
Preterm labor second trimester with preterm delivery third trimester
|
| O60.14 |
Preterm labor third trimester with preterm delivery third trimester
|
|
| O60.2 |
Term delivery with preterm labor [+]
One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9.
0 - not applicable or unspecified
1 - fetus 1
2 - fetus 2
3 - fetus 3
4 - fetus 4
5 - fetus 5
9 - other fetus
|
|
|
| O60.20 |
Term delivery with preterm labor, unspecified trimester
|
| O60.22 |
Term delivery with preterm labor, second trimester
|
| O60.23 |
Term delivery with preterm labor, third trimester
|
|
|
| O61 |
Failed induction of labor [+]
|
|
| O61.0 |
Failed medical induction of labor
Failed induction (of labor) by oxytocin
Failed induction (of labor) by prostaglandins
|
| O61.1 |
Failed instrumental induction of labor
Failed mechanical induction (of labor)
Failed surgical induction (of labor)
|
| O61.8 |
Other failed induction of labor
|
| O61.9 |
Failed induction of labor, unspecified
|
|
| O62 |
Abnormalities of forces of labor [+]
|
|
| O62.0 |
Primary inadequate contractions
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labor
|
| O62.1 |
Secondary uterine inertia
Arrested active phase of labor
Secondary hypotonic uterine dysfunction
|
| O62.2 |
Other uterine inertia
Atony of uterus without hemorrhage
Atony of uterus NOS
Desultory labor
Hypotonic uterine dysfunction NOS
Irregular labor
Poor contractions
Slow slope active phase of labor
Uterine inertia NOS
| Excludes 1: |
atony of uterus with hemorrhage (postpartum) (O72.1)
postpartum atony of uterus without hemorrhage (O75.89)
|
|
| O62.3 |
Precipitate labor
|
| O62.4 |
Hypertonic, incoordinate, and prolonged uterine contractions
Cervical spasm
Contraction ring dystocia
Dyscoordinate labor
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Uterine spasm
| Excludes 1: |
dystocia (fetal) (maternal) NOS (O66.9)
|
|
| O62.8 |
Other abnormalities of forces of labor
|
| O62.9 |
Abnormality of forces of labor, unspecified
|
|
| O63 |
Long labor [+]
|
|
| O63.0 |
Prolonged first stage (of labor)
|
| O63.1 |
Prolonged second stage (of labor)
|
| O63.2 |
Delayed delivery of second twin, triplet, etc.
|
| O63.9 |
Long labor, unspecified
Prolonged labor NOS
|
|
| O64 |
Obstructed labor due to malposition and malpresentation of fetus [+]
One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.
0 - not applicable or unspecified
1 - fetus 1
2 - fetus 2
3 - fetus 3
4 - fetus 4
5 - fetus 5
9 - other fetus
|
|
|
| O64.0 |
Obstructed labor due to incomplete rotation of fetal head
Deep transverse arrest
Obstructed labor due to persistent occipitoiliac (position)
Obstructed labor due to persistent occipitoposterior (position)
Obstructed labor due to persistent occipitosacral (position)
Obstructed labor due to persistent occipitotransverse (position)
|
| O64.1 |
Obstructed labor due to breech presentation
Obstructed labor due to buttocks presentation
Obstructed labor due to complete breech presentation
Obstructed labor due to frank breech presentation
|
| O64.2 |
Obstructed labor due to face presentation
Obstructed labor due to chin presentation
|
| O64.3 |
Obstructed labor due to brow presentation
|
| O64.4 |
Obstructed labor due to shoulder presentation
Prolapsed arm
| Excludes 1: |
impacted shoulders (O66.0)
shoulder dystocia (O66.0)
|
|
| O64.5 |
Obstructed labor due to compound presentation
|
| O64.8 |
Obstructed labor due to other malposition and malpresentation
Obstructed labor due to footling presentation
Obstructed labor due to incomplete breech presentation
|
| O64.9 |
Obstructed labor due to malposition and malpresentation, unspecified
|
|
| O65 |
Obstructed labor due to maternal pelvic abnormality [+]
|
|
| O65.0 |
Obstructed labor due to deformed pelvis
|
| O65.1 |
Obstructed labor due to generally contracted pelvis
|
| O65.2 |
Obstructed labor due to pelvic inlet contraction
|
| O65.3 |
Obstructed labor due to pelvic outlet and mid-cavity contraction
|
| O65.4 |
Obstructed labor due to fetopelvic disproportion, unspecified
| Excludes 1: |
dystocia due to abnormality of fetus (O66.2-O66.3)
|
|
| O65.5 |
Obstructed labor due to abnormality of maternal pelvic organs
Obstructed labor due to conditions listed in O34.-
| Use additional |
code to identify abnormality of pelvic organs O34.- |
|
| O65.8 |
Obstructed labor due to other maternal pelvic abnormalities
|
| O65.9 |
