Classification of diseases and injuries



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11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)

ECTOPIC AND MOLAR PREGNANCY (630-633)

Use additional code from category 639 to identify any complications

630 Hydatidiform mole

Trophoblastic disease NOS

Vesicular mole

Excludes: chorioadenoma (destruens) (236.1)

chorionepithelioma (181)

malignant hydatidiform mole (236.1)

631 Other abnormal product of conception

631.0 Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy

Biochemical pregnancy

Chemical pregnancy

Inappropriate level of quantitative human chorionic gonadotropin (hCG) for gestational age in early pregnancy

Excludes: blighted ovum (631.8)

molar pregnancy (631.8)

631.8 Other abnormal products of conception

Blighted ovum

632 Missed abortion

Early fetal death before completion of 22 weeks' gestation with retention of dead fetus

Retained products of conception, not following spontaneous or induced abortion or delivery

Excludes: failed induced abortion (638.0-638.9)

fetal death (intrauterine) (late) (656.4)

missed delivery (656.4)

that with hydatidiform mole (630)

that with other abnormal products of conception (631.8)

633 Ectopic pregnancy

Includes: ruptured ectopic pregnancy

633.0 Abdominal pregnancy

Intraperitoneal pregnancy

633.00 Abdominal pregnancy without intrauterine pregnancy

633.01 Abdominal pregnancy with intrauterine pregnancy

633.1 Tubal pregnancy

Fallopian pregnancy

Rupture of (fallopian) tube due to pregnancy

Tubal abortion

633.10 Tubal pregnancy without intrauterine pregnancy

633.11 Tubal pregnancy with intrauterine pregnancy

633.2 Ovarian pregnancy

633.20 Ovarian pregnancy without intrauterine pregnancy

633.21 Ovarian pregnancy with intrauterine pregnancy

633.8 Other ectopic pregnancy

Pregnancy:

cervical


combined

cornual


intraligamentous

mesometric

mural

633.80 Other ectopic pregnancy without intrauterine pregnancy



633.81 Other ectopic pregnancy with intrauterine pregnancy

633.9 Unspecified ectopic pregnancy

633.90 Unspecified ectopic pregnancy without intrauterine pregnancy

633.91 Unspecified ectopic pregnancy with intrauterine pregnancy



OTHER PREGNANCY WITH ABORTIVE OUTCOME (634-639)

The following fourth digit subdivisions are for use with categories 634-638:

0 Complicated by genital tract and pelvic infection

Endometritis

Salpingo-oophoritis

Sepsis NOS

Septicemia NOS

Any condition classifiable to 639.0, with condition classifiable to 634-638

Excludes urinary tract infection (634-638 with.7)

1 Complicated by delayed or excessive hemorrhage

Afibrinogenemia

Defibrination syndrome

Intravascular hemolysis

Any condition classifiable to 639.1, with condition classifiable to 634-638

2 Complicated by damage to pelvic organs and tissues

Laceration, perforation, or tear of:

bladder

uterus

Any condition classifiable to 639.2, with condition classifiable to 634-638

3 Complicated by renal failure

Oliguria

Uremia

Any condition classifiable to 639.3, with condition classifiable to 634-638

4 Complicated by metabolic disorder

Electrolyte imbalance with conditions classifiable to 634-638

5 Complicated by shock

Circulatory collapse

Shock (postoperative) (septic)

Any condition classifiable to 639.5, with condition classifiable to 634-638

6 Complicated by embolism

Embolism:

NOS

amniotic fluid

pulmonary

Any condition classifiable to 639.6, with condition classifiable to 634-638

7 With other specified complications

Cardiac arrest or failure

Urinary tract infection

Any condition classifiable to 639.8, with condition classifiable to 634-638

8 With unspecified complications

9 Without mention of complication

634 Spontaneous abortion

Requires fifth digit to identify stage:

0 unspecified

1 incomplete

2 complete

Includes: miscarriage

spontaneous abortion

634.0 Complicated by genital tract and pelvic infection

[0-2]


634.1 Complicated by delayed or excessive hemorrhage

[0-2]


