XI. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM PREGNANCY WITH ABORTIVE OUTCOME (630-639) 630 Hydatidiform mole Trophoblastic disease NOS Vesicular mole Excludes: chorionepithelioma (181) 631 Other abnormal product of conception Blighted ovum Mole: NOS carneous fleshy Excludes: with mention of conditions in 630 (630) 632 Missed abortion Early fetal death with retention of dead fetus Retained products of conception, not following spontaneous or induced abortion or delivery Excludes: failed induced abortion (638) missed delivery (656.4) with abnormal product of conception (630, 631) 633 Ectopic pregnancy Includes: ruptured ectopic pregnancy 633.0 Abdominal pregnancy 633.1 Tubal pregnancy Fallopian pregnancy Rupture of (fallopian) tube due to pregnancy Tubal abortion 633.2 Ovarian pregnancy 633.8 Other ectopic pregnancy Pregnancy: Pregnancy: cervical intraligamentous combined mesometric cornual mural ICD-9/CH11 - pg. 1 633.9 Unspecified The following fourth-digit subdivisions are for use with categories 634-638: .0 Complicated by genital tract and pelvic infection [any condition listed in 639.0] .1 Complicated by delayed or excessive hemorrhage [any condition listed in 639.1] .2 Complicated by damage to pelvic organs and tissues [any condition listed in 639.2] .3 Complicated by renal failure [any condition listed in 639.3] .4 Complicated by metabolic disorder [any condition listed in 639.4] .5 Complicated by shock [any condition listed in 639.5] .6 Complicated by embolism [any condition listed in 639.6] .7 With other specified complications [any condition listed in 639.8] .8 With unspecified complications .9 Without mention of complication 634 Spontaneous abortion [See fourth-digit subdivisions listed prior to 634] Includes: spontaneous abortion (complete) (incomplete) 635 Legally induced abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion: legal therapeutic termination of pregnancy: legal therapeutic Excludes: menstrual extraction or regulation 636 Illegally induced abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion (complete) (incomplete): criminal illegal ICD-9/CH11 - pg. 2 637 Unspecified abortion [See fourth-digit subdivisions listed prior to 634] Includes: abortion (complete) (incomplete) NOS retained products of conception following abortion, not classifiable elsewhere 638 Failed attempted abortion [See fourth-digit subdivisions listed prior to 634] Includes: failure of attempted induction of (legal) abortion Excludes: incomplete abortion (634-637) 639 Complications following abortion and ectopic and molar pregnancies [Not to be used for underlying cause of death] Note: This category is provided for use when it is required to classify separately the complications listed at fourth-digit level in categories 634-638; for example: a) when the complication itself was responsible for an episode of medical care, the abortion, ectopic or molar pregnancy itself having been dealt with at a previous episode b) when these conditions are immediate complications of ectopic or molar pregnancies classifiable to 630-633 where they cannot be identified at fourth-digit level. 639.0 Genital tract and pelvic infection Endometritis following conditions classifiable to 630-638 Parametritis following conditions classifiable to 630-638 Pelvic peritonitis following conditions classifiable to 630-638 Salpingitis following conditions classifiable to 630-638 Salpingo-oophoritis following conditions classifiable to 630-638 Sepsis NOS following conditions classifiable to 630-638 Septicemia NOS following conditions classifiable to 630-638 Excludes: urinary tract infection (639.8) 639.1 Delayed or excessive hemorrhage Afibrinogenemia following conditions classifiable to 630-638 Defibrination syndrome following conditions classifiable to 630-638 Intravascular hemolysis following conditions classifiable to 630-638 639.2 Damage to pelvic organs and tissues Laceration, perforation, or tear of: bladder following conditions classifiable to 630-638 ICD-9/CH11 - pg. 3 bowel following conditions classifiable to 630-638 broad ligament following conditions classifiable to 630-638 cervix following conditions classifiable to 630-638 periurethral tissue following conditions classifiable to 630-638 uterus following conditions classifiable to 630-638 639.3 Renal failure Oliguria