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Version 2014A PC v2014A 1 Specifications Manual for Joint Commission National Quality Core Measures Table of Contents Acknowledgment and Conditions of Use Introduction Using the Specifications Manual for Joint Commission National Quality Core Measures Section 1: Introduction to the Data Dictionary Introduction to the Data Dictionary Alphabetical List of Data Elements Section 2: Measure Information Forms Hospital Based Inpatient Psychiatric Services (HBIPS) HBIPS-1 HBIPS-2 HBIPS-3 HBIPS-4 HBIPS-5 HBIPS-6 HBIPS-7 Perinatal Care (PC) PC-01 PC-02 PC-03 PC-04 PC-05 Section 3: Missing and Invalid Data Missing and Invalid Data Section 4: Population and Sampling Specifications Population and Sampling Specifications Section 5: Joint Commission National Quality Core Measure Verification Process (The Joint Commission ORYX Vendors® Only) This section has been moved to the ORYX Technical Implementation Guide and is available to ORYX Vendors via the Joint Commission’s extranet site for measurement systems (PET). Section 6: Joint Commission National Quality Core Measures Data Transmission Joint Commission National Quality Core Measures Data Transmission PC v2014A 2 Transmission Data Elements Transmission Data Processing Flow: Clinical Transmission Data Processing Flow: Population and Sampling Appendices A. ICD-9-CM Code Tables B. Medication Tables C. Glossary of General Terms D. Overview of Measure Information Form and Flowchart Formats E. Miscellaneous Tables F. Resources P. Preview ICD-10-CM Version of Code Tables ICD-9-CM to ICD-10-CM Crosswalk of Code Tables Release Notes Release Notes for Manual v2013B - February 4, 2013 Show previous release notes... Printable Version Download a PDF version of the entire HBIPS Manual Download a PDF version of the entire Perinatal Care Manual Notes Please note that earlier versions of Microsoft Internet Explorer do not clearly display some graphics images. If you have difficulty viewing measure algorithms, please upgrade your browser. This problem has not been reported with other web browsers. Download MS Internet Explorer If you have difficulty viewing PDF documents on the site, please download the latest Adobe Reader application: Download Adobe Reader PC v2014A 3 Acknowledgement No royalty or use fee is required for copying or reprinting this manual, but the following are required as a condition of usage: 1) disclosure that the Specifications Manual is periodically updated, and that the version being copied or reprinted may not be up-to-date when used unless the copier or printer has verified the version to be up-to-date and affirms that, and 2) users participating in Joint Commission accreditation, including ORYX® vendors, are required to update their software and associated documentation based on the published manual production timelines. Example Acknowledgement: The Specifications Manual for Joint Commission National Quality Core Measures [Version XX, Month, Year] is periodically updated by The Joint Commission. Users of the Specifications Manual for Joint Commission National Quality Core Measures must update their software and associated documentation based on the published manual production timelines. PC v2014A 4 Introduction and Background The Joint Commission Quality Initiative In 1987, The Joint Commission announced its Agenda for Change, which outlined a series of major steps designed to modernize the accreditation process. A key component of the Agenda for Change was the eventual introduction of standardized core performance measures into the accreditation process. As the vision to integrate performance measurement into accreditation became more focused, the name ORYX® was chosen for the entire initiative. ORYX® is The Joint Commission’s performance measurement and improvement initiative, which integrates outcomes and other performance measure data into the accreditation process. The ORYX® initiative became operational in March of 1999, when performance measurement systems began transmitting data to The Joint Commission on behalf of accredited hospitals. ORYX® measurement requirements are intended to support Joint Commission accredited organizations in their quality improvement efforts. The initial phase of the ORYX® initiative provided healthcare organizations a great degree of flexibility in terms of the measures that could be reported. Over time, the ORYX® measures have evolved into standardized sets of valid, reliable, and evidence-based quality measures Related Joint Commission Activities Accreditation Process In January 2000, Joint Commission surveyors began using organization-specific ORYX® Pre-Survey Reports, effectively commencing the use of performance measure data in the survey process. In 2004, the survey process was substantially modified to be more data-driven and patient-centered thus enhancing its value, relevance, and credibility. Many of the key components of the survey process utilize data derived from the national hospital inpatient quality measures. The survey process now has a greater focus on evaluating actual care processes because patients are traced through the care, treatment and/or services they receive. In addition, surveyors conduct “systems tracers” to analyze key operational systems that directly impact the quality and safety of patient care. In June 2010 The Joint Commission categorized its process core performance measures into accountability and non-accountability measures. This approach places more emphasis on an organization’s performance on accountability measures – quality measures that meet four criteria designed to identify measures that produce the greatest positive impact on patient outcomes when hospitals demonstrate improvement: Research: Strong scientific evidence demonstrates that performing the evidence-based care process improves health outcomes (either directly or by reducing risk of adverse outcomes). Proximity: Performing the care process is closely connected to the patient outcome; there are relatively few clinical processes that occur after the one that is measured and before the improved outcome occurs. Accuracy: The measure accurately assesses whether or not the care process has actually been provided. That is, the measure should be capable of indicating whether the process has been delivered with sufficient effectiveness to make improved outcomes likely. Adverse Effects: Implementing the measure has little or no chance of inducing unintended adverse consequences. Those measures that were determined not to meet these criteria have been designated as non-accountability measures. Four of the six non-accountability measures that were common between CMS and The Joint Commission were retired by both organizations. The Joint Commission will continue to support the two remaining non-accountability measures (discharge instructions and LVS function assessment [heart failure care]) that are in common with CMS. PC v2014A 5 Beginning in January 2012, The Joint Commission also incorporated a standards-based expectation for minimum performance on ORYX® accountability measures against which hospitals are surveyed and requirements for improvement (RFIs) can be made Data Analysis The Joint Commission has developed a target measure range approach (target analysis) as a basis to evaluate Joint Commission accredited organizations’ rating for the performance measures. The use of target analysis in addition to a control chart is a key feature of the Joint Commission’s analytic methods in the ORYX® initiative. The two analyses are alike in that an organization’s actual (or observed) performance level is evaluated against a comparative norm, but are fundamentally different as to how such a norm is established. In control chart analysis, the norm is determined from an organization’s own historic data so that one may assess the organization’s internal process stability. In target analysis, the norm is obtained based on multiple organizations’ performance data to evaluate an organization’s relative performance level. Therefore, the two analyses evaluate an organization’s performance in two distinct perspectives and, as a result, can provide a more comprehensive framework to assess an organization’s overall performance level. Priority Focus Process The Priority Focus Process (PFP) is a data-driven tool that helps focus survey activity on issues most relevant to patient safety and quality of care at the specific health care organization being surveyed. The survey is directed by a PFP that aggregates organization-specific information through an automated, rules-based tool. Input information includes ORYX® measure data, previous recommendations, demographic data related to clinical service groups and diagnostic-related groups, complaints, sentinel event information, and MedPar data. The process identifies systems and processes that are relevant to patient safety and healthcare quality. ORYX® Performance Measure Report The ORYX® Performance Measure Report assists health care organizations in using their ORYX® data for ongoing performance improvement activities. Joint Commission surveyors receive an identical copy of the report prior to an onsite survey. Surveyors use the report as a guide to understanding how the organization uses and responds to performance measure data. The report, available quarterly, summarizes performance measure information at both the measure set and individual measure level. This includes highlighting measures with standards compliance issues and performance issues. Strategic Surveillance System(S3™) The Strategic Surveillance System is a benefit provided to hospitals accredited by the Joint Commission. S3™ is a tool that provides a series of risk assessment and comparative performance measure reports to help hospitals improve their care processes. Specifically S3™ uses data the Joint Commission currently has, which includes past survey findings, ORYX® core measure data, data from the Office of Quality Monitoring (complaints and non-self reported sentinel events), data from an organization’s electronic application and MedPAR data. Quality Check™ In July 2004, The Joint Commission launched a new generation of reporting healthcare information about the quality and safety of care provided in its accredited healthcare organizations across the country. The Joint Commission's Quality Check™ provides clear, objective data to individuals for the purpose of comparing the performance of local hospitals, home care agencies, nursing homes, laboratories, and ambulatory care organizations with others on state and national levels. Additionally, The Joint Commission provides hospitalspecific information about clinical performance in the care of patients for the ORYX® core measures. In addition, Quality Check™ includes HCAHPs data and the CMS 30-day mortality measures. PC v2014A 6 Individuals are also able to determine how healthcare organizations compare with others in meeting national requirements that help them prevent devastating medical accidents. The requirements specifically seek to avoid misidentification of patients, surgery on the wrong body part, miscommunication among caregivers, unsafe use of infusion pumps, medication mix-ups, problems with equipment alarm systems, and infections acquired in the healthcare setting. Consumers can access Quality Check™ at http://www.qualitycheck.org and search for healthcare organizations by name, type, and/or location. Interactive links to information are designed to help individuals better understand how to use and interpret the information presented. Annual Report Improving America’s Hospitals: The Joint Commission’s Annual Report on Quality and Safety has been released annually since 2008. This comprehensive report summarizes the performance of all Joint Commission-accredited hospitals on ORYX® accountability measures. Top Performers In 2012, The Joint Commission introduced the Top Performers on Key Quality Measures™ program. This initiative recognizes accredited hospitals that attain excellence on accountability measure performance. Related National Activities National Quality Forum The NQF has approved a set of national voluntary consensus standards for measuring the quality of hospital care. These measures will permit consumers, providers, purchasers, and quality improvement professionals to evaluate and compare the quality of care in general acute care hospitals across the nation using a standard set of measures. The majority of the Joint Commission’s measures are endorsed by NQF and are denoted on the measure information forms. National Quality Measures Clearinghouse The National Quality Measures Clearinghouse (NQMC™), sponsored by AHRQ, U.S. Department of HHS, has included Joint Commission measures in its public database for evidence-based quality measures and measure sets. NQMC is sponsored by AHRQ to promote widespread access to quality measures by the healthcare community and other interested individuals. PC v2014A 7 Using The Specifications Manual for Joint Commission National Quality Core Measures This portion of The Specifications Manual provides a brief overview of the information contained within each section of the manual. It is intended for use as a quick reference to assist in the implementation of the Joint Commission national quality core measures. The sections of this manual are interrelated and are most useful when considered together. Section 1: Data Dictionary The Data Dictionary describes the patient-level and facility-level data elements required to capture and calculate individual measurements. It specifies those data elements that must be collected for each patient that falls into the selected measure population and the data elements needed for a specific measure. Section 2 - Measurement Information The HBIPS and PC measure set sections contain specific measure information forms for each measure. This is followed by a data element list for the measures, including the general data elements, algorithm output data elements, and the specific measure data elements. Next is a document that describes the initial patient population and sample size requirements for each measure set. Also included are subsections for each specific measure. These contain a Measure Information Form (MIF) and the Performance Measure Algorithm. The algorithms and data elements needed to calculate each of the Joint Commission national quality core measures are identified in the MIF. Each algorithm provides the logical steps, data element evaluation, arithmetic calculations, and data manipulation steps that are required to calculate a given measure. Section 3: Missing and Invalid Data This section addresses the Joint Commission’s approach to missing and invalid data. Missing data refers to data elements that have no values present for one or more episodes of care and invalid data refers to data element values that fall outside the range of the allowable values. Information and examples are provided on how the “Unable to Determine” (UTD) value is utilized within the measure algorithm and on submission into the Joint Commission’s Data Warehouse. This section also describes the general and measure specific data elements that are required for submission and how missing and/or invalid data will be handled. Section 4: Population and Sampling Methods Sampling is an available option for all Joint Commission national quality core measures if certain requirements are met. This section provides guidance on defining the hospital’s Initial Patient Population and information and examples on the order of data flow, sample size requirements, sampling approaches and the transmission of Initial Patient Population and sample data elements to the Joint Commission’s Data Warehouse. Specific measure set sample size requirements tables are located in the Measure Information section. Section 5 – Joint Commission National Quality Core Measure Verification Process This section has been moved to the ORYX Technical Implementation Guide and is available to ORYX Vendors via the Joint Commission’s extranet site for measurement systems (PET). Section 6 – Joint Commission National Quality Core Measures Data Transmission This section of the manual is provided to highlight the unique data transmission specifications for Joint Commission national quality core measure data. This section is divided into four parts: Joint Commission National Quality Core Measure Data Transmission, Guidelines for Submission of Data, Transmission Data Element List, and PC v2014A 8 Transmission Data Processing Flow. The Joint Commission Data Transmission section provides information related to the transmission of Joint Commission national quality core measure data to the Joint Commission’s Data Warehouse. The Guidelines for Submission of Data includes an overview of the data required to be submitted to the Joint Commission’s Data Warehouse, as well as the Hospital Clinical Data XML file layout and the Hospital Initial Patient Population Data XML file Layout. The Transmission Data Element List describes the data elements that are either used to identify the hospital and measure set associated to the transmitted data or are calculated by the vendor using the hospital’s patient-level data and measure results. These data elements are not used in the Initial Patient Population Algorithms or Measure Algorithms. The Transmission Data Processing Flows contains information regarding the order in which the Joint Commission’s Data Warehouse evaluates the Joint Commission national quality core measures and the population and sampling data. Appendix A - ICD-9-CM Code Tables For many of the measures, eligibility for inclusion or exclusion in the Initial Patient Population of interest is defined by the presence of certain ICD-9-CM diagnosis and procedure codes within the patient-level record. Appendix A contains the ICD-9-CM code tables that define these indicator populations for all measures within each measure set. There is a description of the code as defined in a coding manual and a shortened description that may be used in a data abstraction tool. The Measure Information Section also refers to the codes or tables provided in this section. ICD-9-CM codes are modified by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS). The code tables in this Appendix are evaluated semiannually and modified based on these changes. Potential changes become effective beginning with either April 1st or October 1st discharges. Updates will be provided as indicated. Appendix B – Medication Tables Some of the Joint Commission national quality core measures address the use of certain medications. This Appendix contains tables with the specific names of medications that may be associated with medication categories (e.g., trade names). For example, Haloperidol may also be documented as Haldol. These tables are provided to facilitate appropriate data collection of applicable medications. These tables are not meant to be an inclusive list of all available therapeutic agents; rather they represent current information available at the time of publication. Approved medication tables will be updated regularly. Discrepancies must be reported. See the Resource Section of this manual for contact information. Appendix C – Glossary of General Terms Appendix D – Overview of Measure Information Form and Flowchart Formats Each measure has an associated Measure Information Form and Flowchart (calculation algorithm). This Appendix explains each of the terms used on the Measure Information Form and provides a brief introduction to flowcharting, including an explanation of flowchart symbols. Appendix E – Miscellaneous Tables The tables in this Appendix contain clinical information to supplement the data element dictionary and provide additional details for data abstraction. They are referenced under the data dictionary under the Notes for Abstraction or the Guidelines for Abstraction. Appendix F- Resources This section lists resources that are available to assist with the Joint Commission measures. PC v2014A 9 Appendix P – Preview Section The preview section is intended to provide an overview of future updates. The information provided in this section is not to be programmed or submitted. Placement in this appendix does not assume that the information listed will be implemented in a future manual. PC v2014A 10 Perinatal Care (PC) Set Measures Set Measure ID PC-01 PC-02 PC-03 PC-04 PC-05 Measure Short Name Elective Delivery Cesarean Section Antenatal Steroids Health Care-Associated Bloodstream Infections in Newborns Exclusive Breast Milk Feeding General Data Elements Element Name Birthdate CMS Certification Number Clinical Trial Discharge Date Health Care Organization Identifier Hispanic Ethnicity ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes ICD-9-CM Other Procedure Dates ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code ICD-9-CM Principal Procedure Date Payment Source Race Sex PC v2014A Collected For All Records, Hospital Clinical Data File, Optional for All Records, All Records, All Records, Not collected for HBIPS-2 and HBIPS-3 All Records, Aggregate Data File, Patient Population Data File, Hospital Clinical Data File, All Records, All Records, Optional for HBIPS-2, HBIPS-3 and PBM; Used in algorithm for PC-01, 02, 03, 04, and 05 All Records, Optional for All HBIPS Records; Used in algorithm for PC-01, 02, 04 and 05; All Records, Optional for All HBIPS and PBM Records All Records, Optional for HBIPS-2 and HBIPS-3; Used in algorithm for PC-01, 02, 03, 04, 05 and PBM-03 All Records, Optional for All HBIPS Records; Used in algorithm for PC-01, 02, 04 and 05 All Records, Optional for All HBIPS and PBM Records All Records, Optional for HBIPS-2 and HBIPS-3 All Records, All Records, 11 Algorithm Output Data Elements Element Name Measure Category Assignment Collected For Calculation, Transmission, Hospital Clinical Data File Measure Set Specific Data Elements Element Name Admission Date Admission to NICU Antenatal Steroid Therapy Initiated Birth Weight Bloodstream Infection Present on Admission Discharge Disposition Exclusive Breast Milk Feeding Gestational Age Labor Parity Prior Uterine Surgery Reason for Not Exclusively Feeding Breast Milk Reason for Not Initiating Antenatal Steroid Therapy Spontaneous Rupture of Membranes Collected For PC, PC-05, PC-03, PC-04, PC-04, PC-04, PC-05, PC-05, PC-01, PC-02, PC-03, PC-01, PC-02, PC-01, PC-05, PC-03, PC-01, Related Materials Document Name a. Cover page for the Joint Commission Manual a. Table of Contents a1. Acknowledgment and Conditions of Use a2. Introduction to the Manual a3. Using the The Joint Commission's National Measure Specifications Manual b. Data Dictionary d. Missing and Invalid Data e. Sampling g1. Transmission of Data g2. Transmission Alpha Data Dictionary g3. Transmission Data Processing Flow: Clinical g4. Transmission Data Processing Flow: Population and Sampling z. Appendix A - ICD-9-CM Code Tables z. Appendix B - Medication Tables z. Appendix C - Glossary of Terms z. Appendix D - Overview of Measure Information Form and Flowchart Formats z. Appendix E - Miscellaneous Tables z. Appendix F - Resources z. Appendix P - preview section of ICD-10 Code Tables z. Appendix P of TJC Manual - preview section for ICD-10 crosswalks of code tables PC v2014A 12 Perinatal Care (PC) Initial Patient Population The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. Mothers The population of the PC-Mother measures (PC-01, 02, and 03) are identified using 4 data elements: • • • • Admission Date Birthdate Discharge Date ICD-9-CM Principal or Other Diagnosis Code Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: ICD-9-CM Principal or Other Diagnosis Code as defined in Appendix A, Tables 11.01, 11.02, 11.03, or 11.04, a Patient Age (Admission Date – Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) ≤ 120 days. Note: Hospitals are NOT required to sample their data. If sampling offers minimal benefit (i.e., a hospital has 80 cases for the quarter and must select a sample of 76 cases), or if the hospital has access to a data source which makes medical record review unnecessary (e.g., using vital records as a data source for some of the maternal measures in the perinatal measure set), the hospital may choose to use all cases. Newborns The population of the PC-Newborn measure (PC-04 and 05) are identified using 5 data elements: • Admission Date • Birthdate • Discharge Date (PC-05 only) • ICD-9-CM Principal or Other Diagnosis Code • ICD-9-CM Principal or Other Procedure Code Within the PC-Newborn population, there are two 2 subpopulations, i.e Newborns with Blood Stream Infection or BSI, Newborns with Breast Feeding, each identified by Patient Age at admission and a specific group of diagnosis and procedure codes or lack thereof. The patients in each subpopulation are processed independently through each initial patient population flow. Patients may fall in both subpopulations depending on the presence or absence of the diagnosis codes or procedure codes and other data elements defined by the respective initial patient subpopulations. Measures Initial Patient Population definition PC-04 The count of all patients in PC-Newborns with BSI PC-05 The count of all patients in PC-Newborns with Breast Feeding Patients admitted to the hospital for inpatient acute care are included in one of the PC Newborn subpopulations if they have: Newborns with BSI - Patients with a Newborn Patient Age at admission (Admission Date – Birthdate) ≤ 2 days AND satisfy conditions #1 through #3. 1. NO ICD-9-CM Principal Diagnosis Code as defined in Appendix A, Table 11.10.2, PC v2014A 13 2. ONE of the following: ◦ an ICD-9-CM Other Diagnosis Code as defined in Appendix A, Tables 11.12, 11.13, 11.13.1, 11.14 Or Birth Weight >= 500g and <= 1499g ◦ an ICD-9-CM Other Diagnosis Code as defined in Appendix A, Tables 11.15, 11.16, 11.16.1, 11.17 Or Birth Weight >=1500g with ANY OF THE FOLLOWING: ■ an ICD-9-CM-Principal or Other Procedure Code as defined in Appendix A, Tables 11.18 or 11.19 ■ Discharge Disposition of 6 (expired) or a Missing Discharge Disposition ■ NO ICD-9-CM Principal Diagnosis Code as defined in Appendix A, Table 11.10.3 ◦ Birth Weight Missing or Unable To Determine (UTD). 3. NO ICD-9-CM Other Diagnosis Code as defined in Appendix A, Table 11.20 Or Birth Weight < 500g There is NO sampling for this measure. Newborns with Breast Feeding - Patient Age at admission (Admission Date – Birthdate) ≤ 2 days, Length of Stay (Discharge Date - Admission Date) ≤ 120 days, an ICD-9-CM Principal as defined in Appendix A, Table 11.20.1, NO ICD-9-CM Other Diagnosis Codes as defined in Appendix A, Table 11.21, NO ICD-9-CM-Principal or Other Procedure Code as defined in Appendix A, Table 11.22 and NO ICD-9-CM Other Diagnosis Codes as defined in Appendix A, Table 11.23 are included in this subpopulation and are eligible to be sampled. PC v2014A 14 Initial Patient Population Algorithm PC v2014A 15 PC v2014A 16 PC v2014A 17 Sample Size Requirements Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. A hospital may choose to use a larger sample size than is required. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sampling group cannot sample that sampling group. Hospitals that have five or fewer discharges for the three combined PC sampling groups (both Medicare and non-Medicare combined) in a quarter are not required to submit PC patient level data to the Joint Commission’s Data Warehouse. A hospital may choose to use vital records to identify the PC-Mother Initial Patient Population as given in the Population section earlier. If a hospital uses this method to identify the initial patient population, then the hospital is encouraged to submit all the records of the initial population rather than using sampling to identify the cases for submission. Submitting all the initial patient population provides a more precise estimate of the performance rate for the measures. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. Quarterly Sampling A modified sampling procedure is required for hospitals performing quarterly sampling for PC. Hospitals selecting sample cases must ensure that each individual sampling group Initial Patient Population and sample size meet the following conditions: • Select within the two individual measure sampling groups (mothers and babies). • Select independently from each of the Newborn subpopulation. Hospitals selecting sample cases for the PC-Mothers must ensure that the Initial Patient Population and sample size for this PC sampling group meets the following conditions: Quarterly Sample Size Based on Initial Patient Population for Mothers Hospital's Measure Average Quarterly Initial Patient Sample Group Size “N” Minimum Required Sampling Group Sample Size “n” >= 1501 301 376 – 1500 20% of the Initial Patient Population size 75 – 375 75 < 75 No sampling; 100% of the Initial Patient Population required Within the PC-Newborn population, there are two subpopulations each identified by Patient Age at admission and a specific group of diagnosis and procedure codes or lack thereof: PC v2014A 18 • The PC-Newborns with BSI subpopulation is not eligible for sampling and will use the entire Newborns with BSI Initial Patient subpopulation for reporting. • Hospitals sampling for the PC-Newborns with Breast Feeding must ensure the sample size calculations should be based on the newborns with breast feed subpopulation count ONLY. Hospitals selecting cases for the PC-Newborns with Breastfeeding must ensure that the patient population size for this subpopulation meets the following conditions: Quarterly Sample Size Based on Initial Patient Population for PC-Newborns with Breastfeeding Hospital's Measure Average Quarterly Initial Patient Sample Group Size “N” Minimum Required Sample Size “n” >= 541 109 136 – 540 20% of the Initial Patient Population size 27 – 135 27 < 27 No sampling; 100% of Initial Patient Population required Monthly Sampling Hospitals selecting sample cases for the Mothers must ensure that the Initial Patient Population and sample size for this sampling group meets the following conditions: Monthly Sample Size Based on Initial Patient Population for Mothers Hospital's Measure Average Monthly Initial Patient Sample Group Size “N” Minimum Required Sampling Group Sample Size “n” >= 501 101 126 – 500 20% of the Initial Patient Population 25 – 125 25 < 25 No sampling; 100% Initial Patient Population required Within the PC-Newborn population, there are two sampling groups each identified by Patient Age at admission and a specific group of diagnosis codes, or lack there of: • The PC-Newborns with BSI subpopulation is not eligible for sampling and will use the entire Newborns with BSI Initial Patient subpopulation for reporting. • Hospitals sampling for the PC-Newborns with Breast Feeding must ensure the sample size calculations should be based on the newborns with breast feed subpopulation count ONLY. Hospitals selecting cases for the PC-Newborns with Breastfeeding must ensure that the patient population size for this subpopulation meets the following conditions: PC v2014A 19 Monthly Sample Size Based on Initial Patient Population for Newborns with Breast Feeding Hospital's Measure Average Monthly Initial Patient Sample Group Size “N” Minimum Required Sampling Group Sample Size “n” >= 181 37 46 – 180 20% of the Initial Patient Population 9 – 45 9 <9 No sampling; 100% Initial Patient Population required Sample Size Examples Note: PC-Mothers: All sampling groups in PC-Mother population should be used in the calculation of all PC-Mother measures. All of the PC measures' specific exclusion criteria are used to filter out cases that do not belong in the measure denominator. PC-Newborns: Cases falling within each newborns subpopulation should be run through the respective Newborn measures only. Cases falling in the Newborns with BSI subpopulation ONLY will flow through the PC-04 measure and cases falling in the Newborns with Breast Feeding subpopulation ONLY will flow through the PC-05 measure only. Cases may fall in both subpopulations and in such scenarios will be processed through both measures. It should be noted that cases should be processed independently through each of newborn initial subpopulation flows to obtain cases for sampling and abstraction. Quarterly Sampling Mother Population • A hospital’s Mother Population size is 2300 cases during the second quarter. Using the quarterly sampling table for the Mother population, the sample size required is 301 cases for the quarter. • A hospital’s Mother Population size is 1500 cases during the second quarter. Using the quarterly sampling table for the Mother population, the sample size required is 20% of this sub-population or 300 cases for the quarter. • A hospital’s Mother Population size is 300 cases during the second quarter. Using the quarterly sampling table for the Mother population, the sample size required 75 cases for the quarter. • A hospital’s Mother Population size is 72 cases during the second quarter. Using the quarterly sampling table for the Mother population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 72 cases are sampled. Newborns with Breast Feeding • A hospital’s Newborns with Breast Feeding Population size is 600 cases during the second quarter. Using the quarterly sampling table for the Newborns with Breast Feeding population, the sample size required is 109 cases. • A hospital’s Newborns with Breast Feeding Population size is 350 cases during the second quarter. Using the quarterly sampling table for the Newborns with Breast Feeding population, the sample size required is 20% of this sub-population or 70 cases for the quarter . • A hospital’s Newborns with Breast Feeding Population size is 99 cases during the second quarter. Using the quarterly sampling table for the Newborns with Breast Feeding population, the sample size required 27 cases for the quarter. PC v2014A 20 • A hospital’s Newborns with Breast Feeding Population size is 25 cases during the second quarter. Using the quarterly sampling table for the Newborns with Breast Feeding population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub -population or all 25 cases are sampled. Newborns with BSI The Newborns with BSI population is not eligible for sampling and will use the entire Newborns with BSI Initial Patient sampling group for reporting. Monthly Sampling Mother Population • A hospital’s Mother Population size is 510 cases during March. Using the monthly sampling table for the Mother population, the sample size required is 101 cases for the month. • A hospital’s Mother Population size is 400 cases during March. Using the monthly sampling table for the Mother population, the sample size required is 20% of this sub-population or 80 cases for the month. • A hospital’s Mother Population size is 125 cases during March. Using the monthly sampling table for the Mother population, the sample size required is 25 cases for the month. • A hospital’s Mother Population size is 20 cases during March. Using the quarterly sampling table for the Mothers population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 20 cases are sampled. Newborns with Breast Feeding • A hospital’s Newborns with Breast Feeding Population size is 200 cases for the month of March. Using the monthly sampling table for the Newborns with Breast Feeding population, the sample size required is 37 cases. • A hospital’s Newborns with Breast Feeding Population size is 100 cases for the month of March. Using the monthly sampling table for the Newborns with Breast Feeding population, the sample size required is 20% of this sub-population or 20 cases for the month. • A hospital’s Newborns with Breast Feeding Population size is 30 cases for the month of March. Using the monthly sampling table for the Newborns with Breast Feeding population, the sample size required 9 cases for the month. • A hospital’s Newborns with Breast Feeding Population size is 8 cases during the second quarter. Using the monthly sampling table for the Newborns with Breast Feeding population, the sample size is less than the minimum required monthly sample size, so 100% of this subpopulation or all 8 cases are sampled. Newborns with BSI The Newborns with BSI population is not eligible for sampling and will use the entire Newborns with BSI Initial Patient sampling group for reporting. PC v2014A 21 **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Information Form Measure Set: Perinatal Care(PC) Set Measure ID: PC-01 Performance Measure Name: Elective Delivery Description: Patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39 weeks of gestation completed Rationale: For almost 3 decades, the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have had in place a standard requiring 39 completed weeks gestation prior to ELECTIVE delivery, either vaginal or operative (ACOG, 1996). A survey conducted in 2007 of almost 20,000 births in HCA hospitals throughout the U.S. carried out in conjunction with the March of Dimes at the request of ACOG revealed that almost 1/3 of all babies delivered in the United States are electively delivered with 5% of all deliveries in the U.S. delivered in a manner violating ACOG/AAP guidelines. Most of these are for convenience, and result in significant short term neonatal morbidity (neonatal intensive care unit admission rates of 13- 21%) (Clark et al., 2009). According to Glantz (2005), compared to spontaneous labor, elective inductions result in more cesarean deliveries and longer maternal length of stay. The American Academy of Family Physicians (2000) also notes that elective induction doubles the cesarean delivery rate. Repeat elective cesarean sections before 39 weeks gestation also result in higher rates of adverse respiratory outcomes, mechanical ventilation, sepsis and hypoglycemia for the newborns (Tita et al., 2009). Type of Measure: Process Improvement Noted As: Decrease in the rate Numerator Statement: Patients with elective deliveries Included Populations: ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes for one or more of the following: • Medical induction of labor as defined in Appendix A, Table 11.05 • Cesarean section as defined in Appendix A, Table 11.06 and all of the following: ◦ not in Labor ◦ not experiencing Spontaneous Rupture of Membranes ◦ no history of a Prior Uterine Surgery Excluded Populations: None Data Elements: • ICD-9-CM Other Procedure Codes • ICD-9-CM Principal Procedure Code PC v2014A 22 • Labor • Prior Uterine Surgery • Spontaneous Rupture of Membranes Denominator Statement: Patients delivering newborns with >= 37 and < 39 weeks of gestation completed Included Populations: • ICD-9-CM Principal or Other Diagnosis Codes for pregnancy as defined in Appendix A, Tables 11.01, 11.02, 11.03 or 11.04 • ICD-9-CM Principal Diagnosis Code or ICD-9-CM Other Diagnosis Codes for planned cesarean section in labor as defined in Appendix A, Table 11.06.1 Excluded Populations: • ICD-9-CM Principal Diagnosis Code or ICD-9-CM Other Diagnosis Codes for conditions possibly justifying elective delivery prior to 39 weeks gestation as defined in Appendix A, Table 11.07 • Less than 8 years of age • Greater than or equal to 65 years of age • Length of stay > 120 days • Enrolled in clinical trials • Gestational Age < 37 or >= 39 weeks Data Elements: • • • • • • • Admission Date Birthdate Clinical Trial Discharge Date Gestational Age ICD-9-CM Other Diagnosis Codes ICD-9-CM Principal Diagnosis Code Risk Adjustment: No. Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Data Accuracy: Variation may exist in the assignment of ICD-9-CM codes; therefore, coding practices may require evaluation to ensure consistency. Measure Analysis Suggestions: In order to identify areas for improvement, hospitals may want to review results based on specific ICD-9 codes or patient populations. Data could be analyzed further to determine specific patterns or trends to help reduce elective deliveries. Sampling: Yes. For additional information see the Sampling Section. Data Reported As: Aggregate rate generated from count data reported as a proportion. Selected References: PC v2014A 23 • American Academy of Family Physicians. (2000). Tips from Other Journals: Elective induction doubles cesarean delivery rate, 61, 4.Retrieved December 29, 2008 at: http://www.aafp.org/afp/20000215/tips/39.html. • American College of Obstetricians and Gynecologists. (November 1996). ACOG Educational Bulletin. • Clark, S., Miller, D., Belfort, M., Dildy, G., Frye, D., & Meyers, J. (2009). Neonatal and maternal outcomes associated with elective delivery. [Electronic Version]. Am J Obstet Gynecol. 200:156.e1-156.e4. • Glantz, J. (Apr.2005). Elective induction vs. spontaneous labor associations and outcomes. [Electronic Version]. J Reprod Med. 50(4):235-40. • Tita, A., Landon, M., Spong, C., Lai, Y., Leveno, K., Varner, M, et al. (2009). Timing of elective repeat cesarean delivery at term and neonatal outcomes. [Electronic Version]. NEJM. 360:2, 111-120. Original Performance Measure Source / Developer: Hospital Corporation of America-Women's and Children's Clinical Services Adopted for CMS Hospital Inpatient Quality Reporting Program FY 2015 and Stage 2 Medicare and Medicaid EHR Incentive Program Measure Algorithm: PC v2014A 24 PC v2014A 25 PC v2014A 26 **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Information Form Measure Set: Perinatal Care(PC) Set Measure ID: PC-02 Performance Measure Name: Cesarean Section Description: Nulliparous women with a term, singleton baby in a vertex position delivered by cesarean section Rationale: The removal of any pressure to not perform a cesarean birth has led to a skyrocketing of hospital, state and national cesarean section (CS) rates. Some hospitals now have CS rates over 50%. Hospitals with CS rates at 15-20% have infant outcomes that are just as good and better maternal outcomes (Gould et al., 2004). There are no data that higher rates improve any outcomes, yet the CS rates continue to rise. This measure seeks to focus attention on the most variable portion of the CS epidemic, the term labor CS in nulliparous women. This population segment accounts for the large majority of the variable portion of the CS rate, and is the area most affected by subjectivity. As compared to other CS measures, what is different about NTSV CS rate (Low-risk Primary CS in first births) is that there are clear cut quality improvement activities that can be done to address the differences. Main et al. (2006) found that over 60% of the variation among hospitals can be attributed to first birth labor induction rates and first birth early labor admission rates. The results showed if labor was forced when the cervix was not ready the outcomes were poorer. Alfirevic et al. (2004) also showed that labor and delivery guidelines can make a difference in labor outcomes. Many authors have shown that physician factors, rather than patient characteristics or obstetric diagnoses are the major driver for the difference in rates within a hospital (Berkowitz, et al., 1989; Goyert et al., 1989; Luthy et al., 2003). The dramatic variation in NTSV rates seen in all populations studied is striking according to Menacker (2006). Hospitals within a state (Coonrod et al., 2008; California Office of Statewide Hospital Planning and Development [OSHPD], 2007) and physicians within a hospital (Main, 1999) have rates with a 3-5 fold variation. Type of Measure: Outcome Improvement Noted As: Decrease in the rate Numerator Statement: Patients with cesarean sections Included Populations: ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes for cesarean section as defined in Appendix A, Table 11.06 Excluded Populations: None Data Elements: • ICD-9-CM Other Procedure Codes • ICD-9-CM Principal Procedure Code PC v2014A 27 Denominator Statement: Nulliparous patients delivered of a live term singleton newborn in vertex presentation Included Populations: • ICD-9-CM Principal or Other Diagnosis Codes for pregnancy as defined in Appendix A, Tables 11.01, 11.02, 11.03 or 11.04 • Nulliparous patients with ICD-9-CM Principal Diagnosis Code or ICD-9-CM Other Diagnosis Codes for outcome of delivery as defined in Appendix A, Table 11.08 and with a delivery of a newborn with 37 weeks or more of gestation completed Excluded Populations: ICD-9-CM Principal Diagnosis Code or ICD-9-CM Other Diagnosis Codes, for contraindications to vaginal delivery as defined in Appendix A, Table 11.09 • • • • • Less than 8 years of age Greater than or equal to 65 years of age Length of Stay >120 days Enrolled in clinical trials Gestational Age < 37 weeks Data Elements: • • • • • • • • • • Admission Date Birthdate Clinical Trial Discharge Date Gestational Age ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code Parity Risk Adjustment: Yes. Applied through direct standardization. This section has been moved to the ORYX Risk Adjustment Guide. This guide is available to the public on the Joint Commission’s website and, in addition, it is available to performance measurement systems via the Joint Commission’s extranet site for measurement systems (PET) Data Elements • Birthdate Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Data Accuracy: Variation may exist in the assignment of ICD-9-CM codes; therefore, coding practices may require evaluation to ensure consistency. Measure Analysis Suggestions: In order to identify areas for improvement, hospitals may want to review results based on specific ICD-9 codes or patient populations. Data could then be analyzed further determine specific patterns or trends to help reduce cesarean sections. Sampling: Yes. For additional information see the Sampling Section. PC v2014A 28 Data Reported As: Aggregate rate generated from count data reported as a proportion. Selected References: • Agency for Healthcare Research and Quality. (2002). AHRQ Quality Indicators—Guide to Inpatient Quality Indicators: Quality of Care in Hospitals—Volume, Mortality, and Utilization. Revision 4 (December 22, 2004). AHRQ Pub. No. 02-RO204. • Alfirevic, Z., Edwards, G., & Platt, M.J. (2004). The impact of delivery suite guidelines on intrapartum care in “standard primigravida.” Eur J Obstet Gynecol Reprod Biol.115:28-31. • American College of Obstetricians and Gynecologists. (2000). Task Force on Cesarean Delivery Rates. Evaluation of Cesarean Delivery. (Developed under the direction of the Task Force on Cesarean Delivery Rates, Roger K. Freeman, MD, Chair, Arnold W. Cohen, MD, Richard Depp III, MD, Fredric D. Frigoletto Jr, MD, Gary D.V. Hankins, MD, Ellice Lieberman, MD, DrPH, M. Kathryn Menard, MD, David A. Nagey, MD, Carol W. Saffold, MD, Lisa Sams, RNC, MSN and ACOG Staff: Stanley Zinberg, MD, MS, Debra A. Hawks, MPH, and Elizabeth Steele). • Bailit, J.L., Garrett, J.M., Miller, W.C., McMahon, M.J., & Cefalo, R.C. (2002). Hospital primary cesarean delivery rates and the risk of poor neonatal outcomes. Am J Obstet Gynecol. 187 (3):721-7. • Bailit, J. & Garrett, J. (2003). Comparison of risk-adjustment methodologies. Am J Obstet Gynecol.102:45-51. • Bailit, J.L., Love, T.E., & Dawson, N.V. (2006). Quality of obstetric care and risk-adjusted primary cesarean delivery rates. Am J Obstet Gynecol.194:402. • Bailit, J.L. (2007). Measuring the quality of inpatient obstetrical care. Ob Gyn Sur. 62:207213. • Berkowitz, G.S., Fiarman, G.S., Mojica, M.A., et al. (1989). Effect of physician characteristics on the cesarean birth rate. Am J Obstet Gynecol. 161:146-9. • California Office of Statewide Hospital Planning and Development. (2006). Utilization Rates for Selected Medical Procedures in California Hospitals, Retrieved from the Internet on February 11, 2010 at: http://www.oshpd.ca.gov/HID/Products/PatDischargeData/ResearchReports/HospIPQualInd/Vo -Util_IndicatorsRpt/2007Util.pdf • Cleary, R., Beard, R.W., Chapple, J., Coles, J., Griffin, M., & Joffe, M. (1996). The standard primipara as a basis for inter-unit comparisons of maternity care. Br J Obstet Gynecol. 103:223-9. • Coonrod, D.V., Drachman, D., Hobson, P., & Manriquez, M. (2008). Nulliparous term singleton vertex cesarean delivery rates: institutional and individual level predictors. Am J Obstet Gynecol. 694-696. • DiGiuseppe, D.L., Aron, D.C., Payne, S.M., Snow, R.J., Dieker, L., & Rosenthal, G.E. (2001). Risk adjusting cesarean delivery rates: a comparison of hospital profiles based on medical record and birth certificate data. Health Serv Res.36:959-77. • Gould, J., Danielson, B., Korst, L., Phibbs, R., Chance, K.,& Main, E.K., et al. (2004). Cesarean delivery rate and neonatal morbidity in a low-risk population. Am J Obstet Gynecol, 104:11-19. • Goyert, G.L., Bottoms, F.S., Treadwell, M.C., et al. (1989). The physician factor in cesarean birth rates. N Engl J Med.320:706-9. • Le Ray, C., Carayol, M., Zeitlin, J., Berat, G., & Goffinet, F. (2006). Level of perinatal care of the maternity unit and rate of cesarean in low-risk nulliparas. Am J Obstet Gynecol. 107:126977. • Luthy, D.A., Malmgren, J.A., Zingheim, R.W., & Leininger, C.J. (2003). Physician contribution to a cesarean delivery risk model. Am J Obstet Gynecol.188:1579-85. • Main, E.K. (1999). Reducing cesarean birth rates with data-driven quality improvement activities. Peds. 103: 374-383. PC v2014A 29 • Main E.K., Bloomfield, L., & Hunt, G. (2004). Development of a large-scale obstetric qualityimprovement program that focused on the nulliparous patient at term. Am J Obstet Gynecol.190:1747-58. • Main, E.K., Moore, D., Farrell, B., Schimmel, L.D., Altman, R.J., Abrahams, C., et al., (2006). Is there a useful cesarean birth measure? Assessment of the nulliparous term singleton vertex cesarean birth rate as a tool for obstetric quality improvement. Am J Obstet Gynecol. 194:1644-51. • Menacker, F. (2005).Trends in cesarean rates for first births and repeat cesarean rates for low-risk women: United States, 1990-2003. Nat Vital Stat Rep. 54(4): 1-5. • Romano, P.S., Yasmeen, S., Schembri, M.E., Keyzer, J.M., & Gilbert, W.M. (2005). Coding of perineal lacerations and other complications of obstetric care in hospital discharge data. Am J Obstet Gynecol.106:717-25. • U.S. Department of Health and Human Services. (2000). Healthy People 2010: Understanding and Improving Health. 2nd ed. Washington, DC: U.S. Government Printing Office. Measure 16-9. • Yasmeen, S., Romano, P.S., Schembri, M.E., Keyzer, J.M., & Gilbert, W.M. (2006). Accuracy of obstetric diagnoses and procedures in hospital discharge data. Am J Obstet Gynecol. 194:992-1001. Original Performance Measure Source / Developer: California Maternal Quality Care Collaborative Measure Algorithm: PC v2014A 30 PC v2014A 31 PC v2014A 32 **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Information Form Measure Set: Perinatal Care(PC) Set Measure ID: PC-03 Performance Measure Name: Antenatal Steroids Description: Patients at risk of preterm delivery at >=24 and <32 weeks gestation receiving antenatal steroids prior to delivering preterm newborns Rationale: The National Institutes of Health 1994 recommendation is to give a full course of corticosteroids to all pregnant women between 24 weeks and 34 weeks of gestation who are at risk of preterm delivery. Repeated corticosteroid courses should not be used routinely, because clinical trials show decreased brain size, decreased birth weight, and adrenal insufficiency in newborns exposed to repeated doses. Treatment should consist of two doses of 12 mg of betamethasone given intramuscularly 24 hours apart or four doses of 6 mg dexamethasone given intramuscularly every 12 hours. A full course of antenatal corticosteroids should be administered to women with premature rupture of membranes (PROM) before 32 weeks of gestation to reduce the risks of respiratory distress syndrome, prenatal mortality, and other morbidities. The efficacy of corticosteroid use at 32-34 completed weeks of gestation is unclear based on available evidence, but treatment may be beneficial, particularly if pulmonary immaturity is documented (Lockwood & Lemons, 2007). Type of Measure: Process Improvement Noted As: Increase in the rate Numerator Statement: Patients with antenatal steroid therapy initiated prior to delivering preterm newborns Included Populations: Antenatal steroid therapy initiated (refer to Appendix B, Table 11.0, antenatal steroid medications) Excluded Populations: None Data Elements: • Antenatal Steroid Therapy Initiated Denominator Statement: Patients delivering live preterm newborns with >=24 and <32 weeks gestation completed Included Populations: • ICD-9-CM Principal or Other Diagnosis Codes for pregnancy as defined in Appendix A, Tables 11.01, 11.02, 11.03 or 11.04 Excluded Populations: PC v2014A 33 • • • • • • Less than 8 years of age Greater than or equal to 65 years of age Length of Stay >120 days Enrolled in clinical trials Documented Reason for Not Initiating Antenatal Steroid Therapy ICD-9-CM Principal Diagnosis Code or ICD-9-CM Other Diagnosis Codes for fetal demise as defined in Appendix A, Table 11.09.1 • Gestational Age < 24 or >= 32 weeks Data Elements: • • • • • • • • Admission Date Birthdate Clinical Trial Discharge Date Gestational Age ICD-9-CM Other Diagnosis Codes ICD-9-CM Principal Diagnosis Code Reason for Not Initiating Antenatal Steroid Therapy Risk Adjustment: No. Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Data are collected as weeks and days of gestation, but the vendor converts to total days of gestation for data transmission and measure calculation. Data Accuracy: Variation may exist in the assignment of ICD-9-CM codes; therefore, coding practices may require evaluation to ensure consistency. Measure Analysis Suggestions: In order to identify areas for improvement in antenatal steroid administration rates, hospitals may wish to review documentation for reasons. Education efforts can be targeted based on the specific reasons identified. Sampling: Yes. For additional information see the Sampling Section. Data Reported As: Aggregate rate generated from count data reported as a proportion. Selected References: • Lockwood, C.J., ed. & Lemons, J.A., ed. (2007). Guidelines for Perinatal Care, Sixth Edition, American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, ISBN 978-1-58110-270-3; ISBN 978-1-932328-36-3, pp. 178-181. • NIH Consensus Development Conference Statement: The Effect of Corticosteroids for Fetal Maturation on Perinatal Outcomes. February 28-March 2, 1994. Original Performance Measure Source / Developer: Providence St Vincent’s Hospital/Council of Women and Infant’s Specialty Hospitals Measure Algorithm: PC v2014A 34 PC v2014A 35 **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Information Form Measure Set: Perinatal Care(PC) Set Measure ID: PC-04 Performance Measure Name: Health Care-Associated Bloodstream Infections in Newborns Description: Staphylococcal and gram negative septicemias or bacteremias in high-risk newborns Rationale: Health care-associated bacteremia is significant problem for infants admitted into neonatal intensive care units (NICUs) and other hospital units. This is especially true for very low birth weight infants who are at high risk for these infections due to their immature immune systems and need for invasive monitoring and supportive care (Adams-Chapman & Stoll, 2002; Bloom et al., 2003; Clark et al., 2004a; Clark et al., 2004b; Gaynes et al., 1996; Payne et al., 2004; Sohn et al., 2001; Stoll et al., 2002). Reported health care-associated infection rates range from 6% to 33%, but the rate varies widely among different centers (Adams-Chapman & Stoll, 2002; Bloom et al.,2003; Clark et al.,2004b ; Sohn et al.,2001; Stoll et al.,2002). Mortality rates are high and infections result in increased length of stay as well as increased hospital costs and charges (Adams-Chapman & Stoll, 2002; Bloom et al.,2003; Clark et al., 2004b; Horbar et al., 2001; Kilbride et al., 2003a; Sohn et al.,2001; Stoll et al., 2002). The incidence of health care-associated bacteremia increases with decreasing birth weight. Other risk factors include central venous catheter use, prolonged time using parenteral nutrition, prolonged time on mechanical ventilation, use of H2-blocking agents, and overcrowding or heavy staff loads (Adams-Chapman & Stoll, 2002; Barton et al., 1999; Gaynes et al., 1996; Stoll et al., 2002). The most common causative organisms are coagulase-negative staphylococci, Staphylococcus aureus, enterococci, Enterobacter sp, and Escherichia coli (Adams-Chapman & Stoll, 2002; Clark et al., 2004b; Gaynes et al., 1996; Horbar et al., 2001; Payne et al., 2004; Sohn et al., 2001; Stoll et al., 2002). Effective preventive measures range from simple hand-washing protocols or closed medication delivery systems to more elaborate multidisciplinary quality improvement plans involving handwashing, nutrition, skin care, respiratory care, vascular access, and diagnostic practices. All of these interventions have been shown to substantially reduce infection rates, albeit in nonrandomized studies using historical or concurrent control units (Adams-Chapman & Stoll, 2002; Aly et al., 2005; Bloom et al., 2003; Clark et al., 2004a; Clark et al., 2004b; Horbar et al., 2001; Lam et al., 2004; Kilbride et al., 2003a; Kilbride et al., 2003b; Ng et al., 2004; Schelonka et al., 2006). For example, six Vermont Oxford Network NICUs reduced their rates of coagulase-negative staphylococcus infections from 22.0% in 1994 to 16.6% in 1996 after implementing a quality improvement model (versus a much smaller decrease from 15.4% to 14.5% at 66 comparison NICUs) (Horbar et al., 2001). A similar reduction from 24.6% to 16.4% was achieved with a multimodality, multi-hospital intervention focusing on hand hygiene with an effective agent before and after every patient contact, eliminating hand jewelry and artificial nails, using maximal barrier precautions during central venous catheter insertion, decreasing the number of skin punctures, reducing the duration of intravenous lipid and deep line use, and improving the diagnosis of health care-associated infections. (Kilbride et al., 2003a; Kilbride et al., 2003b). PC v2014A 36 Given the fragility and susceptibility of the patient population, a baseline level of health careassociated infections will be expected, even with good protocols in place. However, those centers that have prevention protocols, and are able to encourage health care workers to adhere to these protocols, will probably have success in reducing their rates of health care-associated bacteremia in their neonatal population. Indeed, several quasi-experimental studies have demonstrated that NICUs can lower their infection rates (based on positive blood cultures) from as high as 13.5 per 1,000 patient days to as low as 3.0 per 1,000 patient days( Adams-Chapman & Stoll, 2002; Aly et al., 2005; Bloom et al. ,2003; Clark et al., 2004a; Clark et al., 2004b; Horbar et al., 2001; Lam et al., 2004; Kilbride et al., 2003a; Kilbride et al., 2003b; Ng et al., 2004; Schelonka et al., 2006). Type of Measure: Outcome Improvement Noted As: Decrease in the rate Numerator Statement: Newborns with septicemia or bacteremia Included Populations: • ICD-9-CM Other Diagnosis Codes for newborn septicemia or bacteremia as defined in Appendix A, Table 11.10 OR • ICD-9-CM Other Diagnosis Codes for sepsis as defined in Appendix A, Table 11.10.1 Excluded Populations: None Data Elements: • ICD-9-CM Other Diagnosis Codes Denominator Statement: Liveborn newborns Included Populations: • ICD-9-CM Other Diagnosis Codes for birth weight between 500 and 1499g as defined in Appendix A, Table 11.12, 11.13, 11.13.1 or 11.14 OR Birth Weight between 500 and 1499g OR • ICD-9-CM Other Diagnosis Codes for birth weight ≥ 1500g as defined in Appendix A, Table 11.15,11.16, 11.16.1 or 11.17 OR Birth Weight ≥ 1500g who experienced one or more of the following: ◦ Experienced death ◦ ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes for major surgery as defined in Appendix A, Table 11.18 ◦ ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes for mechanical ventilation as defined in Appendix A, Table 11.19 ◦ Transferred in from another acute care hospital or health care setting within 2 days of birth Excluded Populations: PC v2014A 37 • ICD-9-CM Principal Diagnosis Code for septicemias or bacteremias as defined in Appendix A, Table 11.10.2 • ICD-9-CM Other Diagnosis Codes for septicemias or bacteremias as defined in Appendix A, Table 11.10.2 or ICD-9-CM Principal or Other Diagnosis Codes for newborn septicemia or bacteremia as defined in Appendix A, Table 11.10 with a Bloodstream Infection Present on Admission • ICD-9-CM Other Diagnosis Codes for birth weight < 500g as defined in Appendix A, Table 11.20 OR Birth Weight < 500g • Enrolled in clinical trials • Length of Stay < 2 days Data Elements: • • • • • • • • • • • Admission Date Birth Weight Birthdate Bloodstream Infection Present on Admission Clinical Trial Discharge Date Discharge Disposition ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code Risk Adjustment: Yes. This section has been moved to the ORYX Risk Adjustment Guide. This guide is available to the public on the Joint Commission’s website and, in addition, it is available to performance measurement systems via the Joint Commission’s extranet site for measurement systems (PET). Data Elements: • • • • Birth Weight Discharge Disposition ICD-9-CM Principal Diagnosis Code ICD-9-CM Other Diagnosis Codes Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Data Accuracy: * Variation may exist in the assignment of ICD-9-CM codes; therefore, coding practices may require evaluation to ensure consistency. • Since Birth Weight is a risk factor for hospital associated blood stream infections in newborns, ICD-9-CM codes have been provided in Appendix A, Tables 11.12-11.17, 11.20 to assist in identifying newborns with prematurity and fetal growth retardation with a fifth digit subclassification to denote birth weight (less than 500 grams up to birth weight 2000-2499 grams). Therefore, newborns with birth weights greater than or equal to 2500 grams will need to be captured using the data element Birth Weight. • It is important to ensure that all weight conversions from pounds and ounces to grams are accurate and concise. Birth Weight should not be rounded off i.e., when converting from pounds and ounces to grams, do not round to the nearest pound before converting the weight to grams. PC v2014A 38 • Discrepancies can occur between Birth Weights obtained from labor and delivery vs. nursery departments. Organizations should determine which is the most reliable source for this data element value and consistently obtain it from that source. Measure Analysis Suggestions: In order to identify areas for improvement, hospitals may want to review results based on specific ICD-9 codes or patient populations. Data could then be analyzed further determine specific patterns or trends to help reduce bloodstream infections. Sampling: No. For additional information see the Sampling Section. Data Reported As: Aggregate rate generated from count data reported as a proportion. Selected References: • Adams-Chapman, I. & Stoll, B.J. (2002). Prevention of nosocomial infections in the neonatal intensive care unit. Current Opinion in Pediatrics.14 (2):157-64. • Aly, H., Herson, V., Duncan, A., et al. (2005). Is bloodstream infection preventable among premature infants? A tale of two cities. Pediatrics. 