Obstructed labor due to maternal pelvic abnormality, unspecified
|
|
| O66 |
Other obstructed labor [+]
|
|
| O66.0 |
Obstructed labor due to shoulder dystocia
Impacted shoulders
|
| O66.1 |
Obstructed labor due to locked twins
|
| O66.2 |
Obstructed labor due to unusually large fetus
|
| O66.3 |
Obstructed labor due to other abnormalities of fetus
Dystocia due to fetal ascites
Dystocia due to fetal hydrops
Dystocia due to fetal meningomyelocele
Dystocia due to fetal sacral teratoma
Dystocia due to fetal tumor
Dystocia due to hydrocephalic fetus
| Use additional |
code to identify cause of obstruction |
|
| O66.4 |
Failed trial of labor [+]
|
|
| O66.40 |
Failed trial of labor, unspecified
|
| O66.41 |
Failed attempted vaginal birth after previous cesarean delivery
| Code first |
rupture of uterus, if applicable (O71.0-, O71.1)
|
|
|
| O66.5 |
Attempted application of vacuum extractor and forceps
Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
|
| O66.6 |
Obstructed labor due to other multiple fetuses
|
| O66.8 |
Other specified obstructed labor
| Use additional |
code to identify cause of obstruction |
|
| O66.9 |
Obstructed labor, unspecified
Dystocia NOS
Fetal dystocia NOS
Maternal dystocia NOS
|
|
| O67 |
Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified [+]
| Excludes 1: |
antepartum hemorrhage NEC (O46.-)
placenta previa (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
|
| Excludes 2: |
postpartum hemorrhage (O72.-)
|
|
|
| O67.0 |
Intrapartum hemorrhage with coagulation defect
Intrapartum hemorrhage (excessive) associated with afibrinogenemia
Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
|
| O67.8 |
Other intrapartum hemorrhage
Excessive intrapartum hemorrhage
|
| O67.9 |
Intrapartum hemorrhage, unspecified
|
|
| O68 |
Labor and delivery complicated by abnormality of fetal acid-base balance
Fetal acidemia complicating labor and delivery
Fetal acidosis complicating labor and delivery
Fetal alkalosis complicating labor and delivery
Fetal metabolic acidemia complicating labor and delivery
| Excludes 1: |
fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
|
| Excludes 2: |
abnormality in fetal heart rate or rhythm (O76)
labor and delivery complicated by meconium in amniotic fluid (O77.0)
|
|
| O69 |
Labor and delivery complicated by umbilical cord complications [+]
One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.
0 - not applicable or unspecified
1 - fetus 1
2 - fetus 2
3 - fetus 3
4 - fetus 4
5 - fetus 5
9 - other fetus
|
|
|
| O69.0 |
Labor and delivery complicated by prolapse of cord
|
| O69.1 |
Labor and delivery complicated by cord around neck, with compression
| Excludes 1: |
labor and delivery complicated by cord around neck, without compression (O69.81)
|
|
| O69.2 |
Labor and delivery complicated by other cord entanglement, with compression
Labor and delivery complicated by compression of cord NOS
Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
Labor and delivery complicated by knot in cord
| Excludes 1: |
labor and delivery complicated by other cord entanglement, without compression (O69.82)
|
|
| O69.3 |
Labor and delivery complicated by short cord
|
| O69.4 |
Labor and delivery complicated by vasa previa
Labor and delivery complicated by hemorrhage from vasa previa
|
| O69.5 |
Labor and delivery complicated by vascular lesion of cord
Labor and delivery complicated by cord bruising
Labor and delivery complicated by cord hematoma
Labor and delivery complicated by thrombosis of umbilical vessels
|
| O69.8 |
Labor and delivery complicated by other cord complications [+]
|
|
| O69.81 |
Labor and delivery complicated by cord around neck, without compression
|
| O69.82 |
Labor and delivery complicated by other cord entanglement, without compression
|
| O69.89 |
Labor and delivery complicated by other cord complications
|
|
| O69.9 |
Labor and delivery complicated by cord complication, unspecified
|
|
| O70 |
Perineal laceration during delivery [+]
| Includes: |
episiotomy extended by laceration
|
| Excludes 1: |
obstetric high vaginal laceration alone (O71.4)
|
|
|
| O70.0 |
First degree perineal laceration during delivery
Perineal laceration, rupture or tear involving fourchette during delivery
Perineal laceration, rupture or tear involving labia during delivery
Perineal laceration, rupture or tear involving skin during delivery
Perineal laceration, rupture or tear involving vagina during delivery