following conditions classifiable to 630-638 Renal: failure (acute) following conditions classifiable to 630-638 shutdown following conditions classifiable to 630-638 tubular necrosis following conditions classifiable to 630-638 Uremia following conditions classifiable to 630-638 639.4 Metabolic disorders Electrolyte imbalance following conditions classifiable to 630-638 639.5 Shock Circulatory collapse following conditions classifiable to 630-638 Shock (postoperative) (septic) following conditions classifiable to 630-638 639.6 Embolism Embolism: NOS following conditions classifiable to 630-638 air following conditions classifiable to 630-638 amniotic fluid following conditions classifiable to 630-638 blood-clot following conditions classifiable to 630-638 pulmonary following conditions classifiable to 630-638 pyemic following conditions classifiable to 630-638 septic following conditions classifiable to 630-638 soap following conditions classifiable to 630-638 639.8 Other specified complications Cardiac arrest or failure following conditions classifiable to 630-638 Cerebral anoxia following conditions classifiable to 630-638 639.9 Unspecified complications following conditions classifiable to 630-638 COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-648) Includes: the listed conditions even if they arose or were present during labor, delivery, or the puerperium ICD-9/CH11 - pg. 4 640 Hemorrhage in early pregnancy [Do not use fourth digit for underlying cause of death] Includes: hemorrhage before completion of 22 weeks' gestation 640.0 Threatened abortion 640.8 Other 640.9 Unspecified 641 Antepartum hemorrhage, abruptio placentae, and placenta previa [Do not use fourth digit for underlying cause of death] 641.0 Placenta previa without hemorrhage Low implantation of placenta without hemorrhage Placenta previa noted: during pregnancy before labor (and delivered by cesarean section) without mention of hemorrhage 641.1 Hemorrhage from placenta previa Low-lying placenta NOS or with hemorrhage (intrapartum) Placenta previa NOS or with hemorrhage (intrapartum) marginal NOS or with hemorrhage (intrapartum) partial NOS or with hemorrhage (intrapartum) total NOS or with hemorrhage (intrapartum) Excludes: hemorrhage from vasa previa (663.5) 641.2 Premature separation of placenta Ablatio placentae Abruptio placentae Accidental antepartum hemorrhage Premature separation of normally implanted placenta 641.3 Antepartum hemorrhage associated with coagulation defects Antepartum or intrapartum hemorrhage associated with: afibrinogenemia hyperfibrinolysis hypofibrinogenemia 641.8 Other antepartum hemorrhage Antepartum or intrapartum hemorrhage associated with: trauma uterine leiomyoma ICD-9/CH11 - pg. 5 641.9 Unspecified antepartum hemorrhage Hemorrhage: antepartum NOS intrapartum NOS of pregnancy NOS 642 Hypertension complicating pregnancy, childbirth, and the puerperium 642.0 Benign essential hypertension complicating pregnancy, childbirth, and the puerperium Hypertension: benign essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium chronic NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium essential specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium pre-existing NOS specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.1 Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium Hypertension secondary to renal disease, specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.2 Other pre-existing hypertension complicating pregnancy, childbirth, and the puerperium Malignant hypertension specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium Hypertensive: heart disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium heart and renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium renal disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium 642.3 Transient hypertension of pregnancy Transient hypertension, so described, in pregnancy, childbirth, or the puerperium 642.4 Mild or unspecified pre-eclampsia Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; mild or unspecified ICD-9/CH11 - pg. 6 Pre-eclampsia: Toxemia (pre-eclamptic): NOS NOS mild mild Excludes: albuminuria in pregnancy, without mention of hypertension (646.2) edema in pregnancy, without mention of hypertension (646.1) 642.5 Severe