115(6):1513-8. • Barton, L., Hodgman, J.E., & Pavlova, Z. (1999). Causes of death in the extremely low birth weight infant. Pediatrics. 103(2):446-51. • Bloom, B.T., Craddock, A., Delmore, P.M., et al. (2003). Reducing acquired infections in the NICU: observing and implementing meaningful differences in process between high and low acquired infection rate centers. Journal of Perinatology. 23(6):489-92. • Clark, R., Powers, R., White, R., Bloom, B., Sanchez, P., & Benjamin, D.K., Jr. (2004a). Prevention and treatment of nosocomial sepsis in the NICU. Journal of Perinatology. 4; 24 (7):446-53. • Clark, R., Powers, R., White, R., Bloom, B., Sanchez, P., & Benjamin, D.K., Jr. (2004b). Nosocomial infection in the NICU: a medical complication or unavoidable problem? Journal of Perinatology. 24(6):382-8. • Gaynes, R.P., Edwards, J.R., Jarvis, W.R., Culver, D.H., Tolson, J.S., & Martone, W.J. (1996). Nosocomial infections among neonates in high-risk nurseries in the United States. National Nosocomial Infections Surveillance System. Pediatrics. 98(3 Pt 1):357-61. • Horbar, J.D., Rogowski, J., Plsek, P.E., et al. (2001). Collaborative quality improvement for neonatal intensive care. NIC/Q Project Investigators of the Vermont Oxford Network. Pediatrics. 107(1):14-22. • Kilbride, H.W., Wirtschafter, D.D., Powers, R.J., & Sheehan, M.B. (2003a). Implementation of evidence-based potentially better practices to decrease nosocomial infections. Pediatrics. 111 (4 Pt 2):e519-33. • Kilbride, H.W., Powers, R., Wirtschafter, D.D., et al. (2003b). Evaluation and development of potentially better practices to prevent neonatal nosocomial bacteremia. Pediatrics. 111(4 Pt 2):e504-18. • Lam, B.C., Lee, J., & Lau, Y.L. (2004). Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection. Pediatrics.114 (5):e565. • Ng, P.C., Wong, H.L., Lyon, D.J., et al. (2004). Combined use of alcohol hand rub and gloves reduces the incidence of late onset infection in very low birthweight infants. Archives of Disease in Childhood Fetal & Neonatal Edition. 89(4):F336-40. • Payne, N.R., Carpenter, J.H., Badger, G.J., Horbar, J.D., & Rogowski, J. (2004). Marginal increase in cost and excess length of stay associated with nosocomial bloodstream infections in surviving very low birth weight infants. Pediatrics. 114(2):348-55. • Schelonka, R.L., Scruggs, S., Nichols, K., Dimmitt, R.A., & Carlo, W.A. (2006). Sustained reductions in neonatal nosocomial infection rates following a comprehensive infection control intervention. Journal of Perinatology. 26(3):176-9. PC v2014A 39 • Sohn, A.H., Garrett, D.O., Sinkowitz-Cochran, R.L., et al. (2001). Prevalence of nosocomial infections in neonatal intensive care unit patients: Results from the first national pointprevalence survey. Journal of Pediatrics. 139(6):821-7. • Stoll, B.J., Hansen, N., Fanaroff, A.A., et al. (2002). Late-onset sepsis in very low birth weight neonates: the experience of the NICHD Neonatal Research Network. Pediatrics. 110(2 Pt 1):285-91. Original Performance Measure Source / Developer: Agency for Healthcare Research and Quality Measure Algorithm: PC v2014A 40 PC v2014A 41 PC v2014A 42 PC v2014A 43 **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Information Form Measure Set: Perinatal Care(PC) Set Measure ID: PC-05 Set Measure ID Performance Measure Name PC-05a Exclusive Breast Milk Feeding Considering Mother's Choice Performance Measure Name: Exclusive Breast Milk Feeding Description: • PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization • PC-05a Exclusive breast milk feeding during the newborn’s entire hospitalization considering mother’s choice The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization, and a second rate, a subset of the first, which includes only those newborns that were exclusively fed breast milk during the entire hospitalization excluding those whose mothers chose not to breast feed. Rationale: Exclusive breast milk feeding for the first 6 months of neonatal life has long been the expressed goal of World Health Organization (WHO), Department of Health and Human Services (DHHS), American Academy of Pediatrics (AAP) and American College of Obstetricians and Gynecologists (ACOG). ACOG has recently reiterated its position (ACOG, 2007). A recent Cochrane review substantiates the benefits (Kramer et al., 2002). Much evidence has now focused on the prenatal and intrapartum period as critical for the success of exclusive (or any) BF (Centers for Disease Control and Prevention [CDC], 2007; Petrova et al., 2007; Shealy et al., 2005; Taveras et al., 2004). Exclusive breast milk feeding rate during birth hospital stay has been calculated by the California Department of Public Health for the last several years using newborn genetic disease testing data. Healthy People 2010 and the CDC have also been active in promoting this goal. Type of Measure: Process Improvement Noted As: Increase in the rate Numerator Statement: • PC-05 Newborns that were fed breast milk only since birth • PC-05a Newborns that were fed breast milk only since birth Included Populations: Not applicable Excluded Populations: None Data Elements: • Exclusive Breast Milk Feeding PC v2014A 44 Denominator Statement: • PC-05 Single term newborns discharged alive from the hospital • PC-05a Single term newborns discharged alive from the hospital excluding those whose mothers chose not to exclusively feed breast milk Included Populations: Liveborn newborns with ICD-9-CM Principal Diagnosis Code for single liveborn newborn as defined in Appendix A, Table 11.20.1 Excluded Populations: • Admitted to the Neonatal Intensive Care Unit (NICU) at this hospital during the hospitalization • ICD-9-CM Other Diagnosis Codes for galactosemia as defined in Appendix A, Table 11.21 • ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes for parenteral infusion as defined in Appendix A, Table 11.22 • Experienced death • Length of Stay >120 days • Enrolled in clinical trials • Documented Reason for Not Exclusively Feeding Breast Milk • Patients transferred to another hospital • ICD-9-CM Other Diagnosis Codes for premature newborns as defined in Appendix A, Table 11.23 Data Elements: • • • • • • • • • • • Admission Date Admission to NICU Birthdate Clinical Trial Discharge Date Discharge Disposition ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code Reason for Not Exclusively Feeding Breast Milk Risk Adjustment: No. Data Collection Approach: Retrospective data sources for required data elements include administrative data and medical records. Data Accuracy: Variation may exist in the assignment of ICD-9-CM codes; therefore, coding practices may require evaluation to ensure consistency. Measure Analysis Suggestions: In order to identify areas for improvement in breast milk feeding rates, hospitals may wish to review documentation for reasons. Education efforts can be targeted based on the specific reasons identified. Sampling: Yes. For additional information see the Sampling Section. Data Reported As: Aggregate rate generated from count data reported as a proportion. PC v2014A 45 Selected References: • American Academy of Pediatrics. (2005). Section on Breastfeeding. Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics.115:496– 506. • American College of Obstetricians and Gynecologists. (Feb. 2007). Committee on Obstetric Practice and Committee on Health Care for Underserved Women.Breastfeeding: Maternal and Infant Aspects. ACOG Committee Opinion 361. • California Department of Public Health. (2006). Genetic Disease Branch. California InHospital Breastfeeding as Indicated on the Newborn Screening Test Form, Statewide, County and Hospital of Occurrence: Available at: http://www.cdph.ca.gov/data/statistics/Pages/BreastfeedingStatistics.aspx. • Centers for Disease Control and Prevention. (Aug 3, 2007). Breastfeeding trends and updated national health objectives for exclusive breastfeeding--United States birth years 2000 -2004. MMWR - Morbidity & Mortality Weekly Report. 56(30):760-3. • Centers for Disease Control and Prevention. (2007). Division of Nutrition, Physical Activity and Obesity. Breastfeeding Report Card. Available at: http://www.cdc.gov/breastfeeding/data/report_card2.htm. • Ip, S., Chung, M., Raman, G., et al. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. Rockville, MD: US Department of Health and Human Services. Available at: http://www.ahrq.gov/downloads/pub/evidence/pdf/brfout/brfout.pdf • Kramer, M.S. & Kakuma, R. (2002).Optimal duration of exclusive breastfeeding. [107 refs] Cochrane Database of Systematic Reviews. (1):CD003517. • Petrova, A., Hegyi, T., & Mehta, R. (2007). Maternal race/ethnicity and one-month exclusive breastfeeding in association with the in-hospital feeding modality. Breastfeeding Medicine. 2 (2):92-8. • Shealy, K.R., Li, R., Benton-Davis, S., & Grummer-Strawn, L.M. (2005).The CDC guide to breastfeeding interventions. Atlanta, GA: US Department of Health and Human Services, CDC. Available at: http://www.cdc.gov/breastfeeding/pdf/breastfeeding_interventions.pdf. • Taveras, E.M., Li, R., Grummer-Strawn, L., Richardson, M., Marshall, R., Rego, V.H., Miroshnik, I., & Lieu, T.A. (2004). Opinions and practices of clinicians associated with continuation of exclusive breastfeeding. Pediatrics. 113(4):e283-90. • US Department of Health and Human Services. (2007). Healthy People 2010 Midcourse Review. Washington, DC: US Department of Health and Human Services. Available at: http://www.healthypeople.gov/data/midcourse. • World Health Organization. (1991). Indicators for assessing breastfeeding practices. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/child-adolescenthealth/new_publications/nutrition/who_cdd_ser_91.14.pdf. Original Performance Measure Source / Developer: California Maternal Quality Care Collaborative Adopted for Stage 2 Medicare and Medicaid EHR Incentive Program Measure Algorithm: PC v2014A 46 PC v2014A 47 PC v2014A 48 Data Dictionary Introduction Introduction This section of the manual describes the data elements required to calculate category assignments and measurements for The Joint Commission's National Quality Measures. It includes information necessary for defining and formatting the data elements, as well as the allowable values for each data element. This information is intended to assist in processing patient level data elements for The Joint Commission's National Quality Core Measures. It is of primary importance that all health care organizations using The Joint Commission's National Quality Core Measures gather and utilize the data elements as defined in this section. This will ensure that the data are standardized and comparable across organizations. Regardless of which measure sets are selected by a hospital, certain general data elements must be collected by the hospital and submitted for every patient that falls into any of the selected Initial Patient Populations. These data elements are considered "general" to each patient's episode of care. These data elements include: Admission Date Birthdate Health Care Organization Identifier 2 Hispanic Ethnicity Measure Set 1,2 Performance Measure Identifier 1,2 Race Sample 1 Sex Vendor Tracking ID 1,2 Data elements that are general for every patient that fall into measures that are reported at time of discharge include: Discharge Date ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes (Optional for all HBIPS measures) ICD-9-CM Other Procedure Dates (Optional for all HBIPS measures) ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code (Optional for all HBIPS measures) ICD-9-CM Principal Procedure Date (Optional for all HBIPS measures) Payment Source Data elements that are general for every patient that falls into measures that are reported at the time of the event include: Event Date (HBIPS measures only) Event Type (HBIPS measures only) Psychiatric Care Setting (HBIPS measures only) Data elements that are general for every patient that falls into specific measures that are reported at the time of discharge include: Discharge Disposition (PC-04, PC-05, HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7) PC v2014A 49 1 Transmission Data Element These data elements are defined in the Transmission Data Dictionary within the Joint Commission National Quality Core Measures Data Transmission section of this manual 2 Episode of Care An Episode of Care (EOC) is defined as the health care services given during a certain period of time, usually during a hospital stay (e.g., from the day of arrival or admission to the day of discharge). The medical record should be abstracted as it was billed. In the event that there are multiple ED visits within the inpatient medical record, for the same episode of care, it is recommended that the ED visit resulting in the admission to observation or inpatient status be utilized for the purposes of abstraction. If a patient is transferred from an acute care hospital to another acute care hospital, which is within the same healthcare system and shares the same Joint Commission Health Care Organization Identifier (HCO ID), this should be abstracted as one episode of care. Data integrity Editing Zero Values Verification mechanisms are necessary to assure that zero is the intended data value rather than an initialization value for those data elements which have an allowable value of zero (i.e., 0.0, 0000, 0). Missing and Invalid Data Each data element that is applicable per the algorithm for each of the measures within a topic must be “touched” by the abstractor. While this is the expectation, it is recognized that in certain situations information may not be available (e.g., dates, times, codes, etc.). After due diligence in reviewing all allowable data sources within the medical record, if the abstractor determines that a value is not documented, i.e. “missing,” or is unable to determine if a value is documented, the abstractor should select the “UTD - Unable to Determine,” value. The data elements Admission Date, Discharge Date and Birthdate require an actual date for submission of discharge measure information into the Joint Commission’s Data Warehouse, and “UTD” cannot be selected as an allowable value. For Yes/No values the allowable value “No” incorporates the “UTD” into the definition. For data elements containing more than two categorical values and for numerical data elements (i.e., dates, times, etc.), a “UTD” option is included as an allowable value and is classified in the same category as not documented. Files that contain any invalid and/or missing data will be rejected from the Joint Commission’s Data Warehouse. For additional details on the proper handling of missing and/or invalid data, please refer to the Missing and Invalid Data section of this manual. Interpreting Data Element Definitions and Allowable Values Every attempt has been made to comprehensively define The Joint Commission's National Quality Core Measure data elements and allowable values in a manner that obviates the need for interpretation. If, after reviewing the General Abstraction Guidelines, the data element definition, including the notes and guidelines for abstraction, an abstractor cannot clearly assign an allowable value, refer to the Resource section of this manual for additional contact information. Interpretation of Data Dictionary Terms Data elements fall into three broad categories in order to support a specific measure set. They include: General Data Elements – data elements that must be collected by health care organizations for each patient record data elements required for each episode of care (EOC) record submitted PC v2014A 50 data elements used to identify the health care organization on each patient record required for each patient-level record submitted patient demographic data required for each episode of care record submitted and used for risk adjustment analysis (where applicable) Measure-Specific Data Elements – data elements used by one specific measure or several measures in one specific measure set, such as in the HBIPS measures Algorithm Output Data Elements Refer to ORYX® Technical guide Data Element Dictionary Terms Term Data Element Name: Collected For: Definition: Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: Guidelines for Abstraction: Definition A short phrase identifying the data element. For each of identification the data element name is italicized. Identifies the measure(s) that utilize this data element or specifies that the data element is used for data transmission or verification. A detailed explanation of the data element. A vendor may include this information in data collection software. A suggested wording for a data element question in a data abstraction tool. Length = number of characters or digits allowed for the data element Type = type of information the data element contains (e.g., numeric, alphanumeric, date, character, or time) Occurs = the number of times the data element occurs in a single episode of care record A list of acceptable responses for this data element Provided to assist abstractor in the selection of appropriate value for a data element Source document from which data can be identified such as administrative or medical record. Some data elements also list excluded data sources that are unacceptable sources for collecting information. Designed to assist abstractors in determining how a data element should be answered Note: Element specific notes and guidelines should take precedence over the General Abstraction Guidelines. General Abstraction Guidelines The intent of abstraction is to use only documentation that was part of the medical record during the hospitalization (is present upon discharge) and that is present at the time of abstraction. There are instances where an addendum or late entry is added after discharge. This late entry or addendum can be used, for abstraction purposes, as long as it has been added within 30 days of discharge, [Refer to the Medicare Conditions of Participation for Medical Records, 42CFR482.24(c)(2)(viii)], unless otherwise specified in the data element. Documents containing amendments, corrections, or delayed entries must employ the following widely accepted record keeping principles (CMS “Medicare Program Integrity Manual” Chapter 3, Section 3.3.2.4): Clearly and permanently identify any amendments, corrections or addenda; Clearly indicate the date and author of any amendments, corrections, or addenda; and Clearly identify all original content. It is not the intent to have documentation added at the time of abstraction to ensure the passing of a measure. Medical Record Documentation PC v2014A 51 The intent of abstraction is to use only documentation that was part of the medical record during the hospitalization (is present upon discharge) and that is present at the time of abstraction. There are instances where an addendum or late entry is added after discharge. This late entry or addendum can be used, for abstraction purposes, as long as it has been added within 30 days of discharge, unless otherwise specified in the data element. It is not the intent to have documentation added at the time of abstraction to ensure the passing of a measure. Important Note: There are several data elements where abstraction of data from documentation dated/timed after discharge is restricted, and these exceptions are published on the respective data element pages of the data dictionary. Data element specific notes and guidelines always take precedence over the General Abstraction Guidelines. All documentation in the medical record must be legible and must be timed, dated and authenticated. However, documentation that is not timed, dated or authenticated may still be used for abstraction if not required by the specific data element. When abstracting a medical record, if a handwritten document is determined to be not legible, other documentation should be reviewed in an attempt to obtain the answer. If no other source document is able to verify the handwritten documentation, only then is the abstractor to answer unable to determine from the medical record documentation, unless otherwise specified in the data element. Authentication may include written signatures, initials, computer key, or other codes. Data element information should be retrieved from the current medical record, covering the admission and discharge date, or reporting period for event measures being abstracted. Information ascertainable from previous history (e.g., failed trials of monotherapy) AND determined to be part of the current medical record may be used in abstraction. For example, if the patient had previously failed three or more trials of monotherapy and this information is available in the current chart being abstracted (e.g., a note made in the continuing care plan), this information should be used. Previous history information used in abstraction should be information that was part of the medical record during hospitalization, when care was being delivered. The medical record must be abstracted as documented (taken at “face value”). When the value documented is obviously in error (not a valid format/range or outside of the parameters for the data element) and no other documentation is found that provides this information, the abstractor should select “UTD.” Example: Patient expires on 02-12-20XX and documentation indicates the Event Date was 03-12-20XX. Other documentation in the medical record supports the date of death as being accurate. Since the Event Date is after the Discharge Date (death), it is outside of the parameter of care and the abstractor should select “UTD.” Note: Hospitals should use abbreviations according to their policy. Frequently flow sheets or other documentation contain a ‘key or legend’ that explains what the abbreviation or symbol stands for, especially if unique to that facility. Suggested Data Sources Suggested Data Sources are listed in alphabetical order, NOT priority order, unless otherwise specified in the data element. Suggested Data Sources are designed to provide guidance to the abstractor as to the locations/sources where the information needed to abstract a data element will likely be found. However, the abstractor is not limited to these sources for abstracting the information and must review the entire medical record unless otherwise specified in the data element. In some instances, a data element may restrict the sources that may be used to gain the information, list a priority in which the sources should be used or may restrict documentation by only physician/advanced practice nurse/physician assistant. If so, these sources will be identified and labeled as “Excluded Data Sources.” "ONLY ACCEPTABLE SOURCES", "Priority Source", or "PHYSICIAN/APN/PA DOCUMENTATION ONLY". If, after due diligence, the abstractor determines that a value is not documented or is not able to determine the answer value, the abstractor must select “Unable to Determine (UTD)” as the answer. Hospitals often label forms and reports with unique names or titles. Suggested Data Sources are listed by commonly used titles; however, information may be abstracted from any source that is equivalent to those PC v2014A 52 listed. Example: If the “nursing admission assessment” is listed as a suggested source, an acceptable alternative might be titled “nurses initial assessment” or “nursing data base.” Note: Element specific notes and guidelines should take precedence over the General Abstraction Guidelines. Inclusions/Exclusions Inclusions are “acceptable terms” that should be abstracted as positive findings (e.g., “Yes”). Inclusion lists are limited to those terms that are believed to be most commonly used in medical record documentation. The list of inclusions should not be considered all-inclusive, unless otherwise specified in the data element. Exclusions are “unacceptable terms” that should be abstracted as negative findings (e.g., “No”). Exclusion lists are limited to those terms an abstractor may most frequently question whether or not to abstract as a positive finding for a particular element (e.g., “cardiomyopathy” is an unacceptable term for heart failure and should be abstracted as "No"). The list of exclusions should not be considered allinclusive, unless otherwise specified in the data element. When both an inclusion and exclusion are documented in a medical record, the inclusion takes precedence over the exclusion and would be abstracted as a positive finding (e.g., answer “Yes”), unless otherwise specified in the data element. Physician/Advanced Practice Nurse/ Physician Assistant Documentation Advanced Practice Nurse (APN, APRN) titles may vary among state and clinical specialties. Some common titles that represent the advanced practice nurse role are: Nurse Practitioner (NP) Certified Registered Nurse Anesthetist (CRNA) Clinical Nurse Specialist (CNS) Certified Nurse Midwife (CNM) When a physician/advanced practice nurse/ physician assistant (physician/APN/PA) signs a form or report (e.g., ED sheet with triage and nursing information and a physician/APN/PA has signed somewhere on the form), information on that form/report should be considered physician/APN/PA documentation. “Rubber” stamped physician/advanced practice nurse/physician assistant (physician/APN/PA) signatures are not acceptable on any document within the medical record. Handwritten, electronic signatures, facsimiles of original written or electronic signatures are acceptable. Resident and intern notes should be considered physician documentation. Medical student notes must be cosigned by a physician. For the purposes of abstraction, telephone or verbal physician/APN/PA orders (TO/VO) in the medical record are considered physician/APN/PA documentation at the time they were written regardless of whether or not they were authenticated by the physician/APN/PA at the time of abstraction. Pharmacist Documentation Pharmacist titles may vary. Some common titles that represent the pharmacist role are: Doctor of Pharmacy (Pharm.D. or D.Ph.) Registered Pharmacist (R.Ph.) Medications: The approved medication tables contained in the dictionaries may not be inclusive lists of all available therapeutic agents acceptable for a particular data element. Discrepancies must be reported. See Appendix F (resource section) of this manual for contact information. PC v2014A 53 Whether or not a medication has been administered to a patient is often clear when using medical record sources such as medication administration records, but documentation can be more ambiguous in other sources, namely, physician orders, ED records, and ambulance records. To make a determination using these sources, use the following criteria: For EHRs only accept documentation that reflects the actual administration of the medication in the context of the chart. If a medication in the physician orders has been initialed and signed off with a time, do NOT presume that the medication was administered. The documentation MUST indicate that the medication was actually given. For an ED or ambulance record, there is no need for documentation indicating that the medication was actually given. Example: If the ED or ambulance record reflects “ASA 325mg po 13:00” and no other documentation exists indicating that the medication was actually given (e.g., “given” or “administered”), this is acceptable documentation to abstract. When determining whether or not a patient was discharged on a specific medication (e.g., antipsychotic medication): If discharge medications are noted using only references such as “continue home meds,” “continue previous medications,” “resume other meds,” “same medications,” or “continue meds,” rather than lists of the names of the discharge medications, the abstractor should include the medication in the count if the patient was on the medication in question prior to arrival, unless documentation suggests otherwise. If discharge medications are noted using only references such as “continue current medications” or “continue present meds” rather than lists of the names of the discharge medications, the abstractor should include the medication in the count if the medication in question was listed as a medication on the day of discharge, unless documentation indicates it was to be discontinued at discharge or suggests otherwise If discharge medications are noted using general references such as “continue home meds,” “continue previous medications,” “continue current meds,” “continue present meds,” “resume other meds,” or “continue meds,” but a list of the names of the discharge medications also in the record gives conflicting information about what medications the patient was actually discharged on, the abstractor should consider the list most accurate and use only the list in determining whether or not a patient was discharged on a specific medication. Hospitals may allow a patient (or his or her caregiver/support person where appropriate) to self-administer both hospital-issued medications and the patient’s own medications brought into the hospital. Hospitals must document the administration of each medication, as reported by the patient (or the patient’s caregiver/support person where appropriate), in the patient’s medical record [42CFR482.23(c)(6)]. Nursing Care Plans, Standing Orders and Protocols Per Medicare Conditions of Participation [42CFR482.23(b)(4)] hospitals have the option of having a standalone nursing care plan or a single interdisciplinary care plan that addresses nursing and other disciplines. Hospitals may use pre-printed and electronic standing orders, order sets, and protocols for patient orders if such orders and protocols are dated, timed, and authenticated promptly in the patient’s medical record by the ordering practitioner responsible for the care of the patient [42CFR482.24(c)(3)]. Diagnostic/Laboratory Tests Whether or not a diagnostic or laboratory test has been done is usually clear when using medical record sources such as diagnostic test reports, laboratory reports, or progress notes (where a physician might note test findings), but documentation can be more ambiguous in other sources, namely, physician orders and ED records. To make a determination using these sources, use the following criteria: If a test in the physician orders has been initialed and signed off with a time, do NOT presume that the test was done. The documentation MUST indicate that the test was actually done (e.g., accompanied by a word such as “done”). PC v2014A 54 For an ED record, there is no need for explicit documentation indicating that the test was actually done. For example, if an ED record notes “Lipid profile,” and this is followed by a signature and/or a time, the abstractor should presume the test was performed. Grids Instructions for reading values recorded on grids: Measure from the midpoint of the symbol, number and letter. If the value falls between two lines on the grid, abstract the earliest value. Alphabetical List of All Data Elements Data Element Name Admission Date Admission to NICU Antenatal Steroid Therapy Initiated Appropriate Justification for Multiple Antipsychotic Medications Birth Weight Birthdate Collection Notes Associated Measures ACHF-01, ACHF-02, ACHF-03, ACHF-04, ACHF-05, ACHF-06, CAH-01.1, CAH-02.1, CAH-03, CAH-04, CAH-05, CAH-06, CAH08.1, CAH-09.1, CAH-10.1, CSTK, HBIPS, Osteo, PBM, PC, PICU-03, PICU-06, PSCIP, SCA-03, SUB, TOB PC-05 PC-03 HBIPS-5 PC-04 ACHF, ACHFOP-01, ACHFOP-02, ACHFOP-03, ACHFOP-04, ACHFOP-05, ACHFOP-06, ACHFOP-07, CAH, CSTK, HBIPS, Osteo, PBM, PC, PICU, PSCIP, SCA, SUB, TOB Bloodstream Infection Present on Admission PC-04 CMS Certification Number Hospital Clinical Data HBIPS, PC File, Optional for All Records All Records ACHF-01, ACHF-02, ACHF-03, CSTK-04, Clinical Trial CSTK-04a, CSTK-04b, CSTK-06, PC Continuing Care Plan-Discharge Medications HBIPS-6, HBIPS-7 Continuing Care Plan-Next Level of Care HBIPS-6, HBIPS-7 Continuing Care Plan-Principal Discharge HBIPS-6, HBIPS-7 Diagnosis Continuing Care Plan-Reason for HBIPS-6, HBIPS-7 Hospitalization Discharge Date All Records ACHF-01, ACHF-02, ACHF-03, CAH-01.1, CAH-02.1, CAH-03, CAH-04, CAH-05, CAH06, CAH-08.1, CAH-09.1, CAH-10.1, CSTK, HBIPS-1, HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7, Osteo, PBM, PC, PICU-03, PSCIP, SCA, SUB, TOB Discharge Disposition HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7, PC04, PC-05 Event Date Event Type Exclusive Breast Milk Feeding Gestational Age Health Care Organization Identifier PC v2014A Risk Adjustment All Records All Records All Records All Records, HBIPS-2, HBIPS-3 HBIPS-2, HBIPS-3 PC-05 PC-01, PC-02, PC-03 HBIPS, PC 55 Hispanic Ethnicity ICD-9-CM Other Diagnosis Codes ICD-9-CM Other Procedure Codes ICD-9-CM Other Procedure Dates ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code ICD-9-CM Principal Procedure Date Initial Patient Population Size – Medicare Only Initial Patient Population Size – NonMedicare Only Labor Measure Category Assignment Measure Set PC v2014A Aggregate Data File, Patient Population Data File, Hospital Clinical Data File All Records ACHF, AMI, CAC, CAH, CSTK, HBIPS, HF, Osteo, PC, PN, PR, SCA, SCIP, STK All Records CAH-01, CAH-02.1, CAH-03, CAH-04, CAH05, CAH-06, CAH-08, CAH-09.1, CAH-10.1, CSTK-05, CSTK-07a, HBIPS-1, HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7, Osteo, PBM, PC, PC-01, PC-02, PC-03, PC-04, PC-05, PICU-03, PSCIP, SUB-03, SUB-04, TOB-02, TOB-03 All Records ACHF, ACHFOP-01, ACHFOP-02, ACHFOP-03, ACHFOP-04, ACHFOP-05, ACHFOP-06, ACHFOP-07, CAH-01.1, CAH02.1, CAH-03, CAH-04, CAH-05, CAH-06, CAH-08.1, CAH-09.1, CAH-10.1, CSTK-01, CSTK-02, CSTK-03, CSTK-05, CSTK-07, HBIPS, PBM, PC, PICU, PSCIP, SUB-03, SUB-04 All Records CSTK-01, CSTK-02, CSTK-03, CSTK-05, CSTK-07, HBIPS, PBM, PC All Records ACHF, ACHFOP-01, ACHFOP-02, ACHFOP-03, ACHFOP-04, ACHFOP-05, ACHFOP-06, ACHFOP-07, CAH, CSTK, HBIPS-1, HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7, Osteo, PBM, PC, PC-01, PC-02, PC-03, PC-04, PC-05, PICU-03, PSCIP, SUB-03, SUB-04, TOB-02, TOB-03 All Records ACHF, ACHFOP-01, ACHFOP-02, ACHFOP-03, ACHFOP-04, ACHFOP-05, ACHFOP-06, ACHFOP-07, CAH-01.1, CAH02.1, CAH-03, CAH-04, CAH-05, CAH-06, CAH-08.1, CAH-09.1, CAH-10.1, CSTK-01, CSTK-02, CSTK-03, CSTK-05, CSTK-07, HBIPS, IMM, PBM, PC, PICU-03, PSCIP, SUB-03, SUB-04 All Records ACHF-05a, ACHF-05b, ACHFOP-01, ACHFOP-02, ACHFOP-03, ACHFOP-04, ACHFOP-05, ACHFOP-06, ACHFOP-07, CSTK-01, CSTK-02, CSTK-03, CSTK-05, CSTK-07, HBIPS, PBM, PC Transmission, Patient HBIPS, PC Population Data File Transmission, Patient HBIPS, PC Population Data File PC-01 Calculation, HBIPS, PBM, PC Transmission, Hospital Clinical Data File Transmission, Patient HBIPS, PC Population Data File, Hospital Clinical Data File 56 Minutes of Physical Restraint Minutes of Seclusion National Provider Identifier Number of Antipsychotic Medications Prescribed at Discharge Parity Patient Referral to Next Level of Care Provider Patient Strengths Payment Source Predicted Value Transmission HBIPS-2 HBIPS-3 HBIPS, PC HBIPS-4, HBIPS-5 PC-02 HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7 HBIPS-1 CSTK, HBIPS, PC PC All Records Transmission, Risk Adjustment, Hospital Clinical Data File Prior Uterine Surgery Joint Commission PC-01 Only Psychiatric Care Setting All Records HBIPS-1, HBIPS-2, HBIPS-3, HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7 HBIPS-2, HBIPS-3 Psychiatric Inpatient Days - Medicare Only Psychiatric Inpatient Days-Non-Medicare Only HBIPS-2, HBIPS-3 Psychological Trauma History HBIPS-1 All Records ACHF, AMI, CAC, CAH, CSTK, HBIPS, HF, Race Osteo, PC, PN, PR, SCA, SCIP, STK Reason for Not Exclusively Feeding Breast PC-05 Milk Reason for Not Initiating Antenatal Steroid PC-03 Therapy Transmission, HBIPS, PC Sample Aggregate Data File, Hospital Clinical Data File Sample Size – Medicare Only Transmission, Patient HBIPS, PC Population Data File Transmission, Patient HBIPS, PC Sample Size – Non-Medicare Only Population Data File Sampling Frequency Transmission, Patient HBIPS, PC Population Data File All Records ACHF, BCC, BCS, CAH, CSTK, HBIPS, Sex Osteo, PBM, PC, PICU, PSCIP, SCA Spontaneous Rupture of Membranes PC-01 Substance Use HBIPS-1 Total Leave Days - Medicare Only HBIPS-2, HBIPS-3 Total Leave Days-Non-Medicare Only HBIPS-2, HBIPS-3 Unique Blinded Case Identifier All Records ACHF, BCC, BCS, CAH, CSTK, Osteo, PC, PICU, PSCIP, SCA Transmission, HospitalHBIPS, PC Vendor Tracking Identifier Clinical Data File Violence Risk to Others HBIPS-1 Violence Risk to Self HBIPS-1 PC v2014A 57 Data Element Name: Admission Date Collected For: ACHF-01, ACHF-02, ACHF-03, ACHF-04, ACHF-05, ACHF-06, CAH-01.1, CAH-02.1, CAH-03, CAH-04, CAH-05, CAH-06, CAH-08.1, CAH-09.1, CAH -10.1, CSTK, HBIPS, Osteo, PBM, PC, PICU-03, PICU-06, PSCIP, SCA03, SUB, TOB, Definition: Suggested Data Collection Question: Format: The month, day, and year of admission to acute inpatient care. What is the date the patient was admitted to acute inpatient care? Length: 10 – MM-DD-YYYY (includes dashes) Type: Date Occurs: 1 Allowable Values: MM = Month (01-12) DD = Day (01-31) YYYY = Year (20xx) Notes for Abstraction: • The intent of this data element is to determine the date that the patient was actually admitted to acute inpatient care. Because this data element is critical in determining the population for all measures, the abstractor should NOT assume that the claim information for the admission date is correct. If the abstractor determines through chart review that the date is incorrect, for purposes of abstraction, she/he should correct and override the downloaded value. If using claim information, the ‘Statement Covers Period’ is not synonymous with the ‘Admission Date’ and should not be used to abstract this data element. These are two distinctly different identifiers: ◦ The Admission Date (Form Locator 12) is purely the date the patient was admitted as an inpatient to the facility. ◦ The Statement Covers Period (“From” and “Through” dates in Form Locator 6) identifies the span of service dates included in a particular claim. The “From” Date is the earliest date of service on the claim. • For patients who are admitted to Observation status and subsequently admitted to acute inpatient care, abstract the date that the determination was made to admit to acute inpatient care and the order was written. Do not abstract the date that the patient was admitted to Observation. Example: Medical record documentation reflects that the patient was admitted to observation on 04-05-20xx. On 04-06-20xx the physician writes an order to admit to acute inpatient effective 04-05-20xx. The Admission Date would be abstracted as 04-06-20xx; the date the determination was made to admit to acute inpatient care and the order was written. PC v2014A 58 • If there are multiple inpatient orders, use the order that most accurately reflects the date that the patient was admitted. • For newborns that are born within this hospital, the admission date is the date the baby was born. • The admission date should not be abstracted from the earliest admission order without regards to substantiating documentation. If documentation suggests that the earliest admission order does not reflect the date the patient was admitted to inpatient care, this date should not be used. Example: Preoperative Orders are dated as 04-06-20xx with an order to admit to Inpatient. Postoperative Orders, dated 05-01-20xx, state to admit to acute inpatient. All other documentation supports that the patient presented to the hospital for surgery on 05-01-20xx. The admission date would be abstracted 05-01-20xx. Suggested Data Sources: ONLY ALLOWABLE SOURCES • Physician orders • Face sheet • UB-04, Field Location: 12 Note: The physician order is the priority data source for this data element. If there is not a physician order in the medical record, use the other only allowable sources to determine the Admission Date. Excluded Data Sources • UB-04, Field Location: 06 Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • Admit to observation • Arrival date 59 Data Element Name: Admission to NICU Collected For: PC-05, Definition: Documentation that the newborn was admitted to the Neonatal Intensive Care Unit (NICU) to receive critical care services at this hospital any time during the hospitalization. Suggested Data Collection Question: Was the newborn admitted to the NICU to receive critical care services at this hospital at any time during the hospitalization? Format: Allowable Values: Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation that the newborn was admitted to the NICU to receive critical care services at this hospital at any time during the hospitalization. N (No) There is no documentation that the newborn was admitted to the NICU to receive critical care services at this hospital at any time during the hospitalization or unable to determine from medical record documentation. Notes for Abstraction: A NICU is defined as a hospital unit providing critical care services which is organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. If the newborn is admitted to the NICU for observation or transitional care following a cesarean section, select allowable value “no” unless he or she is admitted to receive continuous life support and comprehensive care as an extremely high-risk newborn or with a diagnosis of a complex and critical illness. Suggested Data Sources: • Nursing notes • Discharge summary • Physician progress notes Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 60 PC v2014A 61 Data Element Name: Antenatal Steroid Therapy Initiated Collected For: PC-03, Definition: Documentation that antenatal steroid therapy was initiated before delivery. Initial antenatal steroid therapy is 12mg betamethasone IM or 6mg dexamethasone IM. Suggested Data Collection Question: Format: Allowable Values: Is there documentation that antenatal steroid therapy was initiated before delivery? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation that antenatal steroid therapy was initiated before delivery. N (No) There is no documentation that antenatal steroid therapy was initiated before delivery OR unable to determine from medical record documentation. Notes for Abstraction: If there is documentation that antenatal steroid therapy was initiated prior to current hospitalization in another setting of care, i.e., doctor's office, clinic, birthing center, hospital before delivery, select allowable value "yes". If antenatal steroid therapy was initiated in the hospital, the name of the medication must be documented in the medical record in order to select allowable value "yes". Suggested Data Sources: • • • • History and physical Progress notes Medication administration record (MAR) Prenatal forms Additional Notes: Guidelines for Abstraction: Inclusion Refer to Appendix B, Table 11.0 Antenatal Steroid Medications PC v2014A Exclusion None 62 Data Element Name: Birth Weight Collected For: PC-04, Risk Adjustment Definition: The weight (in grams) of a newborn at the time of delivery. Note: 453.5 grams = 1 pound 28.35 grams = 1 ounce It is recommended that each ORYX Vendor provide the ability to enter birth weight in either grams or pounds. However, all birth weights must be converted to grams prior to indicator calculation. Suggested Data Collection Question: Format: What was the weight of the newborn at delivery? Length: 4 or UTD Type: Alphanumeric Occurs: 1 Allowable Values: 150 through 8165 grams UTD = Unable to Determine Note: When converting from pounds and ounces to grams, do not round to the nearest pound before converting the weight to grams. Round to the nearest whole number after the conversion to grams. Notes for Abstraction: PC v2014A • Newborns with birth weights less than 150 grams need to be verified that the baby was live born and for data quality purposes. Birth weights greater than 8165 grams need to be verified for data quality. Abstractors should review all of the suggested data sources to verify the accuracy of the data. • If the birth weight is unable to be determined from medical record documentation, enter "UTD". • The medical record must be abstracted as documented (taken at “face value”). When the value documented is not a valid number/value per the definition of this data element and no other documentation is found that provides this information, the abstractor should select “UTD.” Example: Documentation indicates the Birth Weight was 0 grams. No other documentation in the medical record provides a valid value. Since the Birth Weight is not a valid value, the abstractor should select “UTD.” Note: Transmission of a case with an invalid value as described above will 63 be rejected from the Joint Commission’s Data Warehouse. Use of “UTD” for Birth Weight allows the case to be accepted into the warehouse. • The NICU admission assessment or notes should be reviewed first for the birth weight. In the absence of admission to the NICU, the delivery record or operating room record should be reviewed next for the birth weight. In cases where there is conflicting data, use the document recording the birth weight closest to the time of delivery. • It is acceptable to use data derived from vital records reports received from state or local departments of public health if they are available and are directly derived from the medical record with a process in place to confirm their accuracy. If this is the case, these may be used in lieu of the suggested data sources listed below. Suggested Data Sources: In Order of Priority: • • • • • • • NICU admission assessment or notes Delivery record Operating room record History and physical Nursing notes Nursery record Physician progress notes Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 64 Data Element Name: Birthdate Collected For: All Records Definition: The month, day, and year the patient was born. Note: • Patient's age (in years) is calculated by Admission Date minus Birthdate. The algorithm to calculate age must use the month and day portion of admission date and birthdate to yield the most accurate age. • For HBIPS discharge measures, i.e., HBIPS-1, 4, 5, 6, 7, patient's age (in years) is calculated by Discharge Date minus Birthdate. For event measures, i.e., HBIPS-2, 3, patient's age at time of event (in years) is calculated by Event Date minus Birthdate. The algorithm to calculate age must use the month and day portion of birthdate, and discharge date or event, as appropriate to yield the most accurate age. Suggested Data Collection Question: Format: What is the patient’s date of birth? Length: 10 – MM-DD-YYYY (includes dashes) Type: Date Occurs: 1 Allowable Values: MM = Month (01-12) DD = Day (01-31) YYYY = Year (1880-Current Year) Notes for Abstraction: Suggested Data Sources: PC v2014A Because this data element is critical in determining the population for all measures, the abstractor should NOT assume that the claim information for the birthdate is correct. If the abstractor determines through chart review that the date is incorrect, she/he should correct and override the downloaded value. If the abstractor is unable to determine the correct birthdate through chart review, she/he should default to the date of birth on the claim information. • Emergency department record • Face sheet • Registration form 65 • UB-04, Field Location: 10 Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 66 Data Element Name: Bloodstream Infection Present on Admission Collected For: PC-04, Definition: Documentation in the medical record within the first 48 hours after admission that the patient had a bloodstream infection present on admission. This includes both patients with positive blood cultures or negative or inconclusive blood cultures when the patient is suspected of having a bloodstream infection or septicemia and is being treated for the condition. A blood culture can be defined as a culture of microorganisms from specimens of blood to determine the presence and nature of bacteremia. Suggested Data Collection Question: Is there documentation within the first 48 hours after admission that the patient had a bloodstream infection present on admission or is receiving treatment for a suspected bloodstream infection or septicemia on admission? Format: Allowable Values: Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation within the first 48 hours after admission that the patient had a bloodstream infection present on admission or is receiving treatment for a suspected bloodstream infection or septicemia on admission. N (No) There is no documentation within the first 48 hours after admission that the patient had a bloodstream infection present on admission or is receiving treatment for a suspected bloodstream infection or septicemia present on admission or unable to determine from medical record documentation. Notes for Abstraction: Suggested Data Sources: PC v2014A The admission assessment and the NICU admission assessment or notes should be reviewed first for documentation of a suspected or confirmed bloodstream infection present on admission. Documentation of the suspected bloodstream infection being present on admission should be taken at face value regardless of the blood culture results. Birth is considered the same as admission for patients who were born in the reporting hospital. If the present on admission (POA) indicator is present with the ICD-9-CM diagnosis code for septicemia or bacteremia, answer “yes” to bloodstream infection present on admission. • • • • • • • History and physical Laboratory report Nursing notes Nursing admission assessment Progress notes Admission assessment Microbiology report 67 • NICU admission assessment or notes Additional Notes: Guidelines for Abstraction: Inclusion • Suspected bloodstream infection • Positive blood culture • Negative or inconclusive blood culture under treatment • Staphylococcal septicemia • Staphylococcal bacteremia • Gram negative septicemia • Gram negative bacteremia PC v2014A Exclusion • None 68 Data Element Name: CMS Certification Number Collected For: HBIPS, PC, Hospital Clinical Data File, Optional for All Records Definition: Hospital's six digit acute care CMS Certification Number (CCN). Note: This data element is optional. If data is transmitted in Hospital Clinical Data (HCD) or Population and Sampling (PaS) all edits and rules associated to this data element will be applied to the data. Suggested Data Collection Question: Format: Allowable Values: What is the hospital’s six digit acute care CMS Certification Number? Length: 6 Type: Character Occurs: 1 Any valid six digit CMS Certification Number. The first two digits are the numeric state code. The third digit of zero represents an acute facility. The third digit of “1” and fourth digit of “3” represents a Critical Access Hospital (CAH). Notes for Abstraction: None Suggested Data Sources: None Additional Notes: None Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 69 Data Element Name: Clinical Trial Collected For: All Records Definition: Documentation that during this hospital stay the patient was enrolled in a clinical trial in which patients with the same condition as the measure set were being studied. Suggested Data Collection Question: During this hospital stay, was the patient enrolled in a clinical trial in which patients with the same condition as the measure set were being studied? Format: Allowable Values: Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation that during this hospital stay the patient was enrolled in a clinical trial in which patients with the same condition as the measure set were being studied. N (No) There is no documentation that during this hospital stay the patient was enrolled in a clinical trial in which patients with the same condition as the measure set were being studied, or unable to determine from medical record documentation. Notes for Abstraction: PC v2014A • To select “Yes” to this data element, BOTH of the following must be true: 1. There must be a signed consent form for clinical trial. For the purposes of abstraction, a clinical trial is defined as an experimental study in which research subjects are recruited and assigned a treatment/intervention and their outcomes are measured based on the intervention received. Treatments/interventions most often include use of drugs, surgical procedures, and devices. Often a control group is used to compare with the treatment/intervention. Allocation of different interventions to participants is usually randomized. 2. There must be documentation on the signed consent form that during this hospital stay the patient was enrolled in a clinical trial in which patients with the same condition as the measure set were being studied. Patients may either be newly enrolled in a clinical trial during the hospital stay or enrolled in a clinical trial prior to arrival and continued active participation in that clinical trial during this hospital stay. PC: Only capture patients enrolled in clinical trials studying pregnant patients or newborns. For Perinatal Care measures ONLY, it is appropriate for the ORYX® Vendor to default the data element to "No" unless the ICD-9-CM diagnosis code of V70.7, "Examination of participant in a clinical trial" is present. If this code is present, or the organization knows via some other 70 electronic method that the patient is participating in a clinical trial, default the data element to "Yes". Hospital abstractors may change defaulted value of "No" based on hospital participation in clinical trial. • In the following situations, select "No": 1. There is a signed patient consent form for an observational study only. Observational studies are non-experimental and involve no intervention (e.g., registries). Individuals are observed (perhaps with lab draws, interviews, etc.), data is collected, and outcomes are tracked by investigators. Although observational studies may include the assessment of the effects of an intervention, the study participants are not allocated into intervention or control groups. 2. It is not clear whether the study described in the signed patient consent form is experimental or observational. 3. It is not clear which study population the clinical trial is enrolling. Assumptions should not be made if it is not specified. Suggested Data Sources: ONLY ACCEPTABLE SOURCES: • Signed consent form for clinical trial FOR PC ONLY • UB-04, Field Locations: 67A-Q Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 71 Data Element Name: Discharge Date Collected For: All Records , Not collected for HBIPS-2 and HBIPS-3 Definition: Suggested Data Collection Question: Format: The month, day, and year the patient was discharged from acute care, left against medical advice, or expired during this stay. What is the date the patient was discharged from acute care, left against medical advice (AMA), or expired? Length: 10 – MM-DD-YYYY (includes dashes) Type: Date Occurs: 1 Allowable Values: MM = Month (01-12) DD = Day (01-31) YYYY = Year (20xx) Notes for Abstraction: Because this data element is critical in determining the population for many measures, the abstractor should NOT assume that the claim information for the discharge date is correct. If the abstractor determines through chart review that the date is incorrect, she/he should correct and override the downloaded value. If the abstractor is unable to determine the correct discharge date through chart review, she/he should default to the discharge date on the claim information. For HBIPS only, if the patient was in an acute-care hospital and had multiple admissions to the psychiatric unit during his or her hospitalization, this information should be abstracted only once at the time of discharge from the hospital. Suggested Data Sources: • • • • • • • Face sheet Progress notes Physician orders Discharge summary Nursing discharge notes Transfer note UB-04, Field Location: 6 Additional Notes: Guidelines for Abstraction: PC v2014A 72 Inclusion • None PC v2014A Exclusion • None 73 Data Element Name: Discharge Disposition Collected For: HBIPS-4, HBIPS-5, HBIPS-6, HBIPS-7, PC-04, PC-05, Definition: Suggested Data Collection Question: Format: Allowable Values: The final place or setting to which the patient was discharged on the day of discharge. What was the patient’s discharge disposition on the day of discharge? Length: 1 Type: Alphanumeric Occurs: 1 1 Home 2 Hospice - Home 3 Hospice – Health Care Facility 4 Acute Care Facility 5 Other Health Care Facility 6 Expired 7 Left Against Medical Advice/AMA 8 Not Documented or Unable to Determine (UTD) Notes for Abstraction: • Only use documentation written on the day prior to discharge through 30 days after discharge when abstracting this data element. • The medical record must be abstracted as documented (taken at “face value”). Inferences should not be made based on internal knowledge. • If there is documentation that further clarifies the level of care that documentation should be used to determine the correct value to abstract. If documentation is contradictory, use the latest documentation. Examples: • PC v2014A ◦ Discharge summary dictated 2 days after discharge states patient went “home”. Physician note on day of discharge further clarifies that the patient will be going "home with hospice”. Select value “2” (“Hospice - Home”). ◦ Discharge planner note from day before discharge states “XYZ Nursing Home”. Discharge order from day of discharge states 74 • • • • • • Suggested Data Sources: PC v2014A • • • • • • • • “Discharge home”. Contradictory documentation, use latest. Select value “1” (“Home”). ◦ Physician order on discharge states “Discharge to ALF”. Discharge instruction sheet completed after the physician order states patient discharged to “SNF”. Contradictory documentation, use latest. Select value “5” (“Other Health Care Facility”). If documentation is contradictory, and you are unable to determine the latest documentation, select the disposition ranked highest (top to bottom) in the following list. See Inclusion lists for examples. ◦ Acute Care Facility ◦ Hospice – Health Care Facility ◦ Hospice – Home ◦ Other Health Care Facility ◦ Home Hospice (values “2” and “3”) includes discharges with hospice referrals and evaluations. If the medical record states only that the patient is being discharged to another hospital and does not reflect the level of care that the patient will be receiving, select value “4” (“Acute Care Facility”). If the medical record identifies the facility the patient is being discharged to by name only (e.g., “Park Meadows”), and does not reflect the type of facility or level of care, select value “5” (“Other Health Care Facility”). If the medical record states only that the patient is being “discharged” and does not address the place or setting to which the patient was discharged, select value “1” (“Home”). When determining whether to select value “7” (“Left Against Medical Advice/AMA”): ◦ Explicit “left against medical advice” documentation is not required. E.g., “Patient is refusing to stay for continued care” – Select value “7”. ◦ Documentation suggesting that the patient left before discharge instructions could be given does not count. ◦ A signed AMA form is not required, for the purposes of this data element. ◦ Do not consider AMA documentation and other disposition documentation as “contradictory”. If any source states the patient left against medical advice, select value “7”, regardless of whether the AMA documentation was written last. E.g., AMA form signed and discharge instruction sheet states “Discharged home with belongings” – Select “7”. Progress notes Physician orders Discharge summary Discharge instruction sheet Discharge planning notes Nursing discharge notes Social service notes Transfer record 75 Excluded Data Sources • Any documentation prior to the last two days of hospitalization • Coding documents • UB-04 Additional Notes: Guidelines for Abstraction: Inclusion Home (Value 1): Exclusion None • Assisted Living Facilities (ALFs) – Includes ALFs and assisted living care at nursing home, intermediate care, and skilled nursing facilities • Court/Law Enforcement – includes detention facilities, jails, and prison • Home – includes board and care, foster or residential care, group or personal care homes, retirement communities, and homeless shelters • Home with Home Health Services • Outpatient Services including outpatient procedures at another hospital, Outpatient Chemical Dependency Programs and Partial Hospitalization Hospice – Home (Value 2): • Hospice in the home (or other “Home” setting as above in Value 1) Hospice – Health Care Facility (Value 3): • Hospice - General Inpatient and Respite • Hospice - Residential and Skilled Facilities • Hospice - Other Health Care Facilities Acute Care Facility (Value 4): • Acute Short Term General and Critical Access Hospitals • Cancer and Children’s Hospitals • Department of Defense and Veteran’s Administration Hospitals Other Health Care Facility (Value 5): • Extended or Intermediate Care Facility (ECF/ICF) PC v2014A 76 • Long Term Acute Care Hospital (LTACH) • Nursing Home or Facility including Veteran’s Administration Nursing Facility • Psychiatric Hospital or Psychiatric Unit of a Hospital • Rehabilitation Facility including Inpatient Rehabilitation Facility/Hospital or Rehabilitation Unit of a Hospital • Skilled Nursing Facility (SNF), Sub-Acute Care or Swing Bed • Transitional Care Unit (TCU) • Veterans Home PC v2014A 77 Data Element Name: Exclusive Breast Milk Feeding Collected For: PC-05, Definition: Documentation that the newborn was exclusively fed breast milk during the entire hospitalization. Exclusive breast milk feeding is defined as a newborn receiving only breast milk and no other liquids or solids except for drops or syrups consisting of vitamins, minerals, or medicines. Suggested Data Collection Question: Format: Allowable Values: Is there documentation that the newborn was exclusively fed breast milk during the entire hospitalization? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation that the newborn was exclusively fed breast milk during the entire hospitalization. N (No) There is no documentation that the newborn was exclusively fed breast milk during the entire hospitalization OR unable to determine from medical record documentation. Notes for Abstraction: If the newborn receives any other liquids including water during the entire hospitalization, select allowable value "No". Exclusive breast milk feeding includes the newborn receiving breast milk via a bottle or other means beside the breast. Sweet-Ease® or a similar 24% sucrose and water solution given to the newborn for the purpose of reducing discomfort during a painful procedure is classified as a medication and is not considered a supplemental feeding. If the newborn receives donor breast milk, select allowable value "Yes". If breast milk fortifier is added to the breast milk, select allowable value "Yes". In cases where there is conflicting documentation and both exclusive breast milk feeding and formula supplementation is documented, select allowable value "No". Suggested Data Sources: PC v2014A • • • • Discharge summary Feeding flow sheets Individual treatment plan Intake and output sheets 78 • Nursing notes • Physician progress notes Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 79 Data Element Name: Gestational Age Collected For: PC-01, PC-02, PC-03, Definition: The weeks of gestation completed at the time of delivery. Gestational age is defined as the number of weeks that have elapsed between the first day of the last normal menstrual period (not presumed time of conception) and the date of delivery, irrespective of whether the gestation results in a live birth or a fetal death. Suggested Data Collection Question: Format: Allowable Values: How many weeks of gestation were completed at the time of delivery? Length: 3 or UTD Type: Alphanumeric Occurs: 1 1-50 UTD=Unable to Determine Notes for Abstraction: Gestational age should be rounded off to the nearest completed week, not the following week. For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. The delivery or operating room record should be reviewed first for gestational age. If gestational age is not recorded in the delivery or operating room record, then continue to review the data sources in the following order: history and physical, prenatal forms,clinician admission progress note and discharge summary until a positive finding for gestational age is found. In cases where there is conflicting data, the gestational age found in the first document according to the order listed above should be used. The phrase "estimated gestational age" is an acceptable descriptor for gestational age. If the patient has not received prenatal care, estimated gestational age (EGA) may be used to answer gestational age. When the admission date is different from the delivery date, use documentation of the gestational age completed closest to the delivery date. Gestational age should be documented by the clinician as a numeric value between 1-50. The clinician, not the abstractor, should perform the calculation to determine gestational age based on the first day of the last normal menstrual period (not presumed time of conception) and the date of PC v2014A 80 delivery. Ultrasound-based dating is also an acceptable method of determining gestational age. If the gestational age entered by the clinician in the first document listed above is obviously incorrect (in error) but it is a valid number and the correct number can be supported with other documentation in the other acceptable data sources in the medical record, the correct number may be entered. Documentation in the acceptable data sources may be written by the following clinicians: physician, certified nurse midwife (CNM), advanced practice nurse/physician assistant (APN/PA) or registered nurse (RN). It is acceptable to use data derived from vital records reports received from state or local departments of public health if they are available and are directly derived from the medical record with a process in place to confirm their accuracy. If this is the case, these may be used in lieu of the acceptable data sources listed below. Suggested Data Sources: ONLY ACCEPTABLE SOURCES IN ORDER OF PREFERENCE: • • • • • • Delivery room record Operating room record History and physical Prenatal forms Admission clinician progress notes Discharge summary Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 81 Data Element Name: Health Care Organization Identifier Collected For: All Records, Aggregate Data File, Patient Population Data File, Hospital Clinical Data File Definition: Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: A unique number, assigned by The Joint Commission, to identify the health care organization that is accredited by The Joint Commission. This number is used to identify and group a health care organization's HCO-Level performance measure data. What is the Joint Commission’s unique identification number for the provider? Length: 6 Type: Numeric Occurs: 1 1 – 999,999 None Does not apply, assigned by The Joint Commission. Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 82 Data Element Name: Collected For: Definition: Suggested Data Collection Question: Format: Allowable Values: Hispanic Ethnicity All Records Documentation that the patient is of Hispanic ethnicity or Latino. Is the patient of Hispanic ethnicity or Latino? Length: 1 Type: Character Occurs: 1 Y (Yes) Patient is of Hispanic ethnicity or Latino. N (No) Patient is not of Hispanic ethnicity or Latino or unable to determine from medical record documentation. Notes for Abstraction: Suggested Data Sources: The data element, Race , is required in addition to this data element. • • • • • Emergency department record History and physical Face sheet Nursing admission assessment Progress notes Additional Notes: Guidelines for Abstraction: Inclusion A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term “Spanish origin” can be used in addition to “Hispanic or Latino.” Examples: • • • • • • • • • PC v2014A Exclusion • None Black-Hispanic Chicano H Hispanic Latin American Latino/Latina Mexican-American Spanish White-Hispanic 83 Data Element Name: ICD-9-CM Other Diagnosis Codes Collected For: All Records , Optional for HBIPS-2, HBIPS-3 and PBM; Used in algorithm for PC-01, 02, 03, 04, and 05 Definition: Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes associated with the diagnosis for this hospitalization. What were the ICD-9-CM other diagnosis codes selected for this medical record? Length: 6 (implied decimal point) Type: Alphanumeric Occurs: 24 Any valid ICD-9-CM diagnosis code None • Face sheet • Discharge summary • UB-04, Field Locations: 67A-Q NOTE: Medicare will only accept codes listed in fields A-H Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 84 Data Element Name: ICD-9-CM Other Procedure Codes Collected For: All Records , Optional for All HBIPS Records; Used in algorithm for PC-01, 02, 04 and 05; Definition: The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes identifying all significant procedures other than the principal procedure. Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-9-CM Other Procedure Date exists, etc.) will apply. Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: What were the ICD-9-CM code(s) selected as other procedure(s) for this record? Length: 5 (with or without decimal point) Type: Alphanumeric Occurs: 24 Any valid ICD-9-CM procedure code None • • • • Face sheet Discharge summary UB-04, Field Location: 74A-E Outpatient medical record Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 85 Data Element Name: ICD-9-CM Other Procedure Dates Collected For: All Records , Optional for All HBIPS and PBM Records Definition: The month, day, and year when the associated procedure(s) was (were) performed. Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-9-CM Other Procedure Codes exists, etc.) will apply. Suggested Data Collection Question: Format: What were the date(s) the other procedure(s) were performed? Length: 10 – MM-DD-YYYY (includes dashes) or UTD Type: Date Occurs: 24 Allowable Values: MM = Month (01-12) DD = Day (01-31) YYYY = Year (20xx) Leave Blank if Unable to Determine Notes for Abstraction: PC v2014A • If the procedure date for the associated procedure is unable to be determined from medical record documentation, enter UTD. • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid format/range or outside of the parameters of care [after Discharge Date ]) and no other documentation is found that provides this information, the abstractor should leave blank. Examples: ◦ Documentation indicates the ICD-9-CM Other Procedure Dates was 02- 42 -2008. No other documentation in the medical record provides a valid date. Since the ICD-9-CM Other Procedure Dates is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD.” ◦ Patient expires on 02-12-2008 and documentation indicates the ICD-9-CM Other Procedure Dates was 03-12-2008. Other documentation in the medical record supports the date of death as being accurate. Since the ICD-9-CM Other Procedure Dates is after the Discharge Date (death), it is outside of the parameters of care and the abstractor should leave blank. Note: Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. 86 Suggested Data Sources: • • • • • • • • Consultation notes Face sheet Progress notes Discharge summary Operative report Procedure notes Diagnostic test reports UB-04, Field Locations: 74A-E Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 87 Data Element Name: ICD-9-CM Principal Diagnosis Code Collected For: All Records , Optional for HBIPS-2 and HBIPS-3; Used in algorithm for PC01, 02, 03, 04, 05 and PBM-03 Definition: The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code associated with the diagnosis established after study to be chiefly responsible for occasioning the admission of the patient for this hospitalization. Suggested Data Collection Question: What was the ICD-9-CM code selected as the principal diagnosis for this record? Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: Length: 6 (implied decimal point) Type: Alphanumeric Occurs: 1 Any valid ICD-9-CM diagnosis code The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.” • • • • Face sheet Discharge summary UB-04, Field Location: 67 Outpatient medical record Additional Notes: Guidelines for Abstraction: Inclusion • Refer to Appendix A, for ICD-9-CM Code Tables. PC v2014A Exclusion • Refer to Appendix A, for ICD-9-CM Code Tables. 88 Data Element Name: ICD-9-CM Principal Procedure Code Collected For: All Records , Optional for All HBIPS Records; Used in algorithm for PC-01, 02, 04 and 05 Definition: The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code that identifies the principal procedure performed during this hospitalization. The principal procedure is the procedure performed for definitive treatment rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication. Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-9-CM Principal Procedure Date exists, etc.) will apply. Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: What was the ICD-9-CM code selected as the principal procedure for this record? Length: 5 (with or without decimal point) Type: Alphanumeric Occurs: 1 Any valid ICD-9-CM procedure code. The principal procedure as described by the Uniform Hospital Discharge Data Set (UHDDS) is one performed for definitive treatment rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication. • • • • Face sheet Discharge summary UB-04, Field Location: 74 Outpatient medical record Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 89 Data Element Name: ICD-9-CM Principal Procedure Date Collected For: All Records , Optional for All HBIPS and PBM Records Definition: The month, day, and year when the principal procedure was performed. Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-9-CM Principal Procedure Code exists, etc.) will apply. Suggested Data Collection Question: Format: What was the date the principal procedure was performed? Length: 10 – MM-DD-YYYY (includes dashes) Type: Date Occurs: 1 Allowable Values: MM = Month (01-12) DD = Day (01-31) YYYY = Year (20xx) Leave Blank if Unable to Determine Notes for Abstraction: PC v2014A • If the principal procedure date is unable to be determined from medical record documentation, leave blank. • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format or is outside of the parameters of care [after Discharge Date ]) and no other documentation is found that provides this information, the abstractor should leave blank. Examples: ◦ Documentation indicates the ICD-9-CM Principal Procedure Date was 02- 42 -2008. No other documentation in the medical record provides a valid date. Since the ICD-9-CM Principal Procedure Date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should leave blank. ◦ Patient expires on 02-12-2008 and documentation indicates the ICD-9-CM Principal Procedure Date was 03-12-2008. Other documentation in the medical record supports the date of death as being accurate. Since the ICD-9-CM Principal Procedure Date is after the Discharge Date (death), it is outside of the parameter of care and the abstractor should leave blank. Note: Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. 90 Suggested Data Sources: • • • • • • • • • Consultation notes Face sheet Progress notes Discharge summary Diagnostic test reports Operative notes Procedure notes UB-04, Field Location: 74 Outpatient medical record Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 91 Data Element Name: Initial Patient Population Size – Medicare Only Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file. Note: Refer to the Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Definition: Indicates the number of episode of care (EOC) records identified for a hospital with Medicare listed as a payment source prior to the application of data integrity filters, measure exclusions, and/or sampling methodology for the specified time period. The data element is based on the hospital's initial identification of Medicare EOC records for a measure set, stratum, or sub-population. Initial Patient Population Size – Medicare Only includes all patients that are billed under Medicare or Title 18. Medicare can be listed as a primary, secondary, teritary or lower on the list of payment sources for the patient. In addition, patients who are participating as a member of a Medicare HMO/Medicare Advantage are included in the Medicare counts, e.g., Medicare Blue, Humana Gold, Secure Horizons, AARP, Coventry Advantra, etc. This initial data pull utilizes administrative data such as ICD-9-CM diagnosis and procedure codes, admission date, and birthdate. For the discharge measures (eg. HBIPS-1, 4, PC-01), refer to the Initial Patient Population discussion in the Measure Information section of this manual for more information. For the HBIPS event measures (HBIPS-2 and 3), the Initial Patient Population Size – Medicare Only is equal to those EOC records in the census data identified as being Medicare EOC records. The HBIPS census data are calculated by (Psychiatric Inpatient Days-Medicare Only - Total Leave Days-Medicare Only). Initial Patient Population Size – Medicare Only is not derived from those cases that pass through the Initial Patient Population algorithm. Note: If the hospital’s data has been sampled, this field contains the population from which the sample was originally drawn, NOT the sample size. Suggested Data Collection Question: Format: Not Applicable Length: 6 Type: Numeric Occurs: Non-stratified Measure Sets: One Initial Patient Population Size – Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK). PC v2014A 92 Stratified Measure Sets: One Initial Patient Population Size – Medicare Only per measure set stratum or sub-population the hospital is participating in: * The PC measure set has three occurrences, one for the mother sub-population and two for the newborn subpopulations. * The HBIPS measure set has four occurrences, one for each age stratum. Note: Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets. Allowable Values: Notes for Abstraction: Suggested Data Sources: 0 through 999,999 Initial Patient Population Size-Medicare Only must contain the actual number of patients in the population even if the hospital has five or fewer discharges (both Medicare and non-Medicare combined) in a quarter and has decided to not submit patient level data. Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 93 Data Element Name: Initial Patient Population Size – Non-Medicare Only Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file. Note: Refer to the HBIPS Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Definition: Indicates the number of episode of care (EOC) records identified for a hospital with Medicare NOT listed as a payment source prior to the application of data integrity filters, measure exclusions, and/or sampling methodology for the specified time period. The data element is based on the hospital's initial identification of nonMedicare EOC records for a measure set, stratum, or sub-population. This initial data pull utilizes administrative data such as ICD-9-CM diagnosis and procedure codes, admission date, and birthdate. For the discharge measures (eg. HBIPS-1, 4, PC-01), refer to the Initial Patient Population discussion in the Measure Information section of this manual for more information. For the HBIPS event measures (HBIPS-2 and 3), the Initial Patient Population Size – Non-Medicare Only is equal to those EOC records in the census data identified as not having Medicare listed as a payment source. The HBIPS census data are calculated by (Psychiatric Inpatient Day-NonMedicare Only - Total Leave Days-Non-Medicare Only). Initial Patient Population Size – Non-Medicare Only is not derived from those cases that pass through the Initial Patient Population algorithm. Note: If the hospital’s data has been sampled, this field contains the population from which the sample was originally drawn, NOT the sample size. Suggested Data Collection Question: Format: Not Applicable Length: 6 Type: Numeric Occurs: Non-stratified Measure Sets: One Initial Patient Population Size – Non-Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK). Stratified Measure Sets: One Initial Patient Population Size – Non-Medicare Only per measure set stratum or sub-population the hospital is participating in: PC v2014A 94 * The PC measure set has three occurrences, one for the mother sub-population and two for the newborn subpopulations. * The HBIPS measure set has four occurrences, one for each age stratum. Note: Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets. Allowable Values: Notes for Abstraction: Suggested Data Sources: 0 through 999,999 Initial Patient Population Size-Non-Medicare Only must contain the actual number of patients in the population even if the hospital has five or fewer discharges (both Medicare and non-Medicare combined) in a quarter and has decided to not submit patient level data. Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 95 Data Element Name: Labor Collected For: PC-01, Definition: Suggested Data Collection Question: Format: Allowable Values: Documentation by the clinician that the patient was in labor. Is there documentation by the clinician that the patient was in labor? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation by the clinician that the patient was in labor. N (No) There is no documentation by the clinician that the patient was in labor OR unable to determine from medical record documentation. Notes for Abstraction: Suggested Data Sources: • A clinician is defined as a physician, certified nurse midwife (CNM), advanced practice nurse/physician assistant (APN/PA) or registered nurse (RN). • Documentation of labor by the clinician should be abstracted at face value. No additional documentation of regular contractions or cervical change is required in order to answer yes to labor. • History and physical • Nursing notes • Physician progress notes Additional Notes: Guidelines for Abstraction: Inclusion The following are acceptable descriptors for labor: • Active • Early • Spontaneous PC v2014A Exclusion The following are not acceptable descriptors for labor: • Latent • Prodromal 96 Data Element Name: Measure Category Assignment Collected For: HBIPS, PBM, PC, Calculation, Transmission, Hospital Clinical Data File , Used in calculation of the Joint Commission’s aggregate data and in the transmission of the Hospital Clinical Data file. Informational ONLY for PBM. Notes: • Episode of care records that calculate with a Measure Category Assignment of ”X” (missing data) for one or more measures will be rejected by the Joint Commission’s Data Warehouse. Refer to the Missing and Invalid Data section in this manual for more information. • All hospital measures use this data element. The ORYX Vendor's calculated Measure Category Assignment will be transmitted to The Joint Commission on a quarterly basis with the associated hospital clinical data. These measure results will be used in the Joint Commission’s data quality analysis and continuous measure verification process. ORYX Vendors can refer to the Joint Commission’s ORYX Data Quality Manual for more information. Definition: Calculated measures results for each episode of care (EOC) that is processed through a measure algorithm. Used to summarize the outcome for an EOC that is processed through a specific measure algorithm. Suggested Data Collection Question: Format: Allowable Values: Not Applicable Length: 1 Type: Character Occurs: One Measure Category Assignment per EOC is expected for every measure that a hospital is participating in. B Category B - Not in Measure Population For rate-based and continuous variable measures: EOC record is not a member of a measure's population. For rate-based-ratio measures: Does not apply. D Category D - In Measure Population For rate-based measures: EOC record is a member of the measure's population and there has not been an occurrence of the measure. For rate-based-ratio measures: Does not apply. PC v2014A 97 For continuous variable measures: EOC record is a member of the measure's population and has sufficient accurate and valid data to compute the measurement. Note: For continuous variable measures, EOC records that have a Measure Category Assignment of “D” will have an associated Measurement Value. E Category E - In Numerator Population For rate-based measures: EOC record is a member of the measure's population and there has been an occurrence of the measure. For rate-based-ratio measures: Event record is a member of the measure's population and there has been an occurrence of the measure. For continuous variable measures: Does not apply. U Category U – Not In Numerator Population For rate-based-proportion measures: Does not apply For rate-based-ratio measures: Event record is a member of the measure's population; however, it contains a data element whose allowable value excludes it from the numerator. For continuous variable measures: Does not apply. X Category X – Data Are Missing For rate-based and continuous variable measures: Data are missing that is required to calculate the measure. The record will be rejected by the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Y Category Y – UTD Allowable Value Does Not Allow Calculation of The Measure For rate-based measures: Does not apply. For rate-based-ratio measures: Event record contains a Date, Time, or Numeric data element with a value of ‘UTD’. For continuous variable measures: EOC record contains a Date, Time, or Numeric data element with a value of ‘UTD’. Note: For continuous variable measures, EOC records that have a PC v2014A 98 Measure Category Assignment of “Y” will not have an associated _Measurement Value_ Notes for Abstraction: Suggested Data Sources: None Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 99 Data Element Name: Measure Set Collected For: HBIPS, PC, Transmission, Patient Population Data File, Hospital Clinical Data File Definition: Suggested Data Collection Question: Format: Allowable Values: Notes for Abstraction: Suggested Data Sources: Indicates which measure set (topic) is being transmitted for a hospital. Not Applicable Length: 10 Type: Character Occurs: Hospital Clinical Data file: 1 Hospital Initial Patient Population Data file: 1 – 9 Refer to the Hospital Clinical Data XML File Layout and the Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. None Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 100 Data Element Name: National Provider Identifier Collected For: HBIPS, PC, Transmission , Optional for All Records Definition: Suggested Data Collection Question: Format: Allowable Values: All Health Insurance Portability and Accountability Act of 1996 (HIPAA) covered healthcare providers must obtain a National Provider Identifier (NPI). The NPI may be provided in addition to the Medicare provider number. What is the NPI for this provider? Length: 10 Type: Character Occurs: 1 Any valid 10 digit NPI number. The 10th digit is a numeric check digit based off the first 9 digits. Notes for Abstraction: Suggested Data Sources: None UB-04, Field Location: 56 Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 101 Data Element Name: Parity Collected For: PC-02, Definition: Suggested Data Collection Question: Format: Allowable Values: The number of live deliveries the patient experienced prior to current hospitalization. How many live deliveries did the patient experience prior to current hospitalization? Length: 2 or UTD Type: Alphanumeric Occurs: 1 0-50 UTD=Unable to Determine Notes for Abstraction: The delivery or operating room record should be reviewed first for parity. If parity is not recorded in the delivery or operating room record, then continue to review the data sources in the following order: history and physical, prenatal forms,clinician admission progress note and discharge summary until a positive finding for parity is found. In cases where there is conflicting data, parity found in the first document according to the order listed above should be used. If parity entered by the clinician in the first document listed above is obviously incorrect (in error) but it is a valid number and the correct number can be supported with other documentation in the other acceptable data sources in the medical record, the correct number may be entered. If parity is not documented and GTPAL terminology is documented where G= Gravida, T= Term, P= Preterm, A= Abortions and L= Living, all previous term and preterm deliveries prior to this hospitalization should be added together to determine parity. If parity is not documented and gravidity is documented as one, parity should be considered zero. The previous delivery of twins or any multiple gestation is considered one parous event. Documentation in the acceptable data sources may be written by the following clinicians: physician, certified nurse midwife (CNM), advanced practice nurse/physician assistant (APN/PA) or registered nurse (RN). It is acceptable to use data derived from vital records reports received from state or local departments of public health if they are available and are directly derived from the medical record with a process in place to confirm PC v2014A 102 their accuracy. If this is the case, these may be used in lieu of the acceptable data sources listed below. Suggested Data Sources: ONLY ACCEPTABLE SOURCES IN ORDER OF PREFERENCE: • • • • • • Delivery room record Operating room record History and physical Prenatal forms Admission clinician progress note Discharge summary Additional Notes: Guidelines for Abstraction: Inclusion The following descriptor must precede the number when determining parity: • Parity • P Examples: parity=2 or g3p2a1 PC v2014A Exclusion A string of three or more numbers without the alpha designation of "p" preceding the second number can not be used to determine parity. Example: 321 When GTPAL terminology is documented, G= Gravida, T= Term, P= Preterm, A= Abortions, L= Living, P does not equal parity. 103 Data Element Name: Payment Source Collected For: All Records , Optional for HBIPS-2 and HBIPS-3 Definition: The source of payment for this episode of care. Suggested Data Collection Question: Format: Allowable Values: What is the patient's source of payment for this episode of care? Length: 1 Type: Alphanumeric Occurs: 1 1 Source of payment is Medicare. 2 Source of payment is NonMedicare. Notes for Abstraction: Suggested Data Sources: • If Medicare is listed as the primary, secondary, tertiary, or even lower down on the list or payers, select "1". • If the patient has Medicaid only or Medicaid and another insurance type, other than Medicare, select "2". If the patient has Medicaid and Medicare, select "1". • If the patient is an Undocumented Alien or Illegal immigrant select "1". Undocumented Alien: Section 1011 of the Medicare Modernization Act of 2003 allows for reimbursement for services rendered to patients who are: Undocumented or illegal aliens (immigrants), Aliens who have been paroled into a United States port of entry and Mexican citizens permitted to enter the United States on a laser visa. • Face sheet • UB-04, Field Location: 50A, B or C Additional Notes: Guidelines for Abstraction: PC v2014A 104 Inclusion Medicare includes, but is not limited to: • Medicare Fee for Service (includes DRG or PPS) • Black Lung • End Stage Renal Disease (ESRD) • Railroad Retirement Board (RRB) • Medicare Secondary Payer • Medicare HMO/Medicare Advantage PC v2014A Exclusion • None 105 Data Element Name: Predicted Value Collected For: PC, Transmission, Risk Adjustment, Hospital Clinical Data File , Used in the calculation of the Joint Commission’s aggregate data for Risk Adjusted Measures (PC-02, PC-04) and in the Transmission section of the Hospital Clinical Data file. Note: • The ORYX Vendor’s calculated Predicted Value will be transmitted to The Joint Commission on a quarterly basis with the associated hospital clinical data. These measure results will be used in the Joint Commission’s data quality analysis and continuous measure verification process. ORYX Vendors can refer to the Joint Commission’s ORYX Data Quality Manual and ORYX Risk Adjustment Guide for more information. Definition: This data element is used to store the calculated predicted value that results from applying the appropriate Joint Commission risk model to the data. Note: Used in conjunction with Measure Category Assignment when its allowable value = “D” (In Measure Population) or “E” (In Numerator Population). Suggested Data Collection Question: Format: Allowable Values: Not Applicable Length: 2-9 (including decimal) Type: Numeric Occurs: One Predicted Value is expected per EOC for every riskadjusted measure that a hospital is participating in. 0.00000001 – 0.99999999 JOINT COMMISSION NOTE TO PROGRAMMERS: • Round to 8 decimal places. • Use only the twenty four ICD-9-CM Diagnosis Codes that are transmitted as part of the patient record when evaluating the patient against the risk model. Do not use additional ICD-9-CM Diagnosis Codes that may be available in the medical record or from the UB download. Notes for Abstraction: PC v2014A None 106 Suggested Data Sources: Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 107 Data Element Name: Prior Uterine Surgery Collected For: PC-01, Joint Commission Only Definition: Documentation that the patient had undergone prior uterine surgery. Suggested Data Collection Question: Is there documentation that the patient had undergone prior uterine surgery? Format: Allowable Values: Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) The medical record contains documentation that the patient had undergone prior uterine surgery. N (No) The medical record does not contain documentation that the patient had undergone a prior uterine surgery OR unable to determine from medical record documentation. Notes for Abstraction: Suggested Data Sources: • • • • • History and physical Nursing admission assessment Progress notes Physician’s notes Prenatal forms Additional Notes: Guidelines for Abstraction: Inclusion The only prior uterine surgeries considered for the purposes of the measure are: • Prior classical cesarean section which is defined as a vertical incision into the upper uterine segment • Prior myomectomy • Prior uterine surgery resulting in a perforation of the uterus due to an accidental injury • History of a uterine window or thinning of the uterine wall noted during prior uterine surgery or during ultrasound • History of uterine rupture requiring surgical repair PC v2014A Exclusion • Prior low transverse cesarean section • Prior cesarean section without specifying prior classical cesarean section 108 PC v2014A 109 Data Element Name: Race Collected For: All Records Definition: Suggested Data Collection Question: Format: Documentation of the patient’s race. What is the patient’s race? Length: 1 Type: Character Occurs: 1 Allowable Values: Select one: Notes for Abstraction: PC v2014A 1 White: Patient’s race is White or the patient has origins in Europe, the Middle East, or North Africa. 2 Black or African American: Patient’s race is Black or African American. 3 American Indian or Alaska Native: Patient’s race is American Indian/Alaska Native. 4 Asian: Patient’s race is Asian. 5 Native Hawaiian or Pacific Islander: Patient’s race is Native Hawaiian/Pacific Islander. 6 RETIRED VALUE (effective 07-01-05 discharges) 7 UTD: Unable to determine the patient’s race or not stated (e.g., not documented, conflicting documentation or patient unwilling to provide). • The data element Hispanic Ethnicity is required in addition to this data element. • If documentation indicates the patient has more than one race (e.g., Black-White, Indian-White), select the first listed race. • Although the terms “Hispanic” and “Latino” are actually descriptions of the patient’s ethnicity, it is not uncommon to find them referenced as race. If the patient’s race is documented only as Hispanic/Latino, select “White.” If the race is documented as mixed Hispanic/Latino with another race, use whatever race is given (e.g., Black-Hispanic – select “Black”). Other terms for Hispanic/Latino include Chicano, Cuban, H (for Hispanic), Latin American, Latina, Mexican, MexicanAmerican, Puerto Rican, South or Central American, and Spanish. 110 Suggested Data Sources: • • • • • Emergency department record History and physical Face sheet Nursing admission assessment Progress notes Additional Notes: Guidelines for Abstraction: Inclusion Black or African American A person having origins in any of the black racial groups of Africa. Terms such as “Haitian” or “Negro” can be used in addition to “Black or African American.” Exclusion • None American Indian or Alaska Native A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment (e.g., any recognized tribal entity in North and South America [including Central America], Native American.) Asian A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. White A person having origins in any of the original peoples of Europe, the Middle East, or North Africa (e.g., Caucasian, Iranian, White). Native Hawaiian or Pacific Islander A person having origins in any of the other original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. PC v2014A 111 Data Element Name: Reason for Not Exclusively Feeding Breast Milk Collected For: PC-05, Definition: Reasons for not exclusively feeding breast milk during the entire hospitalization are clearly documented in the medical record. These reasons are due to a maternal medical condition for which feeding breast milk should be avoided or due to mother’s choice to not exclusively feed breast milk upon admission. Exclusive breast milk feeding is defined as a newborn receiving only breast milk and no other liquids or solids except for drops or syrups consisting of vitamins, minerals, or medicines. Suggested Data Collection Question: Format: Allowable Values: Was there documentation of a reason for not exclusively feeding breast milk during the entire hospitalization? Length: 1 Type: Alphanumeric Occurs: 1 1.) There is documentation by physician/advanced practice nurse (APN)/physician assistant (PA)/certified nurse midwife (CNM) /lactation consultant of a reason for not exclusively feeding breast milk during the entire hospitalization due to a maternal medical condition with which breast milk feeding should be avoided. 2.) There is documentation by physician/APN/PA/CNM/lactation consultant/RN that the newborn’s mother chose to not exclusively feed breast milk upon admission. 3.) There is no documentation by physician/APN/PA/CNM/lactation consultant/RN of a reason for not exclusively feeding breast milk during the entire hospitalization due to a maternal medical condition with which breast milk feeding should be avoided OR newborn's mother's choice to not exclusively feed breast milk OR unable to determine from medical record documentation. Notes for Abstraction: PC v2014A When determining whether there is a reason due to a medical maternal condition documented by a physician/APN/PA/CNM or lactation consultant for not exclusively feeding breast milk, reasons must be explicitly documented (e.g., "mother is HIV positive - newborn will not be breast fed") or clearly implied (e.g., "mother is currently abusing alcohol - newborn will be fed formula"). If reasons are not mentioned in the context of newborn feeding, do not make inferences (e.g., do not assume that the newborn is not receiving breast milk because of the medications the mother is currently taking). 112 A mother’s choice to not exclusively feed breast milk upon admission must be clearly documented in the newborn’s medical record in the context of the newborn feeding method in order to select allowable value “2”. Do not assume that the newborn was not exclusively fed breast milk due to maternal choice in the absence of such documentation. If the mother's choice is to feed both formula and breast milk upon admission select allowable value "2". RN documentation of the mother's choice to not exclusively feed breast milk upon admission may be used only if there is additional documentation during the hospitalization from the physician/APN/PA/CNM/lactation consultant that they are aware of the mother's decision to not exclusively breast milk feed the newborn. Suggested Data Sources: PHYSICIAN/APN/CNM/LACTATION CONSULTANT DOCUMENTATION ONLY • • • • Clinician progress notes History and physical Physician progress notes Physician's orders Additional Notes: Guidelines for Abstraction: Inclusion These are the only acceptable maternal medical conditions for which breast milk feeding should be avoided which includes one or more of the following medical conditions: • • • • • • • • • PC v2014A Exclusion None HIV infection Human t-lymphotrophic virus type I or II Substance abuse and/or alcohol abuse Active, untreated tuberculosis Taking certain medications, i.e., prescribed cancer chemotherapy, radioactive isotopes, antimetabolites, antiretroviral medications and other medications where the risk of morbidity outweighs the benefits of breast milk feeding Undergoing radiation therapy Active, untreated varicella Active herpes simplex virus with breast lesions Admission to Intensive Care Unit (ICU) post-partum 113 • Adoption or foster home placement of newborn • Previous breast surgery, i.e., bilateral mastectomy, bilateral breast reduction or augmentation where the mother is unable to produce breast milk • Breast abnormality, i.e., hypoplasia, tumor, etc. where the mother is unable to produce breast milk • Surrogate delivery resulting in placement of the newborn with another person who will assume care of the newborn after discharge PC v2014A 114 Data Element Name: Reason for Not Initiating Antenatal Steroid Therapy Collected For: PC-03, Definition: Reasons for not initiating antenatal steroid therapy before delivery are clearly documented in the medical record. Reasons for not initiating antenatal steroid therapy may include fetal distress, imminent delivery or other reasons documented by physician/advanced practice nurse (APN)/physician assistant (PA)/certified nurse midwife (CNM). Initial antenatal steroid therapy is 12mg betamethasone IM or 6mg dexamethasone IM. Suggested Data Collection Question: Format: Allowable Values: Is there documentation in the medical record of reasons for not initiating antenatal steroid therapy before delivery? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation by physician/APN/PA/CNM that the patient has one or more reasons for not initiating antenatal steroid therapy before delivery. N (No) There is no documentation by physician/APN/PA/CNM of a reason for not initiating antenatal steroid therapy before delivery or unable to determine from medical record documentation. Notes for Abstraction: Suggested Data Sources: When determining whether there is a reason documented by a physician/APN/PA or CNM for not initiating antenatal steroid therapy, reasons must be explicitly documented (e.g., "patient had an adverse reaction to the medication in the past - unable to initiate antenatal steroid therapy") or clearly implied (i.e., there is documentation the delivery occurred before antenatal steroid therapy could be initiated, there is documentation the fetus has anomalies which are not compatible with life, there is documentation that the patient has chorioamnionitis). If reasons are not mentioned in the context of antenatal steroid administration, do not make inferences. PHYSICIAN/APN/PA/CNM DOCUMENTATION ONLY • History and physical • Physician progress notes • Prenatal forms Additional Notes: PC v2014A 115 Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 116 Data Element Name: Sample Collected For: HBIPS, PC, Transmission, Aggregate Data File, Hospital Clinical Data File , (Used in transmission of the Joint Commission’s aggregate data file and the Hospital Clinical Data file.) Notes: • Required for transmission of aggregate data to The Joint Commission. Refer to the ORYX Technical Implementation Guide for more information. Definition: Suggested Data Collection Question: Format: Allowable Values: Indicates if the data being transmitted for a hospital has been sampled, or represent an entire population for the specified time period. Does this case represent part of a sample? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) The data represents part of a sample. N (No) The data is not part of a sample; this indicates the hospital is performing 100 percent of the discharges eligible for this topic. Notes for Abstraction: Suggested Data Sources: When Sampling Frequency equals '3' (No, the hospital is not sampling) or '4' (N/A, submission of patient level data is not required), then abstract Sample as "No". Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 117 Data Element Name: Sample Size – Medicare Only Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file. Note: For more information refer to the Population and Sampling Specifications section and Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Definition: Indicates the number of episode of care (EOC) records identified for a hospital with Medicare listed as a payment source for a hospital to perform data abstraction on. This count is after the appropriate sampling methodology, if any, has been applied for the specific time period. Notes for discharge measures (eg. HBIPS-1, 4, PC-01): • If the hospital is sampling the discharge measures, then the Sample Size – Medicare Only should be equal or less than the Initial Patient Population Size – Medicare Only for the set, stratum, or subpopulation. • If the hospital is not sampling the discharge measures, then the Sample Size – Medicare Only will equal the Initial Patient Population Size – Medicare Only for the set, stratum, or sub-population. Notes for HBIPS event measures (HBIPS-2 and 3): • Hospitals may not sample the HBIPS event measures. For these two measures, the Sample Size – Medicare Only equals the Initial Patient Population Size – Medicare Only for the set, stratum, or subpopulation. Suggested Data Collection Question: Format: Not Applicable Length: 6 Type: Numeric Occurs: Non-stratified Measure Sets: One Sample Size – Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK). Stratified Measure Sets: One Sample Size – Medicare Only per measure set stratum or sub-population the hospital is participating in: * The PC measure set has three occurrences, one for the mother sub-population and two for the newborn subpopulations. * The HBIPS measure set has four occurrences, one for each PC v2014A 118 age stratum. Note: Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets. Allowable Values: Notes for Abstraction: Suggested Data Sources: 0 through 999,999 For Discharge measures (eg. HBIPS-1,PC-01), when Sampling Frequency = ‘N/A’ because the hospital has five or fewer discharges (both Medicare and non-Medicare combined) in a quarter and has decided to not submit patient level data, Sample Size – Medicare Only should equal zero. Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 119 Data Element Name: Sample Size – Non-Medicare Only Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file. Note: • For more information, refer to the Population and Sampling Specifications section and Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Definition: Indicates the number of episode of care (EOC) records identified for a hospital with Medicare NOT listed as a payment source for a hospital to perform data abstraction on. This count is after the appropriate sampling methodology, if any, has been applied for the specific time period. Notes for discharge measures (eg HBIPS-1, 4, PC-01): • If the hospital is sampling the HBIPS discharge measures, then the Sample Size – Non-Medicare Only should be equal or less than the Initial Patient Population Size – Non-Medicare Only for the set, stratum, or sub-population. • If the hospital is not sampling the discharge measures, then the Sample Size – Non-Medicare Only will equal the Initial Patient Population Size – Non-Medicare Only for the set, stratum, or subpopulation. Notes for HBIPS event measures (HBIPS-2 and 3): • Hospitals may not sample the HBIPS event measures. For these two measures, the Sample Size – Non-Medicare Only equals the Initial Patient Population Size – Non-Medicare Only for the set, stratum, or sub-population. Suggested Data Collection Question: Format: Not Applicable Length: 6 Type: Numeric Occurs: Non-stratified Measure Sets: One Sample Size – Non Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK). Stratified Measure Sets: One Sample Size – Non Medicare Only per measure set stratum or sub-population the hospital is participating in: * The PC measure set has three occurrences, one for the PC v2014A 120 mother sub-population and two for the newborn subpopulations. * The HBIPS measure set has four occurrences, one for each age stratum. Note: Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets. Allowable Values: Notes for Abstraction: Suggested Data Sources: 0 through 999,999 For Discharge measures (eg. HBIPS-1, 4, PC-01), when Sampling Frequency = ‘N/A’ because the hospital has five or fewer discharges (both Medicare and non-Medicare combined) in a quarter and has decided to not submit patient level data, Sample Size – Non-Medicare Only should equal zero. Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 121 Data Element Name: Sampling Frequency Collected For: HBIPS, PC, Transmission, Patient Population Data File , Used in transmission of the Hospital Initial Patient Population Data file. Note: Refer to the Population and Sampling Specifications section and Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Definition: Suggested Data Collection Question: Format: Indicates if the data being transmitted for a hospital has been sampled (either monthly or quarterly), or represents an entire population for the specified time period. Not Applicable Length: 1 Type: Character Occurs: Non-stratified Measure Sets: One Sample Size – Medicare Only per hospital’s measure set (e.g., AMI, HF, PN, and STK). Stratified Measure Sets: One Sample Size – Medicare Only per measure set stratum or sub-population the hospital is participating in: * The PC measure set has three occurrences, one for the mother sub-population and two for the newborn subpopulations. * The HBIPS measure set has four occurrences, one for each age stratum. Note: Refer to the appropriate version of the Specifications Manual for National Quality Inpatient Measures for the number of occurrences for the CAC, VTE, and SCIP measure sets. Allowable Values: PC v2014A 1 Yes, the hospital is sampling data monthly. 2 Yes, the hospital is sampling data quarterly. 3 No, the hospital is not sampling. 4 N/A, submission of patient level data is not required. 122 Notes for Abstraction: • Sampling Frequency must be consistent across a discharge time period. Example: If the Sampling Frequency for April is monthly, then the Sampling Frequency for May and June must be monthly. • For Discharge measures (e.g., HBIPS-1, 4, PC-01): Hospitals with five or fewer discharges (both Medicare and Non-Medicare combined) in a quarter are not required to submit patient level data. • For Event measures (eg., HBIPS-2 and 3): This data element will always be equal to ‘3’ (No, the hospital is not sampling) for the HBIPS event measures (HBIPS-2 and 3). Suggested Data Sources: Not Applicable Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 123 Data Element Name: Sex Collected For: All Records Definition: Suggested Data Collection Question: Format: The patient's documented sex on arrival at the hospital. What is the patient’s sex? Length: 1 Type: Character Occurs: 1 Allowable Values: M = Male F = Female U = Unknown Notes for Abstraction: Suggested Data Sources: • Collect the documented patient’s sex at admission or the first documentation after arrival. • Consider the sex to be unable to be determined and select “Unknown” if: ◦ The patient refuses to provide their sex. ◦ Documentation is contradictory. ◦ Documentation indicates the patient is a Transexual. ◦ Documentation indicates the patient is a Hermaphrodite. • • • • • • • Consultation notes Emergency department record History and physical Face sheet Progress notes UB-04 Field Location: 11 Nursing admission notes Additional Notes: Guidelines for Abstraction: Inclusion • None PC v2014A Exclusion • None 124 Data Element Name: Spontaneous Rupture of Membranes Collected For: PC-01, Definition: Suggested Data Collection Question: Format: Allowable Values: Documentation that the patient had spontaneous rupture of membranes (SROM) before medical induction and/or cesarean section. Is there documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section? Length: 1 Type: Alphanumeric Occurs: 1 Y (Yes) There is documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section. N (No) There is no documentation that the patient had spontaneous rupture of membranes before medical induction and/or cesarean section OR unable to determine from medical record documentation. Notes for Abstraction: If the patient's spontaneous rupture of membranes is confirmed before medical induction and/or cesarean section by one of the following methods, select allowable value "Yes": • • • • • Suggested Data Sources: Positive ferning test Positive nitrazine test Positive pooling (gross fluid in vagina) Positive Amnisure® ROM test or equivalent Patient report of SROM prior to hospital arrival • History and physical • Nursing notes • Physician progress notes Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 125 Data Element Name: Unique Blinded Case Identifier Collected For: All Records , All Records (Used in transmission of anonymous patient-level data to the Joint Commission) Definition: Suggested Data Collection Question: Format: Allowable Values: An identifier that is assigned to each patient by the hospital that uniquely identifies the patient for the episode of care. It is a fictitious identifier used to differentiate between individual patient records. What number has been assigned to identify the patient? Length: 9 Type: Numeric Occurs: 1 Any valid positive number up to nine digits • This identifier should not be derived from or related to information about the patient in such a way that it is possible to identify the patient via a review or manipulation of the data. • Since a unique identifier is used for each medical record that is abstracted for the Joint Commission pilot, hospitals need to link this tracking identifier to the original patient record. This link will be important in the event that data quality issues arise and it is requested that the episode of care data be reviewed or if the patient is chosen to be included in the data reliability study. Notes for Abstraction: Suggested Data Sources: Additional Notes: Does not apply, determined by the hospital. Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 126 Data Element Name: Vendor Tracking Identifier Collected For: HBIPS, PC, Transmission, Hospital Clinical Data File Definition: An ORYX Vendor® -generated identifier that uniquely identifies this patient’s stay or episode of care. It is a fictitious identifier generated by the ORYX Vendor to differentiate between individual patient records in each hospital. This identifier cannot be derived from or related to information about the patient in such a way that it is possible to identify the patient via a review or manipulation of the data. Since this identifier is transmitted to The Joint Commission, ORYX Vendors must be able to link this tracking identifier to the original record (patient) in the event that data quality issues arise. Any data that require correction and re-transmission must use the same tracking identifier as that used in the original transmission or a duplication of data within the Joint Commission’s database will occur. This identifier is linked to a patient’s episode of care, not to a specific event that occurs during the episode of care. The Vendor Tracking ID must be the same each time data for a unique patient’s episode of care is transmitted; regardless of whether this is the second or thirty-second record being transmitted for the patient. Suggested Data Collection Question: Format: Allowable Values: Not applicable, this data element is not data entered. Length: 100 Type: Character Occurs: 1 Up to 100 letters, numbers, and/or special characters can be entered. NOTE: Only the following special characters will be allowed: ~ ! @ # $ % ^ * ( ) _ + { } | : ? ` - = [ ] ; ‘ . , / and space The identifier cannot be left blank or be the patient’s social security number, Medicare number, driver license number, medical record number, account number, or other identifier assigned to the patient for purposes other than transmission of data to The Joint Commission. In addition, this identifier cannot be a combination of data in which one portion of the data directly identifies the patient or the combination of data identifies the patient. Notes for Abstraction: PC v2014A For each patient episode of care, the Vendor Tracking ID should match for each Measure Set that is submitted. For example, if the hospital submits a 127 separate XML file for PC, ED, and TOB, the Vendor Tracking ID should be the same in each XML file. Suggested Data Sources: Unique ORYX Vendor generated identifier NOTE TO PROGRAMMERS: • An ORYX Vendor may have its own case identifier. We are not requesting that ORYX Vendors change their internal processes; rather, this tracking identifier is needed for transmission of the hospital clinical data to The Joint Commission. Additional Notes: Guidelines for Abstraction: Inclusion None PC v2014A Exclusion None 128 Missing and Invalid Data Introduction Missing data refers to data elements, required for calculating a national hospital quality measure, that have no values present for one or more episodes of care (EOC) or event records. Invalid data refers to data element values, required for calculating a national hospital quality measure, that fall outside of the range of allowable values defined by The Joint Commission for that data element. Reducing missing and invalid data minimizes the bias to a measure rate, because episodes of care with missing or invalid data cannot be included in the calculation of the observed measure rate. A measure’s observed rate may not accurately reflect the patient population, if the excluded EOC and event records differ significantly from the EOCs and events with no missing data that were included in the measure calculation. Data Collection and the Unable to be Determined (UTD) Allowable Value Abstractors must ‘touch’ and provide an answer to every data element that is applicable per the combined skip logic of all of the measures in a topic. While there is an expectation that all data elements are collected, it is recognized that in certain situations information may not be available (dates, times, codes, etc.). If, after due diligence, the abstractor determines that a value is not documented or is not able to determine the answer value, the abstractor must select “Unable to Determine (UTD)” as the answer. The “UTD” allowable value is used as follows: Admission Date, Birthdate, Discharge Date, Event Date, Event Type, ICD-9-CM Principal and Other Diagnosis Codes, ICD-9-CM Principal and Other Procedure Codes, Psychiatric Care Setting, Psychiatric Inpatient Days-Medicare Only, Psychiatric Inpatient Days-Non-Medicare Only, Total Leave Days-Medicare Only, and Total Leave Days-Non-Medicare Only do not have an “UTD” allowable value for transmission to The Joint Commission. EOC and event records containing “UTD” for any of these data elements are rejected when submitted to the Joint Commission’s Data Warehouse. Date, time, and numeric data elements, other than those listed above have an “UTD” allowable value option. Rate-based proportion algorithms evaluate EOC records to a Measure Category Assignment = “D” or "E" (failed) depending on the desired direction improvement of the associated measure when a date, time, or numeric data element containing an allowable value of “UTD” is evaluated. When the direction of the improvement is an increase in rate, the algorithm will evaluate the EOC records to a Measure Category Assignment = "D". When the direction of improvement is a decrease in rate, the algorithm will evaluate the EOC record to a Measure Category Assignment = "E". Continuous variable and rate-based ratio algorithms evaluate EOC records to a Measure Category Assignment = “Y” (UTD value exists) when a date, time, or numeric data element containing an allowable value of “UTD” is evaluated. The method by which data collection software collects “UTD’ information is determined by each software vendor; except the software cannot automatically default an “UTD” answer. The decision to enter an “UTD” for each data element is up to the abstractor, not the software. There are specific requirements pertaining to the transmission of this value. Refer to the Transmission section in this manual for more information. Yes/No data elements: The allowable value “No” incorporates “UTD” into the definition. Refer to the measure algorithms in which each Yes/No data element is used to determine how the EOC and event records are treated. Data elements containing two or more categorical values: The “UTD” value is either classified as a separate allowable value or included in the same category as “None of the above/Not documented”. Refer to the measure algorithms in which each categorical data element is used to determine how the EOC record is treated. Missing and Invalid Episode of Care (EOC) and Event Data PC v2014A 129 The Joint Commission’s Data Warehouse evaluates patient data using the missing, invalid and data integrity edits. Refer to the Edit Feedback Messages documents located on the Upload/Download page in the HCD section on PET for Joint Commission, for a complete listing of all critical and informational edits. Rejected data must be corrected and resubmitted before the transmission deadline in order for it to be accepted by the Joint Commission’s Data Warehouse. The majority of general data elements that are missing data cause the EOC and event records to be rejected. These data elements for Discharge measure include but not limited to Admission Date, Birthdate, Discharge Date, and ICD-9-CM Principal Diagnosis Codes. For Event measures such general data elements include but not limited to event-type, event-date, Admission Date, and Birthdate. Refer to the Introduction to the Data Dictionary in this manual for the complete list of general data elements. Not all patients have an ICD-9-CM Other Diagnosis Code. Records will be accepted with missing data for this data element. Measure-specific data elements that are missing data cause the EOC and event records to be rejected if any measure algorithm results in a Measure Category Assignment = “X” (missing data). If no measure evaluates to a category assignment of “X”, the EOC record will be accepted. General and measure specific data elements that contain invalid data cause the EOC and events record to be rejected. Abstraction Software Skip Logic and Missing Data Skip logic allows hospitals and vendors to minimize abstraction burden by using vendor software edit logic to bypass abstraction of data elements not utilized in the measure algorithm. However, these bypassed elements also negatively impact data quality when elements are incorrectly abstracted and subsequent data elements are bypassed and left blank. The use of skip logic by hospitals and ORYX vendors is optional and not required by The Joint Commission. Hospitals should be aware the potential impact of skip logic on data quality and abstraction burden. Vendors and hospitals utilizing skip logic should closely monitor the accuracy rate of abstracted data elements, particularly data elements placed higher in the algorithm flow. Note: *A missing value occurs when the abstractor does not select an answer for a data element (leaves it blank) or the software incorrectly transmits a “null” instead of the correct value for a data element. An “UTD” allowable value is not considered missing data. Missing, Invalid, UTD Data Summary: Missing Data Invalid Data UTD No data element value is present. (blank or “null”) The data element value falls outside of the range of defined allowable values. The allowable value of “UTD” is present for the data element. PC v2014A 130 Population and Sampling Specifications Introduction Population Defining the population is the first step to estimate a hospital’s performance. A population is generally defined as a collection of patients sharing a common set of universally measured characteristics, such as an ICD-9-CM Principal Diagnosis or Procedure Code. The Initial Patient Population and diagnosis codes meet this description for the national quality measures. For the purpose of measuring national