634.2 Complicated by damage to pelvic organs or tissues

[0-2]


634.3 Complicated by renal failure

[0-2]


634.4 Complicated by metabolic disorder

[0-2]


634.5 Complicated by shock

[0-2]


634.6 Complicated by embolism

[0-2]


634.7 With other specified complications

[0-2]


634.8 With unspecified complication

[0-2]


634.9 Without mention of complication

[0-2]


635 Legally induced abortion

Requires fifth digit to identify stage:

0 unspecified

1 incomplete

2 complete

Includes: abortion or termination of pregnancy:

elective

legal


therapeutic

Excludes: menstrual extraction or regulation (V25.3)

635.0 Complicated by genital tract and pelvic infection

[0-2]


635.1 Complicated by delayed or excessive hemorrhage

[0-2]


635.2 Complicated by damage to pelvic organs or tissues

[0-2]


635.3 Complicated by renal failure

[0-2]


635.4 Complicated by metabolic disorder

[0-2]


635.5 Complicated by shock

[0-2]


635.6 Complicated by embolism

[0-2]


635.7 With other specified complications

[0-2]


635.8 With unspecified complication

[0-2]


635.9 Without mention of complication

[0-2]


636 Illegally induced abortion

Requires fifth digit to identify stage:

0 unspecified

1 incomplete

2 complete

Includes: abortion:

criminal

illegal


self-induced

636.0 Complicated by genital tract and pelvic infection

[0-2]

636.1 Complicated by delayed or excessive hemorrhage



[0-2]

636.2 Complicated by damage to pelvic organs or tissues

[0-2]

636.3 Complicated by renal failure



[0-2]

636.4 Complicated by metabolic disorder

[0-2]

636.5 Complicated by shock



[0-2]

636.6 Complicated by embolism

[0-2]

636.7 With other specified complications



[0-2]

636.8 With unspecified complication

[0-2]

636.9 Without mention of complication



[0-2]

637 Unspecified abortion

Requires following fifth digit to identify stage:

0 unspecified

1 incomplete

2 complete

Includes: abortion NOS

retained products of conception following abortion, not classifiable elsewhere

637.0 Complicated by genital tract and pelvic infection

[0-2]


637.1 Complicated by delayed or excessive hemorrhage

[0-2]


637.2 Complicated by damage to pelvic organs or tissues

[0-2]


637.3 Complicated by renal failure

[0-2]


637.4 Complicated by metabolic disorder

[0-2]


637.5 Complicated by shock

[0-2]


637.6 Complicated by embolism

[0-2]


637.7 With other specified complications

[0-2]


637.8 With unspecified complication

[0-2]


637.9 Without mention of complication

[0-2]


638 Failed attempted abortion

Includes: failure of attempted induction of (legal) abortion

Excludes: incomplete abortion (634.0-637.9)

638.0 Complicated by genital tract and pelvic infection

638.1 Complicated by delayed or excessive hemorrhage

638.2 Complicated by damage to pelvic organs or tissues

638.3 Complicated by renal failure

638.4 Complicated by metabolic disorder

638.5 Complicated by shock

638.6 Complicated by embolism

638.7 With other specified complications

638.8 With unspecified complication

638.9 Without mention of complication

639 Complications following abortion and ectopic and molar pregnancies

Note: This category is provided for use when it is required to classify separately the complications classifiable to the 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

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

vagina following conditions classifiable to 630-638

639.3 Kidney failure

Oliguria following conditions classifiable to 630-638

Renal (Kidney):

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

fat 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 following abortion or ectopic and molar pregnancy

Acute yellow atrophy or necrosis of liver following conditions classifiable to 630-638

Cardiac arrest or failure following conditions classifiable to 630-638

Cerebral anoxia following conditions classifiable to 630-638

Urinary tract infection following conditions classifiable to 630-638

639.9 Unspecified complication following abortion or ectopic and molar pregnancy

Complication(s) not further specified following conditions classifiable to 630-638

COMPLICATIONS MAINLY RELATED TO PREGNANCY (640-649)