pre-eclampsia Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; specified as severe Pre-eclampsia, severe Toxemia (pre-eclamptic), severe 642.6 Eclampsia Toxemia: eclamptic with convulsions 642.7 Pre-eclampsia or eclampsia superimposed on pre-existing hypertension Conditions in 642.4-642.6, with conditions in 642.0-642.2 642.9 Unspecified hypertension complicating pregnancy, childbirth, and the puerperium Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium 643 Excessive vomiting in pregnancy [Do not use fourth digit for underlying cause of death] 643.0 Mild hyperemesis gravidarum Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week 643.1 Hyperemesis gravidarum with metabolic disturbance Hyperemesis gravidarum, starting before the end of the 22nd, with metabolic disturbance, such as: carbohydrate depletion dehydration electrolyte imbalance 643.2 Late vomiting of pregnancy Excessive vomiting starting after 22 completed weeks of gestation ICD-9/CH11 - pg. 7 643.8 Other vomiting complicating pregnancy Vomiting due to organic disease or other cause, specified as complicating pregnancy, or as a reason for obstetric care during pregnancy Use additional code, if desired to identify cause 643.9 Unspecified vomiting of pregnancy Vomiting as a reason for care during pregnancy, length of gestation unspecified 644 Early or threatened labor [Do not use fourth digit for underlying cause of death] 644.0 Threatened labor False labor 644.1 Early onset of delivery Onset (spontaneous) of delivery before 37 completed weeks of gestation 645 Prolonged pregnancy Post-dates Post-term 646 Other complications of pregnancy, not elsewhere classified 646.0 Papyraceous fetus 646.1 Edema or excessive weight gain in pregnancy, without mention of hypertension Gestational edema Excludes: with mention of hypertension (642.-) 646.2 Unspecified renal disease in pregnancy, without mention of hypertension Albuminuria in pregnancy without mention of hypertension Nephropathy NOS in pregnancy without mention of hypertension Renal disease NOS in pregnancy without mention of hypertension Gestational proteinuria Excludes: with mention of hypertension (642.-) 646.3 Habitual aborter Excludes: with current abortion (634.-) without current pregnancy (629.9) ICD-9/CH11 - pg. 8 646.4 Peripheral neuritis in pregnancy 646.5 Asymptomatic bacteriuria in pregnancy 646.6 Infections of genitourinary tract in pregnancy Conditions in 590, 595, 597, 599.0, 614-616 complicating pregnancy or labor Excludes: major puerperal infection (670) 646.7 Liver disorders in pregnancy Excludes: hepatorenal syndrome following delivery (674.8) 646.8 Other specified complications of pregnancy Fatigue during pregnancy Herpes gestationis 646.9 Unspecified complication of pregnancy 647 Infective and parasitic conditions in the mother classifiable elsewhere but complicating pregnancy, childbirth, or the puerperium Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care Excludes: when the reason for the mother's medical care is that the condition is known or suspected to have affected the fetus (655.-) 647.0 Syphilis Conditions in 090-097 647.1 Gonorrhea Conditions in 098 647.2 Other venereal diseases Conditions in 099 647.3 Tuberculosis Conditions in 010-018 647.4 Malaria Conditions in 084 ICD-9/CH11 - pg. 9 647.5 Rubella Conditions in 056 647.6 Other viral diseases Conditions in 042 and 050-079, except 056 647.8 Other specified infectious and parasitic diseases 647.9 Unspecified infection or infestation 648 Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, and the puerperium Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care Excludes: when the main reason for the mother's medical care is that the condition is known or suspected to have affected the fetus (655.-) 648.0 Diabetes mellitus Conditions in 250 648.1 Thyroid dysfunction Conditions in 240-246 648.2 Anemia Conditions in 280-285 648.3 Drug dependence Conditions in 304.- 648.4 Mental disorders Conditions in 290-303, 305-316, 317-319 648.5 Congenital cardiovascular disorders Conditions in 745-747 648.6 Other cardiovascular diseases Conditions in 390-398, 410-459 Excludes: cerebral hemorrhage in the puerperium (674.0) venous complications (671.