quality core measures, the term “Initial Patient Population” is defined below: An “Initial Patient Population” refers to all patients (Medicare and non-Medicare) who share a common set of specified, administratively derived data elements. This may include ICD-9-CM diagnosis codes or other population characteristics such as age. For example, the population for the HBIPS discharge measures (e.g., HBIPS-1, 4, 5, 6, and 7) includes all patients having a principal or secondary psychiatric diagnosis code from Appendix A, Table 10.1. Cases identified as being in the Initial Patient Population for the measure set, or strata (e.g., HBIPS), or sampling group (e.g., PC) are eligible to be sampled. For the definition of the Initial Patient Population(s) for each measure set, refer to the appropriate Initial Patient Population discussion in the Measure Information section of this manual. Sampling Sampling is a process of selecting a representative part of a population in order to estimate the hospital’s performance, without collecting data for its entire population. Using a statistically valid sample, a hospital can measure its performance in an effective and efficient manner. Sampling is a particularly useful technique for performance measures that require primary data collection from a source such as the medical record. Sampling should not be used unless the hospital has a large number of cases in the Initial Patient Population because a fairly large number of sample cases are needed to achieve a representative sample of the population. For the purpose of sampling national quality measures, the terms “sample” and “case are defined as below: The “sample” is the fraction of the population that is selected for further study. A “case” refers to a single record (or an episode of care [EOC] or event) within the population. For example, during the first quarter a hospital may have 100 patients who had principal or secondary psychiatric diagnosis code associated to the HBIPS-1, 4, 5, 6, and 7 measures. The hospital’s Initial Patient Population would include 100 cases or 100 patient records for these measures during the first quarter. To obtain statistically valid sample data, the sample size should be carefully determined and the sample cases should be randomly selected in such a way that the individual cases in the population have an equal chance of being selected. Only when the sample data truly represent the whole population can the sample-based performance measure data be meaningful and useful. Each hospital is ultimately responsible that sampling techniques applied for their hospital adhere to the sampling requirements outlined in this manual. ORYX® Vendors are responsible for ensuring that the sampling techniques are applied consistently across their client hospitals. Sampling is done by national quality inpatient measure set; however, for Perinatal Care (PC), and Hospital-Based Inpatient Psychiatric Services (HBIPS) are done by strata or sampling group. For measures requiring medical record abstraction, sampling must be done using available databases that contain all discharges for the transmission quarter. Note: Hospitals are NOT required to sample their data. If sampling offers minimal benefit (i.e., a hospital has 80 cases for the quarter and must select a sample of 76 cases) the hospital may choose to use all cases. PC v2014A 131 Order of Data Flow The sampling methodology defined in the Specifications Manual for National Hospital Inpatient Quality Measures requires hospitals submitting data for any measure set, except HBIPS, that utilizes the Global Initial Patient Population to use the associated sampling methodology for all measure sets being submitted. This requirement includes the PC measure set. Hospitals submitting data for HBIPS are not required to utilize Global sampling methodology even if they are submitting Global measure sets. If the hospital is submitting data to both the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse, use sampling methodology number one. If the hospital is submitting data to only The Joint Commission: If the hospital is submitting at least one measure set that uses the Global Initial Patient Population, use sampling methodology number one. If the hospital is not submitting any of the measure sets that uses the Global Initial Patient Population, sample each measure set independently using sampling methodology number two. If the hospital is submitting HBIPS, sample independently using sampling methodology number two 1. Hospitals Submitting Measure Sets Under the Global Initial Patient Population to Both the QIO Clinical Warehouse and The Joint Commission’s Data Warehouse For the submission of the Global Initial Patient Population and associated measure sets (i.e., ED, IMM, TOB, and/or SUB) the following data flow or process steps should be used to identify the data for all measure sets or stratum that are transmitted to the Joint Commission’s Data Warehouse, including PC, however excluding HBIPS. These process steps are: Identify Global Cases To Be Abstracted (ED, IMM, SUB, TOB) PC v2014A 132 Identify the Global Initial Patient Population. The Global Initial Patient Population is used for the ED, IMM, TOB, and SUB measure sets. This data pull utilizes administrative data such as admission date and discharge date. This identification process must be completed prior to the application of data integrity filter, measure exclusions, and the application of sampling methodology. For specific Global Initial Patient Population definitions, refer to the Global Initial Patient Population discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. This data pull is completed once for each hospital. This is not performed for each measure set that utilizes the Global population. If the hospital is sampling, use the Global Initial Patient Population identified above and pull the sample of medical records for the ED, IMM, TOB, and/or SUB measure sets using the Sample Size Requirements defined in the Global Initial Patient Population Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. Note: This is completed once for each hospital. This is not performed for each measure set that utilizes the Global population. Collect or abstract from the identified medical records the general and measure specific data elements that are needed for the measure set. Run the data through the algorithms for the measure sets under the Global Initial Patient Population (ED, IMM, SUB and/or TOB). The count of the number of cases used in this step is collected in the Global Initial Patient Population and Sample Size data elements. If the hospital is only submitting the measure sets under the Global Initial Patient Population (i.e., ED, IMM, SUB or TOB), the process is complete. Identify Cases To Be Abstracted For The Remaining Measure Sets, Strata, and Sub-populations (PC, AMI, CAC, HF, PN, SCIP, STK, VTE) Identify the Initial Patient Population for the other measure sets (AMI, HF, PN, STK) strata or sub-populations (PC, SCIP, CAC, VTE). This data pull utilizes administrative data such as ICD-9-CM diagnosis and procedure codes, admission date, and birthdate. All ICD-9-CM diagnosis and procedure codes included in the Initial Patient Population definition must be applied. This identification process must be completed prior to the application of data integrity filter, measure exclusions, and the application of sampling methodology. For specific PC measure set definitions, refer to the Initial Patient Population discussion in the Measure Information section of this manual. For all other measures, refer to the Initial Patient Population discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. The number of cases in the Initial Patient Population of each measure set, strata, and subpopulation are collected in the appropriate Initial Patient Population Size data elements. If the hospital is not sampling, collect or abstract from the identified medical records the general and measure specific data elements that are needed for the measure set(s), strata or sub-populations. The count of the number of cases used in this step is collected in the Sample Size data elements. If the hospital is sampling, use the Initial Patient Population (N) identified above and pull the sample of medical records for the measure set, strata or sub-population using the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of this manual for PC. For all other measures, refer to the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. Using the Global Initial Patient Population identified above, identify and count the number of cases that are also in the other Measure Sets (e.g., AMI, HF, PN, and STK), strata, or sub-populations (e.g., PC, SCIP, CAC, or VTE) Initial Patient Population(s).Determine the number of cases that need to be sampled (n) from the cases in the other measure set(s) or stratum(s) Initial Patient Population (N). Use the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of this manual for PC and HBIPS. For all other measures, refer to the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. If there are enough Initial Patient Population cases in the Global sample pull to meet the specific initial patient population and sampling requirements for the measure set(s), strata, or sub-populations, then no additional sampling is required. Collect or abstract from the identified medical records the general and measure specific data elements that are needed for the measure set(s), strata, or sub-populations. The count of the number of cases used in this step is collected in the Sample Size data elements. PC v2014A 133 If there are not enough Initial Patient Population cases in the Global sample pull to meet the specific initial patient population and sampling requirements for the measure set(s), strata or sub-populations, complete the sample by pulling additional cases from the other measure set(s), strata or subpopulations Initial Patient Population(s). Use the “Sample Size Requirements” in the appropriate Sampling discussion in the Measure Information section of this manual for PC. For all other measures, refer to the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. Collect or abstract from the identified medical records the general and measure specific data elements that are needed for the measure set(s). The count of the number of cases used in this step is collected in the Sample Size data elements. Example: For 4th quarter the Global Initial Patient Population is 1550, 100 for AMI, 250 for PC-Mothers, and 300 for PC-Newborns with Breast Feeding. If the hospital is sampling, the minimum number of cases that would be required to be sampled would be 306 for Global (ED, IMM, TOB, and/or SUB), 78 for AMI, 75 for PC-Mothers, and 37 for PC-Newborns with Breast Feeding. The hospital would pull 306 cases for the Global sample. From those 306 cases the hospital would determine how many of those cases were also AMI, PC-Mothers, PC-Newborns with Breast Feeding cases that met the initial patient population criteria for the specific measure set. If there are enough AMI, PC-Mothers, and PC-Newborns with Breast Feeding cases in the Global sample pull to meet the minimum sampling requirements for those measure sets, then no additional sample pull is needed. If there are not enough cases in the Global sample pull to meet the other measure sets minimum sampling requirements then an additional sample pull is needed. For example, from the Global sample pull there were 72 AMI, 20 PC-Mothers, and 5 PC-Newborns with Breast Feeding cases identified that met the initial population criteria for the specific measure set. As the minimum sample requirements for AMI is 78, 6 additional AMI cases would need to be pulled from the AMI Initial Patient Population. As the minimum sample requirements for PCMothers is 75, an additional 55 cases would need to be pulled from the PC-Mothers Initial Patient Population. As the minimum sample requirements for PC-Newborns with Breast Feeding is 37, an additional 32 cases would need to be pulled from the PC-Newborns with Breast Feeding Initial Patient Population. Note: PC-Newborns with BSI are not eligible for sampling and will use the entire Initial Patient sampling group, as appropriate, for reporting. PC v2014A 134 2. Hospitals Submitting HBIPS or Hospitals Not Submitting the Measure Sets Under the Global Initial Patient Population to The Joint Commission Only For hospitals submitting HBIPS or hospitals not submitting the measure sets under the Global Initial Patient Population to The Joint Commission only, an independent sample pull should be used to pull the sample for the applicable measure sets (i.e., PC, HBIPS, AMI, CAC, HF, PN, SCIP, STK and VTE). Each measure set, stratum, or sub-population has a unique definition of Initial Patient Population and sample size PC v2014A 135 requirement. However, the same data flow or process steps can be used to identify the data that is transmitted to the Joint Commission's Data Warehouse. These process steps are: First, identify the Initial Patient Population for the measure set. An Initial Patient Population is defined for each measure set, stratum, and sampling group and the count is collected in the Initial Patient Population Size data elements. All data elements in the appropriate Initial Patient Population definition, including ICD-9-CM Diagnosis Codes when appropriate, must be applied. This identification process must be completed prior to the application of data integrity filter, measure exclusions, and the application of sampling methodology. For specific measure set, stratum, and sampling group definitions, refers to the appropriate Initial Patient Population discussion in the Measure Information section of this manual for PC and HBIPS. For all other measures, refer to the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. Second, if the measure allows sampling and the hospital is sampling, use the Initial Patient Population identified above and pull the sample of medical records for each measure set, stratum, or sub-population using the Sample Size Requirements defined in the appropriate Measure Information section of this manual for PC and HBIPS. For all other measures, refer to the “Sample Size Requirements” in the appropriate sampling discussion in the Measure Information section of the Specifications Manual for National Hospital Inpatient Quality Measures. Third, collect or abstract from the identified medical records the general and measure specific data elements that are needed for the measure set. The count of the number of cases used in this step is collected in the Sample Size data elements. If the hospital is not sampling, use the medical records identified in the first data pull. If the measure allows sampling and the hospital is sampling, use the medical records from the cases in the identified sample. Sample Size Requirements Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. The sample size requirements for each of these options are described in turn. Hospitals need to use the next highest whole number PC v2014A 136 when determining their required sample size. See below for rounding examples. For each measure sets sample size requirements, refer to the appropriate measure set’s Measure Information section in this manual. Hospitals selecting sample cases for measure sets that are not stratified must ensure that it's Initial Patient Population(s) and sample size(s) meet the conditions stated in the measure set’s Sample Size Requirements. For hospitals selecting sample cases for stratified measure sets or measure sets with sampling groups (e.g., HBIPS and PC), a modified sampling procedure is required. Hospitals selecting samples cases for these sets must ensure that each individual stratum's Population/sampling group and sample size meets the conditions stated in the measure set's Sample Size Requirements. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. The sample size tables for each option automatically build the number of cases needed to obtain the required sample sizes. Hospitals that sample, should sample by their Joint Commission’s Health Care Organization Identifier. All data that are sampled must be transmitted to The Joint Commission. A hospital may choose to use a larger sample size than is required. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the stratum cannot sample. For the Discharge measures (e.g., HBIPS-1, 4, 5, 6, 7, and PC), hospitals that have five or fewer discharges (both Medicare and non-Medicare combined) are not required to submit patient level data to the Joint Commission's Data Warehouse. For the event measures (e.g., HBIPS-2, and 3), hospitals must submit patient level data to The Joint Commission regardless of the number of discharges or events they have each quarter. Refer to the Sample Size Requirement tables provided in the Measure Information section to determine the minimum number of cases that need to be sampled for each HBIPS measure set. Quarterly Sampling Examples Quarterly Example 1: Measure set is Not Stratified Hospitals selecting sample cases for measure set ABC, which is not stratified, must ensure that its Initial Patient Population and quarterly sample size meet the following conditions: Quarterly Sample Size Based on Initial Patient Population for the ABC Measure set Hospital's Measures Average Quarterly Initial Patient Population “N” Minimum Required Sample Size “n” ≥ 1551 311 391 - 1550 20% of the Initial Patient Population 78-390 78 6 - 77 No sampling; 100% of the Initial Patient Population is required 0-5 Submission of patient level data is not required; if submission occurs, 100% Initial Patient Population required. Examples PC v2014A 137 A hospital’s ABC Initial Patient Population is 77 patients during the first quarter. Using the above table, no sampling is allowed – 100% of the population is required. A hospital’s ABC Initial Patient Population is 100 patients during the second quarter. Using the above table, the required sample size is seen to be a minimum of 78 ABC patients for this quarter. A hospital’s ABC Initial Patient Population is 401 patients during the third quarter. Using the above table, the required sample size is seen to be 20% of the population, or 81 cases for the quarter (twenty percent of 401 equals 80.2 rounded to the next whole number = 81). A hospital’s ABC Initial Patient Population is 5 patients during the first quarters. Using the above table, submission of patient level data is not required. If the hospital chooses to submit patient level data, the required quarterly sample size would be 100% of the patient population or 5 cases for the quarter. Quarterly Example 2: Measure set is stratified For hospitals selecting sample cases for measure set XYZ which contains 8 strata, a modified sampling procedure is required. Hospitals selecting sample cases for these sets must ensure that each individual stratum’s population and quarterly sample size meets the following conditions. Select within each of the seven individual measure stratum and the 8th XYZ stratum. Quarterly Sample Size Based on Initial Patient Population for the XYZ measure set Hospital's Measures Average Quarterly Stratum Initial Patient Population “N” Minimum Required Stratum Sample Size “n” ≥ 471 48 161 - 470 10% of the Initial Patient Population 16 - 160 16 < 16 No sampling; 100% of the Initial Patient Population is required Example The XYZ Initial Patient Population sizes for a hospital is 5, 50, 15, 140, 35, 201, 3, and 481 patients respectively per stratum for the quarter. Since the total Initial Patient Population for XYZ is 930, the hospital must submit patient level data. The required quarterly sample sizes for each stratum would be 5, 16, 15, 16, 16, 21, 3, and 48. The 1st, 3rd, and 7th strata are less than the minimum required quarterly sample size, so 100% of each of these strata are sampled. The 2nd, 4th, and 5th strata each require 16 cases to be sampled. The 6th stratum has 201 patients per quarter, which requires a 10% sample size, or 21 cases (twenty percent of 201 equals 20.1 rounded to the next whole number = 21). The 8th stratum is more than the maximum required quarterly sample size, so this stratum requires 48 cases to be sampled. The XYZ Initial Patient Population sizes for a hospital 1, 1, 0, 0, 1, 0, 1, and 1 patients respectively per stratum for the quarter. Since the total Initial Patient Population for XYZ is 5, the hospital may choose to not submit patient level data. If the hospital chooses to submit patient level data, the required quarterly sample sizes for each stratum would be 1, 1, 0, 0, 1, 0, 1, and 1. The 1st, 2nd, 5th, 7th, and 8th strata are less than the minimum required quarterly sample size, so 100% of each of these strata are sampled. There is no data to sample for the 3rd, 4th, and 6th strata. Quarterly Example 3: Measure set has sub-populations PC v2014A 138 For hospitals selecting sample cases for measure set DEF which contains 3 independent sub-populations a modified sampling procedure is required. The three sub-populations must be sampled independently from each other. 1-Hospitals selecting sample cases for sub-population 1 must ensure that the Initial Patient Population and sample size for the sub-population 1 meet the following conditions: Quarterly Sample Size Based on Initial Patient Population for the Patient Sub-Population 1 Hospital's Measures Average Quarterly Initial Patient SubPopulation Size “N” Minimum Required Sub-Population Sample Size “n” ≥ 896 180 226 - 895 20% of the Initial Patient Population Size 45 - 225 45 < 45 No sampling; 100% of the Initial Patient Population required 0 - 45 Submission of patient level data is not required; if submission occurs, 100% Initial Patient Population required. 2 - Hospitals selecting sample cases for sub-population 2 must ensure that the initial Patient Population and sample size for sub-population 2 meet the following conditions: Quarterly Sample Size Based on Initial Patient Population Size for the Patient Sub-Population 2 Hospital's Measures Average Quarterly Initial Patient Sub-Population Size “N” Minimum Required Sub-Population Sample Size “n” ≥ 1796 360 451 - 1795 20% of the Initial Patient Population 90 - 450 90 < 90 No sampling; 100% of the Initial Patient Population required 3 - Sub-population 3 is not eligible for sampling and will use the entire Initial Patient Population for reporting. Example 1. Quarterly sampling for sub-population 1: A hospital's sub-population 1 is 752 during the second quarter. Using the quarterly sampling table for subpopulation 1, the sample size required is 20% of this sub-population, or 151 cases for the quarter (twenty percent of 752 equals 150.4 rounded up to the next whole number = 151). A hospital's sub-population 1 is 5 during the first quarter. Using the quarterly sampling table for sub-population 1, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. PC v2014A 139 A hospital's sub-population 1 is 99 during the third quarter. The required quarterly sample is 45 cases. 2. Quarterly sampling for sub-population 2: A hospital's sub-population 2 is 511 during the second quarter. Using the quarterly sampling table for subpopulation 2, the sample size required is 20% of this sub-population, or 103 cases for the quarter (twenty percent of 511 equals 102.2 rounded up to the next whole number = 103). A hospital's sub-population 2 is 3 during the first quarter. Using the quarterly sampling table for sub-population 2, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population is sampled. A hospital's sub-population 2 is 300 during the third quarter. The required quarterly sample is 90 cases. 3. Quarterly sampling for sub-population 3: Sub-population is not eligible for sampling and will use the entire initial Patient Sub-Population for reporting. Quarterly Example 4: Measure set has Sampling Groups For hospitals selecting sample cases for measure set HGI which contains 3 independent sampling groups a modified sampling procedure is required. The three sampling groups are sampled independently from each other. A patient falls into multiple sampling groups but may not actually be sampled for all the groups for chich the patient is eligible. 1-Hospitals selecting sample cases for sampling group 1 must ensure that the Initial Patient Population and sample size for the sampling group 1 meet the following conditions: Quarterly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 1 Hospital's Measures Average Quarterly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 801 161 201 - 800 20% of the Initial Patient Population Size 40 - 200 40 < 40 No sampling; 100% Initial Patient Population required 2 - Hospitals selecting sample cases for sampling group 2 must ensure that the initial Patient Population and sample size for the sampling group 2 meet the following conditions: Quarterly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 2 Hospital's Measures Average Quarterly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 2001 401 PC v2014A 140 501 - 2000 20% of the Initial Patient Population 100 - 500 100 < 100 No sampling; 100% Initial Patient Population required 3 - Hospitals selecting sample cases for sampling group 3 must ensure that the Initial Patient Population and sample size for the sampling group 3 meet the following conditions: Quarterly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 3 Hospital's Measures Average Quarterly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 2001 401 501 - 2000 20% of the Initial Patient Population 100 - 500 100 < 100 No sampling; 100% Initial Patient Population required Example 1. A Hospital's sampling group 1 size 347 during the second quarter. The required sample size is 20% of the patient population or 70 cases for the quarter (twenty percent of 347 equals 69.4 rounded up to the next highest whole number is 70.) 2. A Hospital's sampling group 2 size is 250 patients during the second quarter. The required sample size is seen to be 100 patients for this quarter. 3. A Hospital's sampling group 3 size is 700 patients during the second quarter. The required sample size is seen to be 140 patients for this quarter. Monthly Sampling Examples Monthly Example 1: Measure set is Not Stratified Hospitals selecting sample cases for ABC measure set must ensure that its Initial Patient Population and effective monthly sample size meet the following conditions: Monthly Sample Size Based on Initial Patient Population for the ABC measure set Hospital's Measures Average Monthly Initial Patient Population “N” Minimum Required Sample Size “n” ≥ 516 104 131 – 515 20% of the Initial Patient Population 26 – 130 26 PC v2014A 141 < 26 No sampling; 100% of the Initial Patient Population is required Examples A hospital’s ABC Initial Patient Population is 25 patients during January. Using the above table, no sampling is allowed – 100% of the population is required. A hospital’s ABC Initial Patient Population is 130 patients during February. Using the above table, the required sample size is seen to be a minimum of 26 ABC patients for this month. A hospital’s ABC Initial Patient Population is 301 patients during March. Using the above table, the required sample size is seen to be 20% of the population, or 61 cases for the month (twenty percent of 301 equals = 60.2 rounded to the next whole number = 61. A hospital’s ABC Initial Patient Population is 516 patients during April. Using the above table, the required sample size is seen to be a minimum of 104 ABC patients for this month. Monthly Example 2: Measure set is Stratified For hospitals selecting sample cases for the XYZ measure set, a modified sampling procedure is required. Hospitals selecting sample cases for this set must ensure that each individual strata population and effective monthly sample size meets the following conditions: Select within each of the seven individual measure stratum and the 8th XYZ stratum. Monthly Sample Size Based on Initial Patient Population for the XYZ measure set Hospital's Measures Average Monthly Stratum Initial Patient Population “N” Minimum Required Stratum Sample Size “n” ≥ 151 16 61 - 150 10% of the Initial Patient Population 6 - 60 6 <6 No sampling; 100% of the Initial Patient Population is required Example The XYZ Initial Patient Population sizes for a hospital is 5, 50, 15, 141, 35, 201, 3, and 481 patients respectively in June. The required monthly sample sizes would be 5, 6, 6, 15, 6, 16, 3, and 16. The 1st and 7th strata are less than the minimum required monthly sample size, so 100% of each of these strata are sampled. The 2nd, 3rd, and 5th strata each require 6 cases to be sampled. The 4th stratum has 141 patients per month, which requires a 10% sample size, or 15 cases (twenty percent of 141 equals 14.1 rounded to the next whole number = 15). The 6th and 8th strata are each more than the maximum required monthly sample size, so this stratum requires 16 cases to be sampled. Monthly Example 3: Measure set has sub-populations For hospitals selecting sample cases for measure set DEF which contains 3 independent sub-populations a modified sampling procedure is required. The three sub-populations must be sampled independently from each other. 1 - Hospitals selecting sample cases for sub-population 1 must ensure that the Initial Patient Population and sample size for sub-population and sample size for sub-population 1 meet the followind conditions: PC v2014A 142 Monthly Sample Size Based on Initial Patient Population Size for the Patient Sub-Population 1 Hospital's Measures Average Monthly Initial Patient Sub-Population Size “N” Minimum Required Sub-Population Sample Size “n” ≥ 296 60 76 - 295 20% of the Initial Patient Population 15 - 75 15 < 15 No sampling; 100% of the Initial Patient Population is required 2 - Hospitals selecting sample cases for sub=population 2 must ensure that the Initial Patient Population and sample size for sub-population and sample size for sub-population 2 meet the following conditions: Monthly Sample Size Based on Initial Patient Population Size for the Patient Sub-Population 2 Hospital's Measures Average Monthly Initial Patient Sub-Population Size “N” Minimum Required Sub-Population Sample Size “n” ≥ 596 120 151 - 595 20% of the Initial Patient Population 30 - 150 30 < 30 No sampling; 100% of the Initial Patient Population is required 3 - Sub-population 3 is not eligible for sampling and will use the entire Initial Patient Sub-Population for reporting. Example 1. Monthly sampling for sub-population 1: A hospital's sub-population 1 is 81 during March. Using the monthly sampling table for sub-population 1, the sample size required is 20% of this sub-population, or 17 cases for the month (twenty percent of 81 equals 16.2 rounded up to the next whole number = 17). A hospital's sub-population 1 is 5 during February. Using the monthly sampling table for sub-population 1, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population is sampled. A hospital's sub-population 1 is 45 during January. The required monthly sample is 15 cases. 2. Monthly sampling for sub-population 2: A hospital's sub-population is 387 during March. Using the monthly sampling table for sub-population 2, the sample size required is 20% of this sub-population, or 78 cases for the month (twenty percent of 387 equals 77.4 rounded up to the next whole number = 78). PC v2014A 143 A hospital's sub-population 2 is 3 during February. Using the monthly sampling table for sub-population 2, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population is sampled. A hospital's sub-population 2 is 47 during January. The required monthly sample is 30 cases. 3. Monthly sampling for sub-population 3: Sub-population 3 is not eligible for sampling and will use the entire initial Patient Sub-Population for reporting. Monthly Example 4: Measure set has Sampling Groups 1 - Hospitals selecting sample cases for sampling group 1 must ensure that the Initial Patient Population and sample size for the sampling group 1 meet the following conditions: Monthly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 1 Hospital's Measures Average Monthly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 201 41 51 - 200 20% of the Initial Patient Population Size 10 - 50 10 < 50 No sampling; 100% Initial Patient Population required 2 - Hospitals selecting sample cases for sampling group 2 must ensure that the initial Patient Population and sample size for the sampling group 2 meet the following conditions: Monthly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 2 Hospital's Measures Average Monthly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 501 101 126 - 500 20% of the Initial Patient Population 25 - 125 25 < 25 No sampling; 100% Initial Patient Population required 3 - Hospitals selecting sample cases for sampling group 3 must ensure that the Initial Patient Population and sample size for the sampling group 3 meet the following conditions: PC v2014A 144 Monthly Sample Size Based on Initial Patient Population Size for the Patient Sampling Group 3 Hospital's Measures Average Monthly Initial Patient Sampling Group Size “N” Minimum Required Sampling Group Sample Size “n” ≥ 501 101 126 - 500 20% of the Initial Patient Population 25 - 125 25 < 25 No sampling; 100% Initial Patient Population required Example 1. Monthly sampling for sampling group 1: A hospital's sampling group 1 is 81 during March. Using the monthly sampling table for sampling group 1, the sample size required is 20% of this sampling group, or 17 cases for the month (twenty percent of 81 equals 16.2 rounded up to the next whole number = 17). A hospital's sampling group 1 is 5 during February. Using the monthly sampling table for sub-population 1, the sample size is less than the minimum required monthly sample size, so 100% of this sampling group is sampled. A hospital's sampling group 1 is 45 during January. The required monthly sample is 10 cases. 2. Monthly sampling for sampling group 2: A hospital's sampling group is 2 is 387 during March. Using the monthly sampling table for sampling group 2, the sample size required is 20% of this sampling group, or 78 cases for the month (twenty percent of 387 equals 77.4 rounded up to the next whole number = 78). A hospital's sampling group 2 is 3 during February. Using the monthly sampling table for sampling group 2, the sample size is less than the minimum required monthly sample size, so 100% of this sampling group is sampled. A hospital's sampling group 2 is 47 during January. The required monthly sample is 25 cases. 3. Monthly sampling for sampling group 3: A hospital's sampling group 3 is 125 during January. The required monthly sample is 25 cases. Sampling Approaches As previously stated in this section, hospitals have the option to sample from their population, or submit their entire population. Hospitals that choose to sample must ensure that the sampled data represent their Initial Patient Population by using either the simple random sampling or systematic random sampling methods and that the sampling techniques are applied consistently within a quarter. For example, monthly samples for a measure set, stratum, or sampling group must use consistent sampling techniques across the quarterly submission period. Simple random sampling - selecting a sample size (n) from a population of size (N) in such a way that every case has the same chance of being selected. Systematic random sampling - selecting every kth record from a population of size N in such a way that a sample size of n is obtained, where k ≤ N/n. The first sample record (i.e., the starting point) must be randomly selected before taking every kth record. This is a two-step process: a) Randomly select the starting point by choosing a number between one and k using a table of random numbers or a computer-generated random PC v2014A 145 number; and a) Then select every kth record thereafter until the selection of the sample size is completed. Each hospital is ultimately responsible that sampling techniques applied for their hospital adhere to the sampling requirements outlined in this manual. ORYX Vendors are responsible for ensuring that the sampling techniques are applied consistently across their client hospitals. Sampling Approach Examples For a hospital with an Initial Patient Population size of 350 ABC measure set discharges per quarter, the sample size would be 78. To select a random sample of 78 ABC patients: Simple random sampling: 1. Generate random numbers for individual ABC patient records from a random number function using a statistical software package or computer programming language. 2. Sort data by the random numbers either in an increasing or decreasing order. 3. Select the first 78 ABC patient records as the random sample. Systematic random sampling: 1. In this example, the hospital’s Initial Patient Population size= 350 and the sample size = 78. Divide the Initial Patient Population size by the sample size and take the quotient (i.e., the integer portion) as the sampling interval k. The sampling interval k = 350/78 = 4.5. Thus, every 4th ABC patient record will be selected from the Initial Patient Population until 78 cases are selected. 2. To ensure that each ABC patient has an equal chance of being selected, the “starting point” must be randomly determined before selecting every 4th ABC patient record. This can be done using a computer random number generator or a random number table to randomly choose a number between 1 and 4 as the starting point. Transmission of Initial Patient Population and Sample Data Elements The Joint Commission requires transmission of Initial Patient Population and sample count data. Transmission of Initial Patient Population and sample count data elements are used to assist in evaluating completeness of submission in accordance with The Joint Commission sampling requirements. The Initial Patient Population Size refers to all patients (Medicare and non-Medicare) who share common payment sources which can be identified by utilizing administrative data such as the UB-04. All ICD-9-CM diagnosis and procedure codes included in the appropriate Initial Patient Population definition must be applied. This identification process must be completed prior to the application of data integrity filter, measure exclusions, and the application of sampling methodology. For specific measure set and strata definitions, refer to the appropriate Initial Patient Population discussion in the Measure Information section of this manual. The Initial Patient Population and sample data elements are: ICD Population Size * Initial Patient Population Size – Medicare Only ** Initial Patient Population Size – Non-Medicare Only ** Sample * Sampling Frequency ** Sample Size – Medicare Only ** Sample Size – Non-Medicare Only ** Sample indicates whether or not the hospital has sampled data for the specified time period. Sampling Frequency indicates if the hospital has sampled using the monthly or quarterly methodology, or whether the entire population was used for the specified time period or the hospital had five or fewer discharges for the discharge quarter and did not submit patient level data. Initial Patient Population Size – Medicare Only includes all patients that are billed under Medicare or Title 18. PC v2014A 146 Medicare can be listed as a primary, secondary, tertiary or lower on the list of payment sources for the patient. In addition, patients who are participating as a member of a Medicare HMO/Medicare Advantage are included in the Medicare counts, e.g., Medicare Blue, Humana gold, Secure Horizons, AARP, Coventry Advantra, etc. * Transmitted in the aggregate data file. Refer to the ORYX Technical Implementation Guide for more information. ** Transmitted in the Hospital Initial Patient Population data file. Refer to the Hospital Initial Patient Population Data XML File Layout in the Transmission section of this manual. Initial Patient Population and Sample Size Examples Example 1 – Hospital does not sample A hospital uses the Initial Patient Population(s) for the ABC measure set to identify 120 cases in the ABC Initial Patient Population during the second quarter. The hospital does not sample the ABC measure set, so data for all 120 cases are collected and used to calculate the hospital’s rate for each ABC measure. 40 of the 120 cases in the ABC Initial Patient Population are Medicare patients. Note: Sampling Frequency = 3 (not sampling) is the only valid value for HBIPS event measures (HBIPS-2 and 3). The breakdown of data by month and Medicare / Non-Medicare is: April May June Total Initial Patient Population – Medicare patients 10 15 15 40 Initial Patient Population – Non-Medicare patients 20 30 30 80 Total Initial Patient Population Size 30 45 45 120 Sample Size – Medicare patients 10 15 15 40 Sample Size – Non-Medicare patients 20 30 30 80 Total Sample Size 30 45 45 120 The following is transmitted for each month in the quarter: April May June ICD Population Size (Initial Patient Population Size – Medicare Only + Initial Patient Population Size – Non-Medicare Only) 30 45 45 Initial Patient Population Size – Medicare Only 10 15 15 Initial Patient Population Size – Non-Medicare Only 20 30 30 Sample N N N Sampling Frequency (3 = not sampling) 3 3 3 Sample Size – Medicare Only 10 15 15 Sample Size – Non-Medicare Only 20 30 30 Example 2 – Hospital samples monthly A hospital uses the Initial Patient Population(s) for the ABC measure set to identify 120 cases in the ABC Initial Patient Population during the second quarter. From these 120 cases, the hospital uses the monthly sample size requirements and randomly selects a sample of 26 cases for each month. Data for these 26 cases are collected and used to calculate the hospital’s rate for each ABC measure. 40 of the 120 cases in the ABC Initial Patient Population are Medicare patients and 24 of these cases were included in the sample. PC v2014A 147 Note: Sampling Frequency = 1 (sampling data monthly) is not valid for HBIPS event measures (HBIPS-2 and 3). The breakdown of data by month and Medicare / Non-Medicare is: April May June Total Initial Patient Population – Medicare patients 10 15 15 40 Initial Patient Population – Non-Medicare patients 20 30 30 80 Total Initial Patient Population Size 30 45 45 120 Sample Size – Medicare patients 8 9 7 24 Sample Size – Non-Medicare patients 18 17 19 54 Total Sample Size 26 26 26 78 The following is transmitted for each month in the quarter: April May June ICD Population Size (Initial Patient Population Size – Medicare Only + Initial Patient Population Size – Non-Medicare Only) 30 45 45 Initial Patient Population Size – Medicare Only 10 15 15 Initial Patient Population Size – Non-Medicare Only 20 30 30 Sample Y Y Y Sampling Frequency (1 = sampling data monthly) 1 1 1 Sample Size – Medicare Only 8 9 7 Sample Size – Non-Medicare Only 18 17 19 Example 3 – Hospital samples quarterly A hospital uses the Initial Patient Population(s) for the ABC measure set to identify 120 cases in the ABC Initial Patient Population during the second quarter. From these 120 cases, the hospital uses the quarterly sample size requirements and randomly selects a sample of 78 cases. Data for these 78 cases are collected and are then used to calculate the hospital’s rate for each ABC measure. 40 of the 120 cases in the ABC Initial Patient Population are Medicare patients and 20 of these cases were included in the sample. Note: Sampling Frequency = 2 (sampling data quarterly) is not valid for HBIPS event measures (HBIPS-2 and 3). The breakdown of data by month and Medicare / Non-Medicare is: April May June Total Initial Patient Population – Medicare patients 10 15 15 40 Initial Patient Population – Non-Medicare patients 20 30 30 80 Total Initial Patient Population Size 30 45 45 120 Sample Size – Medicare patients 5 10 5 20 Sample Size – Non-Medicare patients 10 20 28 58 Total Sample Size 15 30 33 78 PC v2014A 148 The following is transmitted for each month in the quarter: April May June ICD Population Size (Initial Patient Population Size – Medicare Only + Initial Patient Population Size – Non-Medicare Only) 30 45 45 Initial Patient Population Size – Medicare Only 10 15 15 Initial Patient Population Size – Non-Medicare Only 20 30 30 Sample Y Y Y Sampling Frequency (2 = sampling data quarterly) 2 2 2 Sample Size – Medicare Only 5 10 5 Sample Size – Non-Medicare Only 10 20 28 Example 4 – Hospital has five or fewer discharges and chooses not to submit patient level data Note: This example is only valid for the HBIPS Discharge measures (HBIPS-1, 4, 5, 6, 7, and 8). This is not valid for the HBIPS Event measures (HBIPS-2 and 3) since all data must be submitted for these measures regardless of the number of discharges or events that occur during the quarter. A hospital uses the Initial Patient Population(s) for the ABC measure set to identify 5 cases in the ABC Initial Patient Population for the entire measure set during the second quarter. Since the total Initial Patient Population for ABC is 5, the hospital chooses to not submit patient level data. Note: Sampling Frequency = 4 (N/A, submission of patient level data is not required) is not valid for HBIPS event measures (HBIPS-2 and 3). The breakdown of data by month and Medicare / Non-Medicare is: April May June Total Initial Patient Population – Medicare patients 1 0 2 3 Initial Patient Population – Non-Medicare patients 0 1 1 2 Total Initial Patient Population Size 1 1 3 5 Sample Size – Medicare patients 0 0 0 0 Sample Size – Non-Medicare patients 0 0 0 0 Total Sample Size 0 0 0 0 The following is transmitted for each month in the quarter: April May June ICD Population Size (Initial Patient Population Size – Medicare Only + Initial Patient Population Size – Non-Medicare Only) 1 1 3 Initial Patient Population Size – Medicare Only 1 0 2 Initial Patient Population Size – Non-Medicare Only 0 1 1 Sample (clinical XML file) PC v2014A N/A N/A N/A Sample (Joint Commission's HCO-level file) N N N Sampling Frequency (2 = sampling data quarterly) 4 4 4 149 Sample Size – Medicare Only 0 0 0 Sample Size – Non-Medicare Only 0 0 0 Example 5 – Hospital has five or fewer discharges and chooses to submit patient level data Note: This example is only valid for the HBIPS Discharge measures (HBIPS-1, 4, 5, 6, 7, and 8). This is not valid for the HBIPS Event measures (HBIPS-2 and 3) since all data must be submitted for these measures regardless of the number of discharges or events that occur during the quarter. A hospital uses the Initial Patient Population(s) for the ABC measure set to identify 5 cases in the ABC Initial Patient Population for the entire measure set during the second quarter. Even though the total Initial Patient Population for ABC is 5, the hospital chooses to submit patient level data. Note: Sampling Frequency = 4 (N/A, submission of patient level data is not required) is not valid for HBIPS event measures (e.g., HBIPS-2 and 3). The breakdown of data by month and Medicare / Non-Medicare is: April May June Total Initial Patient Population – Medicare patients 1 0 2 3 Initial Patient Population – Non-Medicare patients 0 1 1 2 Total Initial Patient Population Size 1 1 3 5 Sample Size – Medicare patients 1 0 2 3 Sample Size – Non-Medicare patients 0 1 1 2 Total Sample Size 1 1 3 5 The following is transmitted for each month in the quarter: April May June ICD Population Size (Initial Patient Population Size – Medicare Only + Initial Patient Population Size – Non-Medicare Only) 1 1 3 Initial Patient Population Size – Medicare Only 1 0 2 Initial Patient Population Size – Non-Medicare Only 0 1 1 Sample N N N Sampling Frequency (2 = sampling data quarterly) 3 3 3 Sample Size – Medicare Only 1 0 2 Sample Size – Non-Medicare Only 0 1 1 PC v2014A 150 The Joint Commission National Quality Core Measures Data Transmission Introduction This section of the manual is provided to highlight the unique data transmission specifications for The Joint Commission national quality core measure data. This section is divided into four parts: National Quality Core Measure Data Transmission, Guidelines for Submission of Data, Transmission Alphabetical Data Dictionary, and Transmission Data Processing Flows. The Data Transmission section provides information related to the transmission of national quality core measure data to the Joint Commission’s Data Warehouse. The Guidelines for Submission of Data includes an overview of the data required to be submitted to the Joint Commission’s Data Warehouse, as well as the Hospital Clinical Data XML file layout and the Hospital Initial Patient Population Data XML file Layout. The Transmission Alphabetical Data Dictionary describes the data elements that are either used to identify the hospital and measure set associated to the transmitted data or are calculated by the vendor using the hospital’s patient-level data and measure results. These data elements are not used in the Initial Patient Population Algorithms or Measure Algorithms. The Transmission Data Processing Flows contain information regarding the order in which the Joint Commission’s Data Warehouse evaluates the national hospital quality measures and the associated population and sampling data. In addition, it highlights the decision points as to when cases are rejected from the warehouse. Refer to the Edit Message documents located on the Upload/Download page in the HCD section of PET for The Joint Commission for a complete listing of all critical and informational edits. The Joint Commission National Quality Core Measure Data Transmission Overview The Joint Commission requires three different data transmissions related to the national quality core measure data. All of these transmissions are submitted by ORYX® Vendors and follow the same data transmission schedule used to submit ORYX data to The Joint Commission. The most significant items related to the transmission of national quality core measure data are listed here, but this is not an exhaustive list. Refer to the appropriate documents as detailed below for more information. Download File Layouts Download Hospital Clinical Data XML File Layout (MS Excel) Download ICD Population XML File Layout (MS Excel) Hospital Initial Patient Population Data The Joint Commission collects Initial Patient Population and sampling information by Measure Set. This data is required to be submitted to The Joint Commission on a quarterly basis. All Initial Patient Population and sampling data will be submitted in an XML file that adheres to the Hospital Initial Patient Population Data XML File Layout PC v2014A 151 specifications and guidelines provided later in this section. Each file may contain data for only one provider. Hospital Clinical Data Hospital clinical data is required to be submitted to The Joint Commission no less than on a quarterly basis. All HBIPS and PC patient-level data submitted to The Joint Commission must adhere to the Hospital Clinical Data XML File Layout specifications and guidelines provided later in this section. The hospital clinical data submitted to The Joint Commission is anonymous because no direct patient identifiers are included in the Hospital Clinical Data XML File. If a patient has also been sampled for a different national hospital quality measure set, then a separate XML file must be created for the additional measure set. Refer to the applicable version of the Specifications Manual for National Hospital Inpatient Quality Measures for information on how to create and transmit the data for the other measure set. Each HBIPS discharge case and event case must have a separate XML file. For example: Example #1: During the quarter, 10 patients are discharged (Discharge Date) and no restraint or seclusion events occurred for any patient (not just those discharged). Ten (10) separate XML files are created and transmitted, one for each discharged patient. Example #2: During the quarter, no patients are discharged (Discharge Date) and 4 unique patients have restraint or seclusion events for a total of 11 events. Eleven (11) separate XML files are created and transmitted, one for each event (Event Date). Multiple events (Event Date) for a patient cannot be combined into one XML file. If the same patient is restrained and seclude (Event Type) on the same day (Event Date), the two events must be transmitted in separate XML files. Example #3: During the quarter, 1 patient is discharged (Discharge Date) and 1 unique patient has a restraint event and a seclusion event (Event Date) for a total of 2 events. The patient with the events is the same patient that was discharged. Three (3) separate XML files are created and transmitted, one for the patient’s discharge information (Discharge Date) and one for each event (Event Date and Event Type). A patient’s discharge information and event information cannot be combined into the same XML file. Additional information: For more information concerning the Performance Measurement System Identifier, refer to the ORYX Technical Implementation Guide . For more information concerning the Vendor Tracking ID and Health Care Organization Identifier, refer to the Transmission Alpha Data Dictionary in this manual. Unique Key Identifier for Discharge Measures (e.g., HBIPS-1, HBIPS-4, PC-01): Performance Measurement System Identifier – not part of the file, captured at the point the file is uploaded to The Joint Commission Vendor Tracking ID – fictitious identifier generated by the measurement system to differentiate between individual patient records from each hospital Admission Date Discharge Date Measure Set Health Care Organization Identifier Unique Key Identifier for Event Measures (e.g., HBIPS-2 and HBIPS-3): Performance Measurement System Identifier – not part of the file, captured at the point the file is uploaded to The Joint Commission Vendor Tracking ID – fictitious identifier generated by the ORYX Vendor to differentiate between individual patient records from each hospital Admission Date Event Date PC v2014A 152 Event Type Measure Set Health Care Organization Identifier Transaction Processing: Data can be added, replaced, and deleted during the current reporting quarter using the Action-Code in the XML file. In order to replace or delete an existing file at The Joint Commission, the files must match on the unique key data elements as defined above. In order to update a key element in an existing file, the file must be deleted and a new file must be submitted. If the element to update is not a key element, then the file can be resubmitted using the ‘Add’ Action-Code; there is no need to delete the file first as long as the file matches on the unique key data elements. Measure Selection: Data that passes all edits and contains all data required to calculate the measures will be accepted as long as the hospital (identified by the Health Care Organization Identifier) has selected the measure set for the reporting quarter with the ORYX Vendor that is submitting the data. Sample: All EOC and event records included in the sample, or if the hospital is not sampling the Initial Patient Population, must be transmitted to The Joint Commission. This is true regardless of whether or not any measure for the record calculates to a Measure Category Assignment = “X”. Note – the HBIPS event measures (HBIPS-2 and 3) do not allow sampling, all data in the Initial Patient Population of these two measures must be transmitted. Data Elements Not Accepted by The Joint Commission: The following data elements may be transmitted to the Centers for Medicare and Medicaid Services (CMS) for the aligned national hospital quality measures but cannot be transmitted to The Joint Commission for any measure because the data transmitted to The Joint Commission are anonymous. For information concerning these data elements, refer to the applicable version of the Specifications Manual for National Hospital Inpatient Quality Measures. Files transmitted to The Joint Commission that contain the following data will be rejected: Patient Identifier Patient HIC # First Name Last Name Postal Code Data Elements Required by The Joint Commission: In order to support the Joint Commission’s data quality analysis and continuous measure verification process the following data elements are required to be transmitted for each measure in the HBIPS measure set. Measure Category Assignment Measurement Value Predicted Value A fictitious identifier is generated by the ORYX Vendor to differentiate between individual patient records from each hospital because the Joint Commission’s data are blinded as to whom the patient is. The following data element is used to transmit this fictitious identifier. Vendor Tracking ID This identifier is unique to a patient. For each patient episode of care the following patient identifiers should match for each Measure Set that is submitted for Discharge Measures (e.g., HBIPS-1, HBIPS-4, PC-01). Vendor Tracking ID Admission Date Discharge Date Birthdate Health Care Organization Identifier For example, if the hospital submits a separate XML file for AMI, PC, HBIPS, and TOB, the above identifiers should be the same in each of the discharge XML files. PC v2014A 153 For HBIPS records, if the patient has multiple events(e.g., HBIPS-2 and HBIPS-3), the following patient identifiers should match for each event record transmitted. Vendor Tracking ID Admission Date Birthdate Health Care Organization Identifier In addition, the discharge record must also be transmitted with the same identifiers. HBIPS Specific Data Elements Not Accepted by The Joint Commission As Part of HCD: The following data elements will not be transmitted to The Joint Commission in the Hospital Clinical Data (HCD) file. These data are aggregated at the hospital level and are not patient specific data. Performance measurement systems will reference the applicable version of the ORYX Technical Implementation Guide for instructions on how to use the data elements to calculate the HCO-level aggregate data (see below). Files transmitted to The Joint Commission that contain the following data will be rejected: Psychiatric Inpatient Days - Medicare Only Psychiatric Inpatient Days - Non-Medicare Only Total Leave Days - Medicare Only Total Leave Days - Non-Medicare Only Aggregate Data Aggregate hospital data is required to be submitted to The Joint Commission no less than on a quarterly basis. Include in the HCO-level statistical aggregate data (e.g., Observed Rate and Number of Cases) only those cases which process through the patient-level edits without being rejected and do not receive a Measure Category Assignment = X for any measure in the set. Refer to the “HCO-Level Data Elements” and “Electronic Data Interchange” sections of the ORYX Technical Implementation Guide for a complete set of definitions, allowable values, and edits related to the data elements “Observed Rate”, “Number of Cases”, and “Number of Rejected Cases”. In addition, refer to the data element “Number of Rejected Cases” for information on how to report the number of cases excluded from the HCO-level statistical aggregate data due to data quality and missing data issues. Technical Manual: ORYX Vendors will reference the applicable version of the ORYX Technical Implementation Guide for instructions and data element definitions that pertain to the transmission of aggregate data for national hospital quality core measure data, including how to calculate the HCO-level aggregate data. Stratified national quality core measures and Sub-Measures: Although a stratified measure or submeasures will often be referred to as a single measure (such as measure HBIPS-1), the overall rate, submeasures, and the individual strata measures and will actually be transmitted to The Joint Commission in the aggregate HCO-level data as a series of measures, using a number of pre-determined transmission ID numbers. Missing and Invalid Data: The following data elements are required for national hospital quality measures and must be included in the health care organization (HCO)-level data transmission file. These will not be used for traditional ORYX data. The data elements include: Number of Rejected Cases Number of Cases with UTD Allowable Values ICD Population Size Sample Refer to the “HCO-Level Data Elements” and “Electronic Data Interchange” sections of the ORYX Technical Implementation Guide for a complete set of definitions, allowable values, and edits related to these data elements. Five or fewer cases: The following HCO-level aggregate data elements are still required for hospital PC v2014A 154 electronic to not report data for the quarter because they have five or fewer discharges (both Medicare and non-Medicare combined) for the set. The data elements include: ICD Population Size Sample Data Received for Health Care Organization Note: Hospitals may choose to not report data when they have five or fewer discharges for Discharge measures only (e.g., HBIPS-1, 4, PC-01). Hospitals must report all data for Event measures regardless of the number of discharges or events that occur during the quarter. Refer to the “HCO-Level Data Elements” and “Electronic Data Interchange” sections of the ORYX Technical Implementation Guide for a complete set of definitions, allowable values, and edits related to these data elements. Identifiers used to transmit national quality core measure data: The performance measure identifiers used to transmit aggregate HCO-level data to The Joint Commission are maintained within the ORYX Technical Implementation Guide. ORYX Vendors have access to the ORYX Technical Implementation Guide through the Performance Measurement System Extranet Track (PET). ORYX data re-transmission: The Joint Commission acknowledges that it is appropriate to allow ORYX data to be updated. We are interested in assuring the best possible data quality, especially in light of public reporting. With each regularly scheduled transmission deadline, we routinely accept retransmission of up to seven quarters of aggregate national quality core measures. In addition, we accept retransmission of up to seven quarters of aggregate non-core measure data. The purposes of the accepting the retransmitted data is to update the data for the ORYX Performance Measure Reports, national comparison group data, and the health care organization Quality Report postings. These retransmitted data may be inclusive of updated data previously submitted and/or data that may have been erroneously omitted. ORYX Vendors are required to correct their recognized data integrity issues and retransmit up to seven quarters of updated aggregate national quality core measures and aggregate non-core measure data (due to the rolling quarters of the ORYX Performance Measure Reports that display up to 24 months of data) by the next regularly scheduled