Code
Hierarchy
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O00-O9A Pregnancy, childbirth and the puerperium (O00-O9A)
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O60-O77 Complications of labor and delivery (O60-O77)
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O60 Preterm labor
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O61 Failed induction of labor
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O62 Abnormalities of forces of labor
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O63 Long labor
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O64 Obstructed labor due to malposition and malpresentation of fetus
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O65 Obstructed labor due to maternal pelvic abnormality
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O66 Other obstructed labor
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O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
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O68 Labor and delivery complicated by abnormality of fetal acid-base balance
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O69 Labor and delivery complicated by umbilical cord complications
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O70 Perineal laceration during delivery
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O71 Other obstetric trauma
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O72 Postpartum hemorrhage
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O73 Retained placenta and membranes, without hemorrhage
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O74 Complications of anesthesia during labor and delivery
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O75 Other complications of labor and delivery, not elsewhere classified
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O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery
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O77 Other fetal stress complicating labor and delivery
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Notes
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CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
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Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
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Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
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1st trimester- less than 14 weeks 0 days
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2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
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3rd trimester- 28 weeks 0 days until delivery
Inclusion Terms
O76
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Depressed fetal heart rate tones complicating labor and delivery
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Fetal bradycardia complicating labor and delivery
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Fetal heart rate decelerations complicating labor and delivery
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Fetal heart rate irregularity complicating labor and delivery
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Fetal heart rate abnormal variability complicating labor and delivery
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Fetal tachycardia complicating labor and delivery
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Non-reassuring fetal heart rate or rhythm complicating labor and delivery
Use Additional
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code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes 1
O76
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fetal stress NOS (O77.9)
- O77.9 Labor and delivery complicated by fetal stress, unspecified
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labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
- O77.8 Labor and delivery complicated by other evidence of fetal stress
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labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
- O77.8 Labor and delivery complicated by other evidence of fetal stress
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supervision of normal pregnancy (Z34.-)
- Z34 Encounter for supervision of normal pregnancy
Excludes 2
O76
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fetal metabolic acidemia (O68)
- O68 Labor and delivery complicated by abnormality of fetal acid-base balance
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other fetal stress (O77.0-O77.1)