-) ICD-9/CH11 - pg. 10 648.7 Bone and joint disorders of back, pelvis, and lower limbs Conditions in 720-724, and those in 711-719 or 725-738, specified as affecting the lower limbs 648.8 Abnormal glucose tolerance Conditions in 790.2 648.9 Other Nutritional deficiencies (conditions in 260-269) NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659) 650 Delivery in a completely normal case Delivery without abnormality or complication classifiable elsewhere in categories 630-676, and with spontaneous cephalic delivery, without mention of manipulation or instrumentation Excludes: delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7) 651 Multiple gestation [Do not use fourth digit for underlying cause of death] 651.0 Twin pregnancy 651.1 Triplet pregnancy 651.2 Quadruplet pregnancy 651.8 Other 651.9 Unspecified 652 Malposition and malpresentation of fetus [Do not use fourth digit for underlying cause of death] Excludes: with obstructed labor (660.0) 652.0 Unstable lie ICD-9/CH11 - pg. 11 652.1 Breech or other malpresentation successfully converted to cephalic presentation Cephalic version NOS 652.2 Breech presentation without mention of version Breech delivery (assisted) (spontaneous) NOS 652.3 Transverse or oblique presentation Oblique lie Transverse lie Excludes: transverse arrest of fetal head (660.3) 652.4 Face or brow presentation Mentum presentation 652.5 High head at term Failure of head to enter pelvic brim 652.6 Multiple gestation with malpresentation of one fetus or more 652.7 Prolapsed arm 652.8 Other specified malposition or malpresentation Compound presentation 652.9 Unspecified malposition or malpresentation 653 Disproportion [Do not use fourth digit for underlying cause of death] Code also any associated obstructed labor (660.1) 653.0 Major abnormality of bony pelvis, not further specified Pelvic deformity NOS 653.1 Generally contracted pelvis Contracted pelvis NOS 653.2 Inlet contraction of pelvis Inlet contraction (pelvis) ICD-9/CH11 - pg. 12 653.3 Outlet contraction of pelvis Outlet contraction (pelvis) 653.4 Fetopelvic disproportion Cephalopelvic disproportion NOS Disproportion of mixed maternal and fetal origin, with normally formed fetus 653.5 Unusually large fetus causing disproportion Disproportion of fetal origin with normally formed fetus Fetal disproportion NOS Excludes: when the reason for medical care was concern for the fetus (656.6) 653.6 Hydrocephalic fetus causing disproportion Excludes: that when the reason for medical care was concern for the fetus (655.0) 653.7 Other fetal abnormality causing disproportion Conjoined twins Fetal: ascites hydrops myelomeningocele sacral teratoma tumor 653.8 Disproportion of other origin 653.9 Unspecified 654 Abnormality of organs and soft tissues of pelvis [Do not use fourth digit for underlying cause of death] Includes: the listed conditions during pregnancy, childbirth, or the puerperium Excludes: with obstructed labor (660.2) 654.0 Congenital abnormalities of uterus Double uterus Uterus bicornis 654.1 Tumors of body of uterus Uterine fibroids ICD-9/CH11 - pg. 13 654.2 Uterine scar from previous surgery Previous cesarean section NOS 654.3 Retroverted and incarcerated gravid uterus 654.4 Other abnormalities in shape or position of gravid uterus and of neighboring structures Cystocele Pelvic floor repair Pendulous abdomen Prolapse of gravid uterus Rectocele Rigid pelvic floor 654.5 Cervical incompetence Shirodkar suture with or without mention of cervical incompetence 654.6 Other congenital or acquired abnormality of cervix Polyp of cervix Previous surgery to cervix Tumor of cervix 654.7 Congenital or acquired abnormality of vagina Previous surgery to vagina Septate vagina Stenosis of vagina (acquired) (congenital) Stricture of vagina Tumor of vagina 654.8 Congenital or acquired abnormality of vulva Fibrosis of perineum Persistent hymen Previous surgery to perineum or vulva Rigid perineum Tumor of vulva Excludes: varicose veins of vulva (671.1) 654.9 Unspecified 655 Known or suspected fetal abnormality affecting management of mother [Do not use fourth digit for underlying cause of death] Includes: the listed conditions in the fetus as a reason for observation or obstetrical care to the mother, or for termination of pregnancy ICD-9/CH11 - pg. 14 655.0 Central nervous system malformation in fetus Fetal or suspected fetal: anencephaly hydrocephalus spina bifida 655.1 Chromosomal abnormality in fetus 655.2 Hereditary disease in family