Perineal laceration, rupture or tear involving vulva during delivery
Slight perineal laceration, rupture or tear during delivery
|
| O70.1 |
Second degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
| Excludes 1: |
perineal laceration involving anal sphincter (O70.2)
|
|
| O70.2 |
Third degree perineal laceration during delivery [+]
Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
| Excludes 1: |
anal sphincter tear during delivery without third degree perineal laceration (O70.4)
perineal laceration involving anal or rectal mucosa (O70.3)
|
|
|
| O70.20 |
Third degree perineal laceration during delivery, unspecified
|
| O70.21 |
Third degree perineal laceration during delivery, IIIa
Third degree perineal laceration during delivery with less than 50% of external anal sphincter (EAS) thickness torn
|
| O70.22 |
Third degree perineal laceration during delivery, IIIb
Third degree perineal laceration during delivery with more than 50% external anal sphincter (EAS) thickness torn
|
| O70.23 |
Third degree perineal laceration during delivery, IIIc
Third degree perineal laceration during delivery with both external anal sphincter (EAS) and internal anal sphincter (IAS) torn
|
|
| O70.3 |
Fourth degree perineal laceration during delivery
Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa
|
| O70.4 |
Anal sphincter tear complicating delivery, not associated with third degree laceration
| Excludes 1: |
anal sphincter tear with third degree perineal laceration (O70.2)
|
|
| O70.9 |
Perineal laceration during delivery, unspecified
|
|
| O71 |
Other obstetric trauma [+]
| Includes: |
obstetric damage from instruments
|
|
|
| O71.0 |
Rupture of uterus (spontaneous) before onset of labor [+]
| Excludes 1: |
disruption of (current) cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
|
|
|
| O71.00 |
Rupture of uterus before onset of labor, unspecified trimester
|
| O71.02 |
Rupture of uterus before onset of labor, second trimester
|
| O71.03 |
Rupture of uterus before onset of labor, third trimester
|
|
| O71.1 |
Rupture of uterus during labor
Rupture of uterus not stated as occurring before onset of labor
| Excludes 1: |
disruption of cesarean delivery wound (O90.0)
laceration of uterus, NEC (O71.81)
|
|
| 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 perineal laceration
| Excludes 1: |
obstetric high vaginal laceration with perineal laceration (O70.-)
|
|
| O71.5 |
Other obstetric injury to pelvic organs
Obstetric injury to bladder
Obstetric injury to urethra
| Excludes 2: |
obstetric periurethral trauma (O71.82)
|
|
| O71.6 |
Obstetric damage to pelvic joints and ligaments
Obstetric avulsion of inner symphyseal cartilage
Obstetric damage to coccyx
Obstetric traumatic separation of symphysis (pubis)
|
| O71.7 |
Obstetric hematoma of pelvis
Obstetric hematoma of perineum
Obstetric hematoma of vagina
Obstetric hematoma of vulva
|
| O71.8 |
Other specified obstetric trauma [+]
|
|
| O71.81 |
Laceration of uterus, not elsewhere classified
|
| O71.82 |
Other specified trauma to perineum and vulva
Obstetric periurethral trauma
|
| O71.89 |
Other specified obstetric trauma
|
|
| O71.9 |
Obstetric trauma, unspecified
|
|
| O72 |
Postpartum hemorrhage [+]
| Includes: |
hemorrhage after delivery of fetus or infant
|
|
|
| O72.0 |
Third-stage hemorrhage
Hemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
| Code also |
type of adherent placenta (O43.2-)
|
|
| O72.1 |
Other immediate postpartum hemorrhage
Hemorrhage following delivery of placenta
Postpartum hemorrhage (atonic) NOS
Uterine atony with hemorrhage
| Excludes 1: |
uterine atony NOS (O62.2)
uterine atony without hemorrhage (O62.2)
postpartum atony of uterus without hemorrhage (O75.89)
|
|
| O72.2 |
Delayed and secondary postpartum hemorrhage
Hemorrhage associated with retained portions of placenta or membranes after the first 24 hours following delivery of placenta
Retained products of conception NOS, following delivery
|
| O72.3 |
Postpartum coagulation defects
Postpartum afibrinogenemia
Postpartum fibrinolysis
|
|
| O73 |
Retained placenta and membranes, without hemorrhage [+]
| Excludes 1: |
placenta accreta (O43.21-)
placenta increta (O43.22-)
placenta percreta (O43.23-)
|
|
|
| O73.0 |
Retained placenta without hemorrhage
Adherent placenta, without hemorrhage
Trapped placenta without hemorrhage
|
| O73.1 |