quarterly transmission deadline. Retransmission of corrected aggregate data from issues emanating at the client health care organization-level is encouraged whenever feasible. It is the responsibility of the ORYX Vendor to notify their clients that updated data were retransmitted to The Joint Commission, and that the subsequent Quality Report posting and future ORYX Performance Measure Reports will reflect these data. It is important to note, these retransmitted data will refresh the following quarter’s ORYX Performance Measure Reports and Quality Report (core only), and update the national comparison group rates (core only). Refer to the ORYX Performance Measurement System Agreement, ORYX Data Retransmission Process, for further details and associated fees that apply. ORYX Vendor inquires related to the retransmission of ORYX data should be directed to http://manual.jointcommission.org. Information The Joint Commission Provides To Core ORYX Vendors Risk Adjustment: The Joint Commission will provide ORYX Vendors with risk adjustment model information for the active national quality core measures (e.g., PC) that require risk adjustment. ORYX Vendors must apply the risk model information to their patient-level data and generate aggregate risk adjustment data for submission to The Joint Commission as a part of HCO-level data elements. Additional specifics include: ORYX Vendors will have access to current national quality core measure risk model information files through the Performance Measurement System Extranet Track (PET). Details related to the risk model information file, its usage by ORYX Vendors and a list of significant risk factors are provided in the ORYX Risk Adjustment Guide. This guide is available to the public on the Joint Commission’s website and, in addition, it is available to ORYX Vendors via the Joint Commission’s extranet site for ORYX Vendors (PET). National quality core measure risk models must not be used for any purposes other than calculating riskadjusted data elements. PC v2014A 155 For assistance with the national quality core measure risk model information, please contact the ORYX statistical support staff at http://manual.jointcommission.org and click on Statistical Support. National Comparison Group: The Joint Commission will provide ORYX Vendors participating in the ORYX national quality core measure initiative with national comparison group data. ORYX Vendors may use this information to prepare feedback reports for client organizations. Additional details in regard to this process include: ORYX Vendors will have access to national comparison group data through the Performance Measurement System Extranet Track (PET). Refer to the ORYX Data Quality Manual for the list of national comparison group data elements, how ORYX Vendors may utilize this data, and related information. For assistance with the national quality core measure national comparison group, please contact the ORYX statistical support staff at http://manual.jointcommission.org and click on Statistical Support. Joint Commission Guidelines for Submission of Data Overview The below guidelines are for the submission of Hospital Clinical Data and Hospital Initial Patient Population Data to The Joint Commission. Additionally, for the Joint Commission’s Hospital Clinical Data Edit and Algorithm Error Feedback Messages, please refer to the Joint Commission’s extranet for measurement systems (PET). Error Messages provide feedback regarding submitted data, file structure and data integrity that either cause the case to be rejected from the warehouse (Critical) or ask for further verification (Informational). Cases with any critical error messages will not be processed or stored in the warehouse. For cases to be accepted into the warehouse all critical errors must be corrected and the case resubmitted. Informational errors are feedback that warn of potential issues and ask for verification. Cases that receive no error messages or that receive informational messages only will be processed as per the measure algorithm. Missing Messages are critical edits that will cause the case to be rejected from the warehouse due to missing data, as per the measure algorithms, resulting in a measure outcome of “X” (Data are Missing). Measure Messages provide feedback related to the outcome of the case, as per the measure algorithm, resulting in any other measure outcome, i.e., “B” (Not in Measure Population/Excluded), “D” (In Measure Population/Failed), “E” (In Numerator Population/Passed), or “Y” (Unable to Determine Allowable Value Does Not Allow Calculation of the Measure/UTD). Joint Commission Guidelines for Submission of Hospital Clinical Data Minimum Note: Prior to processing measure outcomes all data will be verified according to the rules in the Data data transmission section and the Edit and Algorithm Error Feedback Messages documents. RequirementsCases submitted to the Joint Commission’s Data Warehouse that do not meet the requirements outlined in these documents will be rejected. Allowable Submission of multiple files for different measure sets for a single episode of care is allowable for Measure Set the following Measure Set combinations: Combination 1. Joint Commission’s Data Warehouse per Patient a. PC and SCIP for babies age 0 to 2 days old Episode of b. PC and SCIP for mothers age 8 and older Care c. PC and VTE for mothers age 18 and older d. PC and HF for mothers age 18 and older e. PC and AMI for mothers age 18 and older f. PC and PN for mothers age 18 and older g. PC and STK for mothers age 18 and older h. PC and CAC for mothers under the age 18 i. PC and ED for babies age 0 to 2 days old PC v2014A 156 j. k. l. m. n. o. p. q. r. s. t. u. v. w. x. y. PC and ED for mothers age 8 years and older PC and IMM for mothers age 8 years and older PC and TOB for mothers age 18 years and older PC and SUB for mothers age 18 years and older HBIPS and AMI for patients age 18 and older HBIPS and HF for patients age 18 abd older HBIPS and PN for patients age 18 and older HBIPS and SCIP for patients age 1 and older HBIPS and VTE for patients age 18 and older HBIPS and STK for patients age 18 and older HBIPS and PC mothers HBIPS and CAC for patients age 2 years or older HBIPS and ED for patients age 1 year and older HBIPS and IMM for patients age 1 year and older HBIPS and TOB for patients age 18 years and older HBIPS and SUB for patients age 18 years and older Submission of multiple files for the same episode of care will not be accepted into the Joint Commission’s Data Warehouse for the following Measure Set combinations: 1. HBIPS and PC newborn Refer to Appendix E, Table 2.7 Allowable Measure Set Combinations for further guidance. RequirementsDo not put spaces between XML tags and associated data. Cases with inappropriate spaces will for XML Tags be rejected from the Joint Commission’s Data Warehouse. and Associated Data Export File ORYX Vendors should refer to the ORYX Technical Implementation Guide for guidelines related Character to file naming for submission of data to the Joint Commission’s Data Warehouse. Limitations Missing Data All cases submitted to the Joint Commission’s Data Warehouse must have all data required to calculate the measures. Files submitted which are missing data required to calculate measures Policy (any case that would result in a Measure Category “X” assignment) will be rejected. These cases should be reviewed by the provider and resubmitted with an allowable value indicated for any data element that was missing. Please refer to the Missing and Invalid Data section for additional information. If the abstractor, after due diligence, is not able to determine an answer, a value of "UTD" must be selected for the applicable data element. This includes: ICD-9-CM Principal Procedure Code and ICD-9-CM Other Procedure Codes require the data element ICD-9-CM Principal Procedure Date and ICD-9-CM Other Procedure Dates to be submitted with the case. Please see the data element definitions for further details on allowable values. If the case is missing the corresponding allowable answer value, the case will be rejected from the Joint Commission's Data Warehouse. Data The following data elements may be transmitted to the Centers for Medicare and Medicaid (CMS) Elements Not for the aligned national quality core measures, but they cannot be transmitted to The Joint Accepted by Commission because the data transmitted to The Joint Commission is anonymous. For information The Joint concerning these data elements, refer to the applicable version of the Specifications Manual for Commission National Hospital Inpatient Quality Measures. Files transmitted to The Joint Commission that contain the following data will be rejected: Patient HIC # Patient Identifier First Name PC v2014A 157 Last Name Postal Code Data The following data elements must be transmitted to The Joint Commission: Elements Measure Category Assignment Required by Measurement Value The Joint Predicted Value Commission Unique Record Key (What fields make a record unique?) Discharge Measures: Performance Measurement System Identifier, Vendor Tracking Identifier, Admission Date, Discharge Date, Health Care Organization Identifier, and Measure Set For each patient episode of care the following patient identifiers should match for each Measure Set that is submitted for Discharge Measures (e.g., HBIPS-1, HBIPS-4, PC-01). For example, if the hospital submits a separate XML file for AMI, PC, HBIPS, and TOB, the above identifiers should be the same in each of the discharge XML files. 1. Vendor Tracking ID 2. Admission Date 3. Discharge Date 4. Birthdate 5. Health Care Organization Identifier Event Measures: Performance Measurement System Identifier, Vendor Tracking Identifier, Admission Date, Event Date, Event Type, Health Care Organization Identifier, and Measure Set For HBIPS records, if the patient has multiple events(e.g., HBIPS-2 and HBIPS-3), the following patient identifiers should match for each event record transmitted. In addition, the discharge record must also be transmitted with the same identifiers. 1. Vendor Tracking ID 2. Admission Date 3. Birthdate 4. Health Care Organization Identifier Refer to the Transmission Alpha Data Dictionary for more information concerning the Vendor Tracking ID and Health Care Organization Identifier. Note: Refer to the ORYX Technical Implementation Guide for more information concerning the Performance Measurement System Identifier. Principal and Effective March 1, 2007 The National Uniform Billing Committee has implemented a Present on Admission indicator for Other Diagnosis Principal and Other Diagnosis codes. Data submitted to the Joint Commission’s Data Warehouse must have the Present on Admission Indicator removed prior to submission. Failure to remove the Codes indicator will result in cases being rejected from the Joint Commission’s Data Warehouse. Patient-Level Clinical Data XML File Layout The XML File Layout is divided into the following five main sections (Please refer to Hospital Clinical Data XML File Layout for details). PC v2014A 158 Submission 1. 2. 3. 4. Type – Describes the setting for which the data is being collected (Hospital) Data – Describes the type of data being submitted (Clinical). Version – Describes the version of the XML file layout. Action-Code – Describes the action intended with the submission of the file. Options include: a. Add (applicable to a file submitted for the first time for the hospital/time period or to a file being submitted as an update/replacement of an existing file already submitted for a provider). b. Delete (utilize when the file is submitted for the purpose of deleting a file already submitted to the Joint Commission’s Data Warehouse.) Note: In order to replace or delete an existing file utilizing the Add or Delete action codes, the files must match on the following fields: Discharge Measures: Performance Measurement System Identifier, Vendor Tracking Identifier, Admission Date, Discharge Date, Health Care Organization Identifier, and Measure Set Event Measures: Performance Measurement System Identifier, Vendor Tracking Identifier, Admission Date, Event Date, Event Type, Health Care Organization Identifier, and Measure Set Note: Refer to the ORYX Technical Implementation Guide for more information concerning the Performance Measurement System Identifier. File Audit Data Note: This section is not required Abstraction Audit Data 1. 2. 3. 4. 5. Create-Date – Indicates the date the file was created. Create-Time – Indicates the time the file was created. Create-By – Indicates who created the file. Version – Indicates the version of the file being submitted. Create-by-Tool – Indicates the software tool utilized to create the file. 1. 2. 3. 4. Abstraction-Date – Indicates the date the file was abstracted. Abstractor-id – Indicates the person who abstracted the file. Total-Abstraction-Time – Indicates the time required to abstract the file (in seconds) Comments – Area for entry of any comments regarding the abstraction. Note: This section is not required Provider This tag is required in the XML document and contains: 1. CMS Certification Number - Hospital's six digit acute care CMS Certification Number (CCN), which is allowed and is optional for The Joint Commission. 2. NPI - National Provider Identifier as assigned by CMS, and is optional for The Joint Commission. 3. HCOID - Identifies the healthcare organization that is accredited by The Joint Commission and is required as a key element of the patient file. Patient Data elements in this section of the XML file relate to patient demographic information such as Birthdate and Sex. Episode of Data in this section of the XML file relate to the acute inpatient stay and clinical data associated with the stay. Examples of associated data elements include: Care 1. Admission Date 2. Discharge Date (discharge measures) 3. Event Date (event measures) PC v2014A 159 4. 5. 6. 7. Event Type (event measures) Vendor Tracking Identifier Measure Set Clinical Questions and answer codes The Joint Data in this section of the XML file support the Joint Commission’s data quality analysis and Commissioncontinuous measure verification process of the ORYX Vendors. The following data elements are required to be transmitted to The Joint Commission for each measure in the measure set. 1. Measure Category Assignment 2. Measurement Value 3. Predicted Value Please refer to the data dictionary for further definition of these data elements. Abstraction Software Skip Logic and Missing Data Skip logic allows hospitals and vendors to minimize abstraction burden by using vendor software edit logic to bypass abstraction of data elements not utilized in the measure algorithm. However, these bypassed elements also negatively impact data quality when elements are incorrectly abstracted and subsequent data elements are bypassed and left blank. The use of skip logic by hospitals and ORYX vendors is optional and not required by The Joint Commission. Hospitals should be aware the potential impact of skip logic on data quality and abstraction burden. Vendors and hospitals utilizing skip logic should closely monitor the accuracy rate of abstracted data elements, particularly data elements placed higher in the algorithm flow. Joint Commission Guidelines for Submission of Hospital Initial Patient Population Data Hospitals must submit to The Joint Commission on a quarterly basis the aggregate population and sample counts for Medicare and non-Medicare discharges for each of the measure sets. If the aggregate population count is zero, the hospital is still required to submit the Hospital Initial Inpatient Population Data file and would submit zero as the population and sample counts. In addition, The Hospital Initial Inpatient Population Data file must be transmitted to the Joint Commission's Data Warehouse even if the hospital has elected to not report the patient data for the Discharge measures (e.g., HBIPS1, 4, PC-01) when they have five or fewer cases for an appropriate measure set during the quarter. Joint Commission Guidelines for Submission of Hospital Initial Patient Population Data Hospital Initial Patient Population Data XML File Layout The XML File Layout is divided into the following five main sections (Please refer to Hospital Initial Patient Population Data XML File Layout for details). Submission PC v2014A 1. 2. 3. 4. Type – Describes the setting for which the data is being collected (Hospital) Data – Describes the type of data being submitted (Population). Version – Describes the version of the XML file layout. Action-Code – Describes the action intended with the submission of the file. The “Add” actioncode is required for all initial patient population files submitted. Note: In order to replace an existing file at the utilizing the Add action code, the files must match on: Health Care Organization ID , Time-Period and Measure-Set 160 In order to replace an existing file all XML tags must be present, however, only the XML tags mentioned above (Health Care Organization ID, Time-Period, and Measure-Set) need to be submitted with values. File Audit Data* 1. 2. 3. 4. 5. Create-Date – Indicates the date the file was created. Create-Time – Indicates the time the file was created. Create-By – Indicates who created the file. Version – Indicates the version of the file being submitted. Create-by-Tool – Indicates the software tool utilized to create the file. *Note:* This section is not required Provider Data elements in this section of the XML file relate to Provider identification. These data elements include: Data 1. Provider-Id - Hospital's six digit acute care CMS Certification Number (CCN), which is allowed and it's optional for The Joint Commission. 2. NPI - National Provider Identifier as assigned by CMS, and is optional for The Joint Commission. 3. HCOID - Identifies the healthcare organization that is accredited by The Joint Commission and is required as a key element of the patient file. Time PeriodTime-Period – Dates in this field should reflect the discharge time period related to the data being submitted. Time period start and end dates must reflect full month increments, and may not be greater than one month. Files submitted to the Joint Commission’s Data Warehouse are required to contain a three monthly time periods which comprise the calendar quarter for which data is being submitted. Example: If the Hospital Initial Patient Population File is being submitted for fourth quarter 2008, the file must contain the following time periods and appropriate associated data (including all data elements is the Population Details section that follows): October 2008 November 2008 December 2008 Files submitted with time periods that do not meet the above requirements will be rejected from the Joint Commission’s Data Warehouse. Population Details 1. Measure-Set – Indicates the Measure Set for which the data is being submitted. 2. Stratum – Indicates the stratum (e.g., HBIPS) or sub-population (e.g., PC) related to the data being submitted. Additional data elements include Initial Patient Population Size – Medicare, Initial Patient Population Size – Non-Medicare, Sampling Frequency, Sample Size – Medicare, and Sample Size – Non-Medicare. Please refer to the Transmission Data Dictionary for further definition of these data elements. Please refer to Hospital Initial Patient Population Data XML File Layout for further information on details of the XML file format. All data elements are based on discharges or events that occurred during the associated time period. PC v2014A 161 Transmission Alphabetical Data Dictionary These data elements are either used to identify the hospital and measure set associated to the transmitted data or are calculated by the vendor using the hospital’s patient-level data and measure results. These data elements are not used in the Initial Patient Population Algorithms or Measure Algorithms. Data Element Name CMS Certification Number Health Care Organization Identifier Initial Patient Population Size – Medicare Only Initial Patient Population Size – Non-Medicare Only Measure Set National Provider Identifier Predicted Value Sample Sample Size – Medicare Only Sample Size – Non-Medicare Only Sampling Frequency Vendor Tracking Identifier Collected For Hospital Clinical Data File, Optional for All Records All Records, Aggregate Data File, Patient Population Data File, Hospital Clinical Data File Transmission, Patient Population Data File Transmission, Patient Population Data File Transmission, Patient Population Data File, Hospital Clinical Data File Transmission Transmission, Risk Adjustment, Hospital Clinical Data File Transmission, Aggregate Data File, Hospital Clinical Data File Transmission, Patient Population Data File Transmission, Patient Population Data File Transmission, Patient Population Data File Transmission, Hospital Clinical Data File Go to: Alphabetical List of all Data Elements PC v2014A 162 Transmission Data Processing Flow: Clinical Introduction This section contains information regarding the order in which the Joint Commission’s Data Warehouse evaluates the Joint Commission national quality core measures. The transmission data processing flow ensures that only valid data are used in the measure algorithms. Each case that is rejected by the process will be listed on a report along with a brief description of the problem. Vendors will access the Joint Commission's HCD Report via the Performance Measurement System Extranet Track (PET). Transmission Data Processing Flow for The Joint Commission Note: HBIPS contains two Initial Patient Populations, discharges and events. Discharge information and event information are transmitted in separate XML files. All events of the same type occurring on the same day are transmitted in one XML file. However, different types of events occurring on the same day are transmitted in separate XML files. All data transmitted pass through the following process: 1. If appropriate, files are verified to be proper zip and XML files. If the files are invalid, reject the file(s) and stop processing. If the files are valid, continue processing. 2. The data are verified that no unexpected protected health information (PHI) (e.g., Patient HIC#, and Postal Code) are present. If unexpected PHI exists, reject the file(s) and stop processing. If no unexpected PHI exists, continue processing. Starting with this step, processing is per case (individual XML file): 3. Data are evaluated to ensure the quarter associated to the Discharge Date or Event Date is open for data transmission. If the Data Collection quarter is closed, reject the XML file and stop processing. If the Data Collection quarter is open, continue processing. 4. Data are evaluated to ensure the Measure Set is expected from the submitter for the time frame (Discharge Date or Event Date) and the Healthcare Organization Identifier in question. If the data are not expected, reject the XML file and stop processing. If the data are expected, continue processing. 5. Check the action-code If the action-code = ADD, continue with step #6. If the action-code = DELETE, continue with step #14. 6. The general data elements, as defined in the Introduction to the Data Dictionary section, are evaluated to ensure they exist and contain valid allowable values. The HBIPS measure set is unique in that it has three different groups of general data elements. The first group is "general" for all measures in the set. The second group is only "general" for the HBIPS discharge measures. The third group is only "general" for the HBIPS event measures. In addition, HBIPS data elements may be "measure set specific" for one type of HBIPS measure and "general" for the other type. For example, Psychiatric Care Setting is a "measure set specific" data element for the discharge measures and a "general" data element for the event measures. See #8 for information concerning the processing of "measure set specific" data elements. PC v2014A 163 If any general data elements fall outside of the data integrity checks, reject the XML file and stop processing. If any general data element is missing or invalid, reject the XML file and stop processing. If all general data elements exist and contain valid allowable values, continue processing. 7. The Initial Patient Population Algorithm associated to the Measure Set is evaluated to ensure that the data is in the population of the set. Refer to the appropriate Measure Set Data Element List for the algorithm. If the Initial Patient Population Algorithm returns an Initial Patient Population Reject Case Flag = “Yes” (case is not in the Initial Patient Population), reject the XML file and stop processing. If the Initial Patient Population Algorithm returns an Initial Patient Population Reject Case Flag = “No” (case is in the Initial Patient Population), continue processing. 8. The Measure Set specific data elements are evaluated to ensure they contain valid allowable values. This step does not evaluate for missing data because that is performed by the measure algorithms. If any measure set specific data elements fall outside of the data integrity checks, reject the XML file and stop processing. If any measure set specific data elements are invalid, reject the XML file and stop processing. If all measure set specific data elements contain valid allowable values, continue processing. 9. If appropriate for the Measure Set, grid data elements are evaluated to ensure each row does not contain missing data. This step does not ensure that the entire grid is empty because that evaluation is performed by the measure algorithms. If any row of the grid is missing data, reject the XML file and stop processing. If the grid is empty or all data elements exist in each row, continue processing. 10. Each XML file is evaluated for unexpected data. While a case may be in the population of more than one measure set, each XML file is associated to only one set. If any data exists that is not expected for the Measure Set, reject the XML file and stop processing. If no unexpected data for the Measure Set exists, continue processing. 11. Each XML file is evaluated to ensure that it and existing data in the database for the patient does not create an incorrect measure set combinations. For example if Measure Set = HBIPS for a patient less than 18 years old and a record for the same patient has previously been accepted by the Warehouse for the Measure Set of PN or AMI, then the new record will create an incorrect measure set combination. Refer to the Joint Commission Guidelines for Submission of Hospital Clinical Data in the Data Transmission section, Appendix E, for list of invalid measure set combinations. If this record will create an incorrect measure set combination, reject the XML file and stop processing. If this record will not create an incorrect measure set combination, continue processing. 12. Execute each measure algorithm associated to the measures the hospital has selected for the Measure Set. Refer to the appropriate Measure Information Forms for the Measure Set for the measure algorithms. If any measure evaluates with a Measure Category Assignment = “X”, reject the XML file and stop processing. If all measures evaluate with Measure Category Assignments = “B”, “D”, “E”, "U", and/or “Y”, continue processing. 13. The case is accepted into the Joint Commission’s Data Warehouse. If any of the measures in the measure set are Risk Adjusted: If yes, then execute the measure risk model on xml file and then stop processing. If no, stop processing. The following steps are performed if the record’s action-code = DELETE: PC v2014A 164 1. The remaining data elements that are part of the Unique Record Key, as defined in the Joint Commission Guidelines for Submission of Hospital Clinical Data in the Data Transmission section, are evaluated to ensure they exist and contain valid allowable values. These data elements are required for all Measure Sets. If any Unique Record Key data element is missing or invalid, reject the XML file and stop processing. If all Unique Record Key data elements exist and contain valid allowable values, continue processing. 2. The database is checked to see if a record with the same Unique Record Key already exists. If the case does not already exist in the database, then the transmitted DELETE record is rejected. If the record already exists in the database, it is deleted. Transmission Data Processing Flow: Clinical Algorithm PC v2014A 165 PC v2014A 166 PC v2014A 167 PC v2014A 168 PC v2014A 169 PC v2014A 170 Transmission Data Processing Flow: Population and Sampling Introduction This section contains information regarding the order in which the Joint Commission’s Data Warehouse evaluate submitted files, which contain aggregate population and sampling counts. Transmission of population and sampling counts are used to assist in evaluating completeness of submission in accordance with The Joint Commission's sampling requirements. Each case that is rejected by the process will be listed on a report along with a brief description of the problem. Vendors will access the Joint Commission's HCD Reports via the Performance Measurement System Extranet Track (PET). Transmission Data Processing Flow All data transmitted pass through the following process: 1. If appropriate, files are verified to be proper zip and XML files. If the files are invalid, reject the file(s) and stop processing. If the files are valid, continue processing. Starting with this step, processing is per XML file: 2. Data are evaluated to ensure that three individual time periods, which make up a calendar quarter, exist within the file. If the data are not expected, reject the XML file and stop processing. If the data are expected, continue processing. 3. The Measure Set /Stratum is evaluated to ensure a valid value is submitted. If the data are not expected, reject the XML file and stop processing. If the data are expected, continue processing. 4. Data are evaluated to ensure the quarter for Time Periods is open for data submission. If the Data Collection quarter is closed, reject the XML file and stop processing. If the Data Collection quarter is open, continue processing. 5. If the files are submitted to The Joint Commission: The Health Care Organization Identifier is evaluated to ensure a valid value is submitted. If the data are not expected, reject the XML file and stop processing. If the data are expected, continue processing. 6. If the files are submitted to The Joint Commission: Data are evaluated to ensure the Measure Set(s) or Strata are expected from the submitter. If the data are not expected, set the reject 'Pending Database' flag = Yes, continue processing. If the data are expected, set the reject 'Pending Database' flag = No, continue processing. 7. Check the action-code If action-code equals Add, continue with processing. If the action-code is missing or invalid, reject the XML file and stop processing.. 8. The transmission data elements, as defined in the Transmission Alphabetical Data Dictionary, are evaluated to ensure they exist and contain valid allowable values. These transmission data elements are required for all submitted files. If any transmission data elements fall outside of the data integrity checks, reject the XML file and stop PC v2014A 171 processing. If any transmission data element is missing or invalid, reject the XML file and stop processing. If all transmission data elements exist and contain valid allowable values, continue processing. 9. Data are evaluated to ensure that the sample size fulfills the required specifications. Sample Frequency must be consistent across all three time periods within a calendar quarter. If the data are not expected, informational messages generated, continue processing. If the data are expected, continue processing. 10. a. Check the Pending Database Flag If the Pending Database flag = No, the case is accepted into the Joint Commission's Data Warehouse. If the Pending Database flag = Yes, the case is accepted into the Joint Commission's Data Warehouse automatically if hospital's measure selections are changed that would make the data 'expected' (refer to step #6b above). These measure selection changes must occur prior to the transmission deadline. Transmission Data Processing Flow Algorithm PC v2014A 172 PC v2014A 173 PC v2014A 174 PC v2014A 175 Appendix A ICD-9-CM Code Tables Download Code Tables Table Number 10.01: Mental Disorders Code 290.0 290.10 290.11 290.12 290.13 290.20 290.21 290.3 290.40 290.41 290.42 290.43 290.8 290.9 291.0 291.1 291.2 291.3 291.4 291.5 291.81 291.82 291.89 291.9 292.0 292.11 292.12 292.2 292.81 292.82 292.83 292.84 292.85 292.89 292.9 293.0 293.1 293.81 293.82 293.83 293.84 293.89 PC v2014A Shortened Description SENILE DEMENTIA UNCOMP PRESENILE DEMENTIA PRESENILE DELIRIUM PRESENILE DELUSION PRESENILE DEPRESSION SENILE DELUSION SENILE DEPRESSIVE SENILE DELIRIUM VASCULAR DEMENTIA,UNCOMP VASC DEMENTIA W DELIRIUM VASC DEMENTIA W DELUSION VASC DEMENTIA W DEPRESSN SENILE PSYCHOSIS NEC SENILE PSYCHOT COND NOS DELIRIUM TREMENS ALCOHOL AMNESTIC DISORDR ALCOHOL PERSIST DEMENTIA ALCOH PSY DIS W HALLUCIN PATHOLOGIC ALCOHOL INTOX ALCOH PSYCH DIS W DELUS ALCOHOL WITHDRAWAL ALCOH INDUCE SLEEP DISOR ALCOHOL MENTAL DISOR NEC ALCOHOL MENTAL DISOR NOS DRUG WITHDRAWAL DRUG PSYCH DISOR W DELUS DRUG PSY DIS W HALLUCIN PATHOLOGIC DRUG INTOX DRUG-INDUCED DELIRIUM DRUG PERSISTING DEMENTIA DRUG PERSIST AMNESTC DIS DRUG-INDUCED MOOD DISORD DRUG INDUCED SLEEP DISOR DRUG MENTAL DISORDER NEC DRUG MENTAL DISORDER NOS DELIRIUM D/T OTHER COND SUBACUTE DELIRIUM PSY DIS W DELUS OTH DIS PSY DIS W HALLUC OTH DIS MOOD DISORDER OTHER DIS ANXIETY DISORDER OTH DIS TRANSIENT MENTAL DIS NEC 176 293.9 294.0 294.10 294.11 294.20 294.21 294.8 294.9 295.00 295.01 295.02 295.03 295.04 295.05 295.10 295.11 295.12 295.13 295.14 295.15 295.20 295.21 295.22 295.23 295.24 295.25 295.30 295.31 295.32 295.33 295.34 295.35 295.40 295.41 295.42 295.43 295.44 295.45 295.50 295.51 295.52 295.53 295.54 295.55 295.60 295.61 295.62 295.63 295.64 295.65 295.70 295.71 PC v2014A TRANSIENT MENTAL DIS NOS AMNESTIC DISORD OTH DIS DEMENTIA W/O BEHAV DIST DEMENTIA W BEHAVIOR DIST DEMEN NOS W/O BEHV DSTRB DEMEN NOS W BEHAV DISTRB MENTAL DISOR NEC OTH DIS MENTAL DISOR NOS OTH DIS SIMPL SCHIZOPHREN-UNSPEC SIMPL SCHIZOPHREN-SUBCHR SIMPLE SCHIZOPHREN-CHR SIMP SCHIZ-SUBCHR/EXACER SIMPL SCHIZO-CHR/EXACERB SIMPL SCHIZOPHREN-REMISS HEBEPHRENIA-UNSPEC HEBEPHRENIA-SUBCHRONIC HEBEPHRENIA-CHRONIC HEBEPHREN-SUBCHR/EXACERB HEBEPHRENIA-CHR/EXACERB HEBEPHRENIA-REMISSION CATATONIA-UNSPEC CATATONIA-SUBCHRONIC CATATONIA-CHRONIC CATATONIA-SUBCHR/EXACERB CATATONIA-CHR/EXACERB CATATONIA-REMISSION PARANOID SCHIZO-UNSPEC PARANOID SCHIZO-SUBCHR PARANOID SCHIZO-CHRONIC PARAN SCHIZO-SUBCHR/EXAC PARAN SCHIZO-CHR/EXACERB PARANOID SCHIZO-REMISS SCHIZOPHRENIFORM DIS NOS SCHIZOPHRENIC DIS-SUBCHR SCHIZOPHREN DIS-CHRONIC SCHIZO DIS-SUBCHR/EXACER SCHIZOPHR DIS-CHR/EXACER SCHIZOPHRENIC DIS-REMISS LATENT SCHIZOPHREN-UNSP LAT SCHIZOPHREN-SUBCHR LATENT SCHIZOPHREN-CHR LAT SCHIZO-SUBCHR/EXACER LATENT SCHIZO-CHR/EXACER LAT SCHIZOPHREN-REMISS SCHIZOPHR DIS RESID NOS SCHIZOPH DIS RESID-SUBCH SCHIZOPHR DIS RESID-CHR SCHIZO RESID SUBCHR/EXAC SCHIZOPH RESID-CHRO/EXAC SCHIZOPH DIS RESID-REMIS SCHIZOAFFECTIVE DIS NOS SCHIZOAFFECTV DIS-SUBCHR 177 295.72 295.73 295.74 295.75 295.80 295.81 295.82 295.83 295.84 295.85 295.90 295.91 295.92 295.93 295.94 295.95 296.00 296.01 296.02 296.03 296.04 296.05 296.06 296.10 296.11 296.12 296.13 296.14 296.15 296.16 296.20 296.21 296.22 296.23 296.24 296.25 296.26 296.30 296.31 296.32 296.33 296.34 296.35 296.36 296.40 296.41 296.42 296.43 296.44 296.45 296.46 296.50 296.51 PC v2014A SCHIZOAFFECTIVE DIS-CHR SCHIZOAFF DIS-SUBCH/EXAC SCHIZOAFFTV DIS-CHR/EXAC SCHIZOAFFECTVE DIS-REMIS SCHIZOPHRENIA NEC-UNSPEC SCHIZOPHRENIA NEC-SUBCHR SCHIZOPHRENIA NEC-CHR SCHIZO NEC-SUBCHR/EXACER SCHIZO NEC-CHR/EXACERB SCHIZOPHRENIA NEC-REMISS SCHIZOPHRENIA NOS-UNSPEC SCHIZOPHRENIA NOS-SUBCHR SCHIZOPHRENIA NOS-CHR SCHIZO NOS-SUBCHR/EXACER SCHIZO NOS-CHR/EXACERB SCHIZOPHRENIA NOS-REMISS BIPOL I SINGLE MANIC NOS BIPOL I SINGLE MANC-MILD BIPOL I SINGLE MANIC-MOD BIPOL I SING-SEV W/O PSY BIPO I SIN MAN-SEV W PSY BIPOL I SING MAN REM NOS BIPOL I SINGLE MANIC REM RECUR MANIC DIS-UNSPEC RECUR MANIC DIS-MILD RECUR MANIC DIS-MOD RECUR MANIC DIS-SEVERE RECUR MANIC-SEV W PSYCHO RECUR MANIC-PART REMISS RECUR MANIC-FULL REMISS DEPRESS PSYCHOSIS-UNSPEC DEPRESS PSYCHOSIS-MILD DEPRESSIVE PSYCHOSIS-MOD DEPRESS PSYCHOSIS-SEVERE DEPR PSYCHOS-SEV W PSYCH DEPR PSYCHOS-PART REMISS DEPR PSYCHOS-FULL REMISS RECURR DEPR PSYCHOS-UNSP RECURR DEPR PSYCHOS-MILD RECURR DEPR PSYCHOS-MOD RECUR DEPR PSYCH-SEVERE REC DEPR PSYCH-PSYCHOTIC RECUR DEPR PSYC-PART REM RECUR DEPR PSYC-FULL REM BIPOL I CURRNT MANIC NOS BIPOL I CURNT MANIC-MILD BIPOL I CURRNT MANIC-MOD BIPOL I MANC-SEV W/O PSY BIPOL I MANIC-SEV W PSY BIPOL I CUR MAN PART REM BIPOL I CUR MAN FULL REM BIPOL I CUR DEPRES NOS BIPOL I CUR DEPRESS-MILD 178 296.52 296.53 296.54 296.55 296.56 296.60 296.61 296.62 296.63 296.64 296.65 296.66 296.7 296.80 296.81 296.82 296.89 296.90 296.99 297.0 297.1 297.2 297.3 297.8 297.9 298.0 298.1 298.2 298.3 298.4 298.8 298.9 299.00 299.01 299.10 299.11 299.80 299.81 299.90 299.91 300.00 300.01 300.02 300.09 300.10 300.11 300.12 300.13 300.14 300.15 300.16 300.19 300.20 PC v2014A BIPOL I CUR DEPRESS-MOD BIPOL I CURR DEP W/O PSY BIPOL I CURRNT DEP W PSY BIPOL I CUR DEP REM NOS BIPOL I CURRNT DEP REMIS BIPOL I CURRNT MIXED NOS BIPOL I CURRNT MIX-MILD BIPOL I CURRNT MIXED-MOD BIPOL I CUR MIX W/O PSY BIPOL I CUR MIXED W PSY BIPOL I CUR MIX-PART REM BIPOL I CUR MIXED REMISS BIPOLOR I CURRENT NOS BIPOLAR DISORDER NOS ATYPICAL MANIC DISORDER ATYPICAL DEPRESSIVE DIS BIPOLAR DISORDER NEC EPISODIC MOOD DISORD NOS EPISODIC MOOD DISORD NEC PARANOID STATE, SIMPLE DELUSIONAL DISORDER PARAPHRENIA SHARED PSYCHOTIC DISORD PARANOID STATES NEC PARANOID STATE NOS REACT DEPRESS PSYCHOSIS EXCITATIV TYPE PSYCHOSIS REACTIVE CONFUSION ACUTE PARANOID REACTION PSYCHOGEN PARANOID PSYCH REACT PSYCHOSIS NEC/NOS PSYCHOSIS NOS AUTISTIC DISORD-CURRENT AUTISTIC DISORD-RESIDUAL CHILDHD DISINTEGR-ACTIVE CHILDHD DISINTEGR-RESID PERVASV DEV DIS-CUR NEC PERVASV DEV DIS-RES NEC PERVASV DEV DIS-CUR NOS PERVASV DEV DIS-RES NOS ANXIETY STATE NOS PANIC DIS W/O AGORPHOBIA GENERALIZED ANXIETY DIS ANXIETY STATE NEC HYSTERIA NOS CONVERSION DISORDER DISSOCIATIVE AMNESIA DISSOCIATIVE FUGUE DISSOCIATVE IDENTITY DIS DISSOCIATIVE REACT NOS FACTITIOUS DIS W SYMPTOM FACTITIOUS ILL NEC/NOS PHOBIA NOS 179 300.21 300.22 300.23 300.29 300.3 300.4 300.5 300.6 300.7 300.81 300.82 300.89 300.9 301.0 301.10 301.11 301.12 301.13 301.20 301.21 301.22 301.3 301.4 301.50 301.51 301.59 301.6 301.7 301.81 301.82 301.83 301.84 301.89 301.9 302.0 302.1 302.2 302.3 302.4 302.50 302.51 302.52 302.53 302.6 302.70 302.71 302.72 302.73 302.74 302.75 302.76 302.79 302.81 PC v2014A AGORAPHOBIA W PANIC DIS AGORAPHOBIA W/O PANIC SOCIAL PHOBIA ISOLATED/SPEC PHOBIA NEC OBSESSIVE-COMPULSIVE DIS DYSTHYMIC DISORDER NEURASTHENIA DEPERSONALIZATION DISORD HYPOCHONDRIASIS SOMATIZATION DISORDER UNDIFF SOMATOFORM DISRDR SOMATOFORM DISORDERS NEC NONPSYCHOTIC DISORD NOS PARANOID PERSONALITY AFFECTIV PERSONALITY NOS CHRONIC HYPOMANIC PERSON CHR DEPRESSIVE PERSON CYCLOTHYMIC DISORDER SCHIZOID PERSONALITY NOS INTROVERTED PERSONALITY SCHIZOTYPAL PERSON DIS EXPLOSIVE PERSONALITY OBSESSIVE-COMPULSIVE DIS HISTRIONIC PERSON NOS CHR FACTITIOUS ILLNESS HISTRIONIC PERSON NEC DEPENDENT PERSONALITY ANTISOCIAL PERSONALITY NARCISSISTIC PERSONALITY AVOIDANT PERSONALITY DIS BORDERLINE PERSONALITY PASSIVE-AGGRESSIV PERSON PERSONALITY DISORDER NEC PERSONALITY DISORDER NOS EGO-DYSTONIC SEX ORIENT ZOOPHILIA PEDOPHILIA TRANSVESTIC FETISHISM EXHIBITIONISM TRANS-SEXUALISM NOS TRANS-SEXUALISM, ASEXUAL TRANS-SEXUAL, HOMOSEXUAL TRANS-SEX, HETEROSEXUAL GENDR IDENTITY DIS-CHILD PSYCHOSEXUAL DYSFUNC NOS HYPOACTIVE SEX DESIRE INHIBITED SEX EXCITEMENT FEMALE ORGASMIC DISORDER MALE ORGASMIC DISORDER PREMATURE EJACULATION DYSPAREUNIA, PSYCHOGENIC PSYCHOSEXUAL DYSFUNC NEC FETISHISM 180 302.82 302.83 302.84 302.85 302.89 302.9 306.0 306.1 306.2 306.3 306.4 306.50 306.51 306.52 306.53 306.59 306.6 306.7 306.8 306.9 307.0 307.1 307.20 307.21 307.22 307.23 307.3 307.40 307.41 307.42 307.43 307.44 307.45 307.46 307.47 307.48 307.49 307.50 307.51 307.52 307.53 307.54 307.59 307.6 307.7 307.80 307.81 307.89 307.9 308.0 308.1 308.2 PC v2014A VOYEURISM SEXUAL MASOCHISM SEXUAL SADISM GEND IDEN DIS, ADOL/ADULT PSYCHOSEXUAL DIS NEC PSYCHOSEXUAL DIS NOS PSYCHOGEN MUSCULSKEL DIS PSYCHOGENIC RESPIR DIS PSYCHOGEN CARDIOVASC DIS PSYCHOGENIC SKIN DISEASE PSYCHOGENIC GI DISEASE PSYCHOGENIC GU DIS NOS PSYCHOGENIC VAGINISMUS PSYCHOGENIC DYSMENORRHEA PSYCHOGENIC DYSURIA PSYCHOGENIC GU DIS NEC PSYCHOGEN ENDOCRINE DIS PSYCHOGENIC SENSORY DIS PSYCHOGENIC DISORDER NEC PSYCHOGENIC DISORDER NOS ADULT ONSET FLNCY DISORD ANOREXIA NERVOSA TIC DISORDER NOS TRANSIENT TIC DISORDER CHR MOTOR/VOCAL TIC DIS TOURETTE'S DISORDER STEREOTYPIC MOVEMENT DIS NONORGANIC SLEEP DIS NOS TRANSIENT INSOMNIA PERSISTENT INSOMNIA TRANSIENT HYPERSOMNIA PERSISTENT HYPERSOMNIA NONORGANIC CIRCADIAN RHY SLEEP AROUSAL DISORDER SLEEP STAGE DYSFUNC NEC REPETIT SLEEP INTRUSION NONORGANIC SLEEP DIS NEC EATING DISORDER NOS BULIMIA NERVOSA PICA RUMINATION DISORDER PSYCHOGENIC VOMITING EATING DISORDER NEC ENURESIS ENCOPRESIS PSYCHOGENIC PAIN NOS TENSION HEADACHE PSYCHOGENIC PAIN NEC SPECIAL SYMPTOM NEC/NOS STRESS REACT, EMOTIONAL STRESS REACTION, FUGUE STRESS REACT, PSYCHOMOT 181 308.3 308.4 308.9 309.0 309.1 309.21 309.22 309.23 309.24 309.28 309.29 309.3 309.4 309.81 309.82 309.83 309.89 309.9 310.0 310.1 310.2 310.81 310.89 310.9 311 312.00 312.01 312.02 312.03 312.10 312.11 312.12 312.13 312.20 312.21 312.22 312.23 312.30 312.31 312.32 312.33 312.34 312.35 312.39 312.4 312.81 312.82 312.89 312.9 313.0 313.1 ACUTE STRESS REACT NEC STRESS REACT, MIXED DIS ACUTE STRESS REACT NOS ADJUSTMNT DIS W DEPRESSN PROLONG DEPRESSIVE REACT SEPARATION ANXIETY EMANCIPATION DISORDER ACADEMIC/WORK INHIBITION ADJUSTMENT DIS W ANXIETY ADJUST DIS W ANXIETY/DEP ADJ REACT-EMOTION NEC ADJUST DISOR/DIS CONDUCT ADJ DIS-EMOTION/CONDUCT POSTTRAUMATIC STRESS DIS ADJUST REACT-PHYS SYMPT ADJUST REACT-WITHDRAWAL ADJUSTMENT REACTION NEC ADJUSTMENT REACTION NOS FRONTAL LOBE SYNDROME PERSONALITY CHG OTH DIS POSTCONCUSSION SYNDROME PSEUDOBULBAR AFFECT NONPSYCH MNTL DISORD NEC NONPSYCHOT BRAIN SYN NOS DEPRESSIVE DISORDER NEC UNSOCIAL AGGRESS-UNSPEC UNSOCIAL AGGRESSION-MILD UNSOCIAL AGGRESSION-MOD UNSOCIAL AGGRESS-SEVERE UNSOCIAL UNAGGRESS-UNSP UNSOCIAL UNAGGRESS-MILD UNSOCIAL UNAGGRESS-MOD UNSOCIAL UNAGGR-SEVERE SOCIAL CONDUCT DIS-UNSP SOCIAL CONDUCT DIS-MILD SOCIAL CONDUCT DIS-MOD SOCIAL CONDUCT DIS-SEV IMPULSE CONTROL DIS NOS PATHOLOGICAL GAMBLING KLEPTOMANIA PYROMANIA INTERMITT EXPLOSIVE DIS ISOLATED EXPLOSIVE DIS IMPULSE CONTROL DIS NEC MIX DIS CONDUCT/EMOTION CNDCT DSRDR CHLDHD ONST CNDCT DSRDR ADLSCNT ONST OTHER CONDUCT DISORDER CONDUCT DISTURBANCE NOS OVERANXIOUS DISORDER MISERY & UNHAPPINESS DIS 313.21 SHYNESS DISORDER-CHILD PC v2014A 182 313.22 313.23 313.3 313.81 313.82 313.83 313.89 313.9 314.00 314.01 314.1 314.2 314.8 314.9 315.00 315.01 315.02 315.09 315.1 315.2 315.31 315.32 315.34 315.35 315.39 315.4 315.5 315.8 315.9 316 317 318.0 318.1 318.2 319 INTROVERTED DIS-CHILD SELECTIVE MUTISM RELATIONSHIP PROBLEMS OPPOSITION DEFIANT DISOR IDENTITY DISORDER ACADEMIC UNDERACHIEVMENT EMOTIONAL DIS CHILD NEC EMOTIONAL DIS CHILD NOS ATTN DEFIC NONHYPERACT ATTN DEFICIT W HYPERACT HYPERKINET W DEVEL DELAY HYPERKINETIC CONDUCT DIS OTHER HYPERKINETIC SYND HYPERKINETIC SYND NOS READING DISORDER NOS ALEXIA DEVELOPMENTAL DYSLEXIA READING DISORDER NEC MATHEMATICS DISORDER OTH LEARNING DIFFICULTY EXPRESSIVE LANGUAGE DIS RECP-EXPRES LANGUAGE DIS SPEECHDEL D/T HEAR LOSS CHLDHD ONSET FLNCY DISOR SPEECH/LANGUAGE DIS NEC DEVEL COORDINATION DIS MIXED DEVELOPMENT DIS DEVELOPMENT DELAYS NEC DEVELOPMENT DELAY NOS PSYCHIC FACTOR W OTH DIS MILD MENTAL RETARDATION MOD MENTAL RETARDATION SEVERE MENTAL RETARDAT PROFOUND MENTAL RETARDAT MENTAL RETARDATION NOS Table Number 11.01: Complication Mainly Related to Pregnancy Code 640.81 640.91 641.01 641.11 641.21 641.31 641.81 641.91 642.01 642.02 642.11 642.12 642.21 642.22 PC v2014A Shortened Description HEM EARLY PREG NEC-DELIV HEM EARLY PREG-DELIVERED PLACENTA PREVIA-DELIVER PLACENTA PREV HEM-DELIV PREM SEPAR PLACEN-DELIV COAG DEF HEMORR-DELIVER ANTEPARTUM HEM NEC-DELIV ANTEPARTUM HEM NOS-DELIV ESSEN HYPERTEN-DELIVERED ESSEN HYPERTEN-DEL W P/P RENAL HYPERTEN PG-DELIV RENAL HYPERTEN-DEL P/P OLD HYPERTEN NEC-DELIVER OLD HYPERTEN-DELIV W P/P 183 642.31 642.32 642.41 642.42 642.51 642.52 642.61 642.62 642.71 642.72 642.91 642.92 643.01 643.11 643.21 643.81 643.91 644.21 645.11 645.21 646.01 646.11 646.12 646.21 646.22 646.31 646.41 646.42 646.51 646.52 646.61 646.62 646.71 646.81 646.82 646.91 647.01 647.02 647.11 647.12 647.21 647.22 647.31 647.32 647.41 647.42 647.51 647.52 647.61 647.62 647.81 647.82 647.91 PC v2014A TRANS HYPERTEN-DELIVERED TRANS HYPERTEN-DEL W P/P MILD/NOS PREECLAMP-DELIV MILD PREECLAMP-DEL W P/P SEVERE PREECLAMP-DELIVER SEV PREECLAMP-DEL W P/P ECLAMPSIA-DELIVERED ECLAMPSIA-DELIV W P/P TOX W OLD HYPERTEN-DELIV TOX W OLD HYP-DEL W P/P HYPERTENS NOS-DELIVERED HYPERTENS NOS-DEL W P/P MILD HYPEREM GRAV-DELIV HYPEREM W METAB DIS-DEL LATE VOMIT OF PREG-DELIV VOMIT COMPL PREG-DELIVER VOMIT OF PREG NOS-DELIV EARLY ONSET DELIVERY-DEL POST TERM PREG-DEL PROLONGED PREG-DEL PAPYRACEOUS FETUS-DELIV EDEMA IN PREG-DELIVERED EDEMA IN PREG-DEL W P/P RENAL DIS NOS-DELIVERED RENAL DIS NOS-DEL W P/P RECURNT PREG LOSS-DELIV NEURITIS-DELIVERED NEURITIS-DELIVERED W P/P ASYM BACTERIURIA-DELIVER ASY BACTERURIA-DEL W P/P GU INFECTION-DELIVERED GU INFECTION-DELIV W P/P LIVER/BIL TRCT DISR-DEL PREG COMPL NEC-DELIVERED PREG COMPL NEC-DEL W P/P PREG COMPL NOS-DELIVERED SYPHILIS-DELIVERED SYPHILIS-DELIVERED W P/P GONORRHEA-DELIVERED GONORRHEA-DELIVER W P/P OTHER VD-DELIVERED OTHER VD-DELIVERED W P/P TUBERCULOSIS-DELIVERED TUBERCULOSIS-DELIV W P/P MALARIA-DELIVERED MALARIA-DELIVERED W P/P RUBELLA-DELIVERED RUBELLA-DELIVERED W P/P OTH VIRAL DIS-DELIVERED OTH VIRAL DIS-DEL W P/P INFECT DIS NEC-DELIVERED INFECT DIS NEC-DEL W P/P INFECT NOS-DELIVERED 184 647.92 648.01 648.02 648.11 648.12 648.21 648.22 648.31 648.32 648.41 648.42 648.51 648.52 648.61 648.62 648.71 648.72 648.81 648.82 648.91 648.92 649.01 649.02 649.11 649.12 649.21 649.22 649.31 649.32 649.41 649.42 649.51 649.61 649.62 649.81 649.82 INFECT NOS-DELIVER W P/P DIABETES-DELIVERED DIABETES-DELIVERED W P/P THYROID DYSFUNC-DELIVER THYROID DYSFUN-DEL W P/P ANEMIA-DELIVERED ANEMIA-DELIVERED W P/P DRUG DEPENDENCE-DELIVER DRUG DEPENDEN-DEL W P/P MENTAL DISORDER-DELIVER MENTAL DIS-DELIV W P/P CONGEN CV DIS-DELIVERED CONGEN CV DIS-DEL W P/P CV DIS NEC PREG-DELIVER CV DIS NEC-DELIVER W P/P BONE DISORDER-DELIVERED BONE DISORDER-DEL W P/P ABN GLUCOSE TOLER-DELIV ABN GLUCOSE-DELIV W P/P OTH CURR COND-DELIVERED OTH CURR COND-DEL W P/P TOBACCO USE DISOR-DELLIV TOBACCO USE DIS-DEL-P/P OBESITY-DELIVERED OBESITY-DELIVERED W P/P BARIATRIC SURG STAT-DEL BARIATRIC SURG-DEL W P/P COAGULATION DEF-DELIV COAGULATN DEF-DEL W P/P EPILEPSY-DELIVERED EPILEPSY-DELIVERED W P/P SPOTTING-DELIVERED UTERINE SIZE DESCREP-DEL UTERINE SIZE-DEL W P/P SPON LABR W PLAN C/S-DEL LBR W PLAN C/S-DEL W P/P Table Number 11.02: Normal Delivery and Other Indications for Care Code 650 651.01 651.11 651.21 651.31 651.41 651.51 651.61 651.71 651.81 651.91 652.01 652.11 PC v2014A Shortened Description NORMAL DELIVERY TWIN PREGNANCY-DELIVERED TRIPLET PREGNANCY-DELIV QUADRUPLET PREG-DELIVER TWINS W FETAL LOSS-DEL TRIPLETS W FET LOSS-DEL QUADS W FETAL LOSS-DEL MULT GES W FET LOSS-DEL MULT GEST-FET REDUCT DEL MULTI GESTAT NEC-DELIVER MULT GESTATION NOS-DELIV UNSTABLE LIE-DELIVERED CEPHALIC VERS NOS-DELIV 185 652.21 652.31 652.41 652.51 652.61 652.71 652.81 652.91 653.01 653.11 653.21 653.31 653.41 653.51 653.61 653.71 653.81 653.91 654.01 654.02 654.11 654.12 654.21 654.31 654.32 654.41 654.42 654.51 654.52 654.61 654.62 654.71 654.72 654.81 654.82 654.91 654.92 655.01 655.11 655.21 655.31 655.41 655.51 655.61 655.71 655.81 655.91 656.01 656.11 656.21 656.31 656.41 656.51 PC v2014A BREECH PRESENTAT-DELIVER TRANSVER/OBLIQ LIE-DELIV FACE/BROW PRESENT-DELIV HIGH HEAD AT TERM-DELIV MULT GEST MALPRES-DELIV PROLAPSED ARM-DELIVERED MALPOSITION NEC-DELIVER MALPOSITION NOS-DELIVER PELVIC DEFORM NOS-DELIV CONTRACT PELV NOS-DELIV INLET CONTRACTION-DELIV OUTLET CONTRACTION-DELIV FETOPELV DISPROPOR-DELIV FETAL DISPROP NOS-DELIV HYDROCEPH FETUS-DELIVER OTH ABN FET DISPRO-DELIV DISPROPORTION NEC-DELIV DISPROPORTION NOS-DELIV CONGEN ABN UTERUS-DELIV CONG ABN UTER-DEL W P/P UTERINE TUMOR-DELIVERED UTERINE TUMOR-DEL W P/P PREV C-DELIVERY-DELIVRD RETROVERT UTERUS-DELIVER RETROVERT UTER-DEL W P/P ABN UTERUS NEC-DELIVERED ABN UTERUS NEC-DEL W P/P CERVICAL INCOMPET-DELIV CERV INCOMPET-DEL W P/P ABN CERVIX NEC-DELIVERED ABN CERVIX NEC-DEL W P/P ABNORM VAGINA-DELIVERED ABNORM VAGINA-DEL W P/P ABNORMAL VULVA-DELIVERED ABNORMAL VULVA-DEL W P/P ABN PELV ORG NEC-DELIVER ABN PELV NEC-DELIV W P/P FETAL CNS MALFORM-DELIV FETAL CHROMOSO ABN-DELIV FAMIL HEREDIT DIS-DELIV FET DAMG D/T VIRUS-DELIV FET DAMG D/T DIS-DELIVER FET DAMAG D/T DRUG-DELIV RADIAT FETAL DAMAG-DELIV DECREASE FETAL MOVMT DEL FETAL ABNORM NEC-DELIVER FETAL ABNORM NOS-DELIVER FETAL-MATERNAL HEM-DELIV RH ISOIMMUNIZAT-DELIVER ABO ISOIMMUNIZAT-DELIVER FETAL DISTRESS-DELIVERED INTRAUTER DEATH-DELIVER POOR FETAL GROWTH-DELIV 186 656.61 656.71 656.81 656.91 657.01 658.01 658.11 658.21 658.31 658.41 658.81 658.91 659.01 659.11 659.21 659.31 659.41 659.51 659.61 659.71 659.81 659.91 EXCESS FETAL GRTH-DELIV OTH PLACENT COND-DELIVER FET/PLAC PROB NEC-DELIV FET/PLAC PROB NOS-DELIV POLYHYDRAMNIOS-DELIVERED OLIGOHYDRAMNIOS-DELIVER PREM RUPT MEMBRAN-DELIV PROLONG RUPT MEMB-DELIV ARTIFIC RUPT MEMBR-DELIV AMNIOTIC INFECTION-DELIV AMNIOTIC PROB NEC-DELIV AMNIOTIC PROB NOS-DELIV FAIL MECH INDUCT-DELIVER FAIL INDUCTION NOS-DELIV PYREXIA IN LABOR-DELIVER SEPTICEM IN LABOR-DELIV GRAND MULTIPARITY-DELIV ELDERLY PRIMIGRAVIDA-DEL ELDERLY MULTIGRAVIDA-DEL ABN FTL HRT RATE/RHY-DEL COMPLIC LABOR NEC-DELIV COMPLIC LABOR NOS-DELIV Table Number 11.03: Complication Mainly in the Course of Labor and Delivery Code 660.01 660.11 660.21 660.31 660.41 660.51 660.61 660.71 660.81 660.91 661.01 661.11 661.21 661.31 661.41 661.91 662.01 662.11 662.21 662.31 663.01 663.11 663.21 663.31 663.41 663.51 663.61 PC v2014A Shortened Description OBSTRUC/FET MALPOS-DELIV BONY PELV OBSTRUCT-DELIV ABN PELV TIS OBSTR-DELIV PERSIST OCCIPTPOST-DELIV SHOULDER DYSTOCIA-DELIV LOCKED TWINS-DELIVERED FAIL TRIAL LAB NOS-DELIV FAILED FORCEPS NOS-DELIV OBSTRUCT LABOR NEC-DELIV OBSTRUCT LABOR NOS-DELIV PRIM UTERINE INERT-DELIV SEC UTERINE INERT-DELIV UTERINE INERT NEC-DELIV PRECIPITATE LABOR-DELIV UTER DYSTOCIA NOS-DELIV ABNORMAL LABOR NOS-DELIV PROLONG 1ST STAGE-DELIV PROLONG LABOR NOS-DELIV PROLONG 2ND STAGE-DELIV DELAY DEL 2ND TWIN-DELIV CORD PROLAPSE-DELIVERED CORD AROUND NECK-DELIVER CORD COMPRESS NEC-DELIV CORD ENTANGLE NEC-DELIV SHORT CORD-DELIVERED VASA PREVIA-DELIVERED VASC LESION CORD-DELIVER 187 663.81 663.91 664.01 664.11 664.21 664.31 664.41 664.51 664.81 664.91 665.01 665.11 665.22 665.31 665.41 665.51 665.61 665.71 665.72 665.81 665.82 665.91 665.92 666.02 666.12 666.22 666.32 667.02 667.12 668.01 668.02 668.11 668.12 668.21 668.22 668.81 668.82 668.91 668.92 669.01 669.02 669.11 669.12 669.21 669.22 669.32 669.41 669.42 669.51 669.61 669.71 669.81 669.82 PC v2014A CORD COMPLICAT NEC-DELIV CORD COMPLICAT NOS-DELIV DEL W 1 DEG LACERAT-DEL DEL W 2 DEG LACERAT-DEL DEL W 3 DEG LACERAT-DEL DEL W 4 DEG LACERAT-DEL OB PERINEAL LAC NOS-DEL OB PERINEAL HEMATOMA-DEL OB PERINEAL TRAU NEC-DEL OB PERINEAL TRAU NOS-DEL PRELABOR RUPT UTERUS-DEL RUPTURE UTERUS NOS-DELIV INVERS UTERUS-DEL W P/P LACERAT OF CERVIX-DELIV HIGH VAGINAL LACER-DELIV OB INJ PELV ORG NEC-DEL DAMAGE TO PELVIC JT-DEL OB PELVIC HEMATOMA-DELIV PELVIC HEMATOM-DEL W PP OB TRAUMA NEC-DELIVERED OB TRAUMA NEC-DEL W P/P OB TRAUMA NOS-DELIVERED OB TRAUMA NOS-DEL W P/P THRD-STAGE HEM-DEL W P/P POSTPA HEM NEC-DEL W P/P DELAY P/P HEM-DEL W P/P P/P COAG DEF-DEL W P/P RETND PLAC NOS-DEL W P/P RET PROD CONC-DEL W P/P PULM COMPL IN DEL-DELIV PULM COMPLIC-DEL W P/P HEART COMPL IN DEL-DELIV HEART COMPL-DEL W P/P CNS COMPL LAB/DEL-DELIV CNS COMPLIC-DEL W P/P ANESTH COMPL NEC-DELIVER ANESTH COMPL NEC-DEL P/P ANESTH COMPL NOS-DELIVER ANESTH COMPL NOS-DEL P/P MATERNAL DISTRESS-DELIV MATERN DISTRES-DEL W P/P OBSTETRIC SHOCK-DELIVER OBSTET SHOCK-DELIV W P/P MATERN HYPOTEN SYN-DELIV MATERN HYPOTEN-DEL W P/P AC REN FAIL-DELIV W P/P OTH OB COMPL-DELIVERED OTH OB COMPL-DELIV W P/P FORCEP DELIV NOS-DELIVER BREECH EXTR NOS-DELIVER CESAREAN DELIVERY NOS COMP LAB/DELIV NEC-DELIV COMPL DEL NEC-DEL W P/P 188 669.91 669.92 COMP LAB/DELIV NOS-DELIV COMPL DEL NOS-DEL W P/P Table Number 11.04: Complication of the Puerperium Code 670.02 670.12 670.22 670.32 670.82 671.01 671.02 671.11 671.12 671.21 671.22 671.31 671.42 671.51 671.52 671.81 671.82 671.91 671.92 672.02 673.01 673.02 673.11 673.12 673.21 673.22 673.31 673.32 673.81 673.82 674.01 674.02 674.12 674.22 674.32 674.42 674.82 674.92 675.01 675.02 675.11 675.12 675.21 675.22 675.81 675.82 675.91 PC v2014A Shortened Description MAJOR PUERP INF-DEL P/P PUERP ENDOMET DEL W P/P PUERPRL Septicemias or Bacteremias-DEL W P/P PRP SPTC THRMB-DEL W P/P MAJ PRP INF NEC-DL W P/P VARICOSE VEIN LEG-DELIV VARIC VEIN LEG-DEL W P/P VARICOSE VULVA-DELIVERED VARICOSE VULVA-DEL W P/P THROMBOPHLEBITIS-DELIVER THROMBOPHLEB-DELIV W P/P DEEP THROM ANTEPAR-DELIV THROMB POSTPAR-DEL W P/P THROMBOSIS NEC-DELIVERED THROMB NEC-DELIV W P/P VENOUS COMPL NEC-DELIVER VEN COMP NEC-DELIV W P/P VENOUS COMPL NOS-DELIVER VEN COMP NOS-DELIV W P/P PUERP PYREXIA-DEL W P/P OB AIR EMBOLISM-DELIVER OB AIR EMBOL-DELIV W P/P AMNIOTIC EMBOLISM-DELIV AMNIOT EMBOL-DELIV W P/P PULM EMBOL NOS-DELIVERED PULM EMBOL NOS-DEL W P/P OB PYEMIC EMBOL-DELIVER OB PYEM EMBOL-DEL W P/P PULMON EMBOL NEC-DELIVER PULM EMBOL NEC-DEL W P/P PUERP CEREBVAS DIS-DELIV CEREBVAS DIS-DELIV W P/P DISRUPT C-SECT-DEL W P/P DISRUPT PERIN-DEL W P/P OB SURG COMPL-DEL W P/P PLACENT POLYP-DEL W P/P PUERP COMP NEC-DEL W P/P PUERP COMP NOS-DEL W P/P INFECT NIPPLE-DELIVERED INFECT NIPPLE-DEL W P/P BREAST ABSCESS-DELIVERED BREAST ABSCESS-DEL W P/P MASTITIS-DELIVERED MASTITIS-DELIV W P/P BREAST INFECT NEC-DELIV BREAST INF NEC-DEL W P/P BREAST INFECT NOS-DELIV 189 675.92 676.01 676.02 676.11 676.12 676.21 676.22 676.31 676.32 676.41 676.42 676.51 676.52 676.61 676.62 676.81 676.82 676.91 676.92 BREAST INF NOS-DEL W P/P RETRACTED NIPPLE-DELIVER RETRACT NIPPLE-DEL W P/P CRACKED NIPPLE-DELIVERED CRACKED NIPPLE-DEL W P/P BREAST ENGORGE-DELIVERED BREAST ENGORGE-DEL W P/P BREAST DIS NEC-DELIVERED BREAST DIS NEC-DEL W P/P LACTATION FAIL-DELIVERED LACTATION FAIL-DEL W P/P SUPPR LACTATION-DELIVER SUPPR LACTAT-DEL W P/P GALACTORRHEA-DELIVERED GALACTORRHEA-DEL W P/P LACTATION DIS NEC-DELIV LACTAT DIS NEC-DEL W P/P LACTATION DIS NOS-DELIV LACTAT DIS NOS-DEL W P/P Table Number 11.05: Medical Induction of Labor Code 73.01 73.1 73.4 Shortened Description INDUCT LABOR-RUPT MEMB SURG INDUCT LABOR NEC MEDICAL INDUCTION LABOR Table Number 11.06: Cesarean Section Code 74.0 74.1 74.2 74.4 74.99 Shortened Description CLASSCIAL C-SECTION LOW CERVICAL C-SECTION EXTRAPERITONEAL C-SECTION CESAREAN SECTION NEC CESAREAN SECTION NOS Table Number 11.06.1: Planned Cesarean Section in Labor Code 649.81 649.82 Shortened Description SPON LABR W PLAN C/S-DEL LBR W PLAN C/S-DEL W P/P Table Number 11.07: Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation Code 042 576.8 641.01 641.11 641.21 641.31 PC v2014A Shortened Description HUMAN IMMUNO VIRUS DIS DIS OF BILIARY TRACT NEC PLACENTA PREVIA-DELIVER PLACENTA PREV HEM-DELIV PREM SEPAR PLACEN-DELIV COAG DEF HEMORR-DELIVER 190 641.81 641.91 642.01 642.02 642.11 642.12 642.21 642.22 642.31 642.32 642.41 642.42 642.51 642.52 642.61 642.62 642.71 642.72 642.91 642.92 645.11 646.21 646.22 646.71 648.01 648.51 648.52 648.61 648.62 648.81 648.82 649.31 649.32 651.01 651.11 651.21 651.31 651.41 651.51 651.61 651.71 651.81 651.91 652.01 652.61 655.01 655.11 655.31 655.41 655.51 655.61 655.81 656.01 PC v2014A ANTEPARTUM HEM NEC-DELIV ANTEPARTUM HEM NOS-DELIV ESSEN HYPERTEN-DELIVERED ESSEN HYPERTEN-DEL W P/P RENAL HYPERTEN PG-DELIV RENAL HYPERTEN-DEL P/P OLD HYPERTEN NEC-DELIVER OLD HYPERTEN-DELIV W P/P TRANS HYPERTEN-DELIVERED TRANS HYPERTEN-DEL W P/P MILD/NOS PREECLAMP-DELIV MILD PREECLAMP-DEL W P/P SEVERE PREECLAMP-DELIVER SEV PREECLAMP-DEL W P/P ECLAMPSIA-DELIVERED ECLAMPSIA-DELIV W P/P TOX W OLD HYPERTEN-DELIV TOX W OLD HYP-DEL W P/P HYPERTENS NOS-DELIVERED HYPERTENS NOS-DEL W P/P POST TERM PREG-DEL RENAL DIS NOS-DELIVERED RENAL DIS NOS-DEL W P/P LIVER/BIL TRCT DISR-DEL DIABETES-DELIVERED CONGEN CV DIS-DELIVERED CONGEN CV DIS-DEL W P/P CV DIS NEC PREG-DELIVER CV DIS NEC-DELIVER W P/P ABN GLUCOSE TOLER-DELIV ABN GLUCOSE-DELIV W P/P COAGULATION DEF-DELIV COAGULATN DEF-DEL W P/P TWIN PREGNANCY-DELIVERED TRIPLET PREGNANCY-DELIV QUADRUPLET PREG-DELIVER TWINS W FETAL LOSS-DEL TRIPLETS W FET LOSS-DEL QUADS W FETAL LOSS-DEL MULT GES W FET LOSS-DEL MULT GEST-FET REDUCT DEL MULTI GESTAT NEC-DELIVER MULT GESTATION NOS-DELIV UNSTABLE LIE-DELIVERED MULT GEST MALPRES-DELIV FETAL CNS MALFORM-DELIV FETAL CHROMOSO ABN-DELIV FET DAMG D/T VIRUS-DELIV FET DAMG D/T DIS-DELIVER FET DAMAG D/T DRUG-DELIV RADIAT FETAL DAMAG-DELIV FETAL ABNORM NEC-UNSPEC FETAL-MATERNAL HEM-DELIV 191 656.11 656.21 656.31 656.41 656.51 657.01 658.01 658.11 658.21 658.41 659.71 663.01 663.51 665.01 V08 V23.5 V27.1 RH ISOIMMUNIZAT-DELIVER ABO ISOIMMUNIZAT-DELIVER FETAL DISTRESS-DELIVERED INTRAUTER DEATH-DELIVER POOR FETAL GROWTH-DELIV POLYHYDRAMNIOS-DELIVERED OLIGOHYDRAMNIOS-DELIVER PREM RUPT MEMBRAN-DELIV PROLONG RUPT MEMB-DELIV AMNIOTIC INFECTION-DELIV ABN FTL HRT RATE/RHY-DEL CORD PROLAPSE - DELIVERED VASA PREVIA-DELIVERED PRELABOR RUPT UTERUS - DEL ASYMP HIV INFECTN STATUS PREG W POOR REPRODUCT HX DELIVER-SINGLE STILLBORN Table Number 11.08: Outcome of Delivery Code V27.0 Shortened Description DELIVER-SINGLE LIVEBORN Table Number 11.09: Contraindications to Vaginal Delivery Code 644.21 651.01 651.11 651.21 651.31 651.41 651.51 651.61 651.81 651.91 652.21 652.31 652.41 652.61 652.81 654.21 656.41 660.51 662.31 669.61 761.5 V27.1 V27.2 V27.3 V27.4 V27.5 V27.6 PC v2014A Shortened Description EARLY ONSET DELIVERY-DEL TWIN PREGNANCY-DELIVERED TRIPLET PREGNANCY-DELIV QUADRUPLET PREG-DELIVER TWINS W FETAL LOSS-DEL TRIPLETS W FET LOSS-DEL QUADS W FETAL LOSS-DEL MULT GES W FET LOSS-DEL MULTI GESTAT NEC-DELIVER MULT GESTATION NOS-DELIV BREECH PERSENTAT-DELIVER TRANSVER/OBLIQ LIE-DELIV FACE/BROW PRESENT DELIV MULT GEST MALPRE-DELIV MALPOSITION NEC-DELIVER PREV C-SECT NOS-DELIVER INTRAUTER DEATH-DELIVER LOCKED TWINS-DELIVERED DELAY DEL 2ND TWIN-DELIV BREECH EXTR NOS-DELIVER MULT PREGNANCY AFF NB DELIVER-SINGLE STILLBORN DELIVER-TWINS, BOTH LIVE DEL-TWINS, 1 NB, 1 SB DELIVER-TWINS, BOTH SB DEL-MULT BIRTH, ALL LIVE DEL-MULT BRTH, SOME LIVE 192 V27.7 DEL-MULT BIRTH, ALL SB Table Number 11.09.1: Fetal Demise Code 656.40 656.41 Shortened Description INTRAUTERINE DEATH-UNSP INTRAUTER DEATH-DELIVER Table Number 11.10: Newborn Septicemia or Bacteremia Code 771.81 771.83 Shortened Description NB SEPTICEMIA [Septicemias or Bacteremias] BACTEREMIA OF NEWBORN Table Number 11.10.1: Sepsis Code 038.0 038.10 038.11 038.12 038.19 038.2 038.3 038.40 038.41 038.42 038.43 038.44 038.49 038.8 112.5 785.52 790.7 995.91 995.92 998.02 Shortened Description STREPTOCOCCAL SEPTICEMIA STAPHYLOCOCC SEPTICEMIA NOS METH SUSC STAPH AUR SEPT MRSA SEPTICEMIA STAPHYLOCOCC SEPTICEM NEC PNEUMOCOCCAL SEPTICEMIA ANAEROBIC SEPTICEMIA GRAM-NEG SEPTICEMIA NOS H. INFLUENAE SEPTICEMIA E COLI SEPTICEMIA PSEUDOMONAS SEPTICEMIA SERRATIA SEPTICEMIA GRAM-NEG SEPTICEMIA NEC SEPTICEMIA NEC DISSEMINATED CANDIDIASIS SEPTIC SHOCK BACTEREMIA SEPTICEMIAS OR BACTEREMIAS SEVERE SEPTICEMIAS OR BACTEREMIAS POSTOPERATIVE SEPTIC SHOCK Table Number 11.10.2: Septicemias or Bacteremias Code 038.0 038.10 038.11 038.12 038.19 038.2 038.3 038.40 038.41 038.42 038.43 038.44 PC v2014A Shortened Description STREPTOCOCCAL SEPTICEMIA STAPHYLOCOCC SEPTICEMIA NOS METH SUSC STAPH AUR SEPT MRSA SEPTICEMIA STAPHYLOCOCC SEPTICEM NEC PNEUMOCOCCAL SEPTICEMIA ANAEROBIC SEPTICEMIA GRAM-NEG SEPTICEMIA NOS H. INFLUENAE SEPTICEMIA E COLI SEPTICEMIA PSEUDOMONAS SEPTICEMIA SERRATIA SEPTICEMIA 193 038.49 038.8 041.04 041.10 041.11 041.19 041.3 041.41 041.42 041.43 041.49 041.7 041.85 112.5 785.52 785.59 790.7 995.91 995.92 998.00 GRAM-NEG SEPTICEMIA NEC SEPTICEMIA NEC ENTEROCOCCUS GROUP D STAPHYLOCOCCUS UNSPCFIED STAPHYLOCOCCUS AUREUS OTHER STAPHYLOCOCCUS KLEBSIELLA INFECT NOS SHIGA TXN-PRODUCE E.COLI SHGA TXN PROD E.COLI NEC SHGA TXN PROD E.COLI NOS E.COLI INFECTION NEC/NOS PSEUDOMONAS INFECT NOS OTH GRAM NEGATV BACTERIA DISSEMINATED CANDIDIASIS SEPTIC SHOCK SHOCK W/O TRAUMA NEC BACTEREMIA SEPTICEMIAS OR BACTEREMIAS SEVERE SEPTICEMIAS OR BACTEREMIAS POSTOPERATIVE SHOCK Table Number 11.10.3: Liveborn Newborn Code V30.00 V30.01 V30.1 V30.2 V31.00 V31.01 V31.1 V31.2 V33.00 V33.01 V33.1 V33.2 V34.00 V34.01 V34.1 V34.2 V37.00 V37.01 V37.1 V37.2 V39.00 V39.01 V39.1 V39.2 Shortened Description SINGLE LB IN-HOSP W/O CS SINGLE LB IN-HOSP W CS SINGL LIVEBORN-BEFORE ADM SINGLE LIVEBORN-NONHOSP TWIN-MATE LB-HOSP W/O CS TWIN-MATE LB-IN HOS W CS TWIN, MATE LB-BEFORE ADM TWIN, MATE LB- NONHOSP TWIN-NOS-IN HOSP W/O CS TWIN-NOS-IN HOSP W CS TWIN NOS-BEFORE ADMISSN TWIN NOS-NONHOSP OTH MULT LB-HOSP W/O CS OTH MULT LB-IN HOSP W CS OTH MULT NB-BEFORE ADM OTH MULTIPLE NB-NONHOSP MULT BRTH NOS-HOS W/O CS MULT BIRTH NOS-HOSP W CS MULT BRTH NOS-BEFORE ADM MULT BIRTH NOS-NONHOSP LIVEBORN NOS-HOSP W/O CS LIVEBORN NOS-HOSP W CS LIVEBORN NOS-BEFORE ADM LIVEBORN NOS-NONHOSP Table Number 11.12: Birth Weight 500-749 Grams Code PC v2014A Shortened Description 194 764.02 764.12 764.22 764.92 765.02 765.12 LT-FOR-DATES 500-749G LT-DATE W/MAL 500-749G FETAL MALNUTR 500-749G FET GROWTH RET 500-749G EXTREME IMMATUR 500-749G PRETERM NEC 500-749G Table Number 11.13: Birth Weight 750-999 Grams Code 764.03 764.13 764.23 764.93 765.03 765.13 Shortened Description LT-FOR-DATES 750-999G LT-DATE W/MAL 750-999G FETAL MAL 750-999G FET GROWTH RET 750-999G EXTREME IMMATUR 750-999G PRETERM NEC 750-999G Table Number 11.13.1: Birth Weight 500-999 Grams Code V21.32 Shortened Description LOW BIRTHWT 500-999G Table Number 11.14: Birth Weight 1000-1499 Grams Code 764.04 764.05 764.14 764.15 764.24 764.25 764.94 764.95 765.04 765.05 765.14 765.15 V21.33 Shortened Description LT-FOR-DATES 1000-1249G LT-FOR-DATES 1250-1499G LT-DATE W/MAL 1000-1249G LT-DATE W/MAL 1250-1499G FETAL MAL 1000-1249G FETAL MAL 1250-1499G FET GRWTH RET 1000-1249G