possibly affecting fetus 655.3 Suspected damage to fetus from viral disease in the mother Suspected damage to fetus from maternal rubella 655.4 Suspected damage to fetus from other disease in the mother Suspected damage to fetus from maternal: alcohol addiction listeriosis toxoplasmosis 655.5 Suspected damage to fetus from drugs Excludes: fetal distress in labor and delivery due to drug administration (656.3) 655.6 Suspected damage to fetus from radiation 655.8 Other known or suspected fetal abnormality, not elsewhere classified Suspected damage to fetus from intrauterine contraceptive device 655.9 Unspecified 656 Other fetal and placental problems affecting management of mother [Do not use fourth digit for underlying cause of death] 656.0 Fetal-maternal hemorrhage Leakage (microscopic) of fetal blood into maternal circulation 656.1 Rhesus isoimmunization Anti-D [Rh] antibodies Rh incompatibility 656.2 Isoimmunization from other and unspecified blood-group incompatibility ABO isoimmunization ICD-9/CH11 - pg. 15 656.3 Fetal distress Abnormal fetal: acid-base balance heart rate or rhythm Fetal: acidemia bradycardia Meconium in liquor 656.4 Intrauterine death 656.5 Poor fetal growth "Light-for-dates" "Placental insufficiency" "Small-for-dates" 656.6 Excessive fetal growth "Large-for-dates" 656.7 Other placental conditions Abnormal placenta Placental infarct 656.8 Other 656.9 Unspecified 657 Polyhydramnios Hydramnios 658 Other problems associated with amniotic cavity and membranes [Do not use fourth digit for underlying cause of death] Excludes: amniotic fluid embolism (673.1) 658.0 Oligohydramnios Oligohydramnios without mention of rupture of membranes 658.1 Premature rupture of membranes 658.2 Delayed delivery after spontaneous or unspecified rupture of membranes 658.3 Delayed delivery after artificial rupture of membranes ICD-9/CH11 - pg. 16 658.4 Infection of amniotic cavity Amnionitis Chorioamnionitis Membranitis Placentitis 658.8 Other 658.9 Unspecified 659 Other indiciations for care or intervention related to labor and delivery, not elsewhere classified [Do not use fourth digit for underlying cause of death] Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions. 659.0 Failed mechanical induction Failure of induction of labor by surgical or other instrumental methods 659.1 Failed medical or unspecified induction Failed induction NOS Failure of induction of labor by medical methods, such as oxytocic drugs 659.2 Maternal pyrexia during labor, unspecified 659.3 Generalized infection during labor Septicemia during labor 659.4 Grand multiparity 659.5 Elderly primigravida 659.8 Other 659.9 Unspecified COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669) 660 Obstructed labor [Do not use fourth digit for underlying cause of death] 660.0 Obstruction caused by malposition of fetus at onset of labor Any condition in 652.-, causing obstruction during labor ICD-9/CH11 - pg. 17 Use additional code from 652.-, if desired, to identify condition 660.1 Obstruction by bony pelvis Any condition in 653.-, if desired, causing obstruction during labor Use additional code from 653.-, if desired, to identify condition 660.2 Obstruction by abnormal pelvic soft tissues Any condition in 654.-, causing obstruction during labor Prolapse of anterior lip of cervix Use additional code from 654.-, if desired, to identify condition 660.3 Deep transverse arrest and persistent occipitoposterior or occipitoanterior position 660.4 Shoulder dystocia Impacted shoulders 660.5 Locked twins 660.6 Failed trial of labor, unspecified Failed trial of labor, without mention of condition or suspected condition, and with subsequent delivery by caesarean section 660.7 Failed forceps or ventouse, unspecified Application of ventouse or forceps, without mention of condition, with subsequent delivery by forceps or caesarean section respectively 660.8 Other 660.9 Unspecified Dystocia: NOS fetal NOS maternal NOS 661 Abnormality of forces of labor [Do not use fourth digit for underlying cause of death] 661.0 Primary uterine inertia Failure of cervical dilatation Hypotonic uterine dysfunction, primary ICD-9/CH11 - pg. 18 661.1 Secondary uterine inertia Arrested active phase of labor Hypotonic uterine dysfunction, secondary 661.2 Other and unspecified uterine inertia Atony of uterus Desultory labor Irregular