Includes: the listed conditions even if they arose or were present during labor, delivery, or the puerperium

The following fifth-digit subclassification is for use with categories 640-649 to denote the current episode of care:

0 unspecified as to episode of care or not applicable

1 delivered, with or without mention of antepartum condition

Antepartum condition with delivery

Delivery NOS (with mention of antepartum complication during current episode of care)

Intrapartum

obstetric condition (with mention of antepartum complication during current episode of care)

Pregnancy, delivered (with mention of antepartum complication during current episode of care)

2 delivered, with mention of postpartum complication

Delivery with mention of puerperal complication during current episode of care

3 antepartum condition or complication

Antepartum obstetric condition, not delivered during the current episode of care

4 postpartum condition or complication

Postpartum or puerperal obstetric condition or complication following delivery that occurred:

during previous episode of care

outside hospital, with subsequent admission for observation or care

640 Hemorrhage in early pregnancy

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

Includes: hemorrhage before completion of 22 weeks' gestation

640.0 Threatened abortion

[0,1,3]


640.8 Other specified hemorrhage in early pregnancy

[0,1,3]


640.9 Unspecified hemorrhage in early pregnancy

[0,1,3]


641 Antepartum hemorrhage, abruptio placentae, and placenta previa

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

641.0 Placenta previa without hemorrhage

[0,1,3]


Low implantation of placenta without hemorrhage

Placenta previa noted:

during pregnancy without hemorrhage

before labor (and delivered by cesarean delivery) without hemorrhage

641.1 Hemorrhage from placenta previa

[0,1,3]


Low-lying placenta NOS or with hemorrhage (intrapartum)

Placenta previa:

incomplete 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

[0,1,3]

Ablatio placentae



Abruptio placentae

Accidental antepartum hemorrhage

Couvelaire uterus

Detachment of placenta (premature)

Premature separation of normally implanted placenta

641.3 Antepartum hemorrhage associated with coagulation defects

[0,1,3]

Antepartum or intrapartum hemorrhage associated with:



afibrinogenemia

hyperfibrinolysis

hypofibrinogenemia

Excludes: coagulation defects not associated with antepartum hemorrhage (649.3)

641.8 Other antepartum hemorrhage

[0,1,3]


Antepartum or intrapartum hemorrhage associated with:

trauma


uterine leiomyoma

641.9 Unspecified antepartum hemorrhage

[0,1,3]

Hemorrhage:



antepartum NOS

intrapartum NOS

of pregnancy NOS

642 Hypertension complicating pregnancy, childbirth, and the puerperium

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

642.0 Benign essential hypertension complicating pregnancy, childbirth, and the puerperium

[0-4]

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

[0-4]


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

[0-4]

Hypertensive:



heart and chronic kidney disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

heart disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

chronic kidney disease specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

Malignant hypertension specified as complicating, or as a reason for obstetric care during pregnancy, childbirth, or the puerperium

642.3 Transient hypertension of pregnancy

[0-4]


Gestational hypertension

Transient hypertension, so described, in pregnancy, childbirth, or the puerperium

642.4 Mild or unspecified pre-eclampsia

[0-4]


Hypertension in pregnancy, childbirth, or the puerperium, not specified as pre-existing, with either albuminuria or edema, or both; mild or unspecified

Pre-eclampsia:

NOS

mild


Toxemia (pre-eclamptic):

NOS


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

[0-4]

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

[0-4]


Toxemia:

eclamptic

with convulsions

642.7 Pre-eclampsia or eclampsia superimposed on pre-existing hypertension

[0-4]

Conditions classifiable to 642.4-642.6, with conditions classifiable to 642.0-642.2



642.9 Unspecified hypertension complicating pregnancy, childbirth, or the puerperium

[0-4]


Hypertension NOS, without mention of albuminuria or edema, complicating pregnancy, childbirth, or the puerperium

643 Excessive vomiting in pregnancy

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

Includes: hyperemesis arising during pregnancy

vomiting:

persistent arising during pregnancy

vicious arising during pregnancy

hyperemesis gravidarum

643.0 Mild hyperemesis gravidarum

[0,1,3]


Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of gestation

643.1 Hyperemesis gravidarum with metabolic disturbance

[0,1,3]

Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic disturbance, such as:



carbohydrate depletion

dehydration

electrolyte imbalance

643.2 Late vomiting of pregnancy

[0,1,3]

Excessive vomiting starting after 22 completed weeks of gestation



643.8 Other vomiting complicating pregnancy

[0,1,3]


Vomiting due to organic disease or other cause, specified as complicating pregnancy, or as a reason for obstetric care during pregnancy

Use additional code to specify cause

643.9 Unspecified vomiting of pregnancy

[0,1,3]


Vomiting as a reason for care during pregnancy, length of gestation unspecified

644 Early or threatened labor

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

644.0 Threatened premature labor

[0,3]

Premature labor after 22 weeks, but before 37 completed weeks of gestation without delivery



Excludes: that occurring before 22 completed weeks of gestation (640.0)

644.1 Other threatened labor

[0,3]

False labor:



NOS without delivery

after 37 completed weeks of gestation without delivery

Threatened labor NOS without delivery

644.2 Early onset of delivery

[0-1]

Onset (spontaneous) of delivery before 37 completed weeks of gestation



Premature labor with onset of delivery before 37 completed weeks of gestation

645 Late pregnancy

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

645.1 Post term pregnancy

[0,1,3]

Pregnancy over 40 completed weeks to 42 completed weeks gestation



645.2 Prolonged pregnancy

[0,1,3]


Pregnancy which has advanced beyond 42 completed weeks of gestation

646 Other complications of pregnancy, not elsewhere classified

Use additional code(s) to further specify complication

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

646.0 Papyraceous fetus

[0,1,3]


646.1 Edema or excessive weight gain in pregnancy, without mention of hypertension

[0-4]


Gestational edema

Maternal obesity syndrome

Excludes: that with mention of hypertension (642.0-642.9)

646.2 Unspecified renal disease in pregnancy, without mention of hypertension

[0-4]

Albuminuria in pregnancy or the puerperium, without mention of hypertension



Nephropathy NOS in pregnancy or the puerperium, without mention of hypertension

Renal disease NOS in pregnancy or the puerperium, without mention of hypertension

Uremia in pregnancy or the puerperium, without mention of hypertension

Gestational proteinuria in pregnancy or the puerperium, without mention of hypertension

Excludes: that with mention of hypertension (642.0-642.9)

646.3 Recurrent pregnancy loss

[0-1,3]

Excludes: with current abortion (634.0-634.9)



without current pregnancy (629.81)

646.4 Peripheral neuritis in pregnancy

[0-4]

646.5 Asymptomatic bacteriuria in pregnancy



[0-4]

646.6 Infections of genitourinary tract in pregnancy

[0-4]

Conditions classifiable to 590, 595, 597, 599.0, 616 complicating pregnancy, childbirth, or the puerperium



Conditions classifiable to 614.0-614.5, 614.7-614.9, 615 complicating pregnancy or labor

Excludes: major puerperal infection (670.0-670.8)

646.7 Liver and biliary tract disorders in pregnancy

[0,1,3]


Acute yellow atrophy of liver (obstetric) (true) of pregnancy

Icterus gravis of pregnancy

Necrosis of liver of pregnancy

Excludes: hepatorenal syndrome following delivery (674.8)

viral hepatitis (647.6)

646.8 Other specified complications of pregnancy

[0-4]

Fatigue during pregnancy



Herpes gestationis

Insufficient weight gain of pregnancy

646.9 Unspecified complication of pregnancy

[0,1,3]


647 Infectious and parasitic conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium

Use additional code(s) to further specify complication

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care

Excludes: those conditions in the mother known or suspected to have affected the fetus (655.0-655.9)

647.0 Syphilis

[0-4]

Conditions classifiable to 090-097



647.1 Gonorrhea

[0-4]


Conditions classifiable to 098

647.2 Other venereal diseases

[0-4]

Conditions classifiable to 099



647.3 Tuberculosis

[0-4]