FET GRWTH RET 1250-1499G EXTREME IMMAT 1000-1249G EXTREME IMMAT 1250-1499G PRETERM NEC 1000-1249G PRETERM NEC 1250-1499G LOW BIRTHWT 1000-1499G Table Number 11.15: Birth Weight 1500-1999 Grams Code 764.06 764.07 764.16 764.17 764.26 764.27 764.96 764.97 765.06 765.07 765.16 PC v2014A Shortened Description LT-FOR-DATES 1500-1749G LT-FOR-DATES 1750-1999G LT-DATE W/MAL 1500-1749G LT-DATE W/MAL 1750-1999G FETAL MAL 1500-1749G FETAL MALNUTR 1750-1999G FET GRWTH RET 1500-1749G FET GRWTH RET 1750-1999G EXTREME IMMAT 1500-1749G EXTREME IMMAT 1750-1999G PRETERM NEC 1500-1749G 195 765.17 V21.34 PRETERM NEC 1750-1999G LOW BIRTHWT 1500-1999G Table Number 11.16: Birth Weight 2000-2499 Grams Code 764.08 764.18 764.28 764.98 765.08 765.18 Shortened Description LT-FOR-DATES 2000-2499G LT-DATE W/MAL 2000-2499G FETAL MALNUTR 2000-2499G FET GRWTH RET 2000-2499G EXTREME IMMAT 2000-2499G PRETERM NEC 2000-2499G Table Number 11.16.1: Birth Weight 2000-2500 Grams Code V21.35 Shortened Description LOW BIRTHWT 2000-2500G Table Number 11.17: Birth Weight 2500 Grams and over Code 764.09 764.19 764.29 764.99 765.09 765.19 Shortened Description LT-FOR-DATES 2500+G LT-DATE W/MAL 2500+G FETAL MALNUTR 2500+G FET GRWTH RET 2500+G EXTREME IMMAT 2500+G PRETERM NEC 2500+G Table Number 11.18: Major Surgery Code 00.50 00.51 00.52 00.53 00.54 00.56 00.57 00.61 00.62 00.66 00.70 00.71 00.72 00.73 00.80 00.81 00.82 00.83 00.84 00.85 00.86 00.87 PC v2014A Shortened Description IMPL CRT PACEMAKER SYS IMPL CRT DEFIBRILLAT SYS IMP/REP LEAD LF VEN SYS IMP/REP CRT PACEMAKR GEN IMP/REP CRT DEFIB GENAT INS/REP IMPL SENSOR LEAD IMP/REP SUBCUE CARD DEV PERC ANGIO PRECEREB VESS PERC ANGIO INTRACRAN VES PTCA OR CORONARY ATHER REV HIP REPL-ACETAB/FEM REV HIP REPL-ACETAB COMP REV HIP REPL-FEM COMP REV HIP REPL-LINER/HEAD REV KNEE REPLACEMT-TOTAL REV KNEE REPL-TIBIA COMP REV KNEE REPL-FEMUR COMP REV KNEE REPLACE-PATELLA REV KNEE REPL-TIBIA LIN RESRF HIPTOTAL-ACET/FEM RESRF HIPPART-FEM HEAD RESRF HIPPART-ACETABLUM 196 01.12 01.14 01.15 01.18 01.19 01.20 01.21 01.22 01.23 01.24 01.25 01.28 01.29 01.31 01.32 01.39 01.41 01.42 01.51 01.52 01.53 01.59 01.6 02.01 02.02 02.03 02.04 02.05 02.06 02.07 02.11 02.12 02.13 02.14 02.21 02.22 02.31 02.32 02.33 02.34 02.35 02.39 02.42 02.43 02.91 02.92 02.93 02.94 02.99 03.01 03.02 03.09 03.1 PC v2014A OPEN CEREB MENINGES BX OPEN BRAIN BIOPSY SKULL BIOPSY OTHER BRAIN DX PROCEDURE OTHER SKULL DX PROCEDURE IMP/REPL BRAIN PULSE GEN CRANIAL SINUS I & D REMOV INTRACRAN STIMULAT REOPEN CRANIOTOMY SITE OTHER CRANIOTOMY OTHER CRANIECTOMY INTRACEREB CTH-BURR HOLE REM BRAIN PULSE GENERATR INCISE CEREBRAL MENINGES LOBOTOMY & TRACTOTOMY OTHER BRAIN INCISION THALAMUS OPERATIONS GLOBUS PALLIDUS OPS EX CEREB MENINGEAL LES HEMISPHERECTOMY BRAIN LOBECTOMY OTHER BRAIN EXCISION EXCISE SKULL LESION LINEAR CRANIECTOMY ELEVATE SKULL FX FRAGMNT SKULL FLAP FORMATION BONE GRAFT TO SKULL SKULL PLATE INSERTION CRANIAL OSTEOPLASTY NEC SKULL PLATE REMOVAL SIMPLE SUTURE OF DURA BRAIN MENINGE REPAIR NEC MENINGE VESSEL LIGATION CHOROID PLEXECTOMY INSERT/REPLACE EVD INTRCRAN VENT SHUNT/ANAS VENTRICL SHUNT-HEAD/NECK VENTRI SHUNT-CIRCULA SYS VENTRICL SHUNT-THORAX VENTRICL SHUNT-ABDOMEN VENTRI SHUNT-UNINARY SYS OTHER VENTRICULAR SHUNT REPLACE VENTRICLE SHUNT REMOVE VENTRICLE SHUNT LYSIS CORTICAL ADHESION BRAIN REPAIR IMPLANT BRAIN STIMULATOR INSERT/REPLAC SKULL TONG SKULL & BRAIN OP NEC REMOVAL FB SPINAL CANAL REOPEN LAMINECTOMY SITE SPINAL CANAL EXPLOR NEC INTRASPIN NERVE ROOT DIV 197 03.21 03.29 03.32 03.39 03.4 03.51 03.52 03.53 03.59 03.6 03.71 03.72 03.79 03.93 03.94 03.97 03.98 03.99 04.01 04.02 04.03 04.04 04.05 04.06 04.07 04.12 04.19 04.3 04.41 04.42 04.43 04.44 04.49 04.5 04.6 04.71 04.72 04.73 04.74 04.75 04.76 04.79 04.91 04.92 04.93 04.99 05.0 05.11 05.19 05.21 05.22 05.23 PC v2014A PERCUTANEOUS CHORDOTOMY OTHER CHORDOTOMY SPINAL CORD/MENINGES BX OTHER SPINAL DX PROC EXCIS SPINAL CORD LESION SPINE MENINGOCELE REPAIR MYELOMENINGOCEL REPAIR VERTEBRAL FX REPAIR SPINAL STRUCT REPAIR NEC SPINAL CORD ADHESIOLYSIS SUBARACH-PERITON SHUNT SUBARACH-URETERAL SHUNT OTH SPINAL THECAL SHUNT INSERT SPINAL STIMULATOR REMOVE SPINAL STIMULATOR REVISE SPINE THECA SHUNT REMOVE SPINE THECA SHUNT SPINE CANAL STRUC OP NEC EXCISION ACOUSTC NEUROMA TRIGEMINAL NERV DIVISION PERIPH NERVE DIV NEC PERIPH NERVE INCIS NEC GASSERIAN GANGLIONECTOMY PERIPH GANGLIONECT NEC PERIPH NERV EXCISION NEC OPEN PERIPH NERVE BIOPSY PERIPH NERVE DX PROC NEC PERIPHERAL NERVE SUTURE DECOMPRESS TRIGEM ROOT CRAN NERV ROOT DECOM NEC CARPAL TUNNEL RELEASE TARSAL TUNNEL RELEASE PER NERVE ADHESIOLYS NEC PERIPHERAL NERVE GRAFT PERIPH NERVE TRANSPOSIT HYPOGLOSS-FACIAL ANASTOM ACCESSORY-FACIAL ANASTOM ACCESS-HYPOGLOSS ANASTOM PERIPH NERV ANASTOM NEC POSTOP REVIS PER NERV OP LATE REPAIR PER NERV INJ OTHER NEUROPLASTY NEURECTASIS IMPLANT PERIPH STIMULAT REMOVE PERIPH STIMULATOR PERIPHERAL NERVE OPS NEC SYMPATH NERVE DIVISION SYMPATHETIC NERVE BIOPSY SYMPATH NRV DX PROC NEC SPHENOPALATIN GANGLIONEC CERVICAL SYMPATHECTOMY LUMBAR SYMPATHECTOMY 198 05.24 05.25 05.29 05.81 05.89 05.9 06.02 06.09 06.12 06.13 06.19 06.2 06.31 06.39 06.4 06.50 06.51 06.52 06.6 06.7 06.81 06.89 06.91 06.92 06.93 06.94 06.95 06.98 06.99 07.00 07.01 07.02 07.12 07.13 07.14 07.15 07.16 07.17 07.19 07.21 07.22 07.29 07.3 07.41 07.42 07.43 07.44 07.45 07.49 07.51 07.52 07.53 07.54 PC v2014A PRESACRAL SYMPATHECTOMY PERIART SYMPATHECTOMY OTHER SYMPATHECTOMY SYMPATHETIC NERVE REPAIR SYMPATHETIC NERVE OP NEC OTHER NERVOUS SYSTEM OPS REOPEN THYROID FIELD WND INCIS THYROID FIELD NEC OPEN THYROID GLAND BX PARATHYROID BIOPSY THYR/PARATHY DX PROC NEC UNILAT THYROID LOBECTOMY EXCISION THYROID LESION PART THYROIDECTOMY NEC COMPLETE THYROIDECTOMY SUBSTERN THYROIDECT NOS PART SUBSTERN THYROIDECT TOT SUBSTERN THYROIDECT LINGUAL THYROID EXCISION THYROGLOSS DUCT EXCISION TOTAL PARATHYROIDECTOMY OTHER PARATHYROIDECTOMY THYROID ISTHMUS DIVISION THYROID VESSEL LIGATION THYROID SUTURE THYROID REIMPLANTATION PARATHYROID REIMPLANT OTHER THYROID OPERATIONS OTHER PARATHYROID OPS ADRENAL EXPLORATION NOS UNILAT ADRENAL EXPLORAT BILAT ADRENAL EXPLORAT OPEN ADRENAL GLAND BX TRANSFRONT PITUITARY BX TRANSPHEN PITUITARY BX PITUITARY BIOPSY NOS THYMUS BIOPSY PINEAL BIOPSY ENDOCRINE DX PROC NEC ADRENAL LESION EXCISION UNILATERAL ADRENALECTOMY PART ADRENALECTOMY NEC BILATERAL ADRENALECTOMY ADRENAL INCISION ADRENAL NERVE DIVISION ADRENAL VESSEL LIGATION ADRENAL REPAIR ADRENAL REIMPLANTATION ADRENAL OPERATION NEC PINEAL FIELD EXPLORATION PINEAL GLAND INCISION PARTIAL PINEALECTOMY TOTAL PINEALECTOMY 199 07.59 07.61 07.62 07.63 07.64 07.65 07.68 07.69 07.71 07.72 07.79 07.80 07.81 07.82 07.83 07.84 07.91 07.92 07.93 07.94 07.95 07.98 07.99 08.11 08.20 08.21 08.22 08.23 08.24 08.25 08.31 08.32 08.33 08.34 08.35 08.36 08.37 08.38 08.41 08.42 08.43 08.44 08.49 08.51 08.52 08.59 08.61 08.62 08.63 08.64 08.69 08.70 PC v2014A PINEAL OPERATION NEC EXC PITUIT LES-TRANSFRON EXC PITUIT LES-TRANSPHEN PART EXCIS PITUITARY NOS TOT EXC PITUIT-TRANSFRON TOT EXC PITUIT-TRANSPHEN TOTAL EXC PITUITARY NEC TOTAL EXC PITUITARY NOS PITUITARY FOSSA EXPLORAT PITUITARY GLAND INCISION PITUITARY OPERATION NEC THYMECTOMY NOS PART EXCISION OF THYMUS TOTAL EXCISION OF THYMUS THORAC PART EXISN THYMUS THORAC TOTAL EXC THYMUS THYMUS FIELD EXPLORATION INCISION OF THYMUS REPAIR OF THYMUS THYMUS TRANSPLANTATION THORAC INCISION THYMUS OTH THORAC OP THYMUS NOS THYMUS OPERATION NEC EYELID BIOPSY REMOVE EYELID LESION NOS CHALAZION EXCISION EXCISE MINOR LES LID NEC EXC MAJ LES LID PRT-THIC EXC MAJ LES LID FUL-THIC DESTRUCTION LID LESION PTOSIS REP-FRONT MUS SUT PTOSIS REP-FRON MUS SLNG PTOSIS REP-LEVAT MUS ADV PTOSIS REP-LEVAT MUS NEC PTOS REP-TARSAL TECHNIQ BLEPHAROPTOS REPAIR NEC REDUC OVERCORRECT PTOSIS CORRECT LID RETRACTION THERMOCAUT/ENTROPION REP SUTURE ENTROPION REPAIR WEDG RESEC ENTROPION REP LID RECONS ENTROPION REP ENTROPION/ECTROP REP NEC CANTHOTOMY BLEPHARORRHAPHY ADJUST LID POSITION NEC LID RECONST W SKIN GRAFT LID RECONST W MUC GRAFT LID RECONST W HAIR GRAFT LID RECON-TARSOCONJ FLAP LID RECONSTR W GRAFT NEC LID RECONSTRUCTION NOS 200 08.71 08.72 08.73 08.74 08.91 08.92 08.93 08.99 09.0 09.11 09.12 09.19 09.20 09.21 09.22 09.23 09.3 09.41 09.42 09.43 09.44 09.49 09.51 09.52 09.53 09.59 09.6 09.71 09.72 09.73 09.81 09.82 09.83 09.91 09.99 10.0 10.1 10.21 10.29 10.31 10.32 10.33 10.41 10.42 10.43 10.44 10.49 10.5 10.6 10.91 10.99 11.0 11.1 PC v2014A LID MARG RECON-PART THIC LID RECONS-PART THIC NEC LID MARG RECONS FUL THIC LID RECONST-FUL THIC NEC ELECTROSURG LID EPILAT CRYOSURG LID EPILATION EYELID EPILATION NEC EYELID OPERATION NEC LACRIMAL GLAND INCISION LACRIMAL GLAND BIOPSY LACRIMAL SAC BIOPSY LACRIMAL SYS DX PROC NEC EXC LACRIMAL GLAND NOS EXCIS LES LACRIMAL GLAND PART DACRYOADENECT NEC TOTAL DACRYOADENECTOMY OTHER LACRIMAL GLAND OPS LACRIMAL PUNCTUM PROBE LAC CANALICULI PROBE NASOLACRIMAL DUCT PROBE NASOLAC DUCT INTUBAT LAC PASSAGE MANIP NEC LAC PUNCTUM INCISION LAC CANALICULI INCISION LACRIMAL SAC INCISION LACRIM PASSAGE INCIS NEC LACRIM SAC/PASSAGE EXCIS CORRECT EVERTED PUNCTUM PUNCTUM REPAIR NEC CANALICULUS REPAIR DACRYOCYSTORHINOSTOMY CONJUNCTIVOCYSTORHINOST CONJUNCTIVORHINOS W TUBE LAC PUNCTUM OBLITERATION LACRIMAL SYSTEM OP NEC INCISE/REMOV CONJUNCT FB CONJUNCTIVA INCISION NEC CONJUNCTIVAL BIOPSY CONJUNCTIVA DX PROC NEC EXCISE CONJUNCTIV LESION DESTRUCT CONJUNC LES NEC OTH CONJUNC DESTRUC PROC SYMBLEPH REP W FREE GRFT GRAFT CONJUNC CUL-DE-SAC CONJUN CUL-DE-SAC RX NEC CONJUNC FREE GRAFT NEC CONJUNCTIVOPLASTY NEC CONJUNC/LID ADHESIOLYSIS REPAIR CONJUNCT LACERAT SUBCONJUNCTIVAL INJECT CONJUNCTIVAL OP NEC MAGNET REMOVAL CORNEA FB CORNEAL INCISION 201 11.21 11.22 11.29 11.31 11.32 11.39 11.41 11.42 11.43 11.49 11.51 11.52 11.53 11.59 11.60 11.61 11.62 11.63 11.64 11.69 11.71 11.72 11.73 11.74 11.75 11.76 11.79 11.91 11.92 11.99 12.00 12.01 12.02 12.11 12.12 12.13 12.14 12.21 12.22 12.29 12.31 12.32 12.33 12.34 12.35 12.39 12.40 12.41 12.42 12.43 12.44 12.51 CORNEAL SCRAPE FOR SMEAR CORNEAL BIOPSY CORNEAL DX PROC NEC PTERYGIUM TRANSPOSITION PTERYG EXC W CORNEA GRFT PTERYGIUM EXCISION NEC MECH REMOV CORNEA EPITH THERMOCAUT CORNEA LESION CRYOTHERAP CORNEA LESION DESTRUCT CORNEA LES NEC SUTURE CORNEA LACERATION REP CORNEA POSTOP DEHISC RX CORNEA LAC W CONJ FLP CORNEAL REPAIR NEC CORNEAL TRANSPLANT NOS LAM KERATPLAST W AUTGRFT LAMELLAR KERATOPLAST NEC PERF KERATOPL W AUTOGRFT PERFORAT KERATOPLAST NEC CORNEAL TRANSPLANT NEC KERATOMILEUSIS KERATOPHAKIA KERATOPROSTHESIS THERMOKERATOPLASTY RADIAL KERATOTOMY EPIKERATOPHAKIA CORNEA RECONSTRUCT NEC CORNEAL TATTOOING REMOVE CORNEAL IMPLANT CORNEAL OPERATION NEC REMOV ANT SEGMNT FB NOS MAGNET REMOV ANT SEG FB NONMAG REMOV ANT SEG FB IRIDOTOMY W TRANSFIXION IRIDOTOMY NEC PROLAPSED IRIS EXCISION IRIDECTOMY NEC DX ASPIRAT-ANT CHAMBER IRIS BIOPSY ANT SEGMENT DX PROC NEC GONIOSYNECHIAE LYSIS ANT SYNECHIA LYSIS NEC POST SYNECHIAE LYSIS CORNEOVITREAL ADHESIOLYS COREOPLASTY IRIDOPLASTY NEC REMOV ANT SEGMNT LES NOS NONEXC DESTRUC IRIS LES EXCISION OF IRIS LESION NONEXC DESTR CIL BOD LES EXCISE CILIARY BODY LES GONIOPUNCTURE 12.52 GONIOTOMY PC v2014A 202 12.53 12.54 12.55 12.59 12.61 12.62 12.63 12.64 12.65 12.66 12.67 12.69 12.71 12.72 12.73 12.74 12.79 12.81 12.82 12.83 12.84 12.85 12.86 12.87 12.88 12.89 12.91 12.92 12.93 12.97 12.98 12.99 13.00 13.01 13.02 13.11 13.19 13.2 13.3 13.41 13.42 13.43 13.51 13.59 13.64 13.65 13.66 13.69 13.70 13.71 13.72 13.8 13.90 PC v2014A GONIOTOMY W GONIOPUNCTUR TRABECULOTOMY AB EXTERNO CYCLODIALYSIS FACILIT INTRAOC CIRC NEC TREPHIN SCLERA W IRIDECT THERMCAUT SCLER W IRIDEC IRIDENCLEISIS/IRIDOTASIS TRABECULECTOM AB EXTERNO SCLER FISTULIZ W IRIDECT POSTOP REVIS SCL FISTUL INSERT AQUEOUS DRAIN DEV (Begin 2011) SCLER FISTULIZING OP NEC CYCLODIATHERMY CYCLOCRYOTHERAPY CYCLOPHOTOCOAGULATION CIL BODY DIMINUTION NOS GLAUCOMA PROCEDURE NEC SUTURE SCLERAL LACER SCLERAL FISTULA REPAIR REVIS ANT SEG OP WND NEC DESTRUCT SCLERAL LESION REPAIR STAPHYLOM W GRAFT REP SCLER STAPHYLOMA NEC GRAFT REINFORCE SCLERA SCLERA REINFORCEMENT NEC SCLERAL OPERATION NEC THERAPEUT EVAC ANT CHAMB ANTERIOR CHAMBER INJECT REMOV EPITHEL DOWNGROWTH IRIS OPERATION NEC CILIARY BODY OP NEC ANTERIOR CHAMBER OP NEC REMOVE FB LENS NOS MAGNET REMOVE FB LENS NONMAGNET REMOVE FB LENS TEMP-INF INTRCAP LENS EX INTRACAPSUL LENS EXT NEC LINEAR EXTRACAP LENS EXT SIMPL ASPIR LENS EXTRACT CATARAC PHACOEMULS/ASPIR POST CATARAC FRAG/ASPIR CATARACT FRAG/ASPIR NEC TEMP-INF XTRACAP LENS EX EXTRACAP LENS EXTRAC NEC AFTER-CATAR DISCISSION AFTER-CATARACT EXCISION AFTER CATAR FRAGMNTATION CATARACT EXTRACTION NEC INSERT PSEUDOPHAKOS NOS INSERT LENS AT CATAR EXT SECONDARY INSERT LENS IMPLANTED LENS REMOVAL OPERATION ON LENS NEC 203 13.91 14.00 14.01 14.02 14.11 14.19 14.21 14.22 14.26 14.27 14.29 14.31 14.32 14.39 14.41 14.49 14.51 14.52 14.53 14.54 14.55 14.59 14.6 14.71 14.72 14.73 14.74 14.75 14.79 14.9 15.01 15.09 15.11 15.12 15.13 15.19 15.21 15.22 15.29 15.3 15.4 15.5 15.6 15.7 15.9 16.01 16.02 16.09 16.1 16.22 16.23 16.29 16.31 PC v2014A IMPL INTRAOC TELESC PROS REMOV POST SEGMNT FB NOS MAGNET REMOV POST SEG FB NONMAG REMOV POST SEG FB DIAGNOST VITREOUS ASPIR DX PROC POST SEG NEC CHORIORET LES DIATHERMY CHORIORETIN LES CRYOTHER CHORIORET LES RADIOTHER CHORIORET LES RAD IMPLAN CHORIORET LES DESTR NEC RETINAL TEAR DIATHERMY RETINAL TEAR CRYOTHERAPY RETINAL TEAR REPAIR NEC SCLERAL BUCKLE W IMPLANT SCLERAL BUCKLING NEC DETACH RETINA-DIATHERMY DETACH RETINA-CRYOTHERAP DETACH RETINA XENON COAG DETACH RETINA LASER COAG DETACH RET PHOTOCOAG NOS REPAIR RETINA DETACH NEC REMOV PROS MAT POST SEG ANTERIOR REMOV VITREOUS VITREOUS REMOVAL NEC ANTERIOR MECHAN VITRECT MECH VITRECTOMY NEC VITREOUS SUBSTITUT INJEC VITREOUS OPERATION NEC OTHER POST SEGMENT OPS EXTRAOC MUSC-TEND BIOPSY EXTRAOC MUSC DX PROC NEC ONE EXTRAOC MUS RECESS 1 EXTRAOC MUSCL ADVANCE 1 EXTRAOC MUSCL RESECT XTRAOC MUS OP/DETACH NEC LENGTHEN 1 EXTRAOC MUSC SHORTEN 1 EXTRAOC MUSC OP ON 1 EXTRAOC MUSC NEC TEMP DETACH >1 XTROC MUS OTH OP ON >L EXTRAOC MUS EXTRAOCUL MUS TRANSPOSIT REVIS EXTRAOC MUSC SURG EXTRAOC MUSC INJ REPAIR OTH EXTRAOC MUS-TEND OP ORBITOTOMY W BONE FLAP ORBITOTOMY W IMPLANT ORBITOTOMY NEC REMOVE PENETRAT FB EYE DIAGNOSTIC ASP OF ORBIT EYEBALL & ORBIT BIOPSY EYEBAL/ORBIT DX PROC NEC EYE EVISC W SYNCH IMPLAN 204 16.39 16.41 16.42 16.49 16.51 16.52 16.59 16.61 16.62 16.63 16.64 16.65 16.66 16.69 16.71 16.72 16.81 16.82 16.89 16.92 16.93 16.98 16.99 17.11 17.12 17.13 17.21 17.22 17.23 17.24 17.31 17.32 17.33 17.34 17.35 17.36 17.39 17.51 17.52 17.53 17.54 17.55 17.56 17.61 17.62 17.63 17.69 18.21 18.31 18.39 18.5 EYEBALL EVISCERATION NEC EYE ENUC/IMPLAN/MUSC ATT EYE ENUC W IMPLANT NEC EYEBALL ENUCLEATION NEC RADICAL ORBITOMAXILLECT ORBIT EXENT W BONE REMOV ORBITAL EXENTERATION NEC 2NDRY OCULAR IMP INSERT REVIS/REINSERT OCUL IMP REVIS ENUC SOCKET W GRFT ENUC SOCKET REVIS NEC 2NDRY EXENT CAVITY GRAFT REVIS EXENTER CAVITY NEC 2ND OP POST EYE REM NEC REMOVE OCULAR IMPLANT REMOVE ORBITAL IMPLANT REPAIR OF ORBITAL WOUND REPAIR EYEBALL RUPTURE EYE/ORBIT INJ REPAIR NEC EXCISION ORBITAL LESION EXCISION EYE LESION NOS OPERATION ON ORBIT NEC OPERATION ON EYEBALL NEC LAP DIR ING HERN-GRAFT LAP INDIR ING HERN-GRAFT LAP ING HERN-GRAFT NOS LAP BIL DIR ING HRN-GRFT LAP BI INDIR ING HRN-GRF LAP BI DR/IND ING HRN-GR LAP BIL ING HERN-GRF NOS LAP MUL SEG RES LG INTES LAPAROSCOPIC CECECTOMY LAP RIGHT HEMICOLECTOMY LAP RES TRANSVERSE COLON LAP LEFT HEMICOLECTOMY LAP SIGMOIDECTOMY LAP PT EX LRG INTEST NEC IMPLANT CCM,TOTAL SYSTEM IMPLANT CCM PULSE GENRTR PERC ATHER EXTRACRAN VSL (Begin 2011) PERC ATHER INTRACRAN VSL (Begin 2011) TRANSLUM COR ATHERECTOMY (Begin 2011) ATHER OTH NON-COR VESSEL (Begin 2011) LITT LESN BRAIN,GUIDANCE LITT LES HD/NCK,GUIDANCE LITT LESN LIVER,GUIDANCE LITT LESN, GUIDE OTH/NOS PREAURICULAR SINUS EXCIS RAD EXCIS EXT EAR LES EXCIS EXTERNAL EAR NEC CORRECTION PROMINENT EAR 18.6 18.71 EXT AUDIT CANAL RECONSTR CONSTRUCTION EAR AURICLE PC v2014A 205 18.72 18.79 18.9 19.0 19.11 19.19 19.21 19.29 19.3 19.4 19.52 19.53 19.54 19.55 19.6 19.9 20.01 20.21 20.22 20.23 20.32 20.39 20.41 20.42 20.49 20.51 20.59 20.61 20.62 20.71 20.72 20.79 20.91 20.92 20.93 20.95 20.96 20.97 20.98 20.99 21.04 21.05 21.06 21.07 21.09 21.4 21.5 21.61 21.62 21.69 REATTACH AMPUTATED EAR PLASTIC REP EXT EAR NEC OTHER EXT EAR OPERATIONS STAPES MOBILIZATION STAPEDECT W REPLAC INCUS STAPEDECTOMY NEC REV STAPDEC W INCUS REPL STAPEDECTOMY REVIS NEC OSSICULAR CHAIN OP NEC MYRINGOPLASTY TYPE 2 TYMPANOPLASTY TYPE 3 TYMPANOPLASTY TYPE 4 TYMPANOPLASTY TYPE 5 TYMPANOPLASTY TYMPANOPLASTY REVISION MIDDLE EAR REPAIR NEC MYRINGOTOMY W INTUBATION MASTOID INCISION PETRUS PYRAM AIR CEL INC MIDDLE EAR INCISION MID & INNER EAR BIOPSY MID/IN EAR DX PROC NEC SIMPLE MASTOIDECTOMY RADICAL MASTOIDECTOMY MASTOIDECTOMY NEC EXCISE MIDDLE EAR LESION MIDDLE EAR EXCISION NEC INNER EAR FENESTRATION REVIS INNER EAR FENESTRA ENDOLYMPHATIC SHUNT INNER EAR INJECTION INC/EXC/DESTR IN EAR NEC TYMPANOSYMPATHECTOMY MASTOIDECTOMY REVISION REPAIR OVAL/ROUND WINDOW ELECMAG HEAR DEV IMPLANT IMPLT COCHLEAR PROST NOS IMP/REP SCHAN COCH PROS IMP/REP MCHAN COCHL PROS MID-INNER EAR OPS NEC ETHMOID ART LIGAT-EPIST MAX ART LIG FOR EPISTAX EXT CAROT ART LIG-EPIST NASAL SEPT GRFT-EPISTAX EPISTAXIS CONTROL NEC RESECTION OF NOSE SUBMUC NASAL SEPT RESECT DIATHER/CRYO TURBINECTOM TURBINATE FRACTURE TURBINECTOMY NEC 21.72 21.82 OPEN REDUCTION NASAL FX NASAL FISTULA CLOSURE PC v2014A 206 21.83 21.84 21.85 21.86 21.87 21.88 21.89 21.99 22.12 22.31 22.39 22.41 22.42 22.50 22.51 22.52 22.53 22.60 22.61 22.62 22.63 22.64 22.71 22.79 22.9 24.2 24.4 24.5 25.02 25.1 25.2 25.3 25.4 25.59 25.94 25.99 26.12 26.21 26.29 26.30 26.31 26.32 26.41 26.42 26.49 26.99 27.0 27.1 27.21 27.22 TOT NASAL RECONSTRUCTION REVISION RHINOPLASTY AUGMENTATION RHINOPLASTY LIMITED RHINOPLASTY RHINOPLASTY NEC SEPTOPLASTY NEC NASAL REPAIR NEC NASAL OPERATION NEC OPEN BIOPSY NASAL SINUS RADICAL MAXILLARY ANTROT EXT MAXILLARY ANTROT NEC FRONTAL SINUSOTOMY FRONTAL SINUSECTOMY SINUSOTOMY NOS ETHMOIDOTOMY SPHENOIDOTOMY MULTIPLE SINUS INCISION SINUSECTOMY NOS C-LUC EXC MAX SINUS LES EXC MAX SINUS LESION NEC ETHMOIDECTOMY SPHENOIDECTOMY NASAL SINUS FISTULA CLOS NASAL SINUS REPAIR NEC OTHER NASAL SINUS OPS GINGIVOPLASTY EXC OF DENTAL LES OF JAW ALVEOLOPLASTY OPEN BIOPSY OF TONGUE DESTRUCTION TONGUE LES PARTIAL GLOSSECTOMY COMPLETE GLOSSECTOMY RADICAL GLOSSECTOMY REPAIR OF TONGUE NEC OTHER GLOSSOTOMY TONGUE OPERATION NEC OPEN BX SALIV GLAND/DUCT SALIVARY CYST MARSUPIAL SALIV LESION EXCIS NEC SIALOADENECTOMY NOS PARTIAL SIALOADENECTOMY COMPLETE SIALOADENECTOMY SUTURE OF SALIV GLND LAC SALIVARY FISTULA CLOSURE SALIVARY REPAIR NEC SALIVARY OPERATION NEC DRAIN FACE & MOUTH FLOOR INCISION OF PALATE BONY PALATE BIOPSY UVULA AND SOFT PALATE BX 27.31 27.32 LOC EXC BONY PALATE LES WIDE EXC BONY PALATE LES PC v2014A 207 27.42 27.43 27.49 27.53 27.54 27.55 27.56 27.57 27.59 27.61 27.62 27.63 27.69 27.71 27.72 27.73 27.79 27.92 27.99 28.0 28.11 28.19 28.2 28.3 28.4 28.5 28.6 28.7 28.91 28.92 28.99 29.0 29.2 29.31 29.32 29.33 29.39 29.4 29.51 29.52 29.53 29.54 29.59 29.92 29.99 30.01 30.09 30.1 30.21 30.22 WIDE EXCISION OF LIP LES EXCISION OF LIP LES NEC EXCISION OF MOUTH NEC CLOSURE OF MOUTH FISTULA REPAIR OF CLEFT LIP FULL-THICK GRFT TO MOUTH SKIN GRAFT TO MOUTH NEC PEDICLE ATTACH TO MOUTH MOUTH REPAIR NEC SUTURE OF PALATE LACERAT CLEFT PALATE CORRECTION REVIS CLEFT PALAT REPAIR OTH PLASTIC REPAIR PALAT INCISION OF UVULA EXCISION OF UVULA REPAIR OF UVULA OTHER UVULA OPERATIONS MOUTH INCISION NOS ORAL CAVITY OPS NEC PERITONSILLAR I & D TONSIL&ADENOID BIOPSY TONSIL&ADENOID DX OP NEC TONSILLECTOMY TONSILLECTOMY/ADENOIDEC EXCISION OF TONSIL TAG EXCISION LINGUAL TONSIL ADENOIDECTOMY HEMORR CONTRL POST T & A INCIS TO REMOV TONSIL FB EXCIS TONSIL/ADENOID LES TONSIL/ADENOID OPS NEC PHARYNGOTOMY EXC BRANCHIAL CLEFT CYST CRICOPHARYNGEAL MYOTOMY PHARYNGEAL DIVERTICULEC PHARYNGECTOMY EXCIS/DESTR LES PHAR NEC PLASTIC OP ON PHARYNX SUTURE OF PHARYNGEAL LAC CLOS BRANCH CLEFT FISTUL CLOS PHARYNX FISTULA NEC LYSIS PHARYNGEAL ADHES PHARYNGEAL REPAIR NEC DIVIS GLOSSOPHARYNG NERV PHARYNGEAL OPERATION NEC LARYNX CYST MARSUPIALIZ DESTRUCT LARYNX LES NEC HEMILARYNGECTOMY EPIGLOTTIDECTOMY VOCAL CORDECTOMY 30.29 30.3 30.4 OTHER PART LARYNGECTOMY COMPLETE LARYNGECTOMY RADICAL LARYNGECTOMY PC v2014A 208 31.21 31.29 31.3 31.45 31.5 31.61 31.62 31.63 31.64 31.69 31.71 31.72 31.73 31.74 31.75 31.79 31.91 31.92 31.98 31.99 32.09 32.1 32.20 32.21 32.22 32.23 32.24 32.25 32.26 32.27 32.29 32.30 32.39 32.41 32.49 32.50 32.59 32.6 32.9 33.0 33.1 33.20 33.25 33.27 33.28 33.29 33.34 33.39 33.41 33.42 MEDIASTINAL TRACHEOSTOMY OTHER PERM TRACHEOSTOMY INCIS LARYNX TRACHEA NEC OPN BX LARYNX OR TRACHEA LOCAL DESTRUC TRACH LES SUTURE OF LARYNGEAL LAC LARYNGEAL FISTULA CLOS LARYNGOSTOMY REVISION LARYNGEAL FX REPAIR OTHER LARYNGEAL REPAIR SUTURE OF TRACHEAL LACER CLOSURE OF TRACHEOSTOMY TRACHEA FISTULA CLOS NEC REVISION OF TRACHEOSTOMY TRACHEAL RECONSTRUCTION OTHER TRACHEAL REPAIR LARYNGEAL NERV DIVISION LYSIS TRACH/LARYNX ADHES OTH LARYNGEAL OPERATION OTHER TRACHEAL OPERATION OTHER DESTRUC BRONC LES OTHER BRONCHIAL EXCISION THORAC EXC LUNG LESION EMPHYSEMA BLEB PLICATION LUNG VOL REDUCTION SURG OPEN ABLTN LUNG LES/TISS PERC ABLTN LUNG LES/TISS THOR ABLTN LUNG LES/TISS ABLTN LUNG TISS NEC/NOS BRNC THRMPLSTYABLT MSCL DESTROY LOC LUNG LES NEC THORAC SEG LUNG RESECT OTH SEG LUNG RESECT NOS THORAC LOBECTOMY LUNG LOBECTOMY OF LUNG NEC THORACOSPC PNEUMONECTOMY OTHER PNEUMONECTOMY NOS RAD DISSEC THORAC STRUCT OTHER EXCISION OF LUNG INCISION OF BRONCHUS INCISION OF LUNG THORACOSCOPC LUNG BIOPSY OPEN BRONCHIAL BIOPSY CLOS ENDOSCOPIC LUNG BX OPEN LUNG BIOPSY BRONCH/LUNG DX PROC NEC THORACOPLASTY SURG COLLAPS OF LUNG NEC BRONCHIAL LACERAT SUTURE BRONCHIAL FISTULA CLOS 33.43 33.48 33.49 LUNG LACERATION CLOSURE BRONCHIAL REPAIR NEC LUNG REPAIR NEC PC v2014A 209 33.50 33.51 33.52 33.6 33.92 33.93 33.98 33.99 34.02 34.03 34.06 34.1 34.20 34.21 34.22 34.26 34.27 34.28 34.29 34.3 34.4 34.51 34.52 34.59 34.6 34.73 34.74 34.79 34.81 34.82 34.83 34.84 34.85 34.89 34.93 34.99 35.00 35.01 35.02 35.03 35.04 35.05 35.06 35.07 35.08 35.09 35.10 35.11 35.12 35.13 35.14 35.20 35.21 PC v2014A LUNG TRANSPLANT NOS UNILAT LUNG TRANSPLANT BILAT LUNG TRANSPLANT COMB HEART/LUNG TRANSPLA BRONCHIAL LIGATION PUNCTURE OF LUNG BRONCHIAL OPERATION NEC LUNG OPERATION NEC EXPLORATORY THORACOTOMY REOPEN THORACOTOMY SITE THORAC DRAIN PLEURL CAV INCISION OF MEDIASTINUM THORACOSCOPIC PLEURAL BX TRANSPLEURA THORACOSCOPY MEDIASTINOSCOPY OPEN MEDIASTINAL BIOPSY BIOPSY OF DIAPHRAGM DX PROCEDURE THORAX NEC DX PROC MEDIASTINUM NEC DESTRUCT MEDIASTIN LES DESTRUCT CHEST WALL LES DECORTICATION OF LUNG THORACOSCOPC DECORT LUNG OTHER PLEURAL EXCISION SCARIFICATION OF PLEURA CLOS THORACIC FISTUL NEC PECTUS DEFORMITY REPAIR OTHER CHEST WALL REPAIR EXCISE DIAPHRAGM LESION SUTURE DIAPHRAGM LACERAT CLOSE DIAPHRAGM FISTULA OTHER DIAPHRAGM REPAIR IMPLANT DIAPHRA PACEMAKE DIAPHRAGM OPERATION NEC REPAIR OF PLEURA THORACIC OPERATION NEC CLOSED VALVOTOMY NOS CLOSED AORTIC VALVOTOMY CLOSED MITRAL VALVOTOMY CLOSED PULMON VALVOTOMY CLOSED TRICUSP VALVOTOMY ENDOVAS REPL AORTC VALVE TRNSAPCL REP AORTC VALVE ENDOVAS REPL PULM VALVE TRNSAPCL REPL PULM VALVE ENDOVAS REPL UNS HRT VLV OPEN VALVULOPLASTY NOS OPN AORTIC VALVULOPLASTY OPN MITRAL VALVULOPLASTY OPN PULMON VALVULOPLASTY OPN TRICUS VALVULOPLASTY REPLACE HEART VALVE NOS REPLACE AORT VALV-TISSUE 210 35.22 35.23 35.24 35.25 35.26 35.27 35.28 35.31 35.32 35.33 35.34 35.35 35.39 35.42 35.50 35.51 35.52 35.53 35.54 35.55 35.60 35.61 35.62 35.63 35.70 35.71 35.72 35.73 35.81 35.82 35.83 35.84 35.91 35.92 35.93 35.94 35.95 35.96 35.97 35.98 35.99 36.03 36.09 36.10 36.11 36.12 36.13 36.14 36.15 REPLACE AORTIC VALVE NEC REPLACE MITR VALV-TISSUE REPLACE MITRAL VALVE NEC REPLACE PULM VALV-TISSUE REPLACE PULMON VALVE NEC REPLACE TRIC VALV-TISSUE REPLACE TRICUSP VALV NEC PAPILLARY MUSCLE OPS CHORDAE TENDINEAE OPS ANNULOPLASTY INFUNDIBULECTOMY TRABECUL CARNEAE CORD OP TISS ADJ TO VALV OPS NEC CREATE SEPTAL DEFECT PROSTH REP HRT SEPTA NOS PROS REP ATRIAL DEF-OPN PROS REPAIR ATRIA DEF-CL PROST REPAIR VENTRIC DEF PROS REP ENDOCAR CUSHION PROS REP VENTRC DEF-CLOS GRFT REPAIR HRT SEPT NOS GRAFT REPAIR ATRIAL DEF GRAFT REPAIR VENTRIC DEF GRFT REP ENDOCAR CUSHION HEART SEPTA REPAIR NOS ATRIA SEPTA DEF REP NEC VENTR SEPTA DEF REP NEC ENDOCAR CUSHION REP NEC TOT REPAIR TETRAL FALLOT TOTAL REPAIR OF TAPVC TOT REP TRUNCUS ARTERIOS TOT COR TRANSPOS GRT VES INTERAT VEN RETRN TRANSP CONDUIT RT VENT-PUL ART CONDUIT LEFT VENTR-AORTA CONDUIT ARTIUM-PULM ART HEART REPAIR REVISION PERC HEART VALVULOPLASTY PERC MTRL VLV REPR W IMP OTHER HEART SEPTA OPS OTHER HEART VALVE OPS OPEN CORONRY ANGIOPLASTY REM OF COR ART OBSTR NEC AORTOCORONARY BYPASS NOS AORTOCOR BYPAS-1 COR ART AORTOCOR BYPAS-2 COR ART AORTOCOR BYPAS-3 COR ART AORTCOR BYPAS-4+ COR ART 1 INT MAM-COR ART BYPASS 36.16 36.17 36.19 36.2 2 INT MAM-COR ART BYPASS ABD-CORON ARTERY BYPASS HRT REVAS BYPS ANAS NEC ARTERIAL IMPLANT REVASC PC v2014A 211 36.31 36.32 36.33 36.34 36.39 36.91 36.99 37.10 37.11 37.12 37.24 37.31 37.32 37.33 37.34 37.35 37.37 37.41 37.49 37.51 37.52 37.53 37.54 37.55 37.60 37.61 37.62 37.63 37.64 37.65 37.66 37.67 37.68 37.74 37.75 37.76 37.77 37.79 37.80 37.85 37.86 37.87 37.89 37.91 37.94 37.95 37.96 37.97 37.98 37.99 38.00 38.01 38.02 PC v2014A OPEN CHEST TRANS REVASC OTH TRANSMYO REVASCULAR ENDO TRANSMYO REVASCULAR PERC TRANSMYO REVASCULAR OTH HEART REVASCULAR CORON VESS ANEURYSM REP HEART VESSEL OP NEC INCISION OF HEART NOS CARDIOTOMY PERICARDIOTOMY PERICARDIAL BIOPSY PERICARDIECTOMY HEART ANEURYSM EXCISION EXC/DEST HRT LESION OPEN EXC/DEST HRT LES OTHER PARTIAL VENTRICULECTOMY EXC/DEST HRT LES THRSPC IMPL CARDIAC SUPPORT DEV HEART/PERICARD REPR NEC HEART TRANSPLANTATION IMPLANT TOT REP HRT SYS REPL/REP THORAC UNIT HRT REPL/REP OTH TOT HRT SYS REM INT BIVENT HRT SYS IMP BIVN EXT HRT AST SYS PULSATION BALLOON IMPLAN IMPLANT HRT ASST SYS NEC REPLACE HRT ASSIST SYST REMOVE HEART ASSIST SYS IMP EXT PUL HRT ASST SYS IMP IMP PUL HRT ASST SYS IMP CARDIOMYOSTIMUL SYS PERCUTAN HRT ASSIST SYST INT OR REPL LEAD EPICAR REVISION OF LEAD REPL TV ATRI-VENT LEAD REMOVAL OF LEAD W/O REPL REVIS OR RELOCATE POCKET INT OR REPL PERM PACEMKR REPL PACEM W 1-CHAM, NON REPL PACEM 1-CHAM, RATE REPL PACEM W DUAL-CHAM REVISE OR REMOVE PACEMAK OPN CHEST CARDIAC MASSAG IMPLT/REPL CARDDEFIB TOT IMPLT CARDIODEFIB LEADS IMPLT CARDIODEFIB GENATR REPL CARDIODEFIB LEADS REPL CARDIODEFIB GENRATR OTHER HEART/PERICARD OPS INCISION OF VESSEL NOS INTRACRAN VESSEL INCIS HEAD/NECK VES INCIS NEC 212 38.03 38.04 38.05 38.06 38.07 38.08 38.09 38.10 38.11 38.12 38.13 38.14 38.15 38.16 38.18 38.21 38.26 38.29 38.30 38.31 38.32 38.33 38.34 38.35 38.36 38.37 38.38 38.39 38.40 38.41 38.42 38.43 38.44 38.45 38.46 38.47 38.48 38.49 38.50 38.51 38.52 38.53 38.55 38.57 38.59 38.60 38.61 UPPER LIMB VESSEL INCIS INCISION OF AORTA THORACIC VESSEL INC NEC ABDOMEN ARTERY INCISION ABDOMINAL VEIN INCISION LOWER LIMB ARTERY INCIS LOWER LIMB VEIN INCISION ENDARTERECTOMY NOS INTRACRAN ENDARTERECTOMY HEAD & NECK ENDARTER NEC UPPER LIMB ENDARTERECTOM ENDARTERECTOMY OF AORTA THORACIC ENDARTERECTOMY ABDOMINAL ENDARTERECTOMY LOWER LIMB ENDARTERECT BLOOD VESSEL BIOPSY INSRT PRSR SNSR W/O LEAD BLOOD VESSEL DX PROC NEC VESSEL RESECT/ANAST NOS INTRACRAN VES RESEC-ANAS HEAD/NECK VES RESEC-ANAS ARM VESSEL RESECT/ANAST AORTA RESECTION & ANAST THOR VESSEL RESECT/ANAST ABD VESSEL RESECT/ANAST ABD VEIN RESECT & ANAST LEG ARTERY RESECT/ANAST LEG VEIN RESECT/ANASTOM VESSEL RESECT/REPLAC NOS INTRACRAN VES RESEC-REPL HEAD/NECK VES RESEC-REPL ARM VES RESECT W REPLACE RESECT ABDM AORTA W REPL RESECT THORAC VES W REPL ABD ARTERY RESEC W REPLA ABD VEIN RESECT W REPLAC LEG ARTERY RESEC W REPLA LEG VEIN RESECT W REPLAC VARICOSE V LIG-STRIP NOS INTCRAN VAR V LIG-STRIP HEAD/NECK VAR V LIG-STR ARM VARICOSE V LIG-STRIP THORAC VAR V LIG-STRIP ABD VARICOS V LIGA-STRIP LEG VARICOS V LIGA-STRIP EXCISION OF VESSEL NOS INTRACRAN VESSEL EXCIS 38.62 38.63 38.64 38.65 38.66 HEAD/NECK VESSEL EXCIS ARM VESSEL EXCISION EXCISION OF AORTA THORACIC VESSEL EXCISION ABDOMINAL ARTERY EXCIS PC v2014A 213 38.67 38.68 38.69 38.80 38.81 38.82 38.83 38.84 38.85 38.86 38.87 38.88 38.89 39.0 39.1 39.21 39.22 39.23 39.24 39.25 39.26 39.27 39.28 39.29 39.30 39.31 39.32 39.41 39.42 39.43 39.49 39.50 39.51 39.52 39.53 39.54 39.55 39.56 39.57 39.58 39.59 39.71 39.72 39.73 39.74 39.75 39.76 39.77 ABDOMINAL VEIN EXCISION LEG ARTERY EXCISION LEG VEIN EXCISION SURG VESSEL OCCLUS NEC OCCLUS INTRACRAN VES NEC OCCLUS HEAD/NECK VES NEC OCCLUDE ARM VESSEL NEC OCCLUDE AORTA NEC OCCLUDE THORACIC VES NEC OCCLUDE ABD ARTERY NEC OCCLUDE ABD VEIN NEC OCCLUDE LEG ARTERY NEC OCCLUDE LEG VEIN NEC SYSTEMIC-PULM ART SHUNT INTRA-ABD VENOUS SHUNT CAVAL-PULMON ART ANASTOM AORTA-SUBCLV-CAROT BYPAS INTRATHORACIC SHUNT NEC AORTA-RENAL BYPASS AORTA-ILIAC-FEMOR BYPASS INTRA-ABDOMIN SHUNT NEC DIALYSIS ARTERIOVENOSTOM EXTRACRAN-INTRACR BYPASS VASC SHUNT & BYPASS NEC SUTURE OF VESSEL NOS SUTURE OF ARTERY SUTURE OF VEIN POSTOP VASC OP HEM CONTR REVIS REN DIALYSIS SHUNT REMOV REN DIALYSIS SHUNT VASC PROC REVISION NEC ANGIO/ATH NON-CORO VES CLIPPING OF ANEURYSM ANEURYSM REPAIR NEC ARTERIOVEN FISTULA REP RE-ENTRY OPERATION REIMPLAN ABERR RENAL VES REPAIR VESS W TIS PATCH REP VESS W SYNTH PATCH REPAIR VESS W PATCH NOS REPAIR OF VESSEL NEC ENDO IMPL GRFT ABD AORTA ENDOVASC REPAIR HEAD VES ENDO IMP GRFT THOR AORTA ENDO REM OBS HD/NECK VES ENDO EMB HD/NK,BARE COIL ENDO EM HD/NK,BIOAC COIL TEMP ENDOVSC OCCLS VESSL 39.78 39.79 39.81 39.82 39.83 ENDOVAS IMPLN GRFT AORTA ENDO REPAIR OTHER VESSEL IMP CRTD SINUS STMTOTL IMP/REP CRTD SINUS LEAD IMP/REP CRTD SINUS GNRTR PC v2014A 214 39.84 39.85 39.86 39.87 39.88 39.89 39.91 39.92 39.93 39.94 39.98 39.99 40.0 40.11 40.19 40.21 40.22 40.23 40.24 40.29 40.3 40.40 40.41 40.42 40.50 40.51 40.52 40.53 40.54 40.59 40.61 40.62 40.63 40.64 40.69 40.9 41.2 41.33 41.41 41.42 41.43 41.5 41.93 41.94 41.95 41.99 42.01 42.09 REV CRTD SINUS STM LEADS REV CRTD SINUS PULSE GEN REM CRTD SINUS STM TOTL REM CRTD SINUS STM LEAD REM CRTD SINUS PULSE GEN OTH CARTD BODY/SINUS OP FREEING OF VESSEL VEIN INJECT-SCLEROS AGNT INSERT VES-TO-VES CANNUL REPLAC VES-TO-VES CANNUL HEMORRHAGE CONTROL NOS VESSEL OPERATION NEC INCIS LYMPHATIC STRUCTUR LYMPHATIC STRUCT BIOPSY LYMPHATIC DIAG PROC NEC EXCIS DEEP CERVICAL NODE EXCISE INT MAMMARY NODE EXCISE AXILLARY NODE EXCISE INGUINAL NODE SIMP EXC LYMPH STRUC NEC REGIONAL LYMPH NODE EXC RAD NECK DISSECTION NOS UNILAT RAD NECK DISSECT BILAT RAD NECK DISSECT RAD NODE DISSECTION NOS RAD DISSEC AXILLARY NODE RAD DISSEC PERIAORT NODE RAD DISSECT ILIAC NODES RADICAL GROIN DISSECTION RAD NODE DISSECTION NEC THORAC DUCT CANNULATION THORACIC DUCT FISTULIZAT CLOSE THORACIC DUCT FIST LIGATE THORACIC DUCT THORACIC DUCT OP NEC LYMPH STRUCTURE OP NEC SPLENOTOMY OPEN SPLEEN BIOPSY SPLENIC CYST MARSUPIAL EXC SPLENIC LESION/TISS PARTIAL SPLENECTOMY TOTAL SPLENECTOMY EXC OF ACCESSORY SPLEEN SPLEEN TRANSPLANTATION REPAIR OF SPLEEN SPLEEN OPERATION NEC ESOPHAGEAL WEB INCISION ESOPHAGEAL INCISION NEC 42.10 42.11 42.12 42.19 42.21 ESOPHAGOSTOMY NOS CERVICAL ESOPHAGOSTOMY ESOPH POUCH EXTERIORIZAT EXT FISTULIZAT ESOPH NEC ESOPHAGOSCOPY BY INCIS PC v2014A 215 42.25 42.31 42.32 42.39 42.40 42.41 42.42 42.51 42.52 42.53 42.54 42.55 42.56 42.58 42.59 42.61 42.62 42.63 42.64 42.65 42.66 42.68 42.69 42.7 42.82 42.83 42.84 42.85 42.86 42.87 42.89 42.91 43.0 43.3 43.42 43.49 43.5 43.6 43.7 43.81 43.82 43.89 43.91 43.99 44.00 44.01 44.02 44.03 44.11 44.15 44.21 44.29 44.31 PC v2014A OPEN BIOPSY OF ESOPHAGUS LOC EXCIS ESOPH DIVERTIC LOCAL EXCIS ESOPHAG NEC DESTRUCT ESOPHAG LES NEC ESOPHAGECTOMY NOS PARTIAL ESOPHAGECTOMY TOTAL ESOPHAGECTOMY THORAC ESOPHAGOESOPHAGOS THORAC ESOPHAGOGASTROST THORAC SM BOWEL INTERPOS THORAC ESOPHAGOENTER NEC THORAC LG BOWEL INTERPOS THORAC ESOPHAGOCOLOS NEC THORAC INTERPOSITION NEC THORAC ESOPHAG ANAST NEC STERN ESOPHAGOESOPHAGOST STERN ESOPHAGOGASTROSTOM STERN SM BOWEL INTERPOS STERN ESOPHAGOENTER NEC STERN LG BOWEL INTERPOS STERN ESOPHAGOCOLOS NEC STERN INTERPOSITION NEC STERN ESOPHAG ANAST NEC ESOPHAGOMYOTOMY SUTURE ESOPHAGEAL LACER ESOPHAGOSTOMY CLOSURE ESOPH FISTULA REPAIR NEC ESOPHAG STRICTURE REPAIR PROD SUBQ TUNNEL NO ANAS ESOPHAGEAL GRAFT NEC ESOPHAGEAL REPAIR NEC LIGATION ESOPH VARIX GASTROTOMY PYLOROMYOTOMY LOCAL GASTR EXCISION NEC LOCAL GASTR DESTRUCT NEC PROXIMAL GASTRECTOMY DISTAL GASTRECTOMY PART GASTREC W JEJ ANAST PART GAST W JEJ TRANSPOS LAP VERTICAL GASTRECTOMY PARTIAL GASTRECTOMY NEC TOT GAST W INTES INTERPO TOTAL GASTRECTOMY NEC VAGOTOMY NOS TRUNCAL VAGOTOMY HIGHLY SELECT VAGOTOMY SELECTIVE VAGOTOMY NEC TRANSABDOMIN GASTROSCOPY OPEN GASTRIC BIOPSY DILATE PYLORUS, INCISION OTHER PYLOROPLASTY HIGH GASTRIC BYPASS 216 44.32 44.38 44.39 44.40 44.41 44.42 44.5 44.61 44.63 44.64 44.65 44.66 44.67 44.68 44.69 44.91 44.92 44.95 44.96 44.97 44.98 44.99 45.00 45.01 45.02 45.03 45.11 45.15 45.21 45.26 45.31 45.32 45.33 45.34 45.41 45.49 45.50 45.51 45.52 45.61 45.62 45.63 45.71 45.72 45.73 45.74 45.75 PERCU GASTROJEJUNOSTOMY LAP GASTROENTEROSTOMY GASTROENTEROSTOMY NEC SUTURE PEPTIC ULCER NOS SUT GASTRIC ULCER SITE SUTURE DUODEN ULCER SITE REVISION GASTRIC ANASTOM SUTURE GASTRIC LACERAT CLOSE GASTRIC FISTUL NEC GASTROPEXY ESOPHAGOGASTROPLASTY CREAT ESOPHAGASTR SPHINC LAP CREAT ESOPH SPHINCT LAPAROSCOP GASTROPLASTY GASTRIC REPAIR NEC LIGATE GASTRIC VARICES INTRAOP GASTRIC MANIPUL LAP GASTRIC RESTRIC PROC LAP REV GAST RESTRI PROC LAP REM GAST RESTRIC DEV ADJUST GAST RESTRICT DEV GASTRIC OPERATION NEC INTESTINAL INCISION NOS DUODENAL INCISION SMALL BOWEL INCISION NEC LARGE BOWEL INCISION TRANSAB SM BOWEL ENDOSC OPEN SMALL BOWEL BIOPSY TRANSAB LG BOWEL ENDOSC OPEN LARGE BOWEL BIOPSY OTH EXCISE DUODENUM LES DESTRUCT DUODEN LES NEC LOCAL EXCIS SM BOWEL NEC DESTR SM BOWEL LES NEC EXCISE LG INTESTINE LES DESTRUC LG BOWEL LES NEC INTEST SEG ISOLAT NOS SM BOWEL SEGMENT ISOLAT LG BOWEL SEGMENT ISOLAT MULT SEG SM BOWEL EXCIS PART SM BOWEL RESECT NEC TOTAL REMOVAL SM BOWEL MULT SEG LG BOWEL EXCIS CECECTOMY RIGHT HEMICOLECTOMY TRANSVERSE COLON RESECT LEFT HEMICOLECTOMY 45.76 45.79 45.81 45.82 45.83 45.90 SIGMOIDECTOMY PART LG BOWEL EXCIS NEC LAP TOT INTR-AB COLECTMY OP TOT INTR-ABD COLECTMY TOT ABD COLECTMY NEC/NOS INTESTINAL ANASTOM NOS PC v2014A 217 45.91 45.92 45.93 45.94 45.95 46.01 46.02 46.03 46.04 46.10 46.11 46.13 46.20 46.21 46.22 46.23 46.40 46.41 46.42 46.43 46.50 46.51 46.52 46.60 46.61 46.62 46.63 46.64 46.71 46.72 46.73 46.74 46.75 46.76 46.79 46.80 46.81 46.82 46.91 46.92 46.93 46.94 46.97 46.99 47.01 47.09 47.11 47.19 47.2 47.91 47.92 47.99 48.0 PC v2014A SM-TO-SM BOWEL ANASTOM SM BOWEL-RECT STUMP ANAS SMALL-TO-LARGE BOWEL NEC LG-TO-LG BOWEL ANASTOM ANAL ANASTOMOSIS SM BOWEL EXTERIORIZATION RESECT EXT SEG SM BOWEL LG BOWEL EXTERIORIZATION RESECT EXT SEG LG BOWEL COLOSTOMY NOS TEMPORARY COLOSTOMY PERMANENT COLOSTOMY ILEOSTOMY NOS TEMPORARY ILEOSTOMY CONTINENT ILEOSTOMY PERMANENT ILEOSTOMY NEC INTEST STOMA REVIS NOS SM BOWEL STOMA REVISION PERICOLOST HERNIA REPAIR LG BOWEL STOMA REVIS NEC INTEST STOMA CLOSURE NOS SM BOWEL STOMA CLOSURE LG BOWEL STOMA CLOSURE INTESTINAL FIXATION NOS SM BOWEL-ABD WALL FIXAT SMALL BOWEL FIXATION NEC LG BOWEL-ABD WALL FIXAT LARGE BOWEL FIXATION NEC DUODENAL LACERAT SUTURE DUODENAL FISTULA CLOSURE SMALL BOWEL SUTURE NEC CLOSE SM BOWEL FIST NEC SUTURE LG BOWEL LACERAT CLOSE LG BOWEL FISTULA REPAIR OF INTESTINE NEC INTRA-AB BOWEL MANIP NOS INTRA-ABD SM BOWEL MANIP INTRA-ABD LG BOWEL MANIP MYOTOMY OF SIGMOID COLON MYOTOMY OF COLON NEC REVISE SM BOWEL ANASTOM REVISE LG BOWEL ANASTOM TRANSPLANT OF INTESTINE INTESTINAL OP NEC LAP APPENDECTOMY OTHER APPENDECTOMY LAP INCID APPENDECTOMY OTHER INCID APPENDECTOMY DRAIN APPENDICEAL ABSC APPENDICOSTOMY CLOSE APPENDICEAL FISTUL APPENDICEAL OPS NEC PROCTOTOMY 218 48.1 48.21 48.25 48.35 48.40 48.41 48.42 48.43 48.49 48.50 48.51 48.52 48.59 48.61 48.62 48.63 48.64 48.65 48.69 48.71 48.72 48.73 48.74 48.75 48.76 48.79 48.81 48.82 48.91 48.92 48.93 48.99 49.01 49.02 49.04 49.11 49.12 49.39 49.44 49.45 49.46 49.49 49.51 49.52 49.59 49.6 PROCTOSTOMY TRANSAB PROCTOSIGMOIDOSC OPEN RECTAL BIOPSY LOCAL EXCIS RECTAL LES PULL-THRU RES RECTUM NOS SOAVE SUBMUC RECT RESECT LAP PULL-THRU RES RECTUM OPN PULL-THRU RES RECTUM PULL-THRU RECT RESEC NEC ABDPERNEAL RES RECTM NOS LAP ABDPERNEAL RESC REC OPN ABDPERNEAL RESC REC ABDPERNEAL RESC RECT NEC TRANSSAC RECTOSIGMOIDECT ANT RECT RESECT W COLOST ANTERIOR RECT RESECT NEC POSTERIOR RECT RESECTION DUHAMEL RECTAL RESECTION RECTAL RESECTION NEC SUTURE OF RECTAL LACER CLOSURE OF PROCTOSTOMY CLOSE RECTAL FIST NEC RECTORECTOSTOMY ABDOMINAL PROCTOPEXY PROCTOPEXY NEC REPAIR OF RECTUM NEC PERIRECTAL INCISION PERIRECTAL EXCISION INCIS RECTAL STRICTURE ANORECTAL MYOMECTOMY REPAIR PERIRECT FISTULA RECTAL PERIRECT OP NEC INCIS PERIANAL ABSCESS PERIANAL INCISION NEC PERIANAL EXCISION NEC ANAL FISTULOTOMY ANAL FISTULECTOMY OTHER DESTRUC ANUS LES HEMORRHOID CRYOTHERAPY HEMORRHOID LIGATION HEMORRHOIDECTOMY HEMORRHOID PROCEDURE NEC LEFT LAT SPHINCTEROTOMY POST SPHINCTEROTOMY ANAL SPHINCTEROTOMY NEC EXCISION OF ANUS 49.71 49.72 49.73 49.74 49.75 49.76 SUTURE ANAL LACERATION ANAL CERCLAGE CLOSURE OF ANAL FISTULA GRACILIS MUSC TRANSPLAN IMPL OR REV ART ANAL SPH REMOV ART ANAL SPHINCTER PC v2014A 219 49.79 49.91 49.92 49.93 49.94 49.95 49.99 50.0 50.12 50.14 50.19 50.21 50.22 50.23 50.24 50.25 50.26 50.29 50.3 50.4 50.51 50.59 50.61 50.69 51.02 51.03 51.04 51.13 51.19 51.21 51.22 51.23 51.24 51.31 51.32 51.33 51.34 51.35 51.36 51.37 51.39 51.41 51.42 51.43 51.49 51.51 ANAL SPHINCT REPAIR NEC INCISION OF ANAL SEPTUM INSERT SUBQ ANAL STIMUL ANAL INCISION NEC REDUCTION ANAL PROLAPSE CONTROL ANAL HEMORRHAGE ANAL OPERATION NEC HEPATOTOMY OPEN LIVER BIOPSY LAPAROSCOPIC LIVER BX HEPATIC DX PROC NEC MARSUPIALIZAT LIVER LES PARTIAL HEPATECTOMY OPN ABLTN LIVER LES/TISS PERC ABLTN LIVER LES/TIS LAP ABLTN LIVER LES/TISS ABLTN LIVER LES/TISS NEC DESTRUC HEPATIC LES NEC HEPATIC LOBECTOMY TOTAL HEPATECTOMY AUXILIARY LIVER TRANSPL LIVER TRANSPLANT NEC CLOSURE LIVER LACERAT LIVER REPAIR NEC TROCAR CHOLECYSTOSTOMY CHOLECYSTOSTOMY NEC CHOLECYSTOTOMY NEC OPEN BILIARY TRACT BX BILIARY TR DX PROC NEC OTH PART CHOLECYSTECTOMY CHOLECYSTECTOMY LAPAROSCOPIC CHOLECYSTEC LAP PART CHOLECYSTECTOMY GB-TO-HEPAT DUCT ANAST GB-TO-INTESTINE ANASTOM GB-TO-PANCREAS ANASTOM GB-TO-STOMACH ANASTOMOS GALLBLADDER ANASTOM NEC CHOLEDOCHOENTEROSTOMY HEPATIC DUCT-GI ANASTOM BILE DUCT ANASTOMOS NEC CDE FOR CALCULUS REMOV CDE FOR OBSTRUCTION NEC CHOLEDOCHOHEPAT INTUBAT INCIS OBSTR BILE DUC NEC COMMON DUCT EXPLORATION 51.59 51.61 51.62 51.63 51.69 51.71 BILE DUCT INCISION NEC EXCIS CYST DUCT REMNANT EXCIS AMPULLA OF VATER COMMON DUCT EXCIS NEC BILE DUCT EXCISION NEC SIMPLE SUT-COMMON DUCT PC v2014A 220 51.72 51.79 51.81 51.82 51.83 51.89 51.91 51.92 51.93 51.94 51.95 51.99 52.01 52.09 52.12 52.19 52.22 52.3 52.4 52.51 52.52 52.53 52.59 52.6 52.7 52.80 52.81 52.82 52.83 52.92 52.95 52.96 52.99 53.00 53.01 53.02 53.03 53.04 53.05 53.10 53.11 53.12 53.13 53.14 53.15 53.16 53.17 CHOLEDOCHOPLASTY BILE DUCT REPAIR NEC SPHINCTER OF ODDI DILAT PANCREAT SPHINCTEROTOM PANCREAT SPHINCTEROPLAS SPHINCT OF ODDI OP NEC REPAIR GB LACERATION CLOSURE CHOLECYSTOSTOMY CLOS BILIARY FISTUL NEC REVIS BILE TRACT ANASTOM REMOVE BILE DUCT PROSTH BILIARY TRACT OP NEC CATH DRAIN-PANCREAT CYST PANCREATOTOMY NEC OPEN PANCREATIC BIOPSY PANCREATIC DX PROC NEC OTHER DESTRU PANCREA LES PANCREAT CYST MARSUPIALI INT DRAIN PANCREAT CYST PROXIMAL PANCREATECTOMY DISTAL PANCREATECTOMY RAD SUBTOT PANCREATECTOM PARTIAL PANCREATECT NEC TOTAL PANCREATECTOMY RAD PANCREATICODUODENECT PANCREAT TRANSPLANT NOS REIMPLANT PANCREATIC TIS PANCREATIC HOMOTRANSPLAN PANCREATIC HETEROTRANSPL CANNULATION PANCREA DUC PANCREATIC REPAIR NEC PANCREATIC ANASTOMOSIS PANCREATIC OPERATION NEC UNILAT ING HERN REP NOS REPAIR DIRECT ING HERNIA REPAIR INDIR ING HERNIA DIR ING HERNIA REP-GRAFT IND ING HERNIA REP-GRAFT ING HERNIA REP-GRAFT NOS BILAT ING HERNIA REP NOS BILAT DIR ING HERN REP BILAT IND ING HERN REP BIL DIR/IND ING HRN REP BIL DIR ING HRN REP-GRFT BIL IND ING HRN REP-GRFT BIL DIR/IND ING HERN-PRO BIL ING HRN REP-GRFT NOS 53.21 53.29 53.31 53.39 53.41 53.42 UNIL FEMOR HRN REP-GRFT UNIL FEMOR HERN REP NEC BIL FEM HERN REPAIR-GRFT BIL FEM HERN REPAIR NEC UMBIL HERNIA REPAIR-GRFT LAP UMBIL HERNIA-GRAFT PC v2014A 221 53.43 53.49 53.51 53.59 53.61 53.62 53.63 53.69 53.71 53.72 53.75 53.80 53.81 53.82 53.83 53.84 53.9 54.0 54.11 54.12 54.19 54.21 54.22 54.23 54.29 54.3 54.4 54.51 54.59 54.61 54.62 54.63 54.64 54.71 54.72 54.73 54.74 54.75 54.92 54.93 54.94 54.95 55.01 55.02 55.03 55.04 55.11 LAP UMBILICAL HERNIA NEC UMBIL HERNIA REPAIR NEC INCISIONAL HERNIA REPAIR ABD WALL HERN REPAIR NEC INCIS HERNIA REPAIR-GRFT LAP INCIS HERN REPR-GRFT LAP HERN ANT ABD-GFT NEC ABD HERN REPAIR-GRFT NEC LAP ABD REP-DIAPHR HERN OPN ABD DIAPHRM HERN NEC ABD REP-DIAPHR HERN NOS THOR REP-DIAPH HERN NOS DIAPHRAGMATIC PLICATION PARASTERN HERNIA REPAIR LAP THORC APP-DIAPH HERN OPN THORC DIAPH HERN NEC OTHER HERNIA REPAIR ABDOMINAL WALL INCISION EXPLORATORY LAPAROTOMY REOPEN RECENT LAP SITE LAPAROTOMY NEC LAPAROSCOPY ABDOMINAL WALL BIOPSY PERITONEAL BIOPSY ABD REGION DX PROC NEC DESTRUCT ABD WALL LESION DESTRUCT PERITONEAL TISS LAP PERITON ADHESIOLYSIS OTH PERITON ADHESIOLYSIS RECLOSE POST OP DISRUPT DELAYED CLOS ABD WOUND ABD WALL SUTURE NEC PERITONEAL SUTURE REPAIR OF GASTROSCHISIS ABDOMEN WALL REPAIR NEC PERITONEAL REPAIR NEC OMENTAL REPAIR NEC MESENTERIC REPAIR NEC REMOVE FB FROM PERITON CREATE CUTANPERITON FIST CREAT PERITONEOVAS SHUNT PERITONEAL INCISION NEPHROTOMY NEPHROSTOMY PERCU NEPHROSTM W/O FRAG PERCU NEPHROSTMY W FRAG PYELOTOMY 55.12 55.24 55.29 55.31 55.32 55.33 PYELOSTOMY OPEN RENAL BIOPSY RENAL DIAGNOST PROC NEC RENAL LES MARSUPIALIZAT OPN ABLTN RENAL LES/TISS PERC ABLTN RENL LES/TISS PC v2014A 222 55.34 55.35 55.39 55.4 55.51 55.52 55.53 55.54 55.61 55.69 55.7 55.81 55.82 55.83 55.84 55.85 55.86 55.87 55.89 55.91 55.97 55.98 55.99 56.0 56.1 56.2 56.34 56.39 56.40 56.41 56.42 56.51 56.52 56.61 56.62 56.71 56.72 56.73 56.74 56.75 56.79 56.81 56.82 56.83 56.84 56.85 LAP ABLTN RENAL LES/TISS ABLTN RENAL LES/TISS NEC LOC DESTR RENAL LES NEC PARTIAL NEPHRECTOMY NEPHROURETERECTOMY SOLITARY KIDNEY NEPHRECT REJECTED KIDNEY NEPHRECT BILATERAL NEPHRECTOMY RENAL AUTOTRANSPLANT KIDNEY TRANSPLANT NEC NEPHROPEXY SUTURE KIDNEY LACERATION CLOSE NEPHROST & PYELOST CLOSE RENAL FISTULA NEC REDUCE RENAL PEDICL TORS SYMPHYSIOTOMY RENAL ANASTOMOSIS CORRECT URETEROPELV JUNC RENAL REPAIR NEC RENAL DECAPSULATION IMPLANT MECHANIC KIDNEY REMOV MECHANICAL KIDNEY RENAL OPERATION NEC TU REMOV URETER OBSTRUCT URETERAL MEATOTOMY URETEROTOMY OPEN URETERAL BIOPSY URETERAL DX PROCEDUR NEC URETERECTOMY NOS PARTIAL URETERECTOMY TOTAL URETERECTOMY FORM CUTAN ILEOURETEROST REVIS CUTAN ILEOURETEROS FORM CUTAN URETEROSTOMY REVIS CUTAN URETEROS NEC URIN DIVERSION TO BOWEL REVIS URETEROENTEROSTOMY NEPHROCYSTANASTOMOSI NOS URETERONEOCYSTOSTOMY TRANSURETEROURETEROSTOMY URETERAL ANASTOMOSIS NEC INTRALUM URETE ADHESIOLY SUTURE URETERAL LACERAT URETEROSTOMY CLOSURE CLOSE URETER FISTULA NEC URETEROPEXY 56.86 56.89 56.92 56.93 56.94 56.95 56.99 REMOVE URETERAL LIGATURE REPAIR OF URETER NEC IMPLANT URETERAL STIMUL REPLACE URETERAL STIMUL REMOVE URETERAL STIMULAT LIGATION OF URETER URETERAL OPERATION NEC PC v2014A 223 57.12 57.18 57.19 57.21 57.22 57.33 57.34 57.39 57.41 57.49 57.51 57.59 57.6 57.71 57.79 57.81 57.82 57.83 57.84 57.85 57.86 57.87 57.88 57.89 57.91 57.93 57.96 57.97 57.98 57.99 58.0 58.1 58.41 58.42 58.43 58.44 58.45 58.46 58.47 58.49 58.5 58.91 58.92 58.93 58.99 59.00 59.02 59.03 59.09 59.11 59.12 59.19 59.21 PC v2014A CYSTOTOMY & ADHESIOLYSIS OTHER SUPRAPU CYSTOSTOMY CYSTOTOMY NEC VESICOSTOMY REVISE CLO VESICOSTOMY CLOS TRANSURETH BLADD BX OPEN BLADDER BIOPSY BLADDER DIAGNOS PROC NEC TU ADHESIOLYSIS BLADDER TU DESTRUC BLADD LES NEC EXCISION OF URACHUS BLADDER LES DESTRUCT NEC PARTIAL CYSTECTOMY RADICAL CYSTECTOMY TOTAL CYSTECTOMY NEC SUTURE BLADDER LACERAT CYSTOSTOMY CLOSURE ENTEROVESICO FIST REPAIR VESIC FISTULA REPAIR NEC CYSTOURETHROPLASTY BLADDER EXSTROPHY REPAIR BLADDER RECONSTRUCTION BLADDER ANASTOMOSIS NEC BLADDER REPAIR NEC BLADDER SPHINCTEROTOMY CONTROL BLADD HEMORRHAGE IMPLANT BLADDER STIMULAT REPLACE BLADDER STIMULAT REMOVE BLADDER STIMULAT BLADDER OPERATION NEC URETHROTOMY URETHRAL MEATOTOMY SUTURE URETHRAL LACERAT URETHROSTOMY CLOSURE CLOSE URETH FISTULA NEC URETHRAL REANASTOMOSIS HYPO-EPISPADIUS REPAIR URETH RECONSTRUCTION NEC URETHRAL MEATOPLASTY URETHRAL REPAIR NEC URETH STRICTURE RELEASE PERIURETHRAL INCISION PERIURETHRAL EXCISION IMPLT ARTF URIN SPHINCT URETH/PERIURETH OP NEC RETROPERIT DISSECT NOS PERIREN ADHESIOLYS NEC LAP LYS PERIREN/URET ADH PERIREN/URETER INCIS NEC OTH LYS PERIVES ADHESIO LAP LYS PERIVESURETH ADH PERIVESICAL INCISION NEC PERIREN/URETERAL BIOPSY 224 59.29 59.3 59.4 59.5 59.6 59.71 59.79 59.91 59.92 60.0 60.12 60.14 60.15 60.18 60.19 60.21 60.29 60.3 60.4 60.5 60.61 60.62 60.69 60.72 60.73 60.79 60.81 60.82 60.93 60.94 60.95 60.96 60.97 60.99 61.2 61.42 61.49 61.92 61.99 62.0 62.12 62.19 62.2 62.3 PERIREN/URET DX PROC NEC URETHROVES JUNCT PLICAT SUPRAPUBIC SLING OP RETROPUBIC URETH SUSPENS PARAURETHRAL SUSPENSION LEVATOR MUSC SUSPENSION URIN INCONTIN REPAIR NEC PERIREN/VESICLE EXCISION PERIREN/VESICLE OP NEC INCISION OF PROSTATE OPEN PROSTATIC BIOPSY OPEN SEMINAL VESICLES BX PERIPROSTATIC BIOPSY PROSTATIC DX PROCED NEC SEMIN VES DX PROCED NEC TRANSURETH PROSTATECTOMY OTH TRANSURETH PROSTATEC SUPRAPUBIC PROSTATECTOMY RETROPUBIC PROSTATECTOMY RADICAL PROSTATECTOMY LOS EXCIS PROSTATIC LES PERINEAL PROSTATECTOMY PROSTATECTOMY NEC SEMINAL VESICLE INCISION SEMINAL VESICLE EXCISION SEMINAL VESICLE OP NEC PERIPROSTATIC INCISION PERIPROSTATIC EXCISION REPAIR OF PROSTATE CONTROL PROSTATE HEMORR TRANS BAL DIL PROS URETH TU DESTR PROSTATE BY MT OTH TU DESTR PROS - RT PROSTATIC OPERATION NEC EXCISION OF HYDROCELE SCROTAL FISTULA REPAIR SCROTUM/TUNIC REPAIR NEC EXCISION TUNICA LES NEC SCROTUM & TUNICA OP NEC INCISION OF TESTES OPEN TESTICULAR BIOPSY TESTES DX PROCEDURE NEC TESTICULAR LES DESTRUCT UNILATERAL ORCHIECTOMY 62.41 62.42 62.5 62.61 62.69 62.7 62.99 63.09 REMOVE BOTH TESTES REMOVE SOLITARY TESTIS ORCHIOPEXY SUTURE TESTICULAR LACER TESTICULAR REPAIR NEC INSERT TESTICULAR PROSTH TESTICULAR OPERATION NEC SPERMAT CORD/VAS DX NEC PC v2014A 225 63.1 63.2 63.3 63.4 63.51 63.53 63.59 63.81 63.82 63.83 63.85 63.89 63.92 63.93 63.94 63.95 63.99 64.11 64.2 64.3 64.41 64.42 64.43 64.44 64.45 64.49 64.5 64.92 64.93 64.95 64.96 64.97 64.98 64.99 65.01 65.09 65.11 65.12 65.13 65.14 65.19 65.21 65.22 65.23 65.24 EXC SPERMATIC VARICOCELE EXCISE EPIDIDYMIS CYST EXCISE CORD/EPID LES NEC EPIDIDYMECTOMY SUTURE CORD & EPID LACER TRANSPLANT SPERMAT CORD CORD & EPIDID REPAIR NEC SUTURE VAS & EPIDID LAC POSTOP VAS RECONSTRUCT EPIDIDYMOVASOSTOMY REMOV VAS DEFERENS VALVE VAS & EPIDIDY REPAIR NEC EPIDIDYMOTOMY SPERMATIC CORD INCISION SPERM CORD ADHESIOLYSIS INSERT VALVE IN VAS DEF CORD/EPID/VAS OPS NEC PENILE BIOPSY LOCAL EXCIS PENILE LES AMPUTATION OF PENIS SUTURE PENILE LACERATION RELEASE OF CHORDEE CONSTRUCTION OF PENIS RECONSTRUCTION OF PENIS REPLANTATION OF PENIS PENILE REPAIR NEC SEX TRANSFORMAT OP NEC INCISION OF PENIS DIVISION OF PENILE ADHES INS NONINFL PENIS PROSTH REMOVE INT PENILE PROSTH INS INFLATE PENIS PROSTH PENILE OPERATION NEC MALE GENITAL OP NEC LAPAROSCOPIC OOPHOROTOMY OTHER OOPHOROTOMY OVARIAN ASPIRAT BIOPSY OVARIAN BIOPSY NEC LAP BIOPSY OF OVARY OTH LAP DX PROC OVARIES OVARIAN DX PROCEDURE NEC OVARIAN CYST MARSUPIALIZ OVARIAN WEDGE RESECTION LAP MARSUP OVARIAN CYST LAP WEDGE RESECT OVARY 65.25 65.29 65.31 65.39 65.41 65.49 65.51 65.52 OTH LAP LOC EXC DEST OVA LOCAL DESTR OVA LES NEC LAP UNILAT OOPHORECTOMY OTH UNILAT OOPHORECTOMY LAP UNI SALPINGO-OOPHOR OTH UNI SALPINGO-OOPHOR OTH REMOVE BOTH OVARIES OTH REMOVE REMAIN OVARY PC v2014A 226 65.53 65.54 65.61 65.62 65.63 65.64 65.71 65.72 65.73 65.74 65.75 65.76 65.79 65.81 65.89 65.91 65.92 65.93 65.94 65.95 65.99 66.01 66.02 66.11 66.19 66.21 66.22 66.29 66.31 66.32 66.39 66.4 66.51 66.52 66.61 66.62 66.63 66.69 66.71 66.72 66.73 66.74 66.79 66.92 LAP REMOVE BOTH OVARIES LAP REMOVE REMAIN OVARY OTH REMOVE OVARIES/TUBES OTH REMOVE REM OVA/TUBE LAP REMOVE OVARIES/TUBES LAP REMOVE REM OVA/TUBE OTH SIMPLE SUTURE OVARY OTH REIMPLANT OF OVARY OTH SALPINGO-OOPHOROPLAS LAP SIMPLE SUTURE OVARY LAP REIMPLANT OF OVARY LAP SALPINGO-OOPHOROPLAS REPAIR OF OVARY NEC LAP ADHESIOLYS OVA/TUBE ADHESIOLYSIS OVARY/TUBE ASPIRATION OF OVARY TRANSPLANTATION OF OVARY MANUAL RUPT OVARIAN CYST OVARIAN DENERVATION OVARIAN TORSION RELEASE OVARIAN OPERATION NEC SALPINGOTOMY SALPINGOSTOMY FALLOPIAN TUBE BIOPSY FALLOP TUBE DX PROC NEC BILAT ENDOSC CRUSH TUBE BILAT ENDOSC DIVIS TUBE BILAT ENDOS OCC TUBE NEC BILAT TUBAL CRUSHING NEC BILAT TUBAL DIVISION NEC BILAT TUBAL DESTRUCT NEC TOTAL UNILAT SALPINGECT REMOVE BOTH FALLOP TUBES REMOVE SOLITARY FAL TUBE DESTROY FALLOP TUBE LES REMOV TUBE & ECTOP PREG BILAT PART SALPINGEC NOS PARTIAL SALPINGECTOM NEC SIMPL SUTURE FALLOP TUBE SALPINGO-OOPHOROSTOMY SALPINGO-SALPINGOSTOMY SALPINGO-UTEROSTOMY FALLOP TUBE REPAIR NEC UNILAT FALLOP TUBE DESTR 66.93 66.94 66.95 66.96 66.97 66.99 67.11 67.12 67.19 IMPL FALLOP TUBE PROSTH REMOV FALLOP TUBE PROSTH BLOW THERAPEUT INTO TUBE FALLOPIAN TUBE DILATION BURY FIMBRIAE IN UTERUS FALLOPIAN TUBE OP NEC ENDOCERVICAL BIOPSY CERVICAL BIOPSY NEC CERVICAL DX PROCEDUR NEC PC v2014A 227 67.2 67.31 67.32 67.33 67.39 67.4 67.51 67.59 67.61 67.62 67.69 68.0 68.13 68.14 68.15 68.16 68.19 68.21 68.22 68.23 68.24 68.25 68.29 68.31 68.39 68.41 68.49 68.51 68.59 68.61 68.69 68.71 68.79 68.8 68.9 69.01 69.02 69.09 69.19 69.21 69.22 69.23 69.29 69.3 CONIZATION OF CERVIX CERVICAL CYST MARSUPIAL CERVICAL LES CAUTERIZAT CERVICAL LES CRYOTHERAPY CERVICAL LES DESTRUC NEC AMPUTATION OF CERVIX TRANSAB CERCLAGE CERVIX OTH REP INT CERVICAL OS SUTURE CERVICAL LACERAT CERVICAL FISTULA REPAIR CERVICAL REPAIR NEC HYSTEROTOMY OPEN UTERINE BIOPSY OPEN UTERINE LIGAMENT BX CLOS UTERINE LIGAMENT BX CLOSED UTERINE BIOPSY UTERUS/ADNEX DX PROC NEC ENDOMET SYNECHIAE DIVIS INCISION UTERINE SEPTUM ENDOMETRIAL ABLATION UTERINE ART EMB W COILS UTERINE ART EMB W/O COIL UTERINE LES DESTRUCT NEC LAP SCERVIC HYSTERECTOMY OTH SUBTOT ABD HYSTERECT LAP TOTAL ABDOMINAL HYST TOTAL ABD HYST NEC/NOS LAP AST VAG HYSTERECTOMY OTHER VAG HYSTERECTOMY LAP RADICAL ABDOMNL HYST RADICAL ABD HYST NEC/NOS LAP RADICAL VAGINAL HYST RADICAL VAG HYST NEC/NOS PELVIC EVISCERATION HYSTERECTOMY NEC/NOS D & C FOR PREG TERMINAT D & C POST DELIVERY D & C NEC DESTRUC UTER SUPPORT NEC INTERPOSIT OP UTERIN LIG UTERINE SUSPENSION NEC VAG REPAIR INVERS UTERUS UTERUS/ADNEXA REPAIR NEC PARACERV UTERINE DENERV 69.41 69.42 69.49 69.51 69.52 69.95 69.97 69.98 69.99 SUTURE UTERINE LACERAT CLOSURE UTERINE FISTULA UTERINE REPAIR NEC ASPIRAT CURET-PREG TERMI ASPIRAT CURET-POST DELIV INCISION OF CERVIX REMOVE PENETRAT CERV FB UTERINE SUPPORT OP NEC UTERINE OPERATION NEC PC v2014A 228 70.12 70.13 70.14 70.23 70.24 70.29 70.31 70.32 70.33 70.4 70.50 70.51 70.52 70.53 70.54 70.55 70.61 70.62 70.63 70.64 70.71 70.72 70.73 70.74 70.75 70.76 70.77 70.78 70.79 70.8 70.91 70.92 70.93 71.01 71.09 71.11 71.19 71.22 71.23 71.24 71.29 71.3 71.4 CULDOTOMY INTRALUM VAG ADHESIOLYS VAGINOTOMY NEC CUL-DE-SAC BIOPSY VAGINAL BIOPSY VAGIN/CUL-DE-SAC DX NEC HYMENECTOMY EXCIS CUL-DE-SAC LESION EXCISION VAGINAL LESION VAGINAL OBLITERATION CYSTOCEL/RECTOCEL REPAIR CYSTOCELE REPAIR RECTOCELE REPAIR CYSTO & RECTO W GRF/PROS REP CYSTOCEL W GRFT/PROS REP RECTOCELE W GRF/PROS VAGINAL CONSTRUCTION VAGINAL RECONSTRUCTION VAGINAL CONST W GRF/PROS VAG RECONST W GRFT/PROS SUTURE VAGINA LACERATION REPAIR COLOVAGIN FISTULA REPAIR RECTOVAG FISTULA REP VAGINOENT FISTUL NEC REPAIR VAG FISTULA NEC HYMENORRHAPHY VAGINAL SUSPENS & FIXAT VAG SUSP/FIX W GRFT/PROS VAGINAL REPAIR NEC VAGINAL VAULT OBLITERAT VAGINAL OPERATION NEC CUL-DE-SAC OPERATION NEC CUL-DE-SAC GRF/PROS NEC VULVAR ADHESIOLYSIS INCIS VULVA/PERINEUM NEC VULVAR BIOPSY VULVAR DIAGNOS PROC NEC INCISE BARTHOLIN"S GLAND BARTHOLIN GLAND MARSUP DESTRUC BARTHOLIN GLAND BARTHOLIN"S GLAND OP NEC LOCAL VULVAR EXCIS NEC OPERATIONS ON CLITORIS 71.5 71.61 71.62 71.71 71.72 71.79 71.8 71.9 73.94 73.99 RADICAL VULVECTOMY UNILATERAL VULVECTOMY BILATERAL VULVECTOMY SUTURE VULVAR LACERATION REPAIR VULVAR FISTULA VULVAR/PERIN REPAIR NEC OTHER VULVAR OPERATIONS OTHER FEMALE GENITAL OPS PUBIOTOMY TO ASSIST DEL OPS ASSISTING DELIV NEC PC v2014A 229 74.0 74.1 74.2 74.3 74.4 74.91 74.99 75.36 75.50 75.51 75.52 75.61 75.93 75.99 76.01 76.09 76.11 76.19 76.2 76.31 76.39 76.41 76.42 76.43 76.44 76.45 76.46 76.5 76.61 76.62 76.63 76.64 76.65 76.66 76.67 76.68 76.69 76.70 76.72 76.74 76.76 76.77 76.79 76.91 76.92 76.94 76.97 76.99 77.00 77.01 77.02 77.03 77.04 PC v2014A CLASSICAL C-SECTION LOW CERVICAL C-SECTION EXTRAPERITONEAL C-SECT REM EXTRATUB ECTOP PREG CESAREAN SECTION NEC HYSTEROTOMY TO TERMIN PG CESAREAN SECTION NOS CORRECTION FETAL DEFECT REPAIR OB LAC UTERUS NOS REPAIR OB LACERAT CERVIX REPAIR OB LAC CORP UTERI REPAIR OB LAC BLAD/URETH SURG CORR INVERT UTERUS OBSTETRIC OPERATION NEC FACIAL BONE SEQUESTRECT FACIAL BONE INCISION NEC FACIAL BONE BIOPSY FACIAL BONE DX PROC NEC DESTRUCT FACIAL BONE LES PARTIAL MANDIBULECTOMY PART FACIAL OSTECTOM NEC TOT MANDIBULEC W RECONST TOTAL MANDIBULECTOMY NEC MANDIBULAR RECONST NEC TOT FACE OSTECT W RECONS TOT FACE BONE OSTECT NEC FACIAL BONE RECONSTR NEC TEMPOROMAND ARTHROPLASTY CL OSTEOPLASTY MAND RAMI OPEN OSTEOPLAS MAND RAMI OSTEOPLASTY MANDIBLE BDY MAND ORTHOGNATHIC OP NEC SEG OSTEOPLASTY MAXILLA TOT OSTEOPLASTY MAXILLA REDUCTION GENIOPLASTY AUGMENTATION GENIOPLASTY FACIAL BONE REPAIR NEC REDUCTION FACIAL FX NOS OPN REDUCT MALAR/ZYGO FX OPEN REDUCT MAXILLARY FX OPEN REDUCT MANDIBLE FX OPEN REDUCT ALVEOLAR FX OPEN REDUCT FACE FX NEC BONE GRAFT TO FACE BONE SYN IMPLANT TO FACE BONE OPEN REDUCT TM DISLOCAT REMOVE INT FIX FACE BONE FACIAL BONE/JNT OP NEC SEQUESTRECTOMY NOS CHEST CAGE SEQUESTREC HUMERUS SEQUESTRECTOMY RADIUS & ULNA SEQUESTREC METACARP/CARP SEQUESTREC 230 77.05 77.06 77.07 77.08 77.09 77.10 77.11 77.12 77.13 77.14 77.15 77.16 77.17 77.18 77.19 77.20 77.21 77.22 77.23 77.24 77.25 77.26 77.27 77.28 77.29 77.30 77.31 77.32 77.33 77.34 77.35 77.36 77.37 77.38 77.39 77.40 77.41 77.42 77.43 77.44 77.45 77.46 FEMORAL SEQUESTRECTOMY PATELLAR SEQUESTRECTOMY TIBIA/FIBULA SEQUESTREC METATAR/TAR SEQUESTREC SEQUESTRECTOMY NEC OTHER BONE INCISION NOS OTHER CHEST CAGE INCIS OTHER HUMERUS INCISION OTHER RADIUS/ULNA INCIS OTH METACARP/CARP INCIS OTHER FEMORAL INCISION OTHER PATELLAR INCISION OTHER TIBIA/FIBULA INCIS OTH METATARS/TARS INCIS BONE INCIS W/O DIV NEC WEDGE OSTEOTOMY NOS CHEST CAGE WEDG OSTEOTOM HUMERUS WEDGE OSTEOTOMY RADIUS/ULNA WEDG OSTEOTO METACAR/CAR WEDG OSTEOTO FEMORAL WEDGE OSTEOTOMY PATELLAR WEDGE OSTEOTOMY TIBIA/FIBUL WEDG OSTEOT METATAR/TAR WEDG OSTEOT WEDGE OSTEOTOMY NEC OTHER BONE DIVISION NOS CHEST CAGE BONE DIV NEC HUMERUS DIVISION NEC RADIUS/ULNA DIVISION NEC METACAR/CAR DIVISION NEC FEMORAL DIVISION NEC PATELLAR DIVISION NEC TIBIA/FIBULA DIV NEC METATAR/TAR DIVISION NEC BONE DIVISION NEC BONE BIOPSY NOS CHEST CAGE BONE BIOPSY HUMERUS BIOPSY RADIUS & ULNA BIOPSY METACARPAL/CARPAL BIOPSY FEMORAL BIOPSY PATELLAR BIOPSY 77.47 77.48 77.49 77.51 77.52 77.53 77.54 77.56 77.57 77.58 TIBIA & FIBULA BIOPSY METATARSAL/TARSAL BIOPSY BONE BIOPSY NEC BUNIONECT/SFT/OSTEOTOMY BUNIONECT/SFT/ARTHRODES OTH BUNIONECT W SFT CORR EXC CORRECT BUNIONETTE REPAIR OF HAMMER TOE REPAIR OF CLAW TOE OTH EXC, FUS, REPAIR TOE PC v2014A 231 77.59 77.60 77.61 77.62 77.63 77.64 77.65 77.66 77.67 77.68 77.69 77.70 77.71 77.72 77.73 77.74 77.75 77.76 77.77 77.78 77.79 77.80 77.81 77.82 77.83 77.84 77.85 77.86 77.87 77.88 77.89 77.90 77.91 77.92 77.93 77.94 77.95 77.96 77.97 77.98 77.99 78.00 78.01 BUNIONECTOMY NEC LOC EXC BONE LESION NOS EXC CHEST CAGE BONE LES LOC EXC BONE LES HUMERUS LOC EXC LES RADIUS/ULNA LOC EXC LES METACAR/CAR LOC EXC BONE LES FEMUR LOC EXC BONE LES PATELLA LOC EXC LES TIBIA/FIBULA LOC EXC LES METATAR/TAR LOC EXC BONE LESION NEC EXCISE BONE FOR GRFT NOS EX CHEST CAGE BONE-GFT EXCISE HUMERUS FOR GRAFT EXCIS RADIUS/ULNA-GRAFT EXCIS METACAR/CAR-GRAFT EXCISE FEMUR FOR GRAFT EXCISE PATELLA FOR GRAFT EXCISE TIB/FIB FOR GRAFT EXCIS METATAR/TAR-GRAFT EXCISE BONE FOR GFT NEC OTH PART OSTECTOMY NOS OTH CHEST CAGE OSTECTOMY PARTIAL HUMERECTOMY NEC PART OSTECT-RADIUS/ULNA PART OSTECT-METACAR/CAR PART OSTECTOMY-FEMUR PARTIAL PATELLECTOMY PART OSTECT-TIBIA/FIBULA PART OSTECT-METATAR/TAR PARTIAL OSTECTOMY NEC TOTAL OSTECTOMY NOS TOT CHEST CAGE OSTECTOMY TOTAL OSTECTOMY-HUMERUS TOT OSTECT-RADIUS/ULNA TOT OSTECT-METACARP/CARP TOT OSTECTOMY-FEMUR TOTAL PATELLECTOMY TOT OSTECT-TIBIA/FIBULA TOT OSTECT-METATARS/TARS TOTAL OSTECTOMY NEC BONE GRAFT NOS BONE GRAFT TO CHEST CAGE 78.02 78.03 78.04 78.05 78.06 78.07 78.08 78.09 78.10 78.11 BONE GRAFT TO HUMERUS BONE GRAFT-RADIUS/ULNA BONE GRFT TO METACAR/CAR BONE GRAFT TO FEMUR BONE GRAFT TO PATELLA BONE GRAFT-TIBIA/FIBULA BONE GRAFT-METATAR/TAR BONE GRAFT NEC APPLIC EXT FIX DEV NOS APPL EXT FIX-CHEST CAGE PC v2014A 232 78.12 78.13 78.14 78.15 78.16 78.17 78.18 78.19 78.20 78.22 78.23 78.24 78.25 78.27 78.28 78.29 78.30 78.32 78.33 78.34 78.35 78.37 78.38 78.39 78.40 78.41 78.42 78.43 78.44 78.45 78.46 78.47 78.48 78.49 78.50 78.51 78.52 78.53 78.54 78.55 78.56 78.57 78.58 78.59 78.60 78.61 78.62 78.63 78.64 78.65 78.66 78.67 78.68 PC v2014A APPLIC EXT FIX-HUMERUS APPL EXT FIX-RADIUS/ULNA APPL EXT FIX-METACAR/CAR APPLIC EXT FIX DEV-FEMUR APPL EXT FIX DEV-PATELLA APPL EXT FIX-TIB/FIBULA APPL EXT FIX-METATAR/TAR APPLIC EXT FIX DEV NEC LIMB SHORTEN PROC NOS LIMB SHORT PROC-HUMERUS LIMB SHORTEN-RADIUS/ULNA LIMB SHORTEN-METACAR/CAR LIMB SHORT PROC-FEMUR LIMB SHORTEN-TIB/FIBULA LIMB SHORTEN-METATAR/TAR LIMB SHORTEN PROC NEC LIMB LENGTHEN PROC NOS LIMB LENGTH PROC-HUMERUS LIMB LENGTH-RADIUS/ULNA LIMB LENGTH-METACAR/CAR LIMB LENGTH PROC-FEMUR LIMB LENGTHEN-TIB/FIBULA LIMB LENGTHN-METATAR/TAR LIMB LENGTHEN PROC NEC OTH BONE REPAIR/PLAST OP OTH CHEST CAGE REP/PLAST OTH HUMERUS REPAIR/PLAST OTH RAD/ULN REPAIR/PLAST OTH METAC/CARP REP/PLAST OTH FEMUR REPAIR/PLASTIC OTH PATELLA REPAIR/PLAST OTH TIB/FIB REPAIR/PLAST OTH META/TAR REPA/PLAST OTH BONE REPA/PLAST NEC INT FIX W/O FX REDUC NOS INT FIXATION-CHEST CAGE INT FIXATION-HUMERUS INT FIXATION-RADIUS/ULNA INT FIXATION-METACAR/CAR INTERNAL FIXATION-FEMUR INTERNAL FIX-PATELLA INT FIXATION-TIBIA/FIBUL INT FIXATION-METATAR/TAR INT FIX-NO FX REDUCT NEC REMOVE IMP DEVICE NOS REMOV IMP DEV-CHEST CAGE REMOVE IMPL DEV-HUMERUS REMOV IMP DEV-RADIUS/ULN REMOV IMP DEV-METAC/CARP REMOVE IMP DEVICE-FEMUR REMOV IMP DEVICE-PATELLA REMOV IMP DEV-TIB/FIBULA REMOVE IMP DEV-METAT/TAR 233 78.69 78.70 78.71 78.72 78.73 78.74 78.75 78.76 78.77 78.78 78.79 78.80 78.81 78.82 78.83 78.84 78.85 78.86 78.87 78.88 78.89 78.90 78.91 78.92 78.93 78.94 78.95 78.96 78.97 78.98 78.99 79.10 79.11 79.12 79.13 79.14 79.15 79.16 79.17 79.18 79.19 79.20 REMOVE IMPL DEVICE NEC OSTEOCLASIS NOS OSTEOCLASIS-CHEST CAGE OSTEOCLASIS-HUMERUS OSTEOCLASIS-RADIUS/ULNA OSTEOCLASIS-METACAR/CAR OSTEOCLASIS-FEMUR OSTEOCLASIS-PATELLA OSTEOCLASIS-TIBIA/FIBULA OSTEOCLASIS-METATAR/TAR OSTEOCLASIS NEC OTHER BONE DX PROC NOS OTH DX PROCED-CHEST CAGE OTH DX PROCED-HUMERUS OTH DX PROC-RADIUS/ULNA OTH DX PROC-METACAR/CAR OTH DX PROCED-FEMUR OTH DX PROCED-PATELLA OTH DX PROC-TIBIA/FIBULA OTH DX PROC-METATAR/TAR OTHER BONE DX PROC NEC INSERT BONE STIMUL NOS INSERT BONE STIMUL-CHEST INSERT BONE STIM-HUMERUS INSER BONE STIM-RAD/ULNA INSER BONE STIM-META/CAR INSERT BONE STIM-FEMUR INSERT BONE STIM-PATELLA INSER BONE STIM-TIB/FIB INSER BONE STIM-META/TAR INSERT BONE STIMUL NEC CL FX REDUC-INT FIX NOS CLOS RED-INT FIX HUMERUS CL RED-INT FIX RAD/ULNA CL RED-INT FIX METAC/CAR CLOSE RED-INT FIX FINGER CLOSED RED-INT FIX FEMUR CL RED-INT FIX TIB/FIBU CL RED-INT FIX METAT/TAR CLOSE RED-INT FIX TOE FX CL FX REDUC-INT FIX NEC OPEN FX REDUCTION NOS 79.21 79.22 79.23 79.24 79.25 79.26 79.27 79.28 79.29 79.30 79.31 OPEN REDUC-HUMERUS FX OPEN REDUC-RADIUS/ULN FX OPEN REDUC-METAC/CAR FX OPEN REDUCTION-FINGER FX OPEN REDUCTION-FEMUR FX OPEN REDUC-TIBIA/FIB FX OPEN REDUC-METAT/TARS FX OPEN REDUCTION-TOE FX OPEN FX REDUCTION NEC OPN FX RED W INT FIX NOS OPEN RED-INT FIX HUMERUS PC v2014A 234 79.32 79.33 79.34 79.35 79.36 79.37 79.38 79.39 79.40 79.41 79.42 79.45 79.46 79.49 79.50 79.51 79.52 79.55 79.56 79.59 79.60 79.61 79.62 79.63 79.64 79.65 79.66 79.67 79.68 79.69 79.80 79.81 79.82 79.83 79.84 79.85 79.86 79.87 79.88 79.89 79.90 OP RED-INT FIX RAD/ULNA OP RED-INT FIX METAC/CAR OPEN RED-INT FIX FINGER OPEN REDUC-INT FIX FEMUR OP RED-INT FIX TIB/FIBUL OP RED-INT FIX METAT/TAR OPEN REDUCT-INT FIX TOE OPN FX RED W INT FIX NEC CLS REDUC-SEP EPIPHY NOS CLOSE RED-HUMERUS EPIPHY CLS RED-RADIUS/UL EPIPHY CLOSE REDUC-FEMUR EPIPHY CLS RED-TIBIA/FIB EPIPHY CLS REDUC-SEP EPIPHY NEC OPEN RED-SEP EPIPHY NOS OPN RED-SEP EPIPHY-HUMER OP RED-RADIUS/ULN EPIPHY OPN RED-SEP EPIPHY-FEMUR OP RED-TIBIA/FIB EPIPHYS OPEN RED-SEP EPIPHY NEC OPEN FX SITE DEBRIDE NOS DEBRID OPEN FX-HUMERUS DEBRID OPN FX-RADIUS/ULN DEBRID OPN FX-METAC/CAR DEBRID OPN FX-FINGER DEBRID OPN FX-FEMUR DEBRID OPN FX-TIBIA/FIB DEBRID OPN FX-METAT/TAR DEBRID OPN FX-TOE OPEN FX SITE DEBRIDE NEC OPEN REDUC-DISLOCAT NOS OPN REDUC DISLOC-SHOULDR OPEN REDUC-ELBOW DISLOC OPEN REDUC-WRIST DISLOC OPN REDUC DISLOC-HAND OPEN REDUC-HIP DISLOCAT OPEN REDUC-KNEE DISLOCAT OPEN REDUC-ANKLE DISLOC OPN REDUC DISLOC-FT/TOE OPEN REDUC-DISLOCAT NEC UNSPEC OP BONE INJ NOS 79.91 79.92 79.93 79.94 79.95 79.96 79.97 79.98 79.99 80.00 80.01 80.02 HUMERUS INJURY OP NOS RADIUS/ULNA INJ OP NOS METACARP/CARP INJ OP NOS FINGER INJURY OP NOS FEMUR INJURY OP NOS TIBIA/FIBULA INJ OP NOS METATARS/TARS INJ OP NOS TOE INJURY OPERATION NOS UNSPEC OP-BONE INJ NEC ARTHROT & PROS REMOV NOS ARTHROT/PROS REMOV-SHLDR ARTHROT/PROS REMOV-ELBOW PC v2014A 235 80.03 80.04 80.05 80.06 80.07 80.08 80.09 80.10 80.11 80.12 80.13 80.14 80.15 80.16 80.17 80.18 80.19 80.20 80.21 80.22 80.23 80.24 80.25 80.26 80.27 80.28 80.29 80.40 80.41 80.42 80.43 80.44 80.45 80.46 80.47 80.48 80.49 80.50 80.51 80.53 80.54 ARTHROT/PROS REMOV-WRIST ARTHROT/PROS REMOV-HAND ARTHROT/PROS REMOV-HIP ARTHROT/PROS REMOV-KNEE ARTHROT/PROS REMOV-ANKLE ARTHROT/PROS REMOV-FOOT ARTHROT & PROS REMOV NEC OTHER ARTHROTOMY NOS OTH ARTHROTOMY-SHOULDER OTH ARTHROTOMY-ELBOW OTH ARTHROTOMY-WRIST OTH ARTHROTOMY-HAND/FNGR OTH ARTHROTOMY-HIP OTH ARTHROTOMY-KNEE OTH ARTHROTOMY-ANKLE OTH ARTHROTOMY-FOOT/TOE OTHER ARTHROTOMY NEC ARTHROSCOPY NOS SHOULDER ARTHROSCOPY ELBOW ARTHROSCOPY WRIST ARTHROSCOPY HAND & FINGER ARTHROSCOP HIP ARTHROSCOPY KNEE ARTHROSCOPY ANKLE ARTHROSCOPY FOOT & TOE ARTHROSCOPY ARTHROSCOPY NEC JT STRUCTUR DIVISION NOS SHOULDER STRUCT DIVISION ELBOW STRUCTURE DIVISION WRIST STRUCTURE DIVISION HAND JOINT STRUCT DIVIS HIP STRUCTURE DIVISION KNEE STRUCTURE DIVISION ANKLE STRUCTURE DIVISION FOOT JOINT STRUCT DIVIS JT STRUCTUR DIVISION NEC EXC/DEST INTVRT DISC NOS EXCISION INTERVERT DISC REP ANULUS FIBROSUS-GRFT