labor Poor contractions 661.3 Precipitate labor 661.4 Hypertonic, incoordinate, or prolonged uterine contractions Cervical spasm Contraction ring (dystocia) Dyscoordinate labor Hour-glass contraction of uterus Hypertonic uterine dysfunction Incoordinate uterine action Retraction ring (Bandl's) (pathological) Tetanic contractions Uterine dystocia NOS Uterine spasm 661.9 Unspecified 662 Long labor [Do not use fourth digit for underlying cause of death] 662.0 Prolonged first stage 662.1 Prolonged labor, unspecified 662.2 Prolonged second stage 662.3 Delayed delivery of second twin, triplet, etc. 663 Umbilical cord complications [Do not use fourth digit for underlying cause of death] 663.0 Prolapse of cord Presentation of cord 663.1 Cord around neck, with compression Cord tightly around neck ICD-9/CH11 - pg. 19 663.2 Other and unspecified cord entanglement, with compression Entanglement of cords of twins in mono-amniotic sac Knot in cord 663.3 Other and unspecified cord entanglement, without mention of compression 663.4 Short cord 663.5 Vasa previa 663.6 Vascular lesions of cord Bruising of cord Hematoma of cord Thrombosis of vessels of cord 663.8 Other 663.9 Unspecified 664 Trauma to perineum and vulva during delivery [Do not use fourth digit for underlying cause of death] 664.0 First-degree perineal laceration Perineal laceration, rupture, or tear (involving): fourchette hymen labia skin slight vagina vulva 664.1 Second-degree perineal laceration Perineal laceration, rupture, or tear (following episiotomy) involving: pelvic floor perineal muscles vaginal muscles Excludes: involving anal sphincter (664.2) 664.2 Third-degree perineal laceration Perineal laceration, rupture, or tear (following episiotomy) involving: anal sphincter rectovaginal septum sphincter NOS ICD-9/CH11 - pg. 20 Excludes: with anal or rectal mucosal (664.3) 664.3 Fourth-degree perineal laceration Perineal laceration, rupture, or tear as in 664.2 and involving also: anal mucosa rectal mucosa 664.4 Unspecified perineal laceration Central laceration 664.5 Vulval and perineal hematoma 664.8 Other 664.9 Unspecified 665 Other obstetrical trauma [Do not use fourth digit for underlying cause of death] Includes: damage from instruments 665.0 Rupture of uterus before onset of labor 665.1 Rupture of uterus during and after labor Rupture of uterus NOS 665.2 Inversion of uterus 665.3 Laceration of cervix 665.4 High vaginal laceration Laceration of vaginal wall without mention of perineal laceration 665.5 Other injury to pelvic organs Injury to: bladder urethra 665.6 Damage to pelvic joints and ligaments Avulsion of inner symphyseal cartilage Damage to coccyx Separation of symphysis (pubis) 665.7 Pelvic hematoma Hematoma of vagina ICD-9/CH11 - pg. 21 665.8 Other 665.9 Unspecified 666 Postpartum hemorrhage [Do not use fourth digit for underlying cause of death] 666.0 Third-stage hemorrhage Hemorrhage associated with retained, trapped, or adherent placenta Retained placenta NOS 666.1 Other immediate postpartum hemorrhage Hemorrhage following delivery of placenta Postpartum hemorrhage (atonic) NOS 666.2 Delayed and secondary postpartum hemorrhage Hemorrhage associated with retained portions of placenta or membranes Postpartum hemorrhage specified as delayed or secondary Retained products of conception, NOS, following delivery 666.3 Postpartum coagulation defects Postpartum: afibrinogenemia fibrinolysis 667 Retained placenta or membranes, without hemorrhage [Do not use fourth digit for underlying cause of death] 667.0 Retained placenta without hemorrhage Placenta accreta without hemorrhage Retained placenta without hemorrhage: NOS without hemorrhage total without hemorrhage 667.1 Retained portions of placenta or membranes, without hemorrhage Retained products of conception following delivery, without hemorrhage 668 Complications of the administration of anesthetic or other sedation in labor and delivery [Do not use fourth digit for underlying cause of death] Includes: complications arising from the administration of a general or local anesthetic, analgesic, or other sedation in labor and delivery ICD-9/CH11 - pg. 22 668.0 Pulmonary complications Inhalation of stomach contents or secretions Mendelson's syndrome Pressure collapse of lung 668.1 Cardiac complications Cardiac: arrest failure 668.2 Central nervous