Conditions classifiable to 010-018

647.4 Malaria

[0-4]

Conditions classifiable to 084



647.5 Rubella

[0-4]


Conditions classifiable to 056

647.6 Other viral diseases

[0-4]

Conditions classifiable to 042, 050-055, 057-079, 795.05, 795.15, 796.75



647.8 Other specified infectious and parasitic diseases

[0-4]


647.9 Unspecified infection or infestation

[0-4]


648 Other current conditions in the mother classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium

Use additional code(s) to identify the condition

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

Includes: the listed conditions when complicating the pregnant state, aggravated by the pregnancy, or when a main reason for obstetric care

Excludes: those conditions in the mother known or suspected to have affected the fetus (655.0-655.9)

648.0 Diabetes mellitus

[0-4]

Conditions classifiable to 249, 250



Excludes: gestational diabetes (648.8)

648.1 Thyroid dysfunction

[0-4]

Conditions classifiable to 240-246



648.2 Anemia

[0-4]


Conditions classifiable to 280-285

648.3 Drug dependence

[0-4]

Conditions classifiable to 304



648.4 Mental disorders

[0-4]


Conditions classifiable to 290-303, 305.0, 305.2-305.9, 306-316, 317-319

648.5 Congenital cardiovascular disorders

[0-4]

Conditions classifiable to 745-747



648.6 Other cardiovascular diseases

[0-4]


Conditions classifiable to 390-398, 410-429

Excludes: cerebrovascular disorders in the puerperium (674.0)

peripartum cardiomyopathy (674.5)

venous complications (671.0-671.9)

648.7 Bone and joint disorders of back, pelvis, and lower limbs

[0-4]


Conditions classifiable to 720-724, and those classifiable to 711-719 or 725-738, specified as affecting the lower limbs

648.8 Abnormal glucose tolerance

[0-4]

Conditions classifiable to 790.21-790.29



Gestational diabetes

Use additional code, if applicable, for associated long-term (current) insulin use V58.67

648.9 Other current conditions classifiable elsewhere

[0-4]


Conditions classifiable to 440-459, 795.01-795.04, 795.06, 795.10-795.14, 795.16, 796.70-796.74, 796.76

Nutritional deficiencies [conditions classifiable to 260-269]

649 Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium

Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 640-649 for definitions.

649.0 Tobacco use disorder complicating pregnancy, childbirth, or the puerperium

[0-4]


Smoking complicating pregnancy, childbirth, or the puerperium

649.1 Obesity complicating pregnancy, childbirth, or the puerperium

[0-4]

Use additional code to identify the obesity (278.00-278.03)



649.2 Bariatric surgery status complicating pregnancy, childbirth, or the puerperium

[0-4]


Gastric banding status complicating pregnancy, childbirth, or the puerperium

Gastric bypass status for obesity complicating pregnancy, childbirth, or the puerperium

Obesity surgery status complicating pregnancy, childbirth, or the puerperium

649.3 Coagulation defects complicating pregnancy, childbirth, or the puerperium

[0-4]

Conditions classifiable to 286, 287, 289



Use additional code to identify the specific coagulation defect (286.0-286.9, 287.0-287.9, 289.0-289.9)

Excludes: coagulation defects causing antepartum hemorrhage (641.3)

649.4 Epilepsy complicating pregnancy, childbirth, or the puerperium

[0-4]


Conditions classifiable to 345

Use additional code to identify the specific type of epilepsy (345.00-345.91)

Excludes: eclampsia (642.6)

649.5 Spotting complicating pregnancy

[0,1,3]

Excludes: antepartum hemorrhage (641.0-641.9)



hemorrhage in early pregnancy (640.0-640.9)

649.6 Uterine size date discrepancy

[0-4]

Excludes: suspected problem with fetal growth not found (V89.04)



649.7 Cervical shortening

[0,1,3]


Excludes: suspected cervical shortening not found (V89.05)

649.8 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section

[1-2]

Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor



Use additional code to specify reason for planned cesarean section such as:

cephalopelvic disproportion (normally formed fetus) (653.4)

previous cesarean delivery (654.2)

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