REP ANULS FIBROS NEC/NOS 80.59 80.6 80.70 80.71 80.72 80.73 80.74 80.75 80.76 80.77 80.78 80.79 OTH EXC/DEST INTVRT DISC EXCIS KNEE SEMILUN CARTL SYNOVECTOMY-SITE NOS SHOULDER SYNOVECTOMY ELBOW SYNOVECTOMY WRIST SYNOVECTOMY HAND SYNOVECTOMY HIP SYNOVECTOMY KNEE SYNOVECTOMY ANKLE SYNOVECTOMY FOOT SYNOVECTOMY SYNOVECTOMY-SITE NEC PC v2014A 236 80.80 80.81 80.82 80.83 80.84 80.85 80.86 80.87 80.88 80.89 80.90 80.91 80.92 80.93 80.94 80.95 80.96 80.97 80.98 80.99 81.00 81.01 81.02 81.03 81.04 81.05 81.06 81.07 81.08 81.11 81.12 81.13 81.14 81.15 81.16 81.17 81.18 81.20 81.21 81.22 DESTRUCT JOINT LES NOS DESTRUC-SHOULDER LES NEC DESTRUC-ELBOW LESION NEC DESTRUC-WRIST LESION NEC DESTRUC-HAND JT LES NEC DESTRUCT-HIP LESION NEC DESTRUCT-KNEE LESION NEC DESTRUC-ANKLE LESION NEC DESTRUC-FOOT JT LES NEC DESTRUCT JOINT LES NEC EXCISION OF JOINT NOS EXCISION OF SHOULDER NEC EXCISION OF ELBOW NEC EXCISION OF WRIST NEC EXCISION HAND JOINT NEC EXCISION OF HIP NEC EXCISION OF KNEE NEC EXCISION OF ANKLE NEC EXCISION FOOT JOINT NEC EXCISION OF JOINT NEC SPINAL FUSION NOS ATLAS-AXIS FUSION OTHER CERVICAL FUS ANT OTHER CERVICAL FUS POST DORSAL/DORSOLUM FUS ANT DORSAL/DORSOLUM FUS POST LUMBAR/LUMBOSAC FUS ANT LUMBAR/LUMBOSAC FUS LAT LUMBAR/LUMBOSAC FUS POST ANKLE FUSION TRIPLE ARTHRODESIS SUBTALAR FUSION MIDTARSAL FUSION TARSOMETATARSAL FUSION METATARSOPHALANGEAL FUS OTHER FUSION OF FOOT OTHER FUSION OF FOOT ARTHRODESIS NOS ARTHRODESIS OF HIP ARTHRODESIS OF KNEE 81.23 81.24 81.25 81.26 81.27 81.28 81.29 81.30 81.31 81.32 81.33 81.34 ARTHRODESIS OF SHOULDER ARTHRODESIS OF ELBOW CARPORADIAL FUSION METACARPOCARPAL FUSION METACARPOPHALANGEAL FUS INTERPHALANGEAL FUSION ARTHRODESIS NEC SPINAL REFUSION NOS REFUSION OF ATLAS-AXIS REFUSION OF OTH CERV ANT REFUS OF OTH CERV POST REFUSION OF DORSAL ANT PC v2014A 237 81.35 81.36 81.37 81.38 81.39 81.40 81.42 81.43 81.44 81.45 81.46 81.47 81.49 81.51 81.52 81.53 81.54 81.55 81.56 81.57 81.59 81.62 81.63 81.64 81.65 81.66 81.71 81.72 81.73 81.74 81.75 81.79 81.80 81.81 81.82 81.83 81.84 81.85 81.88 81.93 81.94 REFUSION OF DORSAL POST REFUSION OF LUMBAR ANT REFUSION OF LUMBAR LAT REFUSION OF LUMBAR POST REFUSION OF SPINE NEC REPAIR OF HIP, NEC FIVE-IN-ONE KNEE REPAIR TRIAD KNEE REPAIR PATELLAR STABILIZATION CRUCIATE LIG REPAIR NEC COLLATERL LIG REPAIR NEC OTHER REPAIR OF KNEE OTHER REPAIR OF ANKLE TOTAL HIP REPLACEMENT PARTIAL HIP REPLACEMENT REVISE HIP REPLACEMENT TOTAL KNEE REPLACEMENT REVISE KNEE REPLACEMENT TOTAL ANKLE REPLACEMENT REPL JOINT OF FOOT, TOE REV JT REPL LOW EXT NEC FUS/REFUS 2-3 VERTEBRAE FUS/REFUS 4-8 VERTEBRAE FUS/REFUS 9 VERTEBRAE VERTEBROPLASTY KYPHOPLASTY ARTHROPLAS METACARP WIT ARTHROPLASTY METACAR W/O TOTAL WRIST REPLACEMENT ARTHROPLASTY CARPAL WIT ARTHROPLASTY CARPAL W/O OTH REPAIR HAN/FIN/WRIS TOTAL SHOULDER REPLACE PARTIAL SHOULDER REPLACE REP RECUR SHLDER DISLOC SHOULDER ARTHROPLAST NEC TOTAL ELBOW REPLACEMENT ELBOW ARTHROPLASTY NEC RVRS TOTL SHLDR REPLACMT SUTUR CAPSUL/LIGAMEN ARM SUTURE CAPSUL/LIG ANK/FT 81.95 81.96 81.97 81.98 81.99 82.01 82.02 82.03 82.09 82.11 82.12 82.19 SUTUR CAPSUL/LIG LEG NEC OTHER REPAIR OF JOINT REV JT REPL UPPER EXTREM OTHER JOINT DX PROCEDURE JOINT STRUCTURE OP NEC EXPLOR TEND SHEATH-HAND MYOTOMY OF HAND BURSOTOMY OF HAND INC SOFT TISSUE HAND NEC TENOTOMY OF HAND FASCIOTOMY OF HAND DIV SOFT TISSUE HAND NEC PC v2014A 238 82.21 82.22 82.29 82.31 82.32 82.33 82.34 82.35 82.36 82.39 82.41 82.42 82.43 82.44 82.45 82.46 82.51 82.52 82.53 82.54 82.55 82.56 82.57 82.58 82.59 82.61 82.69 82.71 82.72 82.79 82.81 82.82 82.83 82.84 82.85 82.86 82.89 82.91 82.99 83.01 83.02 83.03 83.09 83.11 83.12 83.13 83.14 83.19 83.21 83.29 83.31 83.32 83.39 PC v2014A EXC LES TEND SHEATH HAND EXCISION HAND MUSCLE LES EXC LES SFT TISS HND NEC BURSECTOMY OF HAND EXCIS HAND TEND FOR GRFT HAND TENONECTOMY NEC EXC HND MUS/FAS FOR GRFT HAND FASCIECTOMY NEC OTHER MYECTOMY OF HAND HAND SOFT TISSUE EXC NEC SUTURE TENDN SHEATH HAND DELAY SUT FLEX TEND HAND DELAY SUT HAND TEND NEC SUTUR FLEX TEND HAND NEC SUTURE HAND TENDON NEC SUTURE HAND MUSCLE/FASC HAND TENDON ADVANCEMENT HAND TENDON RECESSION HAND TENDON REATTACHMENT HAND MUSCLE REATTACHMENT CHNG HND MUS/TEN LNG NEC TRANSPLANT HAND TEND NEC TRANSPOSIT HAND TEND NEC TRANSPLANT HAND MUSC NEC TRANSPOSIT HAND MUSC NEC POLLICIZATION OPERATION THUMB RECONSTRUCTION NEC HAND TEND PULLEY RECONST PLAST OP HND-MUS/FAS GRF PLAST OP HAND W GRFT NEC TRANSFER OF FINGER REPAIR OF CLEFT HAND REPAIR OF MACRODACTYLY REPAIR OF MALLET FINGER OTHER TENODESIS OF HAND OTHER TENOPLASTY OF HAND HAND PLASTIC OP NEC LYSIS OF HAND ADHESIONS HAND MUS/TEN/FAS/OPS NEC TENDON SHEATH EXPLORAT MYOTOMY BURSOTOMY SOFT TISSUE INCISION NEC ACHILLOTENOTOMY ADDUCTOR TENOTOMY OF HIP OTHER TENOTOMY FASCIOTOMY SOFT TISSUE DIVISION NEC SOFT TISSUE BIOPSY SOFT TISSUE DX PROC NEC EXCIS LES TENDON SHEATH EXCIS LESION OF MUSCLE EXC LES SOFT TISSUE NEC 239 83.41 83.42 83.43 83.44 83.45 83.49 83.5 83.61 83.62 83.63 83.64 83.65 83.71 83.72 83.73 83.74 83.75 83.76 83.77 83.79 83.81 83.82 83.83 83.84 83.85 83.86 83.87 83.88 83.89 83.91 83.92 83.93 83.99 84.00 84.01 84.02 84.03 84.04 84.05 84.06 TENDON EXCISION FOR GRFT OTHER TENONECTOMY MUSC/FASC EXCIS FOR GRFT OTHER FASCIECTOMY OTHER MYECTOMY OTHER SOFT TISSUE EXCIS BURSECTOMY TENDON SHEATH SUTURE DELAYED TENDON SUTURE ROTATOR CUFF REPAIR OTHER SUTURE OF TENDON OTHER MUSCLE/FASC SUTURE TENDON ADVANCEMENT TENDON RECESSION TENDON REATTACHMENT MUSCLE REATTACHMENT TENDON TRNSFR/TRANSPLANT OTHER TENDON TRANSPOSIT MUSCLE TRNSFR/TRANSPLANT OTHER MUSCLE TRANSPOSIT TENDON GRAFT MUSCLE OR FASCIA GRAFT TENDON PULLEY RECONSTRUC CLUBFOOT RELEASE NEC MUSC/TEND LNG CHANGE NEC QUADRICEPSPLASTY OTHER PLASTIC OPS MUSCLE OTHER PLASTIC OPS TENDON OTHER PLASTIC OPS FASCIA ADHESIOLYSIS MUS/TEN/FAS INSERT SKEL MUSC STIMULA REMOV SKEL MUSC STIMULAT MUS/TEN/FAS/BUR OP NEC UPPER LIMB AMPUTAT NOS FINGER AMPUTATION THUMB AMPUTATION AMPUTATION THROUGH HAND DISARTICULATION OF WRIST AMPUTATION THRU FOREARM DISARTICULATION OF ELBOW 84.07 84.08 84.09 84.10 84.11 84.12 84.13 84.14 84.15 84.16 84.17 84.18 AMPUTATION THRU HUMERUS SHOULDER DISARTICULATION FOREQUARTER AMPUTATION LOWER LIMB AMPUTAT NOS TOE AMPUTATION AMPUTATION THROUGH FOOT DISARTICULATION OF ANKLE AMPUTAT THROUGH MALLEOLI BELOW KNEE AMPUTAT NEC DISARTICULATION OF KNEE ABOVE KNEE AMPUTATION DISARTICULATION OF HIP PC v2014A 240 84.19 84.21 84.22 84.23 84.24 84.25 84.26 84.27 84.28 84.29 84.3 84.40 84.44 84.48 84.59 84.60 84.61 84.62 84.63 84.64 84.65 84.66 84.67 84.68 84.69 84.80 84.81 84.82 84.83 84.84 84.85 84.91 84.92 84.93 84.94 84.99 85.12 85.20 85.21 85.22 HINDQUARTER AMPUTATION THUMB REATTACHMENT FINGER REATTACHMENT FOREARM/WRIST/HAND REATT UPPER ARM REATTACHMENT TOE REATTACHMENT FOOT REATTACHMENT LOWER LEG/ANKLE REATTACH THIGH REATTACHMENT REATTACHMENT NEC AMPUTATION STUMP REVIS IMPLNT/FIT PROS LIMB NOS IMPLANT ARM PROSTHESIS IMPLANT LEG PROSTHESIS INSERT OTHR SPIN DEVICE INSERT DISC PROS NOS INS PART DISC PROS CERV INS TOT DISC PROST CERV INS SPIN DISC PROS THOR INS PART DISC PROS LUMB INS TOTL DISC PROS LUMB REVISE DISC PROST CERV REVISE DISC PROST THORA REVISE DISC PROSTH LUMB REVISE DISC PROSTH NOS INS/REPL INTERSPINE DEV REV INTERSPINE DEVICE INS/REPL PDCL STABIL DEV REV PEDCL DYN STABIL DEV INS/REPL FACET REPLC DEV REV FACET REPLACE DEVICE AMPUTATION NOS SEPARAT EQUAL JOIN TWIN SEPARAT UNEQUL JOIN TWIN INS STRN FIX W RGD PLATE MUSCULOSKELETAL OP NEC OPEN BREAST BIOPSY BREAST TISSU DESTRUC NOS LOCAL EXCIS BREAST LES QUADRANT RESECT BREAST 85.23 85.24 85.25 85.31 85.32 85.33 85.34 85.35 85.36 85.41 85.42 85.43 85.44 SUBTOTAL MASTECTOMY EXC ECTOPIC BREAST TISSU EXCISION OF NIPPLE UNILAT REDUCT MAMMOPLAST BILAT REDUCT MAMMOPLASTY UNIL SUBQ MAMMECT-IMPLNT UNILAT SUBQ MAMMECT NEC BIL SUBQ MAMMECT-IMPLANT BILAT SUBQ MAMMECTOM NEC UNILAT SIMPLE MASTECTOMY BILAT SIMPLE MASTECTOMY UNILAT EXTEN SIMP MASTEC BILAT EXTEND SIMP MASTEC PC v2014A 241 85.45 85.46 85.47 85.48 85.50 85.53 85.54 85.55 85.6 85.70 85.71 85.72 85.73 85.74 85.75 85.76 85.79 85.82 85.83 85.84 85.85 85.86 85.87 85.89 85.93 85.94 85.95 85.96 85.99 86.06 86.21 86.22 86.25 86.4 86.60 86.61 86.62 86.63 86.65 UNILAT RADICAL MASTECTOM BILAT RADICAL MASTECTOMY UNIL EXT RAD MASTECTOMY BIL EXTEN RAD MASTECTOMY AUGMENT MAMMOPLASTY NOS UNILAT BREAST IMPLANT BILATERAL BREAST IMPLANT FAT GRAFT TO BREAST MASTOPEXY TOTL RECONSTC BREAST NOS LATISS DORSI MYOCUT FLAP TRAM FLAP, PEDICLED TRAM FLAP, FREE DIEP FLAP, FREE SIEA FLAP, FREE GAP FLAP, FREE TOTL RECONST BREAST NEC BREAST SPLIT-THICK GRAFT BREAST FULL-THICK GRAFT BREAST PEDICLE GRAFT BREAST MUSCLE FLAP GRAFT TRANSPOSITION OF NIPPLE NIPPLE REPAIR NEC MAMMOPLASTY NEC BREAST IMPLANT REVISION BREAST IMPLANT REMOVAL INSER BREAST TISSU EXPAN REMOV BREAST TISSU EXPAN BREAST OPERATION NEC INSERT INFUSION PUMP EXCISION OF PILONID CYST EXC WOUND DEBRIDEMENT DERMABRASION RADICAL EXCIS SKIN LES FREE SKIN GRAFT NOS FULL-THICK HAND SKIN GRF HAND SKIN GRAFT NEC FULL-THICK SKIN GRFT NEC HETEROGRAFT TO SKIN 86.66 86.67 86.69 86.70 86.71 86.72 86.73 86.74 86.75 86.81 86.82 86.83 86.84 86.85 HOMOGRAFT TO SKIN DERMAL REGENER GRAFT FREE SKIN GRAFT NEC PEDICLE GRAFT/FLAP NOS CUT & PREP PEDICLE GRAFT PEDICLE GRAFT ADVANCEMEN ATTACH PEDICLE TO HAND ATTACH PEDICLE GRAFT NEC REVISION OF PEDICLE GRFT REPAIR FACIAL WEAKNESS FACIAL RHYTIDECTOMY SIZE REDUCT PLASTIC OP RELAXATION OF SCAR SYNDACTYLY CORRECTION PC v2014A 242 86.86 86.87 86.89 86.90 86.91 86.93 86.94 86.95 86.96 86.97 86.98 87.53 92.27 95.04 ONYCHOPLASTY FAT GRFT SKIN/SUBQ TISS SKIN REPAIR & PLASTY NEC EXT FAT FOR GRFT/BANKING SKIN EXCISION FOR GRAFT INSERT TISSUE EXPANDER INS/REPL SINGLE PUL GEN INS/REPL DUAL PULSE GEN INSERT/REPL OTH NEUROST INS/REP 1 PUL GEN INS/REP 2 PUL GEN INTRAOPER CHOLANGIOGRAM RADIOACTIVE ELEM IMPLANT ANESTHETIZED EYE EXAM Table Number 11.19: Mechanical Ventilation Code 96.70 96.71 96.72 Shortened Description CON INV MEC VEN-UNSP DUR CONT INV MEC VEN <96 HRS CONT INV MEC VEN 96+ HRS Table Number 11.20: Birth Weight Less Than 500 Grams Code 764.01 764.11 764.21 764.91 765.01 765.11 V21.31 Shortened Description LIGHT-FOR-DATES <500G LT-FOR-DATE W/MAL <500G FETAL MALNUTRITION <500G FET GROWTH RETARD <500G EXTREME IMMATUR <500G PRETERM NEC <500G LOW BIRTHWT < 500G STATUS Table Number 11.20.1: Single Liveborn Newborn Code V30.00 V30.01 Shortened Description SINGLE LB IN-HOSP W/O CS SINGLE LB IN-HOSP W CS Table Number 11.21: Galactosemia Code 271.1 Shortened Description GALACTOSEMIA Table Number 11.22: Parenteral Infusion Code 99.15 Shortened Description PARENT INFUS NUTRIT SUB Table Number 11.23: Premature Newborns Code PC v2014A Shortened Description 243 765.20 765.21 765.22 765.23 765.24 765.25 765.26 765.27 765.28 PC v2014A WEEKS OF GESTATION NOS <24 COMP WKS GESTATION 24 COMP WKS GESTATION 25-26 COMP WKS GESTATION 27-28 COMP WKS GESTATION 29-30 COMP WKS GESTATION 31-32 COMP WKS GESTATION 33-34 COMP WKS GESTATION 35-36 COMP WKS GESTATION 244 Appendix B Medication Tables Download Medication Tables (MS Excel) Table Number 10.0: Antipsychotic Medications (Ver. 2011B) Medication Abilify Discmelt Abilify Oral Solution Abilify Tablets Antipsychotic Not Otherwise Specified (NOS) Aripiprazole Oral Solution Aripiprazole Tablets Asenapine Chlorpromazine Oral Solution Chlorpromazine Oral Syrup Chlorpromazine Tablets Clozapine Tablets Clozaril Tablets Etrafon Fanapt FazaClo Orally Disintegrating Tablets Fluphenazine Fluphenazine Decanoate Injectable Fluphenazine HCL Oral Solution Fluphenazine HCL Tablets Geodon Capsules Haldol Decanoate Injectable-Long Acting Haldol Oral Solution Haldol Tablets Haloperidol Decanoate Injectable Long-Acting Haloperidol Oral Solution Haloperidol Tablets Iloperidone Invega Sustenna Injectable Invega Tablets Latuda Loxapine Capsules Loxitane Capsules Lurasidone Mellaril Tablets Mesoridazine Navane Capsules Olanzapine + Fluoxetine Capsules Olanzapine Tablets Olanzapine ZYDIS Orally Disintegrating Tablets Orap Tablets Paliperidone Tablets PC v2014A Generic Aripiprazole Aripiprazole Aripiprazole Antipsychotic Not Otherwise Specified (NOS) Aripiprazole Aripiprazole Asenapine Chlorpromazine Chlorpromazine Chlorpromazine Clozapine Clozapine Amitriptyline + Perphenazine Iloperidone Clozapine Fluphenazine Fluphenazine Fluphenazine Fluphenazine Ziprasidone Haloperidol Haloperidol Haloperidol Haloperidol Haloperidol Haloperidol Iloperidone Paliperidone Palmitate Paliperidone Lurasidone Loxapine Loxapine Lurasidone Thioridazine Mesoridazine Thiothixene Olanzapine + Fluoxetine Olanzapine Olanzapine Pimozide Paliperidone 245 Permitril Perphenazine Tablets Pimozide Tablets Prolixin Decanoate Injectable- Long Acting Prolixin Oral Solution Prolixin Tablets Quetiapine Fumarate Quetiapine Tablets Risperal Consta Injectable- Long Acting Risperdal M-Tab Orally Disintegrating Tablets Risperdal Oral Solution Risperdal Tablets Risperidone Injectable - Long Acting Risperidone M- Tab Orally Disintegrating Tablets Risperidone Tablets Saphris Serentil Seroquel Tablets Seroquel XR Tablets Stelazine Tablets Symbyax Capsules Thioridazine HCL Tablets Thiothixene Capsules Thorazine Oral Solution Thorazine Oral Syrup Thorazine Tablets Triavil Trifluroperazine HCL Tablets Trilafon Tablets Ziprasidone HCL Tablets Zyprexa Relprevv Injectable Zyprexa Tablets Zyprexa ZYDIS Orally Disintegrating Tablets Fluphenazine Perphenazine Pimozide Fluphenazine Fluphenazine Fluphenazine Quetiapine Quetiapine Risperidone Risperidone Risperidone Risperidone Risperidone Risperidone Risperidone Asenapine Mesoridazine Quetiapine Quetiapine Trifluoperazine Olanzapine + Fluoxetine Thiothixene Thioridazine Chlorpromazine Chlorpromazine Chlorpromazine Amitriptyline + Perphenazine Trifluoperazine Perphenazine Ziprasidone Olanzapine Olanzapine Olanzapine Table Number 10.1: Short-Acting Intramuscular Antipsychotic Medications (Ver. 2010A) Medication Generic Aripiprazole Aripiprazole Chlorpromazine Ziprasidone Haloperidol Haloperidol Olanzapine Fluphenazine Chlorpromazine Ziprasidone Olanzapine Abilify Injectable- Short Acting Aripiprazole Injectable- Short Acting Chlorpromazine Injectable- Short Acting Geodon Injectable- Short Acting Haldol Injectable- Short Acting Haloperidol Injectable- Short Acting Olanzapine Injectable- Short Acting Prolixin Injectable- Short Acting Thorazine Injectable- Short Acting Ziprasidone Mesylate Injectable- Short Acting Zyprexa Injectable- Short Acting Table Number 11.0: Antenatal Steroid Medications (Ver. 2010A) Medication PC v2014A Generic 246 Betamethasone Betamethasone Betamethasone Sodium Phosphate Betamethasone Sodium Phosphate Betamethasone Sodium Phosphate and Betamethasone Betamethasone Sodium Phosphate and Betamethasone Acetate Acetate Celestone Betamethasone Celestone Phosphate Betamethasone Sodium Phosphate Celestone Soluspan Betamethasone Sodium Phosphate and Betamethasone Acetate Cortastat Dexamethasone Sodium Phosphate Dalalone Dexamethasone Sodium Phosphate Dalalone DP Dexamethasone Acetate Dalalone LA Dexamethasone Acetate Decadron Dexamethasone Decadron LA Dexamethasone Acetate Decadron Phosphate Dexamethasone Sodium Phosphate Decadron w/Xylocaine Dexamethasone Sodium Phosphate with Lidocaine HCL Decaject Dexamethasone Sodium Phosphate Decaject LA Dexamethasone Sodium Phosphate Dexamethasone Dexamethasone Dexamethasone Acetate Dexamethasone Acetate Dexamethasone Intensol Dexamethasone Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate with Lidocaine Dexamethasone Sodium Phosphate with Lidocaine Dexamethasone Sodium Phosphate with Lidocaine HCL Dexamethasone Sodium Phosphate with Lidocaine HCL Dexasone Dexamethasone Sodium Phosphate Dexasone LA Dexamethasone Acetate Dexone Dexamethasone Dexone LA Dexamethasone Acetate Hexadrol Dexamethasone Hexadrol Phosphate Dexamethasone Sodium Phosphate Solurex Dexamethasone Sodium Phosphate Solurex LA Dexamethasone Acetate PC v2014A 247 Appendix C General Glossary of Terms AMA (Against Medical Advice) When a patient checks himself out of a hospital against the advice of his doctor. accuracy (of data) The extent to which data are free of identifiable errors. acute hemorrhagic stroke A non-traumatic intracerebral hemorrhage, subarachnoid hemorrhage or hemorrhagic infarction. acute ischemic stroke A measurable neurological deficit of sudden onset, presumed secondary to focal cerebral ischemia, and not otherwise attributable to intracerebral hemorrhage (ICH) or another disease process. Cerebrovascular disorder caused by deprivation of blood flow to an area of the brain, generally as a result of thrombosis, embolism, or reduced blood pressure. acute myocardial infarction (AMI) Death of heart muscle resulting from insufficient blood supply to the heart. administrative/billing data (data source) Administrative data are patient-identifiable data used for administrative, regulatory, and payment (financial) purposes. Administrative data that generally reflect the content of discharge abstracts (for example, demographic information on patients such as age, sex, zip code; information about the episode of care such as admission source, length of stay, charges, discharge status; and ICD-9-CM diagnostic and procedure codes). Namely, the Uniform Hospital Discharge Data Set and the Uniform Bill of the Health Care Financing Administration (UB-04) provides specifications for the abstraction of administrative/billing data. Agency for Healthcare Research and Quality (AHRQ) The Agency for Healthcare Research and Quality (AHRQ) is the health services research arm of the U.S. Department of Health and Human Services (HHS), complementing the biomedical research mission of its sister agency, the National Institutes of Health. AHRQ is a home to research centers that specialize in major areas of health care research such as quality improvement and patient safety, outcomes and effectiveness of care, clinical practice and technology assessment, and health care organization and delivery systems. aftercare (see next level of care) Inpatient or outpatient care that the patient will receive after discharge from the hospital. aggregate (hospital data) Aggregate data elements derived for a specific hospital from the results of each measure's algorithm over a given time period (e.g., monthly, quarterly). These data are transmitted to The Joint Commission by ORYX® Vendors. aggregate risk-adjusted data elements Aggregate data elements derived from episode of care (EOC) records that result from the application of risk adjustment models by ORYX® Vendors for transmission to The Joint Commission. algorithm An ordered sequence of data element retrieval and aggregation through which numerator and denominator events or continuous variable values are identified by a measure. The algorithms are depicted using flowcharting symbols. allowable value A list of acceptable responses for a data element. angioplasty Reconstruction of blood vessels damaged by disease or injury. ANSI X12 The American National Standards Institute’s standard for transmitting data electronically, or electronic data interchange (EDI). PC v2014A 248 antenatal steroids Steroids given before birth. antithrombotic therapy Pharmacologic agents (oral or parenteral) preventing or interfering with the formation of a thrombus or blood coagulation. atherosclerosis Common disorder characterized by yellowish plaques of cholesterol, other lipids, and cellular debris in the inner layers of the walls of arteries. atrial fibrillation Cardiac arrhythmia characterized by disorganized electrical activity in the atria accompanied by an irregular ventricular response that is usually rapid. The atria quiver instead of pumping in an organized fashion, resulting in compromised ventricular filling and reduced stroke volume. Stasis of left atrial flow increases the risk of stroke. atrial flutter Type of atrial tachycardia characterized by contraction rates between 230/min and 380/min. binary outcome Events or conditions that occur in one or two possible states often labeled 0 or 1. Such data are frequently encountered in medical research. Common examples include dead or alive, and improved or not improved. calculation model A description of the steps or statistical calculations (computations) used to derive the numerator and denominator or continuous variable values required for a measure. Measure Information Forms in this manual will include either an algorithm or calculation model. cardiac module A set of evidence-based process measures designed to prevent cardiac complications in surgical patients. caregiver The patient’s family or any other person who will be responsible for care of the patient after discharge. central tendency A property of the distribution of a variable, usually measured by statistics such as the mean, median, and mode. cesarean section Surgical delivery of a fetus through incision in the abdominal wall and the uterine wall. Does not include removal of the fetus from the abdominal cavity in case of rupture of the uterus or abdominal pregnancy. children’s asthma care (CAC) Asthma is defined as a lung disorder marked by breathing difficulty, wheezing, or coughing. For purposes of this measure set, the population is defined as children equal or greater than 2 through 17 years of age. clinical measures Measures designed to evaluate the processes or outcomes of care associated with the delivery of clinical services; allow for intra- and interorganizational comparisons to be used to continuously improve patient health outcomes; may focus on the appropriateness of clinical decision making and implementation of these decisions; must be condition specific, procedure specific, or address important functions of patient care (e.g., medication use, infection control, patient assessment, etc.). comparison group The group of health care organizations to which an individual health care organization is compared. (ORYX® Vendors transmit aggregated comparison group data for non-core measures. The Joint Commission will aggregate health care organization-level data to create the comparison group for each core measure.) confounding factors Intervening variables that distort the true relationship between/among the variables of interest. They are related to the outcome of interest, but extraneous to the study question and are non-randomly distributed among the groups being compared. They can hide a true correlation or give the appearance of a correlation when none actually exists. continuous variable An aggregate data measure in which the value of each measurement can fall anywhere along a continuous scale (e.g., the time [in minutes] from hospital arrival to administration of thrombolysis). PC v2014A 249 continuous variable data elements Those data elements required to construct the measure as stated in the section labeled “Continuous Variable Statement.” contraindication A factor or condition that may render the administration of a drug or agent or the performance of a procedure or other practice inadvisable, improper, and/or undesirable. controllers Controllers are long term control medications for asthma. Controllers reduce airway inflammation and prevent asthma exacerbations. Inhaled corticosteroids are the preferred medications for controlling mild, moderate, and severe persistent asthma. Refer to Appendix C, Table 6.1 for a listing of controller medications. corticosteroids Any of the hormones produced by the adrenal cortex or their synthetic equivalents, used to achieve quick relief of asthma exacerbations or long term control of the swelling, inflammation and mucus production that occurs when the airway are irritated. Corticosteroids are available in inhaled, topical, oral, and intravenous forms. critical access hospital (CAH) A facility that meets the following criteria may be designated by CMS as a CAH: Is located in a State that has established with CMS a Medicare rural hospital flexibility program; and Has been designated by the State as a CAH; and Is currently participating in Medicare as a rural public, non-profit or for-profit hospital; or was a participating hospital that ceased operation during the 10-year period from November 29, 1989 to November 29, 1999; or is a health clinic or health center that was downsized from a hospital; and Is located in a rural area or is treated as rural; and Is located more than a 35-mile drive from any other hospital or CAH (in mountainous terrain or in areas with only secondary roads available, the mileage criterion is 15 miles); and Maintains no more than 25 inpatient beds; and Maintains an annual average length of stay of 96 hours per patient for acute inpatient care; and Complies with all CAH Conditions of Participation, including the requirements to make available 24-hour emergency care services 7 days per week. A CAH may also be granted “swing-bed” approval to provide post-hospital Skilled Nursing Facility-level care in its inpatient beds. In the case of hospice care, a hospice may contract with a CAH to provide the Medicare hospice hospital benefit. Reimbursement from Medicare is made to the hospice. The CAH may dedicate beds to the hospice, but the beds must be counted toward the 25-bed maximum. However, the hospice patient is not included in the calculation of the 96-hour annual average length of stay. The hospice patient can be admitted to the CAH for any care involved in their treatment plan or for respite care. The CAH negotiates reimbursement through an agreement with the hospice. In addition to the 25 inpatient CAH beds, a CAH may also operate a psychiatric and/or a rehabilitation distinct part unit of up to 10 beds each. These units must comply with the Hospital Conditions of Participation. data collection The act or process of capturing raw or primary data from a single or number of sources. Also called “data gathering.” data collection effort The availability and accessibility of the required data elements, the relative effort required, and associated cost of abstracting or collecting the data. data element A discrete piece of data, such as patient birthdate or principal diagnosis. See also denominator data elements, numerator data elements, continuous variable data elements, and risk adjustment data elements. data entry The process by which data are transcribed or transferred into an electronic format. data quality The accuracy and completeness of measure data on performance in the context of the analytic purposes for which they will be used. data transmission The process by which data are electronically sent from one organization to another. For example, a hospital sending patient-level data to their selected ORYX® Vendor, and the vendor sending measurelevel data to The Joint Commission or patient-level data to the QIO Clinical Warehouse. PC v2014A 250 denominator The lower part of a fraction used to calculate a rate, proportion, or ratio. Also the population for a rate based measure. denominator data elements Those data elements required to construct the denominator. depilatories Chemical-based lotions or creams used to dissolve hair at the skin’s surface. disaster medical assistance team (DMAT) Provides emergency medical assistance following a catastrophic disaster or other major emergency. discrete variable See rate-based measure. elective carotid endarterectomy Surgical procedure performed by choice, involving excision of atheromatous segments of the endothelium and tunica media of the carotid artery, leaving a smooth tissue lining and facilitating blood flow through the vessel; surgery done to prevent stroke. elective carotid intervention Surgery (i.e., carotid endarterectomy) and other procedures (e.g., carotid angioplasty, stenting) involving the carotid artery, performed due to the patient’s choice. elective delivery Delivery of a newborn(s) when the mother was not in active labor or presented with spontaneous ruptured membranes prior to medical induction and/or cesarean section. electronic data interchange (EDI) An instance of data being sent electronically between parties, normally according to predefined industry standards. electrocardiogram (ECG) A graphic tracing of the heart’s electrical impulses. elopement When a patient wanders away, walks away, runs away, escapes, or otherwise leaves the hospital unsupervised, unnoticed, and/or prior to their scheduled discharge. empiric antibiotic therapy Antibiotic treatment based on the clinician’s judgment and the patients signs and symptoms and offered before a diagnosis has been confirmed. episode of care (EOC) A patient or case-level record submitted to the database. excluded populations Detailed information describing the populations that should not be included in the indicator. For example, specific age groups, ICD-9-CM procedure or diagnostic codes, or certain time periods could be excluded from the general population drawn upon by the indicator. extranet A private network using the Internet protocol to securely share business information or operations with vendors, customers, and/or other businesses. “The Joint Commission Connect TM” is the name given to the Joint Commission’s extranet site. event An occurrence of physical restraint or seclusion. Events that occur during the patient's stay do not define new episodes of care. fibrinolytic therapy Administration of a pharmacological agent intended to cause lysis of a thrombus (destruction or dissolution of a blood clot). Refer to Appendix C, Table 1.5 for a listing of fibrinolytic agents. format Specifies the character length of a specific data element; the type of information the data element contains: numeric, decimal, number, date, time, character, or alphanumeric; and the frequency with which the data element occurs. general data elements Those data elements that have wide application and are collected for every patient that is included in any measure population. global Global is an umbrella term for all measure sets that share the same Initial Patient Population definition. PC v2014A 251 health care-associated infection A localized or systemic condition resulting from an adverse reaction to the presence of an infectious agent(s) or its toxin(s). There must be no evidence that the infection was present or incubating at the time of admission to the care setting. health care organization (HCO) The business entity which is participating in an ORYX Vendor (e.g., health care organization level data describes information about the business entity). health care organization (HCO) level data Aggregation of patient level data to summarize the performance of an individual health care organization on a performance measure. This data is transmitted to The Joint Commission by the hospital’s ORYX Vendor. heart failure (HF) A clinical syndrome characterized by signs and symptoms resulting from disturbances in cardiac output or from increased venous pressure, including fatigue, shortness of breath, or leg swelling. For purposes of this measure, heart failure is identified by ICD-9-CM codes in Appendix A, Table 2.1. hospital According to the American Hospital Association, hospitals are licensed institutions with at least six beds whose primary function is to provide diagnostic and therapeutic patient services for medical conditions by an organized physician staff, and have continuous nursing services under the supervision of registered nurses. hospital-based inpatient psychiatric services (HBIPS) The Hospital-Based Inpatient Psychiatric Services (HBIPS) is a national quality partnership of organizations focused on improving quality and performance in impatient psychiatric settings through performance measurement utilizing 5 process measures in 3 separate domains (assessment, patient safety, continuity/transition of care). Hospital Inpatient Quality Reporting Program The Hospital Inpatient Quality Reporting Program, formerly known as Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) program, initiative is intended to empower consumers with quality of care information to make more informed decisions about their health care, while encouraging hospitals and clinicians to improve the quality of inpatient care provided to all patients. The hospital quality of care information gathered through the Hospital Inpatient Quality Reporting Program initiative is available to consumers on the Hospital Compare website. hospitalist A physician whose main practice provides care for hospitalized patients. ICD-9-CM codes A two-part classification system in current use for coding patient medical information used in abstracting systems and for classifying patients into diagnosis-related groups (DRGs). The first part is a comprehensive list of diseases with corresponding codes compatible with the World Health Organization’s list of disease codes. The second part contains procedure codes independent of the disease codes. initial patient populations Detailed information describing the population(s) that the indicator intends to measure. Details could include such information as specific age groups, diagnoses, ICD-9-CM diagnostic and procedure codes, CPT codes, revenue codes, enrollment periods, insurance and health plan groups, etc. infection module A set of evidence-based process measures designed to prevent postoperative infection in the surgical patient. inpatient mortality Any patient death occurring while admitted as an in-patient in the hospital. inpatient prospective payment system (IPPS) rule A prospective payment system (PPS) under Medicare for hospital acute inpatient services. Hospitals contract with Medicare to furnish acute inpatient care and are reimbursed through pre-determined payment on a per discharge or per case basis for Medicare beneficiaries with inpatient stays. inpatient psychiatric services Inpatient psychiatric services include care provided to a patient for a mental disorder while hospitalized in a psychiatric unit of an acute care hospital or a free-standing psychiatric hospital. Services rendered to outpatients or “day treatment” patients are not considered inpatient psychiatric services. intermittent pneumatic compression device Device that uses sequential and/or intermittent compression to PC v2014A 252 counteract blood flow stasis by increasing peak flow velocity. As a result, less blood is allowed to pool in veins thus decreasing chances for thrombus formation. In addition compression has an anticlotting effect by increasing fibrolytic activity which in turn stimulates the release of plasminogen activator. These two physiological effects, in combination with the mechanical movement of fluid in a proximal direction make the sequential devices effective in preventing and treating VTE. intracerebral hemorrhage (ICH) Non-traumatic abrupt onset of headache or altered level of consciousness and/or focal neurological deficit that is associated with a focal collection of blood within the brain parenchyma on CT scan and is not due to trauma or hemorrhagic conversion of a cerebral infarction. invalid data Values for data elements that are required for calculating and/or risk adjusting a core measure that fall outside of the acceptable range of values defined for that data element. Refer to the Missing and Invalid Data section for further information. IV thrombolytic therapy Intravenous administration of a thrombolytic agent, such as tissue plasminogen activator (TPA), to dissolve an arterial clot. “The Joint Commission Connect” The name given to the Joint Commission’s extranet site, a secured online connection to The Joint Commission. leave day An authorized or unauthorized absence from a facility, excluding discharges, during which the patient is absent from the facility at the time of the daily census and is not under the direct supervision of facility staff while absent. low-density lipoprotein (LDL) Plasma protein provided by the liver, carrying relatively more cholesterol and triglycerides than protein. The high cholesterol content may account for its greater atherogenic potential. Also known as “bad cholesterol”. mean A measure of central tendency for a continuous variable measure. The mean is the sum of the values divided by the number of observations. measure data elements Data elements used by one specific measure or several measures in two or more measure sets, such as Clinical Trial. measure information form Tool to provide specific clinical and technical information on a measure. The information contained includes: measure set, performance measure name, description, rationale, type of measure, improvement noted as, numerator/ denominator/continuous variable statements, included populations, excluded populations, data elements, risk adjustment, data collection approach, data accuracy, measure analysis suggestions, sampling, data reported as, and selected references. measure of performance See performance measure. measure-specific data elements Data elements used by one specific measure or several measures in one specific measure set, such as Infection Prior to Anesthesia in the SCIP measures. measurement system See performance measurement system. median The value in a group of ranked observations that divides the data into two equal parts. medical record (data source) Data obtained from the records or documentation maintained on a patient in any health care setting (for example, hospital, home care, long term care, practitioner office). Includes automated and paper medical record systems. military time A 24 –hour period from midnight to midnight using a 4-digit number of which the first two digits indicate the hour and the last two digits indicate the minute. missing data No values present for one or more data elements that are required for calculating and/or risk PC v2014A 253 adjusting a national quality measure. Refer to the Missing and Invalid Data section for further information. mode The most frequently occurring response for that data element. module A set of measures under a common group/topic area (e.g., infection module). multiple antipsychotic medications Antipsychotic medications are drugs prescribed to treat certain mental disorders; if two or more of these medications are routinely administered or prescribed this is considered multiple antipsychotic medications. national quality measure A standardized performance measure that meets the Centers for Medicare & Medicaid Services and Joint Commission evaluation criteria, has precisely defined specifications, can be uniformly embedded in extant systems, has standardized data collection protocols to permit uniform implementation by health care organizations and permit comparisons of health care organization performance over time through the establishment of a national comparative data base. national quality measure set A unique grouping of performance measures carefully selected to provide, when viewed together, a robust picture of the care provided in a given area (e.g., cardiovascular care, pregnancy). neonatal intensive care unit (NICU) A hospital unit organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness. newborn A very young child from birth to one year who has not yet begun to walk or talk. next level of care (see aftercare) Inpatient or outpatient care that the patient will receive after discharge from the hospital. non-core measure A performance measure defined by the ORYX Vendor that has undergone review against Joint Commission established measure criteria and has been accepted for use in the ORYX initiative. numerator The upper portion of a fraction used to calculate a rate, proportion, or ratio. numerator data elements Those data elements necessary or required to construct the numerator. observed rate The observed rate is the measure rate that is based on a hospital’s aggregated data for the reporting period. This is calculated as the number of measure numerator cases for the reporting period divided by the number of denominator cases. Observed rates are used to measure hospital performances. oral antibiotics For the purposes of the SCIP measure set, refers to two different combinations of antibiotics by the PO route, which can be given by mouth, NG tube, or PEG tube. Those combinations are either Neomycin and Erythromycin or Neomycin and Flagyl (also called Metronidazole). These combinations are for use in prophylaxis specifically for colon surgery patients. ORYX® vendor An entity consisting of an automated database(s), that facilitates performance improvement in health care organizations through the collection and dissemination of process and/or outcome measures of performance. ORYX Vendors must be able to generate internal comparisons of organization performance over time, and external comparisons of performance among participating organizations at comparable times. outpatient prospective payment system (OPPS) Rule A prospective payment system (PPS) under Medicare for hospital outpatient services, certain Part B services furnished to hospital inpatients that have no Part A coverage, and partial hospitalization services furnished by community mental health centers. All services paid under the PPS are classified into groups called Ambulatory Payment Classifications or APCs. A payment rate is established for each APC. Depending on the services provided, hospitals may be paid for more than one APC for an encounter. parenteral Not through the alimentary canal but rather by injection through some other route, as subcutaneous, intramuscular, intraorbital, intracapsular, intraspinal, intrasternal, intravenous, etc. PC v2014A 254 parity The state of having given birth to an infant or infants, weighing 500gm or more, alive or dead. paroxysmal Occurring as sudden or periodic attacks or recurrences of symptoms of a disease; exacerbation. patient level data Collection of data elements that depict the health care services provided to an individual (patient). Patient level data are aggregated to generate hospital level data and comparison group data. patient survey (data source) Survey data are exclusively obtained from patients and/or their family members/significant others. percentile A value on a scale of 100 that indicates the percentage of a distribution that is equal to or below it. performance measure A quantitative tool (for example, rate, ratio, index, percentage) that provides an indication of an organization’s performance in relation to a specified process or outcome. Refer to process measure and the outcome measure in Appendix D. performance measurement system’s extranet track (PET) An electronic information and message center available to ORYX Vendors. Access to the Internet and a browser are necessary to connect to PET. Access to PET is available by clicking on the “Joint Commission Connect ™” button on the Joint Commission’s home page (www.jointcommission.org). perinatal care (PC) The care and management of the fetus and newborn infant in the perinatal period before, during, and after delivery. physical restraint A physical restraint is any manual method or physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body or head freely when it is used as a restriction to manage a patient’s behavior or restrict the patient’s freedom of movement and is not a standard treatment for the patient’s medical or psychiatric condition. pneumonia (PN) Pneumonia is defined as an acute infection of the pulmonary parenchyma that is associated with at least some symptoms of acute infection, accompanied by presence of acute infiltrate on chest radiograph or auscultatory findings consistent with pneumonia (such as altered breath sounds and/or localized rales). post discharge continuing care plan Communication from the hospital to the next level of care provider after a patient is discharged from the hospital. The plan must contain the reason for hospitalization, main diagnosis at discharge, a list of medications at discharge, and recommendations for the next level of care. predicted value The statistically expected response or outcome for a patient after the risk adjustment model has been applied and the patient’s unique set of risk factors have been taken into account. P.R.N. Abbreviation for pro re nata, Latin term for "as needed". prophylactic antibiotic An antibiotic used to prevent, rather than treat or cure, disease. For the purposes of SCIPInf-1-3, antibiotics given to prevent postoperative infection will be collected. Because the overuse of antibiotics can lead to resistance, antibiotics taken to prevent infection should be used only for a short time. process An interrelated series of events, activities, actions, mechanisms, or steps that transform inputs into outputs. process measure A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome. proportion measure A measure which shows the number of occurrences over the entire group within which the occurrence should take place (e.g., patients delivered by cesarean section over all deliveries). protected (personal) health information (PHI) A subset of health information, including demographics, that PC v2014A 255 identifies the individual or for which there is a reasonable basis to believe that it can be used to identify the individual. randomization A technique for selecting or assigning cases such that each case has an equal probability of being selected or assigned. It is done to stimulate chance distribution, reduce the effects of confounding factors, and produce unbiased statistical data. range A measure of the spread of a data set. The difference between the smallest and largest observation. rate Derived by dividing the numerator (e.g., cases that meet the criterion for good or poor care) by the denominator (e.g., all cases to which the criterion applies) within a given time frame. In other words, the numerator is a subset of the denominator. rate based (measure) An aggregate data measure in which the value of each measurement is expressed as a proportion or as a ratio. In a proportion, the numerator is expressed as a subset of the denominator (for example, patients with cesarean section, divided by all patient who deliver). In a ratio, the numerator and denominator measure different phenomena (for example, the number of patients with central lines who develop infections divided by the number of central line days). ratio A relationship between two counted sets of data, which may have a value of zero or greater. In a ratio, the numerator is not necessarily a subset of the denominator (e.g., pints of blood transfused to number of patients discharged). reliability The ability of the indicator to accurately and consistently identify the events it was designed to identify across multiple health care settings. relievers Relievers are used to quickly alleviate bronchoconstriction. Relievers relax the bands of muscle that surround the airways. Relievers are also known as rescue, quick relief, or short-acting medications of choice to quickly relieve asthma exacerbations. Relievers include short acting beta2 agonists and anticholinergics. Refer to Appendix C, Table 6.2 for a listing of reliever medications. reporting period The defined time period which describes the patient’s end-of-service. reperfusion Reestablishing blood flow in an obstructed coronary artery. It may be accomplished with thrombolytic therapy or percutaneous coronary intervention. risk adjusted measures Measures that are risk adjusted using statistical modeling or stratification methods. risk adjusted rate A rate that takes into account differences in case mix to allow for more valid comparisons between groups. risk adjustment A statistical process for reducing, removing, or clarifying the influences of confounding factors that differ among comparison groups (for example, logistic regression, stratification). risk adjustment data elements Those data elements used to risk adjust a performance measure (e.g., reduce, remove, or clarify the influences of confounding patient factors that differ among comparison groups). Such data elements may be used exclusively for risk adjustment (e.g., not required to construct the numerator or denominator) or may be required for numerator or denominator construction as well as risk adjustment. risk adjustment model The statistical algorithm that specifies the numerical values and the sequence of calculations used to risk adjust (e.g., reduce or remove the influence of confounding factors) performance measures. risk factor A factor that produces or influences a result. In statistics, an independent variable used to identify membership of qualitatively different groups. Refer to Appendix B for risk factor definitions. risk factor value A specific value assigned to a risk factor for a given episode of care (EOC) record. PC v2014A 256 risk model The statistical algorithm that specifies the numerical values and the sequence of calculations used to risk adjust (e.g., reduce or remove the influence of confounding factors) performance measures. routinely scheduled medications Medications prescribed to be taken regularly after discharge from the hospital. sampling frequency If a hospital chooses to sample, they may sample data on either a monthly or quarterly basis. Refer to the “Sample Size Requirements” discussion in the Population and Sampling Specifications section for further information. sampling method Describes the process used to select a sample. Possible approaches to sampling include simple random sampling, cluster sampling, systematic sampling and judgment sampling. sample size The number of individuals or particular patients included in a study. Usually chosen so that the study has a particular statistical power of detecting an effect of a particular size. For measure set specific "Sample Size Requirements" refer to Measure Information section. score A rating, usually expressed as a number, and based on the degree to which certain qualities or attributes are present (e.g., Glascow coma, ASA scores). seclusion Seclusion is the involuntary confinement of a patient alone in a room or an area where the patient is physically prevented from leaving. severity The degree of biomedical risk, or mortality of medical treatment. simple random sample A process in which a sample of data is selected from the total population in such a way that every case has the same chance of being selected and that the sample size is met. Refer to the “Sampling Approaches” discussion in the Population and Sampling Specifications section for further information. standard deviation A measure of variability that indicates the dispersion, spread, or variation in a distribution. statin A class of pharmaceutical agents that modify LDL-cholesterol by blocking the action of an enzyme in the liver which is needed to synthesize cholesterol, thereby decreasing the level of cholesterol circulating in the blood; HMGCoA reductase inhibitors. stent Rod or threadlike device for supporting tubular structures during surgical anastamosis or for holding arteries open during percutaneous angioplasty. strata See stratified measure. stratification A form of risk adjustment which involves classifying data into subgroups based on one or more characteristics, variables, or other categories. stratification based approach for risk adjustment The process of dividing or classifying subgroups known as strata in order to facilitate more valid comparisons. For example, a measure’s outcome may be divided into type of surgery-specific categories or strata. stratified measure A performance measure that is classified into a number of subgroups to assist in analysis and interpretation. The overall or un-stratified measure evaluates all subgroups together. The stratified measure consists of a subset of the overall measure. For example, surgical patients who received a prophylactic antibiotic within one hour prior to surgical incision can be reported as all surgical patients who received the prophylactic antibiotic within one hour prior to surgical incision; however, the stratified measure(s) for SCIP-Inf-1 could be reported by specific allowable values for the data element Infection Procedure of Interest, such as 1 – CABG (SCIPInf-1b) or 2 – Other Cardiac Surgery (SCIP-Inf-1c). stratum See stratified measure. stroke (STK) See definitions for acute ischemic stroke and acute hemorrhagic stroke. PC v2014A 257 subarachnoid hemorrhage (SAH) Non-traumatic abrupt onset of headache or altered level of consciousness that is associated with blood in the subarachnoid space on CT or a clinical history and exam consistent with SAH (sudden onset of severe headache or altered level of consciousness) with xanthochromia and many red blood cells in the cerebrospinal fluid. sub-population A population that is part of a larger population. For example, the measure set Perinatal Care evaluates the obstetrical population in the hospital. This measure set is broken into two distinct sub-populations, mothers (PC-01, PC-02 and PC-03) and newborns (PC-04 and PC-05). subset measure(s) A subset measure contains overlapping sets of patients. For example, the patients in the TOB2a measure are a subset of those in the TOB-2 measure, i.e., the two measures have overlapping populations. This is distinctly different from measures that contain mutually exclusive sets of patients such as seen in the pneumonia measure set. For PN-6, the ICU patients are entirely separate from the non-ICU patients. surgical care improvement project (SCIP) The Surgical Care Improvement Project (SCIP) is a national quality partnership of organizations focused on improving surgical care by significantly reducing surgical complications through performance measurement. Utilizing ten process measures in three separate modules (infection, cardiac, and VTE), the goal is to reduce the incidence of surgical complications nationally by 25 percent by the year 2010. surgical infection prevention (SIP) In August of 2002, the Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention collaborated to develop the Surgical Infection Prevention project. The Medicare Surgical Infection Prevention Project was started with the single objective - to decrease morbidity and mortality associated with postoperative infection in the Medicare patient population. As of July 2006 discharges, the three SIP measures become the first three SCIP infection measures. systematic random sampling A process in which the starting case is selected randomly, and the next cases are selected according to a fixed interval that is based upon the number of cases in the population. For example, the starting case is the second patient that arrives at the hospital. This patient and every subsequent fifth patient becomes part of the random sample until the sample size is reached. Refer to the “Sampling Approaches” discussion in the Population and Sampling Specifications section for further information. systemic corticosteroids Corticosteroids are hormones produced by the adrenal cortex or their synthetic equivalents and are administered orally or intravenous. Corticosteroids are used to achieve quick relief of acute or moderate to severe asthma exacerbations. Oral corticosteroids are also used for long term control of the swelling, inflammation and mucus production in the airways. Refer to Appendix C, Table 2.15 for a listing of PN systemic corticosteroid medications or Table 6.3 for a listing of CAC systemic corticosteroid medications. thrombolytic therapy See fibrinolytic therapy time last known well Time at which the patient was last known to be without the signs and symptoms of the current stroke or at his or her prior baseline. Variation may exist if the signs and symptoms are not witnessed. time-out The restriction of a patient for any period of time to a designated area from which the patient is not physically prevented from leaving and for the purpose of providing the patient an opportunity to regain self-control. tissue plasminogen activator (TPA) Clot-dissolving substance produced naturally by cells in the walls of blood vessels, and also manufactured synthetically. TPA activates plasminogen to dissolve clots and is used therapeutically to open occluded arteries. transmission schedule The schedule of dates on which data are expected to be transmitted to The Joint Commission and the QIO Clinical Warehouse. unable to be determined (UTD) Each data element that is applicable per the algorithm for each of the measures within a topic must be “touched” by the abstractor. While there is an expectation that all data elements are collected, it is recognized that in certain situations information may not be available (i.e., dates, times, codes, etc.). If, after due diligence, the abstractor determines that a value is not documented or is not able to determine the answer value, the abstractor must select “Unable to Determine (UTD)” as the answer. PC v2014A 258 vaccine A vaccine is a suspension of an attenuated (weakened) or killed microorganism, such as bacteria or virus, administered for the prevention, amelioration, or treatment of infectious diseases. validation The process by which the integrity and correctness of data are established. Validation processes can occur immediately after a data item is collected or after a complete set of data are collected. The Centers for Medicare & Medicaid Services (CMS) chart level validation will validate the data at several levels. There are consistency and internal edit checks to assure the integrity of the submitted data; there are external edit checks to verify expectations about the volume of the data received, and, there will be chart level audits to assure the reliability of the submitted data. Information on these procedures is available on www.qualitynet.org. validity Ability to identify opportunities for improvement in the quality of care; demonstration that the indicator use results in improvements in outcomes and/or quality of care. variance Equal to the square of the standard deviation. venous thromboembolism (VTE) A term that includes deep vein thrombosis and/or pulmonary embolism. verification The process used to ensure consistent implementation of core measure algorithms specified in this manual across disparate ORYX Vendors . Selected Sources: Babbie, ER, The Practice of Social Research, 2nd edition, Belmont, CA: Wadsworth Publishing Company, 1979. Everitt, BS, The Cambridge Dictionary of Statistics, Cambridge University Press, 1998. Iezonni, LI, Foley, SM, Heeran, T, Daley, J, Duncan, CC, Fisher, ES, Hughes, J, “A Method for Screening the Quality of Hospital Care Using Administrative Data: Preliminary Validation Results,” Quality Review Bulletin, November, 1992, 361 370. Lexikon Second Edition, Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, 1998. McHorney, CA, Kosinski, M, and Ware, Jr., JE, “Comparisons of the Cost and Quality of Norms for the SF 36 Health Survey Collected by Mail Versus Telephone Interview: Results From a National Survey,” Medical Care, 32, (1994), 551 567. Nichols, T and Earl, L, Basic ICD-9-CM Coding Handbook, Chicago, IL: American Health Information Management Association, 1992. ORYX® Technical Implementation Guide, Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, current. 