Retained portions of placenta and membranes, without hemorrhage
Retained products of conception following delivery, without hemorrhage
|
|
| O74 |
Complications of anesthesia during labor and delivery [+]
| Includes: |
maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
|
| Use additional |
code, if applicable, to identify specific complication |
|
|
| O74.0 |
Aspiration pneumonitis due to anesthesia during labor and delivery
Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
Mendelson's syndrome due to anesthesia during labor and delivery
|
| O74.1 |
Other pulmonary complications of anesthesia during labor and delivery
|
| O74.2 |
Cardiac complications of anesthesia during labor and delivery
|
| O74.3 |
Central nervous system complications of anesthesia during labor and delivery
|
| O74.4 |
Toxic reaction to local anesthesia during labor and delivery
|
| O74.5 |
Spinal and epidural anesthesia-induced headache during labor and delivery
|
| O74.6 |
Other complications of spinal and epidural anesthesia during labor and delivery
|
| O74.7 |
Failed or difficult intubation for anesthesia during labor and delivery
|
| O74.8 |
Other complications of anesthesia during labor and delivery
|
| O74.9 |
Complication of anesthesia during labor and delivery, unspecified
|
|
| O75 |
Other complications of labor and delivery, not elsewhere classified [+]
| Excludes 2: |
puerperal (postpartum) infection (O86.-)
puerperal (postpartum) sepsis (O85)
|
|
|
| O75.0 |
Maternal distress during labor and delivery
|
| O75.1 |
Shock during or following labor and delivery
Obstetric shock following labor and delivery
|
| O75.2 |
Pyrexia during labor, not elsewhere classified
|
| O75.3 |
Other infection during labor
Sepsis during labor
| Use additional |
code (B95-B97), to identify infectious agent |
|
| O75.4 |
Other complications of obstetric surgery and procedures
Cardiac arrest following obstetric surgery or procedures
Cardiac failure following obstetric surgery or procedures
Cerebral anoxia following obstetric surgery or procedures
Pulmonary edema following obstetric surgery or procedures
| Use additional |
code to identify specific complication |
| Excludes 2: |
complications of anesthesia during labor and delivery (O74.-)
disruption of obstetrical (surgical) wound (O90.0-O90.1)
hematoma of obstetrical (surgical) wound (O90.2)
infection of obstetrical (surgical) wound (O86.0-)
|
|
| O75.5 |
Delayed delivery after artificial rupture of membranes
|
| O75.8 |
Other specified complications of labor and delivery [+]
|
|
| O75.81 |
Maternal exhaustion complicating labor and delivery
|
| O75.82 |
Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor
| Code first |
to specify reason for planned cesarean section such as:
cephalopelvic disproportion (normally formed fetus) (O33.9)
previous cesarean delivery (O34.21-)
|
|
| O75.89 |
Other specified complications of labor and delivery
|
|
| O75.9 |
Complication of labor and delivery, unspecified
|
|
| O76 |
Abnormality in fetal heart rate and rhythm complicating labor and delivery
Depressed fetal heart rate tones complicating labor and delivery
Fetal bradycardia complicating labor and delivery
Fetal heart rate decelerations complicating labor and delivery
Fetal heart rate irregularity complicating labor and delivery
Fetal heart rate abnormal variability complicating labor and delivery
Fetal tachycardia complicating labor and delivery
Non-reassuring fetal heart rate or rhythm complicating labor and delivery
| Excludes 1: |
fetal stress NOS (O77.9)
labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
|
| Excludes 2: |
fetal metabolic acidemia (O68)
other fetal stress (O77.0-O77.1)
|
|
| O77 |
Other fetal stress complicating labor and delivery [+]
|
|
| O77.0 |
Labor and delivery complicated by meconium in amniotic fluid
|
| O77.1 |
Fetal stress in labor or delivery due to drug administration
|
| O77.8 |
Labor and delivery complicated by other evidence of fetal stress
Labor and delivery complicated by electrocardiographic evidence of fetal stress
Labor and delivery complicated by ultrasonic evidence of fetal stress
| Excludes 1: |
abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)
|
|
| O77.9 |
Labor and delivery complicated by fetal stress, unspecified
| Excludes 1: |
abnormality of fetal acid-base balance (O68)
abnormality in fetal heart rate or rhythm (O76)
fetal metabolic acidemia (O68)
|
|
|