system complications Cerebral anoxia 668.8 Other 668.9 Unspecified 669 Other complications of labor and delivery, not elsewhere classified [Do not use fourth digit for underlying cause of death] 669.0 Maternal distress 669.1 Shock during or following labor and delivery Obstetric shock 669.2 Maternal hypotension syndrome 669.3 Acute renal failure following labor and delivery 669.4 Other complications of obstetrical surgery and procedures Cardiac: } following cesarean or other arrest } obstetrical surgery or failure } procedure, including delivery Cerebral anoxia } NOS Excludes: complications of obstetrical surgical wounds (674.3) 669.5 Forceps or ventouse delivery without mention of indication Delivery by vacuum extractor, without mention of indication 669.6 Breech extraction, without mention of indication Excludes: breech delivery NOS (652.2) 669.7 Cesarean delivery, without mention of indication ICD-9/CH11 - pg. 23 669.8 Other 669.9 Unspecified COMPLICATIONS OF THE PUERPERIUM (670-676) Note: Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth. 670 Major puerperal infection Puerperal: endometritis fever pelvic cellulitis pelvic sepsis peritonitis Excludes: infection following abortion (639.0) minor genital tract infection following delivery (646.6) urinary tract infection following delivery (646.6) 671 Venous complications in pregnancy and the puerperium [Do not use fourth digit for underlying cause of death] 671.0 Varicose veins of legs Varicose veins NOS 671.1 Varicose veins of vulva and perineum 671.2 Superficial thrombophlebitis Thrombophlebitis (superficial) 671.3 Deep phlebothrombosis, antepartum Deep-vein thrombosis, antepartum 671.4 Deep phlebothrombosis, postpartum Deep-vein thrombosis, postpartum Pelvic thrombophlebitis, postpartum 671.5 Other phlebitis and thrombosis Cerebral venous thrombosis 671.8 Other Hemorrhoids ICD-9/CH11 - pg. 24 671.9 Unspecified Phlebitis NOS Thrombosis NOS 672 Pyrexia of unknown origin during the puerperium Puerperal pyrexia NOS 673 Obstetrical pulmonary embolism [Do not use fourth digit for underlying cause of death] Includes: pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal Excludes: embolism following abortion (639.6) 673.0 Obstetrical air embolism 673.1 Amniotic fluid embolism 673.2 Obstetrical blood-clot embolism Puerperal pulmonary embolism NOS 673.3 Obstetrical pyemic and septic embolism 673.8 Other Fat embolism 674 Other and unspecified complications of the puerperium, not elsewhere classified [Do not use fourth digit for underlying cause of death] 674.0 Cerebrovascular disorders in the puerperium Any condition in 430-434, 436-437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal 674.1 Disruption of cesarean wound 674.2 Disruption of perineal wound Breakdown of perineum Disruption of wound of: episiotomy perineal laceration Secondary perineal tear ICD-9/CH11 - pg. 25 674.3 Other complications of obstetrical surgical wounds Hematoma of cesarean section or perineal wound Hemorrhage of cesarean section or perineal wound Infection of cesarean section or perineal wound Excludes: damage from instruments in delivery (664.-, 665.-) 674.4 Placental polyp 674.8 Other Hepatorenal syndrome, following delivery Postpartum: cardiomyopathy subinvolution of uterus 674.9 Unspecified Sudden death of unknown cause during the puerperium 675 Infections of the breast and nipple associated with childbirth [Do not use fourth digit for underlying cause of death] 675.0 Infections of nipple Abscess of nipple 675.1 Abscess of breast Mammary abscess Subareolar abscess Purulent mastitis 675.2 Nonpurulent mastitis Lymphangitis of breast Mastitis: NOS interstitial parenchymatous 675.8 Other 675.9 Unspecified 676 Other disorders of the breast associated with childbirth and disorders of lactation [Do not use fourth digit for underlying cause of death] ICD-9/CH11 - pg. 26 Includes: the listed conditions during pregnancy, the puerperium, or lactation 676.0 Retracted nipple 676.1 Cracked nipple Fissure of nipple 676.2 Engorgement of breasts 676.3 Other and unspecified disorder of breast 676.4 Failure of lactation Agalactia 676.5 Suppressed lactation 676.6 Galactorrhea Excludes: galactorrhea not associated with childbirth (611.6) 676.8 Other disorders of lactation Galactocele 676.9 Unspecified disorder of lactation ICD-9/CH11 - pg. 27