2006 Accreditation Manual(s), Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, 2005. PC v2014A 259 Appendix D Overview of Measure Information Form and Flowchart Formats for collected measures Measure Information Form Introduction Measure Set The specific national hospital quality measure set to which an individual measure belongs (e.g., acute myocardial infarction, pneumonia). Set Measure ID # A unique alpha-numeric identifier assigned to a measure. Information associated with a measure is identified by this unique alpha-numeric number. Performance Measure Name A brief title that uniquely identifies the measure. Description A brief explanation of the measure’s focus, such as the activity or the area on which the measure centers attention (e.g., pain management for terminally ill patients) Rationale The reason for performing a specified process to improve the quality of care outcomes. This may include specific literature references, evidence based information, expert consensus, etc. Type of Measure Indicates whether the measure is used to examine a process or an outcome over time. Process: A measure used to assess a goal directed, interrelated series of actions, events, mechanisms, or steps, such as measure of performance that describes what is done to, for, or by patients, as in performance of a procedure. Outcome: A measure that indicates the result of performance (or non-performance) of a function(s) or process(es). Improvement Noted As Describes how improvement would be indicated by the measure. An increase in the rate/score/number of occurrences (for example, immunizations) A decrease in the rate/score/number of occurrences (for example, surgical site infections) Either an increase or a decrease in the rate/score/number of occurrences, depending upon the context of the measure (for example, utilization) Numerator Statement PC v2014A 260 Represents the portion of the denominator population that satisfies the conditions of the performance measure to be an indicator event. Note: If the measure is reported as a rate (proportion or ratio), the Numerator and Denominator Statement are completed. If a performance measure does not have both a numerator and a denominator, then a Continuous Variable Statement is completed. Included Population in Numerator Specific information describing the population(s) comprising the numerator, not contained in the numerator statement, or not applicable Excluded Population in Numerator Specific information describing the population(s) that should not be included in the numerator, or none Data Elements Those data elements necessary or required to determine (or establish) the numerator. Denominator Statement Represents the population evaluated by the performance measure. Note: If measure is reported as a rate (proportion or ratio), the Numerator and Denominator Statement are completed. If a performance measure does not have both a numerator and a denominator, then a Continuous Variable Statement is completed. Included Population in Denominator Specific information describing the population(s) comprising the denominator, not contained in the denominator statement or not applicable Excluded Population in Denominator Specific information describing the population(s) that should not be included in the denominator, or none Data Elements Those data elements required to determine (or establish) the denominator Continuous Variable Statement Describes an aggregate data measure in which the value of each measurement can fall anywhere along a continuous scale. Note: If measure is reported as a central tendency, Continuous Variable Statement is completed. This item is only completed when the performance measure does not have numerator and denominator statements. Included Population in Continuous Variable Specific information describing the population(s) comprising the performance measure, not contained in the continuous variable statement or not applicable Excluded Population in Continuous Variable Specific information describing the population(s) that should not be included in the performance measure or none Date Elements Those data elements required to determine (or establish) the measure for a continuous variable Risk Adjustment Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons. Data Collection Approach Recommended timing for when data should be collected for a measure. Data collection approaches include retrospective, concurrent or prospective data collection. Retrospective data collection involves collecting data for PC v2014A 261 events that have already occurred. Concurrent data collection is the process of gathering data on how a process works or is working while a patient is in active treatment. Prospective data collection is data collection in anticipation of an event or occurrence. Data Accuracy Recommendations to reduce identifiable data errors, to the extent possible. Measure Analysis Suggestions Recommendations to assist in the process of interpreting data and drawing valid conclusions. Sampling Indicates whether or not a measure can be sampled. Sampling is a process of selecting a representative part of a population in order to estimate the organization’s performance, without collecting data for the entire population. Data Reported As Indicates how data will be reported for a measure. Aggregate rate generated from count data reported as a proportion (for example, rate-based measures which report summary data generated from the number of Cesarean sections as a proportion of deliveries) Aggregate rate generated from count data reported as a ratio (e.g., bloodstream infection per 1,000 line days). Aggregate measures of central tendency (e.g., continuous variables which report means and medians such as length of stay). Calculation Model A description of the steps or statistical calculations (computations) used to derive the numerator and denominator or continuous variable values required for a measure. Measure Information Forms in this manual will include either an algorithm or calculation model. Selected References Specific literature references that are used to support the importance of the performance measure. Algorithm Introduction Each measure’s initial patient population and the measure is described by a unique algorithm. An algorithm is a predefined set of rules that help to break down complex processes into simple, repetitive steps. Measure algorithms serve two purposes. First, they evaluate and identify which episode of care (EOC) records contain missing and/or invalid data that will prohibit the ability to properly evaluate the measure. Second, they determine if: For rate-based measures, the patient’s EOC record belongs in the measure population of interest described by the denominator, and if the patient experienced the event described in the numerator. For continuous variable measures, the patient’s EOC record belongs in the patient population described in the measure’s statement and, if so, to define and calculate the measurement value. This section contains some standard flow-charting conventions used to develop each algorithm: Flow lines are used to guide the reader to different parts of the algorithm, with arrows denoting the direction PC v2014A 262 of movement. Generally, movement is from the top to the bottom of the chart. Symbols used in each algorithm flow charts are described later in this section under Flow Chart Symbols. Temporary variables within the algorithm are noted in the variable key at the top of each page. Flowchart Symbols Symbol Explanation Start/Stop denotes the beginning or end of an algorithm Diamonds represent "If...Then" decision points for logic tests and comparisons. Two or three flow lines exit the decision point to reflect alternative actions based upon an evaluation of the condition(s) stated around the decision point. Rectangles or process boxes show when computation or manipulation of the data are required, such as a calculation or summarization. Circle or "On-page: connectors, labeled with a letter, show a link to sections of the algorithm which are continued on the same page. Five-sided or "Off-page" connectors, labeled with a letter, show a link to sections of the algorithm which are continued on different pages. Note: Both circular, On-page, fivesided, and Off-page Connectors containing the letters B, D, E, U, X, or Y lead to measure Outcome Boxes. Outcome Boxes represent the result of data passed through the algorithm. Connectors extending from outcome boxes lead to the end of the algorithm, or to risk adjustment procedures, where applicable. This symbol is also used to identify the strata within a stratified measure. Symbol to represent comments that should be taken into account when programming flowchart. This symbol is placed along side the Process box to which they are applicable. Comments are used to expand upon information contained within the process box, such as how to properly calculate age. Comments are never the sole location where processing logic is provided. Start/Return denotes the beginning and ending of a sub-routine. Algorithms that use this symbol are called from another algorithm and the data processing flow returns to the calling algorithm when the ‘Return’ is encountered. See the Initial Patient Population Algorithms and Transmission Data Processing Flows for an example of the usage of this symbol. PC v2014A 263 Appendix E - Miscellaneous Tables Table 2.6 Qualifiers and Modifiers Table Note: These guideleines apply only to those data elements that refer to them in their Guidelines for Abstraction Exclusion list(s) Qualifiers Modifiers Qualifiers are words used as adjectives to indicate some Quantitative modifiers are adjectives that quantitatively uncertainty about whether or not a condition really exists. describe a condition The following qualifiers should be abstracted as negativeThe following quantitative modifiers should be abstracted findings, unless otherwise specified - Consider this list as negative findings, unless otherwise specified Consider this list all-inclusive: all-inclusive: Borderline Insignificant Scant Slight Sub-clinical Subtle Trace Trivial And/or (+/-; e.g., "ST abnormalities consistent with ischemia and/or injury"), except when comparing only inclusions (e.g., "ST segment elevation and/or STEMI") Cannot exclude Cannot rule out Could be Could have been May be May have May have had May indicate Or, except when comparing only inclusions Possible Questionable (?) Risk of Rule out (r'd/o, r/o'd) Suggestive of Suspect Suspicious Vs., except when comparing only inclusions Example: If the in-hospital echocardiogram report documents "questionable LVSD", this should be abstracted as a negative finding. Table 2.7 Allowable Measure Set Combinations Principal Procedure or Principal/Other Diagnosis PC1 HBIPS1 Newborns - 0 to <=2 days Mother - 8 to <65 years >= 1 year P/O Dx Psychicatric Care Setting = "y" AMI >= 18 years P Dx Yes for mothers age 18 or greater >= 18 HF >= 18 years P Dx Yes for mothers age 18 or greater >= 18 PC v2014A 264 PN >= 18 years P Dx Yes for mothers age 18 or greater >= 18 STK >= 18 years P Dx Yes for mothers age 18 or greater >= 18 CAC1 2 to < 18 years P Dx Yes for mothers under age 18 2 to < 18 VTE-No VTE >= 18 years P/O Dx Yes for mothers age 18 or greater >= 18 VTE-ODX VTE >= 18 years O Dx Yes for mothers age 18 or greater >= 18 VTE-PDX VTE >= 18 years P Dx Yes for mothers age 18 or greater >= 18 PC1 Newborns: 0 to <=2 days Mother: 8 to <65 years P/O Dx N/A Yes for Mothers SCIP No age limitation P/O Px Yes >= 1 HBIPS1 >=1 year Psychiatric Care Setting = "Y" Yes for mothers N/A ED No age limitation Lenght of Stay < 120 days Yes >= 1 IMM >= 6 Mo old Lenght of Stay < 120 days Yes for Mothers Patients age 1 year and older SUB >= 18 years Lenght of Stay < 120 days Mothers age 18 years and older Patients age 18 years and older TOB >= 18 years Lenght of Stay < 120 days Mothers age 18 years and older Patients age 18 years and older Can Combine Cannot combine2 1 These measure sets are Joint Commission Only. The measure set combinations containing these sets are only applicable for the transmission of data to The Joint Commission. The Measure Set combination for aligned measures is maintained in the NHQM Specifications Manual. 2 "Cannot Combine" is a placeholder at this time, as the populations for the HBIPS and PC measure sets can currently be combined with all other measure sets. PC v2014A 265 Appendix F Resources The following are available resources to those using the Specifications Manual for National Quality Core Measures. Healthcare Organizations If you are a Joint Commission accredited healthcare organization with questions about National Quality Core Measures, ORYX; requirements, etc., please contact Accreditation and Certification Operations at contact Accreditation and Certification Operations at http://manual.jointcommission.org/ ORYX® Vendors If you are an ORYX Vendor with questions about Joint Commission National Quality Core Measures, please contact the Division of Quality Measurement and Research at http://manual.jointcommission.org/ PC v2014A 266 Appendix P Preview Section The preview section is intended to provide an overview of future updates. The information provided in this section is not to be programmed or submitted. Placement in this appendix does not assume that the information listed will be implemented in a future manual. ICD-10 Code Tables Please refer to the ICD-9 to ICD-10 crosswalks that correspond to the ICD-10 code tables in this appendix. The Joint Commission invites public comment on the ICD-10 codes. Comments and questions can be submitted to [email protected] through September 30, 2013. ICD-10-CM Version of Code Tables Table 10.01 Mental Disorders Short Description ICD-10-CM Code F01.50 Vascular dementia without behavioral disturbance F01.51 Vascular dementia with behavioral disturbance F02.80 Dementia in oth diseases classd elswhr w/o behavrl disturb F02.81 Dementia in oth diseases classd elswhr w behavioral disturb F03.90 Unspecified dementia without behavioral disturbance F03.91 Unspecified dementia with behavioral disturbance F04 Amnestic disorder due to known physiological condition F05 Delirium due to known physiological condition F06.0 Psychotic disorder w hallucin due to known physiol condition F06.1 Catatonic disorder due to known physiological condition F06.2 Psychotic disorder w delusions due to known physiol cond F06.30 Mood disorder due to known physiological condition, unsp F06.31 Mood disorder due to known physiol cond w depressv features F06.32 Mood disord d/t physiol cond w major depressive-like epsd F06.33 Mood disorder due to known physiol cond w manic features F06.34 ood disorder due to known physiol cond w mixed features F06.4 Anxiety disorder due to known physiological condition F06.8 Oth mental disorders due to known physiological condition F07.0 Personality change due to known physiological condition F07.81 Postconcussional syndrome F07.89 Oth personality & behavrl disord due to known physiol cond F07.9 Unsp personality & behavrl disord due to known physiol cond F09 Unsp mental disorder due to known physiological condition F10.920 Alcohol use, unspecified with intoxication, uncomplicated F10.921 Alcohol use, unspecified with intoxication delirium F10.929 Alcohol use, unspecified with intoxication, unspecified F10.94 Alcohol use, unspecified with alcohol-induced mood disorder PC v2014A 267 F10.950 F10.951 F10.959 F10.96 F10.97 F10.980 F10.981 F10.982 F10.988 F10.99 F11.920 F11.921 F11.922 F11.929 F11.93 F11.94 F11.950 F11.951 F11.959 F11.981 F11.982 F11.988 F11.99 F12.920 F12.921 F12.922 F12.929 F12.950 F12.951 F12.959 F12.980 F12.988 F12.99 F13.920 F13.921 F13.929 F13.930 F13.931 Alcohol use, unsp w alcoh-induce psych disorder w delusions Alcohol use, unsp w alcoh-induce psych disorder w hallucin Alcohol use, unsp w alcohol-induced psychotic disorder, unsp Alcohol use, unsp w alcoh-induce persist amnestic disorder Alcohol use, unsp with alcohol-induced persisting dementia Alcohol use, unsp with alcohol-induced anxiety disorder Alcohol use, unsp with alcohol-induced sexual dysfunction Alcohol use, unspecified with alcohol-induced sleep disorder Alcohol use, unspecified with other alcohol-induced disorder Alcohol use, unsp with unspecified alcohol-induced disorder Opioid use, unspecified with intoxication, uncomplicated Opioid use, unspecified with intoxication delirium Opioid use, unsp w intoxication with perceptual disturbance Opioid use, unspecified with intoxication, unspecified Opioid use, unspecified with withdrawal Opioid use, unspecified with opioid-induced mood disorder Opioid use, unsp w opioid-induc psych disorder w delusions Opioid use, unsp w opioid-induc psych disorder w hallucin Opioid use, unsp w opioid-induced psychotic disorder, unsp Opioid use, unsp with opioid-induced sexual dysfunction Opioid use, unspecified with opioid-induced sleep disorder Opioid use, unspecified with other opioid-induced disorder Opioid use, unsp with unspecified opioid-induced disorder Cannabis use, unspecified with intoxication, uncomplicated Cannabis use, unspecified with intoxication delirium Cannabis use, unsp w intoxication w perceptual disturbance Cannabis use, unspecified with intoxication, unspecified Cannabis use, unsp with psychotic disorder with delusions Cannabis use, unsp w psychotic disorder with hallucinations Cannabis use, unsp with psychotic disorder, unspecified Cannabis use, unspecified with anxiety disorder Cannabis use, unsp with other cannabis-induced disorder Cannabis use, unsp with unspecified cannabis-induced disorder Sedatv/hyp/anxiolytc use, unsp w intoxication, uncomplicated Sedatv/hyp/anxiolytc use, unsp w intoxication delirium Sedatv/hyp/anxiolytc use, unsp w intoxication, unsp Sedatv/hyp/anxiolytc use, unsp w withdrawal, uncomplicated Sedatv/hyp/anxiolytc use, unsp w withdrawal delirium F13.932 F13.939 F13.94 F13.950 F13.951 F13.959 F13.96 F13.97 F13.980 F13.981 F13.982 F13.988 F13.99 F14.920 Sedatv/hyp/anxiolytc use, unsp w w/drawal w perceptl disturb Sedatv/hyp/anxiolytc use, unsp w withdrawal, unsp Sedative, hypnotic or anxiolytic use, unsp w mood disorder Sedatv/hyp/anxiolytc use, unsp w psychotic disorder Sedatv/hyp/anxiolytc use, unsp w psych disorder w hallucin Sedatv/hyp/anxiolytc use, unsp w psychotic disorder, unsp Sedatv/hyp/anxiolytc use, unsp w persist amnestic disorder Sedatv/hyp/anxiolytc use, unsp w persisting dementia Sedatv/hyp/anxiolytc use, unsp w anxiety disorder Sedatv/hyp/anxiolytc use, unsp w sexual dysfunction Sedative, hypnotic or anxiolytic use, unsp w sleep disorder Sedative, hypnotic or anxiolytic use, unsp w oth disorder Sedative, hypnotic or anxiolytic use, unsp w unsp disorder Cocaine use, unspecified with intoxication, uncomplicated PC v2014A 268 F14.921 F14.922 F14.929 F14.94 F14.950 F14.951 F14.959 F14.980 F14.981 F14.982 F14.988 F14.99 F15.121 F15.122 F15.129 F15.14 F15.150 F15.151 F15.159 F15.180 F15.181 F15.182 F15.188 F15.19 F15.220 F15.920 F15.921 F15.922 F15.929 F15.93 F15.94 Cocaine use, unspecified with intoxication delirium Cocaine use, unsp w intoxication with perceptual disturbance Cocaine use, unspecified with intoxication, unspecified Cocaine use, unspecified with cocaine-induced mood disorder Cocaine use, unsp w cocaine-induc psych disorder w delusions Cocaine use, unsp w cocaine-induc psych disorder w hallucin Cocaine use, unsp w cocaine-induced psychotic disorder, unsp Cocaine use, unsp with cocaine-induced anxiety disorder Cocaine use, unsp with cocaine-induced sexual dysfunction Cocaine use, unspecified with cocaine-induced sleep disorder Cocaine use, unspecified with other cocaine-induced disorder Cocaine use, unsp with unspecified cocaine-induced disorder Other stimulant abuse with intoxication delirium Oth stimulant abuse w intoxication w perceptual disturbance Other stimulant abuse with intoxication, unspecified Other stimulant abuse with stimulant-induced mood disorder Oth stimulant abuse w stim-induce psych disorder w delusions Oth stimulant abuse w stim-induce psych disorder w hallucin Oth stimulant abuse w stim-induce psychotic disorder, unsp Oth stimulant abuse with stimulant-induced anxiety disorder Oth stimulant abuse w stimulant-induced sexual dysfunction Other stimulant abuse with stimulant-induced sleep disorder Other stimulant abuse with other stimulant-induced disorder Other stimulant abuse with unspecified stimulant-induced disorder Other stimulant dependence with intoxication, uncomplicated Other stimulant use, unsp with intoxication, uncomplicated Other stimulant use, unspecified with intoxication delirium Oth stimulant use, unsp w intox w perceptual disturbance Other stimulant use, unsp with intoxication, unspecified Other stimulant use, unspecified with withdrawal Oth stimulant use, unsp with stimulant-induced mood disorder F15.950 F15.951 F15.959 F15.980 F15.981 F15.982 F15.988 F15.99 F16.920 F16.921 F16.929 F16.94 F16.950 F16.951 F16.959 F16.980 F16.983 F16.988 F16.99 F18.920 F18.921 Oth stim use, unsp w stim-induce psych disorder w delusions Oth stim use, unsp w stim-induce psych disorder w delusions Oth stimulant use, unsp w stim-induce psych disorder, unsp Oth stimulant use, unsp w stimulant-induced anxiety disorder Oth stimulant use, unsp w stim-induce sexual dysfunction Oth stimulant use, unsp w stimulant-induced sleep disorder Oth stimulant use, unsp with oth stimulant-induced disorder Oth stimulant use, unsp with unsp stimulant-induced disorder Hallucinogen use, unsp with intoxication, uncomplicated Hallucinogen use, unsp with intoxication with delirium Hallucinogen use, unspecified with intoxication, unspecified Hallucinogen use, unsp w hallucinogen-induced mood disorder Hallucinogen use, unsp w psychotic disorder w delusions Hallucinogen use, unsp w psychotic disorder w hallucinations Hallucinogen use, unsp w psychotic disorder, unsp Hallucinogen use, unsp w anxiety disorder Hallucign use, unsp w hallucign persist perception disorder Hallucinogen use, unsp w oth hallucinogen-induced disorder Hallucinogen use, unsp w unsp hallucinogen-induced disorder Inhalant use, unspecified with intoxication, uncomplicated Inhalant use, unspecified with intoxication with delirium PC v2014A 269 F18.929 F18.94 F18.950 F18.951 F18.959 F18.97 F18.980 F18.988 F18.99 F19.920 F19.921 F19.922 F19.929 F19.930 F19.931 F19.932 F19.939 F19.94 F19.950 F19.951 F19.959 F19.96 F19.97 F19.980 Inhalant use, unspecified with intoxication, unspecified Inhalant use, unsp with inhalant-induced mood disorder Inhalant use, unsp w inhalnt-induce psych disord w delusions Inhalant use, unsp w inhalnt-induce psych disord w hallucin Inhalant use, unsp w inhalnt-induce psychotic disorder, unsp Inhalant use, unsp with inhalant-induced persisting dementia Inhalant use, unsp with inhalant-induced anxiety disorder Inhalant use, unsp with other inhalant-induced disorder Inhalant use, unsp with unsp inhalant-induced disorder Oth psychoactive substance use, unsp w intoxication, uncomp Oth psychoactive substance use, unsp w intox w delirium Oth psychoactv sub use, unsp w intox w perceptl disturb Oth psychoactive substance use, unsp with intoxication, unsp Oth psychoactive substance use, unsp w withdrawal, uncomp Oth psychoactive substance use, unsp w withdrawal delirium Oth psychoactv sub use, unsp w w/drawal w perceptl disturb Other psychoactive substance use, unsp with withdrawal, unsp Oth psychoactive substance use, unsp w mood disorder Oth psychoactv sub use, unsp w psych disorder w delusions Oth psychoactv sub use, unsp w psych disorder w hallucin Oth psychoactv substance use, unsp w psych disorder, unsp Oth psychoactv sub use, unsp w persist amnestic disorder Oth psychoactive substance use, unsp w persisting dementia Oth psychoactive substance use, unsp w anxiety disorder F19.981 F19.982 F19.988 F19.99 F20.0 F20.1 F20.2 F20.3 F20.5 F20.81 F20.89 F20.9 F21 F22 F23 F24 F25.0 F25.1 F25.8 F25.9 F28 F29 F30.10 F30.11 F30.12 F30.13 F30.2 F30.3 Oth psychoactive substance use, unsp w sexual dysfunction Oth psychoactive substance use, unsp w sleep disorder Oth psychoactive substance use, unsp w oth disorder Oth psychoactive substance use, unsp w unsp disorder Paranoid schizophrenia Disorganized schizophrenia Catatonic schizophrenia Undifferentiated schizophrenia Residual schizophrenia Schizophreniform disorder Other schizophrenia Schizophrenia, unspecified Schizotypal disorder Delusional disorders Brief psychotic disorder Shared psychotic disorder Schizoaffective disorder, bipolar type Schizoaffective disorder, depressive type Other schizoaffective disorders Schizoaffective disorder, unspecified Oth psych disorder not due to a sub or known physiol cond Unsp psychosis not due to a substance or known physiol cond Manic episode without psychotic symptoms, unspecified Manic episode without psychotic symptoms, mild Manic episode without psychotic symptoms, moderate Manic episode, severe, without psychotic symptoms Manic episode, severe with psychotic symptoms Manic episode in partial remission PC v2014A 270 F30.4 F30.8 F30.9 F31.0 F31.10 F31.11 F31.12 F31.13 F31.2 F31.30 F31.31 F31.32 F31.4 F31.5 F31.60 F31.61 F31.62 Manic episode in full remission Other manic episodes Manic episode, unspecified Bipolar disorder, current episode hypomanic Bipolar disorder, current episode manic without psychotic features, unspecified Bipolar disord, crnt episode manic w/o psych features, mild Bipolar disord, crnt episode manic w/o psych features, mod Bipolar disord, crnt epsd manic w/o psych features, severe Bipolar disord, crnt episode manic severe w psych features Bipolar disord, crnt epsd depress, mild or mod severt, unsp Bipolar disorder, current episode depressed, mild Bipolar disorder, current episode depressed, moderate Bipolar disord, crnt epsd depress, sev, w/o psych features Bipolar disord, crnt epsd depress, severe, w psych features Bipolar disorder, current episode mixed, unspecified Bipolar disorder, current episode mixed, mild Bipolar disorder, current episode mixed, moderate F31.63 F31.64 F31.70 F31.71 F31.72 F31.73 F31.74 F31.75 F31.76 F31.77 F31.78 F31.81 F31.89 F31.9 F32.0 F32.1 F32.2 F32.3 F32.4 F32.5 F32.8 F32.9 F33.0 F33.1 F33.2 F33.3 F33.40 F33.41 F33.42 F33.8 F33.9 F34.0 F34.1 F34.8 F34.9 Bipolar disord, crnt epsd mixed, severe, w/o psych features Bipolar disord, crnt episode mixed, severe, w psych features Bipolar disord, currently in remis, most recent episode unsp Bipolar disord, in partial remis, most recent epsd hypomanic Bipolar disord, in full remis, most recent episode hypomanic Bipolar disord, in partial remis, most recent episode manic Bipolar disorder, in full remis, most recent episode manic Bipolar disord, in partial remis, most recent epsd depress Bipolar disorder, in full remis, most recent episode depress Bipolar disord, in partial remis, most recent episode mixed Bipolar disorder, in full remis, most recent episode mixed Bipolar II disorder Other bipolar disorder Bipolar disorder, unspecified Major depressive disorder, single episode, mild Major depressive disorder, single episode, moderate Major depressv disord, single epsd, sev w/o psych features Major depressv disord, single epsd, severe w psych features Major depressv disorder, single episode, in partial remis Major depressive disorder, single episode, in full remission Other depressive episodes Major depressive disorder, single episode, unspecified Major depressive disorder, recurrent, mild Major depressive disorder, recurrent, moderate Major depressv disorder, recurrent severe w/o psych features Major depressv disorder, recurrent, severe w psych symptoms Major depressive disorder, recurrent, in remission, unsp Major depressive disorder, recurrent, in partial remission Major depressive disorder, recurrent, in full remission Other recurrent depressive disorders Major depressive disorder, recurrent, unspecified Cyclothymic disorder Dysthymic disorder Other persistent mood [affective] disorders Persistent mood [affective] disorder, unspecified PC v2014A 271 F39 F40.00 F40.01 F40.02 F40.10 F40.11 F40.210 F40.218 F40.220 F40.228 Unspecified mood [affective] disorder Agoraphobia, unspecified Agoraphobia with panic disorder Agoraphobia without panic disorder Social phobia, unspecified Social phobia, generalized Arachnophobia Other animal type phobia Fear of thunderstorms Other natural environment type phobia F40.230 F40.231 F40.232 F40.233 F40.240 F40.241 F40.242 F40.243 F40.248 F40.290 F40.291 F40.298 F40.8 F40.9 F41.0 F41.1 F41.3 F41.8 F41.9 F42 F43.0 F43.10 F43.11 F43.12 F43.20 F43.21 F43.22 F43.23 F43.24 F43.25 F43.29 F43.8 F43.9 F44.0 F44.1 F44.2 F44.4 F44.5 F44.6 F44.7 F44.81 F44.89 Fear of blood Fear of injections and transfusions Fear of other medical care Fear of injury Claustrophobia Acrophobia Fear of bridges Fear of flying Other situational type phobia Androphobia Gynephobia Other specified phobia Other phobic anxiety disorders Phobic anxiety disorder, unspecified Panic disorder [episodic paroxysmal anxiety] without agoraphobia Generalized anxiety disorder Other mixed anxiety disorders Other specified anxiety disorders Anxiety disorder, unspecified Obsessive-compulsive disorder Acute stress reaction Post-traumatic stress disorder, unspecified Post-traumatic stress disorder, acute Post-traumatic stress disorder, chronic Adjustment disorder, unspecified Adjustment disorder with depressed mood Adjustment disorder with anxiety Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct Adjustment disorder with mixed disturbance of emotions and conduct Adjustment disorder with other symptoms Other reactions to severe stress Reaction to severe stress, unspecified Dissociative amnesia Dissociative fugue Dissociative stupor Conversion disorder with motor symptom or deficit Conversion disorder with seizures or convulsions Conversion disorder with sensory symptom or deficit Conversion disorder with mixed symptom presentation Dissociative identity disorder Other dissociative and conversion disorders PC v2014A 272 F44.9 F45.0 F45.1 Dissociative and conversion disorder, unspecified Somatization disorder Undifferentiated somatoform disorder F45.20 F45.21 F45.22 F45.29 F45.41 F45.42 F45.8 F45.9 F48.1 F48.2 F48.8 F48.9 F50.00 F50.01 F50.02 F50.2 F50.8 F50.9 F51.01 F51.02 F51.03 F51.09 F51.11 F51.12 F51.3 F51.4 F51.5 F51.8 F51.9 F52.0 F52.1 F52.21 F52.22 Hypochondriacal disorder, unspecified Hypochondriasis Body dysmorphic disorder Other hypochondriacal disorders Pain disorder exclusively related to psychological factors Pain disorder with related psychological factors Other somatoform disorders Somatoform disorder, unspecified Depersonalization-derealization syndrome Pseudobulbar affect Other specified nonpsychotic mental disorders Nonpsychotic mental disorder, unspecified Anorexia nervosa, unspecified Anorexia nervosa, restricting type Anorexia nervosa, binge eating/purging type Bulimia nervosa Other eating disorders Eating disorder, unspecified Primary insomnia Adjustment insomnia Paradoxical insomnia Oth insomnia not due to a substance or known physiol cond Primary hypersomnia Insufficient sleep syndrome Sleepwalking [somnambulism] Sleep terrors [night terrors] Nightmare disorder Oth sleep disord not due to a sub or known physiol cond Sleep disorder not due to a sub or known physiol cond, unsp Hypoactive sexual desire disorder Sexual aversion disorder Male erectile disorder Female sexual arousal disorder F52.31 F52.32 F52.4 F52.5 F52.6 F52.8 F52.9 F53 F54 F59 F60.0 F60.1 F60.2 F60.3 F60.4 Female orgasmic disorder Male orgasmic disorder Premature ejaculation Vaginismus not due to a substance or known physiol condition Dyspareunia not due to a substance or known physiol cond Oth sexual dysfnct not due to a sub or known physiol cond Unsp sexual dysfnct not due to a sub or known physiol cond Puerperal psychosis Psych & behavrl factors assoc w disord or dis classd elswhr Unsp behavrl synd assoc w physiol disturb and physcl factors Paranoid personality disorder Schizoid personality disorder Antisocial personality disorder Borderline personality disorder Histrionic personality disorder PC v2014A 273 F60.5 F60.6 F60.7 F60.81 F60.89 F60.9 F63.0 F63.1 F63.2 F63.3 F63.81 F63.89 F63.9 F64.1 F64.2 F64.8 F64.9 F65.0 F65.1 F65.2 F65.3 F65.4 F65.50 F65.51 F65.52 F65.81 F65.89 F65.9 F66 F68.10 Obsessive-compulsive personality disorder Avoidant personality disorder Dependent personality disorder Narcissistic personality disorder Other specific personality disorders Personality disorder, unspecified Pathological gambling Pyromania Kleptomania Trichotillomania Intermittent explosive disorder Other impulse disorders Impulse disorder, unspecified Gender identity disorder in adolescence and adulthood Gender identity disorder of childhood Other gender identity disorders Gender identity disorder, unspecified Fetishism Transvestic fetishism Exhibitionism Voyeurism Pedophilia Sadomasochism, unspecified Sexual masochism Sexual sadism Frotteurism Other paraphilias Paraphilia, unspecified Other sexual disorders Factitious disorder, unspecified F68.11 F68.12 F68.13 F68.8 F69 F70 F71 F72 F73 F78 F79 F80.0 F80.1 F80.2 F80.4 F80.81 F80.89 F80.9 F81.0 F81.2 F81.81 F81.89 Factitious disorder w predom psych signs and symptoms Factitious disorder w predom physical signs and symptoms Factitious disord w comb psych and physcl signs and symptoms Other specified disorders of adult personality and behavior Unspecified disorder of adult personality and behavior Mild intellectual disabilities Moderate intellectual disabilities Severe intellectual disabilities Profound intellectual disabilities Other intellectual disabilities Unspecified intellectual disabilities Phonological disorder Expressive language disorder Mixed receptive-expressive language disorder Speech and language development delay due to hearing loss Childhood onset fluency disorder Other developmental disorders of speech and language Developmental disorder of speech and language, unspecified Specific reading disorder Mathematics disorder Disorder of written expression Other developmental disorders of scholastic skills PC v2014A 274 F81.9 F82 F84.0 F84.3 F84.5 F84.8 F84.9 F88 F89 F90.0 F90.1 F90.2 F90.8 F90.9 F91.0 F91.1 F91.2 F91.3 F91.8 F91.9 Developmental disorder of scholastic skills, unspecified Specific developmental disorder of motor function Autistic disorder Other childhood disintegrative disorder Asperger's syndrome Other pervasive developmental disorders Pervasive developmental disorder, unspecified Other disorders of psychological development Unspecified disorder of psychological development Attention-deficit hyperactivity disorder, predominantly inattentive type Attention-deficit hyperactivity disorder, predominantly hyperactive type Attention-deficit hyperactivity disorder, combined type Attention-deficit hyperactivity disorder, other type Attention-deficit hyperactivity disorder, unspecified type Conduct disorder confined to family context Conduct disorder, childhood-onset type Conduct disorder, adolescent-onset type Oppositional defiant disorder Other conduct disorders Conduct disorder, unspecified F93.0 F93.8 F93.9 F94.0 F94.1 F94.2 F94.8 F94.9 F95.0 F95.1 F95.2 F95.8 F95.9 F98.0 F98.1 F98.21 F98.29 F98.3 F98.4 F98.5 F98.8 F98.9 F99 G44.209 H93.25 R37 R45.1 R45.2 R45.5 R45.6 R45.7 R4.581 Separation anxiety disorder of childhood Other childhood emotional disorders Childhood emotional disorder, unspecified Selective mutism Reactive attachment disorder of childhood Disinhibited attachment disorder of childhood Other childhood disorders of social functioning Childhood disorder of social functioning, unspecified Transient tic disorder Chronic motor or vocal tic disorder Tourette's disorder Other tic disorders Tic disorder, unspecified Enuresis not due to a substance or known physiol condition Encopresis not due to a substance or known physiol condition Rumination disorder of infancy Other feeding disorders of infancy and early childhood Pica of infancy and childhood Stereotyped movement disorders Adult onset fluency disorder Oth behav/emotn disord w onset usly occur in chldhd and adol Unsp behav/emotn disord w onst usly occur in chldhd and adol Mental disorder, not otherwise specified Tension-type headache, unspecified, not intractable Central auditory processing disorder Sexual dysfunction, unspecified Restlessness and agitation Unhappiness Hostility Violent behavior State of emotional shock and stress, unspecified Low self-esteem PC v2014A 275 R45.82 R48.0 Z87.890 Worries Dyslexia and alexia Personal history of sex reassignment Table 11.01 Complication Mainly Related to Pregnancy ICD-10-CM Code Short Description O09.41 Suprvsn of pregnancy w grand multiparity, first trimester O09.42 Suprvsn of pregnancy w grand multiparity, second trimester O09.43 Suprvsn of pregnancy w grand multiparity, third trimester O09.511 Supervision of elderly primigravida, first trimester O09.512 Supervision of elderly primigravida, second trimester O09.513 Supervision of elderly primigravida, third trimester O09.521 Supervision of elderly multigravida, first trimester O09.522 Supervision of elderly multigravida, second trimester O09.523 Supervision of elderly multigravida, third trimester O10.011 Pre-existing hypertensive heart disease comp pregnancy O10.012 Pre-existing hypertensive heart disease comp childbirth O10.013 Pre-existing hypertensive heart disease comp the puerperium O10.02 Pre-existing essential hypertension complicating childbirth O10.111 Pre-exist hyp heart disease comp pregnancy, first trimester O10.112 Pre-exist hyp heart disease comp pregnancy, second trimester O10.113 Pre-exist hyp heart disease comp pregnancy, third trimester O10.12 Pre-existing hypertensive heart disease comp childbirth O10.211 Pre-exist hyp chronic kidney disease comp preg, first tri O10.212 Pre-exist hyp chronic kidney disease comp preg, second tri O10.213 Pre-exist hyp chronic kidney disease comp preg, third tri O10.22 Pre-existing hyp chronic kidney disease comp childbirth O10.311 Pre-exist hyp heart and chr kidney dis comp preg, first tri O10.312 Pre-exist hyp heart and chr kidney dis comp preg, second tri O10.313 Pre-exist hyp heart and chr kidney dis comp preg, third tri O10.32 Pre-exist hyp heart and chronic kidney disease comp chldbrth O10.411 Pre-existing secondary htn comp pregnancy, first trimester O10.412 Pre-existing secondary htn comp pregnancy, second trimester O10.413 Pre-existing secondary htn comp pregnancy, third trimester O10.42 Pre-existing secondary hypertension complicating childbirth O10.911 Unsp pre-existing htn comp pregnancy, first trimester O10.912 Unsp pre-existing htn comp pregnancy, second trimester O10.913 Unsp pre-existing htn comp pregnancy, third trimester O10.92 Unsp pre-existing hypertension complicating childbirth O11.1 Pre-existing hypertension w pre-eclampsia, first trimester O11.2 Pre-existing hypertension w pre-eclampsia, second trimester O11.3 Pre-existing hypertension w pre-eclampsia, third trimester O12.01 Gestational edema, first trimester O12.02 Gestational edema, second trimester O12.03 Gestational edema, third trimester O12.11 Gestational proteinuria, first trimester O12.12 Gestational proteinuria, second trimester O12.13 Gestational proteinuria, third trimester O12.21 Gestational edema with proteinuria, first trimester O12.22 Gestational edema with proteinuria, second trimester O12.23 Gestational edema with proteinuria, third trimester PC v2014A 276 O13.1 O13.2 O13.3 O14.02 O14.03 O14.12 O14.13 O14.22 O14.23 O14.92 O14.93 O15.02 O15.03 O15.1 O15.2 O16.1 O16.2 O16.3 O22.01 O22.02 O22.03 O22.11 O22.12 O22.13 O22.21 O22.22 O22.23 O22.31 O22.32 O22.33 O22.41 O22.42 O22.43 O22.51 O22.52 O22.53 O22.8X1 O22.8X2 O22.8X3 O22.91 O22.92 O22.93 O23.01 O23.02 O23.03 O23.11 O23.12 O23.13 O23.21 O23.22 O23.23 O23.31 O23.32 PC v2014A Gestational htn w/o significant proteinuria, first trimester Gestational htn w/o significant proteinuria, second trimester Gestational htn w/o significant proteinuria, third trimester Mild to moderate pre-eclampsia, second trimester Mild to moderate pre-eclampsia, third trimester Severe pre-eclampsia, second trimester Severe pre-eclampsia, third trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester Unspecified pre-eclampsia, second trimester Unspecified pre-eclampsia, third trimester Eclampsia in pregnancy, second trimester Eclampsia in pregnancy, third trimester Eclampsia in labor Eclampsia in the puerperium Unspecified maternal hypertension, first trimester Unspecified maternal hypertension, second trimester Unspecified maternal hypertension, third trimester Varicose veins of lower extremity in pregnancy, first trimester Varicose veins of lower extremity in pregnancy, second trimester Varicose veins of lower extremity in pregnancy, third trimester Genital varices in pregnancy, first trimester Genital varices in pregnancy, second trimester Genital varices in pregnancy, third trimester Superficial thrombophlebitis in pregnancy, first trimester Superficial thrombophlebitis in pregnancy, second trimester Superficial thrombophlebitis in pregnancy, third trimester Deep phlebothrombosis in pregnancy, first trimester Deep phlebothrombosis in pregnancy, second trimester Deep phlebothrombosis in pregnancy, third trimester Hemorrhoids in pregnancy, first trimester Hemorrhoids in pregnancy, second trimester Hemorrhoids in pregnancy, third trimester Cerebral venous thrombosis in pregnancy, first trimester Cerebral venous thrombosis in pregnancy, second trimester Cerebral venous thrombosis in pregnancy, third trimester Other venous complications in pregnancy, first trimester Other venous complications in pregnancy, second trimester Other venous complications in pregnancy, third trimester Venous complication in pregnancy, unsp, first trimester Venous complication in pregnancy, unsp, second trimester Venous complication in pregnancy, unsp, third trimester Infections of kidney in pregnancy, first trimester Infections of kidney in pregnancy, second trimester Infections of kidney in pregnancy, third trimester Infections of bladder in pregnancy, first trimester Infections of bladder in pregnancy, second trimester Infections of bladder in pregnancy, third trimester Infections of urethra in pregnancy, first trimester Infections of urethra in pregnancy, second trimester Infections of urethra in pregnancy, third trimester Infect of prt urinary tract in pregnancy, first trimester Infect of prt urinary tract in pregnancy, second trimester 277 O23.33 O23.41 O23.42 O23.43 O23.511 O23.512 O23.513 O23.521 O23.522 O23.523 O23.591 O23.592 O23.593 O23.91 O23.92 O23.93 O24.011 O24.012 O24.013 O24.02 O24.111 O24.112 O24.113 O24.12 O24.311 O24.312 O24.313 O24.32 O24.410 O24.414 O24.419 O24.420 O24.424 O24.429 O24.811 O24.812 O24.813 O24.82 O24.911 O24.912 O24.913 O24.92 O24.93 O25.11 O25.12 O25.13 O25.2 O26.01 O26.02 O26.03 O26.11 O26.12 PC v2014A Infect of prt urinary tract in pregnancy, third trimester Unsp infct of urinary tract in pregnancy, first trimester Unsp infct of urinary tract in pregnancy, second trimester Unsp infct of urinary tract in pregnancy, third trimester Infections of cervix in pregnancy, first trimester Infections of cervix in pregnancy, second trimester Infections of cervix in pregnancy, third trimester Salpingo-oophoritis in pregnancy, first trimester Salpingo-oophoritis in pregnancy, second trimester Salpingo-oophoritis in pregnancy, third trimester Infection oth prt genitl trct in pregnancy, first trimester Infection oth prt genitl trct in pregnancy, second trimester Infection oth prt genitl trct in pregnancy, third trimester Unsp GU tract infection in pregnancy, first trimester Unsp GU tract infection in pregnancy, second trimester Unsp GU tract infection in pregnancy, third trimester Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester Pre-existing diabetes mellitus, type 1, in childbirth Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester Pre-existing diabetes mellitus, type 2, in childbirth Unsp pre-existing diabetes in pregnancy, first trimester Unsp pre-existing diabetes in pregnancy, second trimester Unsp pre-existing diabetes in pregnancy, third trimester Unspecified pre-existing diabetes mellitus in childbirth Gestational diabetes mellitus in pregnancy, diet controlled Gestational diabetes mellitus in pregnancy, insulin controlled Gestational diabetes mellitus in pregnancy, unspecified control Gestational diabetes mellitus in childbirth, diet controlled Gestational diabetes mellitus in childbirth, insulin controlled Gestational diabetes mellitus in childbirth, unsp control Other pre-existing diabetes mellitus in pregnancy, first trimester Other pre-existing diabetes mellitus in pregnancy, second trimester Other pre-existing diabetes mellitus in pregnancy, third trimester Other pre-existing diabetes mellitus in childbirth Unspecified diabetes mellitus in pregnancy, first trimester Unspecified diabetes mellitus in pregnancy, second trimester Unspecified diabetes mellitus in pregnancy, third trimester Unspecified diabetes mellitus in childbirth Unspecified diabetes mellitus in the puerperium Malnutrition in pregnancy, first trimester Malnutrition in pregnancy, second trimester Malnutrition in pregnancy, third trimester Malnutrition in childbirth Excessive weight gain in pregnancy, first trimester Excessive weight gain in pregnancy, second trimester Excessive weight gain in pregnancy, third trimester Low weight gain in pregnancy, first trimester Low weight gain in pregnancy, second trimester 278 O26.13 O26.21 O26.22 O26.23 O26.31 O26.32 O26.33 O26.41 O26.42 O26.43 O26.51 O26.52 O26.53 O26.611 O26.612 O26.613 O26.62 O26.711 O26.712 O26.713 O26.72 O26.811 O26.812 O26.813 O26.821 O26.822 O26.823 O26.831 O26.832 O26.833 O26.841 O26.842 O26.843 O26.851 O26.852 O26.853 O26.86 O26.891 O26.892 O26.893 O26.91 O26.92 O26.93 O29.011 O29.012 O29.013 O29.021 O29.022 O29.023 O29.091 O29.092 O29.093 PC v2014A Low weight gain in pregnancy, third trimester Preg care for patient w recurrent preg loss, first trimester Preg care for patient w recur preg loss, second trimester Preg care for patient w recurrent preg loss, third trimester Retained uterin contracep dev in pregnancy, first trimester Retained uterin contracep dev in pregnancy, second trimester Retained uterin contracep dev in pregnancy, third trimester Herpes gestationis, first trimester Herpes gestationis, second trimester Herpes gestationis, third trimester Maternal hypotension syndrome, first trimester Maternal hypotension syndrome, second trimester Maternal hypotension syndrome, third trimester Liver and biliary tract disord in pregnancy, first trimester Liver and biliary tract disord in preg, second trimester Liver and biliary tract disord in pregnancy, third trimester Liver and biliary tract disorders in childbirth Sublux of symphysis (pubis) in pregnancy, first trimester Sublux of symphysis (pubis) in pregnancy, second trimester Sublux of symphysis (pubis) in pregnancy, third trimester Subluxation of symphysis (pubis) in childbirth Pregnancy related exhaustion and fatigue, first trimester Pregnancy related exhaustion and fatigue, second trimester Pregnancy related exhaustion and fatigue, third trimester Pregnancy related peripheral neuritis, first trimester Pregnancy related peripheral neuritis, second trimester Pregnancy related peripheral neuritis, third trimester Pregnancy related renal disease, first trimester Pregnancy related renal disease, second trimester Pregnancy related renal disease, third trimester Uterine size-date discrepancy, first trimester Uterine size-date discrepancy, second trimester Uterine size-date discrepancy, third trimester Spotting complicating pregnancy, first trimester Spotting complicating pregnancy, second trimester Spotting complicating pregnancy, third trimester Pruritic urticarial papules and plaques of pregnancy (PUPPP) Oth specified pregnancy related conditions, first trimester Oth specified pregnancy related conditions, second trimester Oth specified pregnancy related conditions, third trimester Pregnancy related conditions, unspecified, first trimester Pregnancy related conditions, unspecified, second trimester Pregnancy related conditions, unspecified, third trimester Aspirat pneumonitis due to anesth during preg, first tri Aspirat pneumonitis due to anesth during preg, second tri Aspirat pneumonitis due to anesth during preg, third tri Pressr collapse of lung due to anesth during preg, first tri Pressr collapse of lung d/t anesth during preg, second tri Pressr collapse of lung due to anesth during preg, third tri Oth pulmonary comp of anesth during preg, first trimester Oth pulmonary comp of anesth during preg, second trimester Oth pulmonary comp of anesth during preg, third trimester 279 O29.111 O29.112 O29.113 O29.121 O29.122 O29.123 O29.191 O29.192 O29.193 O29.211 O29.212 O29.213 O29.291 O29.292 O29.293 O29.3X1 O29.3X2 O29.3X3 O29.41 O29.42 O29.43 O29.5X1 O29.5X2 O29.5X3 O29.61 O29.62 O29.63 O29.8X1 O29.8X2 O29.8X3 O29.91 O29.92 O29.93 O3.123X9 O3.22XX0 O3.22XX1 O3.22XX2 O3.22XX3 O3.22XX4 O3.22XX5 O30.001 O30.002 O30.003 O30.011 O30.012 O30.013 O30.031 O30.032 O30.033 O30.041 O30.042 O30.043 Cardiac arrest due to anesth during preg, first trimester Cardiac arrest due to anesth during preg, second trimester Cardiac arrest due to anesth during preg, third trimester Cardiac failure due to anesth during preg, first trimester Cardiac failure due to anesth during preg, second trimester Cardiac failure due to anesth during preg, third trimester Oth cardiac comp of anesth during pregnancy, first trimester Oth cardiac comp of anesth during pregnancy, second trimester Oth cardiac comp of anesth during pregnancy, third trimester Cerebral anoxia due to anesth during preg, first trimester Cerebral anoxia due to anesth during preg, second trimester Cerebral anoxia due to anesth during preg, third trimester Oth cnsl comp of anesth during pregnancy, first trimester Oth cnsl comp of anesth during pregnancy, second trimester Oth cnsl comp of anesth during pregnancy, third trimester Toxic reaction to local anesth during preg, first trimester Toxic reaction to local anesth during preg, second trimester Toxic reaction to local anesth during preg, third trimester Spinal and epidur anesth induce hdache dur preg, first tri Spinal and epidur anesth induce hdache dur preg, second tri Spinal and epidur anesth induce hdache dur preg, third tri Oth comp of spinal and epidur anesth during preg, first tri Oth comp of spinal and epidur anesth during preg, second tri Oth comp of spinal and epidur anesth during preg, third tri Fail or difficult intubation for anesth dur preg, first tri Fail or difficult intubation for anesth dur preg, second tri Fail or difficult intubation for anesth dur preg, third tri Oth comp of anesthesia during pregnancy, first trimester Oth comp of anesthesia during pregnancy, second trimester Oth comp of anesthesia during pregnancy, third trimester Unsp comp of anesthesia during pregnancy, first trimester Unsp comp of anesthesia during pregnancy, second trimester Unsp comp of anesthesia during pregnancy, third trimester Continuing pregnancy after intrauterine death of one fetus or more, third trimester, other fetus Maternal care for transverse and oblique lie, not applicable or unspecified Maternal care for transverse and oblique lie, fetus 1 Maternal care for transverse and oblique lie, fetus 2 Maternal care for transverse and oblique lie, fetus 3 Maternal care for transverse and oblique lie, fetus 4 Maternal care for transverse and oblique lie, fetus 5 Twin preg, unsp num plcnta & amnio sacs, first trimester Twin preg, unsp num plcnta & amnio sacs, second trimester Twin preg, unsp num plcnta & amnio sacs, third trimester Twin pregnancy, monochorionic/monoamniotic, first trimester Twin pregnancy, monochorionic/monoamniotic, second trimester Twin pregnancy, monochorionic/monoamniotic, third trimester Twin pregnancy, monochorionic/diamniotic, first trimester Twin pregnancy, monochorionic/diamniotic, second trimester Twin pregnancy, monochorionic/diamniotic, third trimester Twin pregnancy, dichorionic/diamniotic, first trimester Twin pregnancy, dichorionic/diamniotic, second trimester Twin pregnancy, dichorionic/diamniotic, third trimester O30.091 Twin preg, unable to dtrm num plcnta & amnio sacs, first tri PC v2014A 280 O30.092 O30.093 O30.101 O30.102 O30.103 O30.111 O30.112 O30.113 O30.121 O30.122 O30.123 O30.191 O30.192 O30.193 O30.201 O30.202 O30.203 O30.211 O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 O30.292 O30.293 O30.801 O30.802 O30.803 O30.811 O30.812 O30.813 O30.821 O30.822 O30.823 O30.891 O30.892 O30.893 O30.91 O30.92 O30.93 O31.01X0 O31.01X1 O31.01X2 O31.01X3 O31.01X4 O31.01X5 O31.01X9 O31.02X0 O31.02X1 O31.02X2 O31.02X3 O31.02X4 PC v2014A Twin preg, unable to dtrm num plcnta & amnio sacs, second tri Twin preg, unable to dtrm num plcnta & amnio sacs, third tri Triplet preg, unsp num plcnta & amnio sacs, first trimester Triplet preg, unsp num plcnta & amnio sacs, second trimester Triplet preg, unsp num plcnta & amnio sacs, third trimester Triplet preg w two or more monochorionic fetuses, first tri Triplet preg w two or more monochorionic fetuses, second tri Triplet preg w two or more monochorionic fetuses, third tri Triplet preg w two or more monoamnio fetuses, first tri Triplet preg w two or more monoamnio fetuses, second tri Triplet preg w two or more monoamnio fetuses, third tri Trp preg, unable to dtrm num plcnta & amnio sacs, first tri Trp preg, unable to dtrm num plcnta & amnio sacs, second tri Trp preg, unable to dtrm num plcnta & amnio sacs, third tri Quad preg, unsp num plcnta & amnio sacs, first trimester Quad preg, unsp num plcnta & amnio sacs, second trimester Quad preg, unsp num plcnta & amnio sacs, third trimester Quad preg w two or more monochorionic fetuses, first tri Quad preg w two or more monochorionic fetuses, second tri Quad preg w two or more monochorionic fetuses, third tri Quad preg w two or more monoamnio fetuses, first trimester Quad preg w two or more monoamnio fetuses, second trimester Quad preg w two or more monoamnio fetuses, third trimester Quad preg, unable to dtrm num plcnta & amnio sacs, first tri Quad preg, unable to dtrm num plcnta & amnio sacs, 2nd tri Quad preg, unable to dtrm num plcnta & amnio sacs, third tri Oth multiple gest, unsp num plcnta & amnio sacs, first tri Oth multiple gest, unsp num plcnta & amnio sacs, second tri Oth multiple gest, unsp num plcnta & amnio sacs, third tri Oth mult gest w two or more monochorionic fetuses, first tri Oth mult gest w two or more monochorionic fetuses, second tri Oth mult gest w two or more monochorionic fetuses, third tri Oth multiple gest w two or more monoamnio fetuses, first tri Oth mult gest w two or more monoamnio fetuses, second tri Oth multiple gest w two or more monoamnio fetuses, third tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 1st tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 2nd tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 3rd tri Multiple gestation, unspecified, first trimester Multiple gestation, unspecified, second trimester Multiple gestation, unspecified, third trimester Papyraceous fetus, unsp trimester, not applicable or unsp Papyraceous fetus, first trimester, fetus 1 Papyraceous fetus, first trimester, fetus 2 Papyraceous fetus, first trimester, fetus 3 Papyraceous fetus, first trimester, fetus 4 Papyraceous fetus, first trimester, fetus 5 Papyraceous fetus, first trimester, other fetus Papyraceous fetus, second trimester, not applicable or unsp Papyraceous fetus, second trimester, fetus 1 Papyraceous fetus, second trimester, fetus 2 Papyraceous fetus, second trimester, fetus 3 Papyraceous fetus, second trimester, fetus 4 281 O31.02X5 O31.02X9 O31.03X0 O31.03X1 O31.03X2 O31.03X3 O31.03X4 O31.03X5 O31.03X9 O31.10X0 O31.10X1 O31.10X2 O31.10X3 O31.10X4 O31.10X5 O31.10X9 O31.13X0 O31.13X1 O31.13X2 O31.13X3 O31.13X4 O31.13X5 O31.13X9 O31.20X0 O31.20X0 O31.20X1 O31.20X1 O31.20X2 O31.20X2 O31.20X3 O31.20X3 O31.20X4 O31.20X4 O31.20X5 O31.20X5 O31.20X9 O31.20X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5 O31.22X9 O31.23X0 O31.23X1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 O31.23X9 Papyraceous fetus, second trimester, fetus 5 Papyraceous fetus, second trimester, other fetus Papyraceous fetus, third trimester, not applicable or unspecified Papyraceous fetus, third trimester, fetus 1 Papyraceous fetus, third trimester, fetus 2 Papyraceous fetus, third trimester, fetus 3 Papyraceous fetus, third trimester, fetus 4 Papyraceous fetus, third trimester, fetus 5 Papyraceous fetus, third trimester, other fetus Cont preg aft spon abort of one fts or more, unsp tri, unsp Cont preg aft spon abort of one fts or more, unsp tri, fts1 Cont preg aft spon abort of one fts or more, unsp tri, fts2 Cont preg aft spon abort of one fts or more, unsp tri, fts3 Cont preg aft spon abort of one fts or more, unsp tri, fts4 Cont preg aft spon abort of one fts or more, unsp tri, fts5 Cont preg aft spon abort of one fetus or more, unsp tri, oth Cont preg aft spon abort of one fts or more, third tri, Cont preg aft spon abort of one fts or more, third tri, fts1 Cont preg aft spon abort of one fts or more, third tri, fts2 Cont preg aft spon abort of one fts or more, third tri, fts3 Cont preg aft spon abort of one fts or more, third tri, fts4 Cont preg aft spon abort of one fts or more, third tri, fts5 Cont preg aft spon abort of one fts or more, third tri, oth Cont preg aft uterin dth of one fts or more, unsp tri, unsp Cont preg aft uterin dth of one fts or more, unsp tri, unsp Cont preg aft uterin dth of one fts or more, unsp tri, fts1 Cont preg aft uterin dth of one fts or more, unsp tri, fts1 Cont preg aft uterin dth of one fts or more, unsp tri, fts2 Cont preg aft uterin dth of one fts or more, unsp tri, fts2 Cont preg aft uterin dth of one fts or more, unsp tri, fts3 Cont preg aft uterin dth of one fts or more, unsp tri, fts3 Cont preg aft uterin dth of one fts or more, unsp tri, fts4 Cont preg aft uterin dth of one fts or more, unsp tri, fts4 Cont preg aft uterin dth of one fts or more, unsp tri, fts5 Cont preg aft uterin dth of one fts or more, unsp tri, fts5 Cont preg aft uterin dth of one fetus or more, unsp tri Cont preg aft uterin dth of one fetus or more, unsp tri, oth Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts3 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts4 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5 Cont preg aft uterin dth of one fetus or more, 2nd tri, oth Cont preg aft uterin dth of one fts or more, third tri, unsp Cont preg aft uterin dth of one fts or more, third tri, fts1 Cont preg aft uterin dth of one fts or more, third tri, fts2 Cont preg aft uterin dth of one fts or more, third tri, fts3 Cont preg aft uterin dth of one fts or more, third tri, fts4 Cont preg aft uterin dth of one fts or more, third tri, fts5 Cont preg aft uterin dth of one fts or more, third tri, oth O31.30X0 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,unsp PC v2014A 282 O31.30X1 O31.30X2 O31.30X3 O31.30X4 O31.30X5 O31.30X9 O31.32X0 O31.32X1 O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 O31.33X0 O31.33X1 O31.33X2 O31.33X3 O31.33X4 O31.33X5 O31.33X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13 O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24 O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35 O31.8X39 O32.0XX0 O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 O32.0XX9 O32.1XX0 O32.1XX1 O32.1XX2 O32.1XX3 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts1 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts2 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts3 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts4 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts5 Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri, oth Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, oth Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, oth Oth comp specific to multiple gest, first trimester, unsp Oth comp specific to multiple gest, first trimester, fetus 1 Oth comp specific to multiple gest, first trimester, fetus 2 Oth comp specific to multiple gest, first trimester, fetus 3 Oth comp specific to multiple gest, first trimester, fetus 4 Oth comp specific to multiple gest, first trimester, fetus 5 Oth comp specific to multiple gest, first trimester, oth Oth comp specific to multiple gest, second trimester, unsp Oth comp specific to multiple gest, second tri, fetus 1 Oth comp specific to multiple gest, second tri, fetus 2 Oth comp specific to multiple gest, second tri, fetus 3 Oth comp specific to multiple gest, second tri, fetus 4 Oth comp specific to multiple gest, second tri, fetus 5 Oth comp specific to multiple gest, second trimester, oth Oth comp specific to multiple gest, third trimester, unsp Oth comp specific to multiple gest, third trimester, fetus 1 Oth comp specific to multiple gest, third trimester, fetus 2 Oth comp specific to multiple gest, third trimester, fetus 3 Oth comp specific to multiple gest, third trimester, fetus 4 Oth comp specific to multiple gest, third trimester, fetus 5 Oth comp specific to multiple gest, third trimester, oth Maternal care for unstable lie, not applicable or unsp Maternal care for unstable lie, fetus 1 Maternal care for unstable lie, fetus 2 Maternal care for unstable lie, fetus 3 Maternal care for unstable lie, fetus 4 Maternal care for unstable lie, fetus 5 Maternal care for unstable lie, other fetus Maternal care for breech presentation, not applicable or unsp Maternal care for breech presentation, fetus 1 Maternal care for breech presentation, fetus 2 Maternal care for breech presentation, fetus 3 O32.1XX4 Maternal care for breech presentation, fetus 4 PC v2014A 283 O32.1XX5 O32.1XX9 O32.2XX0 O32.3XX0 O32.3XX1 O32.3XX2 O32.3XX3 O32.3XX4 O32.3XX5 O32.3XX9 O32.4XX0 O32.4XX1 O32.4XX2 O32.4XX3 O32.4XX4 O32.4XX5 O32.4XX9 O32.6XX0 O32.6XX1 O32.6XX2 O32.6XX3 O32.6XX4 O32.6XX5 O32.6XX9 O32.8XX0 O32.8XX1 O32.8XX2 O32.8XX3 O32.8XX4 O32.8XX5 O32.8XX9 O32.9XX0 O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O33.0 O33.1 O33.2 O33.3XX0 O33.3XX1 O33.3XX2 O33.3XX3 O33.3XX4 O33.3XX5 O33.3XX9 O33.4XX0 O33.4XX1 O33.4XX2 O33.4XX3 O33.4XX4 PC v2014A Maternal care for breech presentation, fetus 5 Maternal care for breech presentation, other fetus Maternal care for transverse and oblique lie, other fetus Maternal care for face, brow and chin presentation, unsp Maternal care for face, brow and chin presentation, fetus 1 Maternal care for face, brow and chin presentation, fetus 2 Maternal care for face, brow and chin presentation, fetus 3 Maternal care for face, brow and chin presentation, fetus 4 Maternal care for face, brow and chin presentation, fetus 5 Maternal care for face, brow and chin presentation, other fetus Maternal care for high head at term, not applicable or unsp Maternal care for high head at term, fetus 1 Maternal care for high head at term, fetus 2 Maternal care for high head at term, fetus 3 Maternal care for high head at term, fetus 4 Maternal care for high head at term, fetus 5 Maternal care for high head at term, other fetus Maternal care for compound presentation, unsp Maternal care for compound presentation, fetus 1 Maternal care for compound presentation, fetus 2 Maternal care for compound presentation, fetus 3 Maternal care for compound presentation, fetus 4 Maternal care for compound presentation, fetus 5 Maternal care for compound presentation, other fetus Maternal care for oth malpresentation of fetus, unsp Maternal care for other malpresentation of fetus, fetus 1 Maternal care for other malpresentation of fetus, fetus 2 Maternal care for other malpresentation of fetus, fetus 3 Maternal care for other malpresentation of fetus, fetus 4 Maternal care for other malpresentation of fetus, fetus 5 Maternal care for oth malpresentation of fetus, other fetus Maternal care for malpresentation of fetus, unsp, unsp Maternal care for malpresentation of fetus, unsp, fetus 1 Maternal care for malpresentation of fetus, unsp, fetus 2 Maternal care for malpresentation of fetus, unsp, fetus 3 Maternal care for malpresentation of fetus, unsp, fetus 4 Maternal care for malpresentation of fetus, unsp, fetus 5 Maternal care for malpresentation of fetus, unsp, oth fetus Matern care for disproprtn d/t deformity of matern pelv bone Matern care for disproprtn d/t generally contracted pelvis Maternal care for disproprtn due to inlet contrctn of pelvis Matern care for disproprtn d/t outlet contrctn of pelv, unsp Matern care for disproprtn d/t outlet contrctn of pelv, fts1 Matern care for disproprtn d/t outlet contrctn of pelv, fts2 Matern care for disproprtn d/t outlet contrctn of pelv, fts3 Matern care for disproprtn d/t outlet contrctn of pelv, fts4 Matern care for disproprtn d/t outlet contrctn of pelv, fts5 Matern care for disproprtn d/t outlet contrctn of pelv, oth Matern care for disproprtn of mix matern & fetl origin, unsp Matern care for disproprtn of mix matern & fetl origin, fts1 Matern care for disproprtn of mix matern & fetl origin, fts2 Matern care for disproprtn of mix matern & fetl origin, fts3 Matern care for disproprtn of mix matern & fetl origin, fts4 284 O33.4XX5 O33.4XX9 O33.5XX0 O33.5XX1 O33.5XX2 O33.5XX3 O33.5XX4 O33.5XX5 O33.5XX9 O33.6XX0 O33.6XX1 O33.6XX2 O33.6XX3 O33.6XX4 O33.6XX5 O33.6XX9 O33.7 O33.8 O33.9 O34.01 O34.02 O34.03 O34.11 O34.12 O34.13 O34.21 O34.29 O34.31 O34.32 O34.33 O34.41 O34.42 O34.43 O34.511 O34.512 O34.513 O34.521 O34.522 O34.523 O34.531 O34.532 O34.533 O34.591 O34.592 O34.593 O34.61 O34.62 O34.63 O34.71 O34.72 Matern care for disproprtn of mix matern & fetl origin, fts5 Matern care for disproprtn of mix matern & fetl origin, oth Matern care for disproprtn d/t unusually large fetus, unsp Matern care for disproprtn d/t unusually large fetus, fts1 Matern care for disproprtn d/t unusually large fetus, fts2 Matern care for disproprtn d/t unusually large fetus, fts3 Matern care for disproprtn d/t unusually large fetus, fts4 Matern care for disproprtn d/t unusually large fetus, fts5 Matern care for disproprtn due to unusually large fetus, oth Matern care for disproprtn due to hydrocephalic fetus, unsp Matern care for disproprtn due to hydrocephalic fetus, fts1 Matern care for disproprtn due to hydrocephalic fetus, fts2 Matern care for disproprtn due to hydrocephalic fetus, fts3 Matern care for disproprtn due to hydrocephalic fetus, fts4 Matern care for disproprtn due to hydrocephalic fetus, fts5 Maternal care for disproprtn due to hydrocephalic fetus, oth Maternal care for disproportion due to oth fetal deformities Maternal care for disproportion of other origin Maternal care for disproportion, unspecified Maternal care for unsp congen malform of uterus, first tri Maternal care for unsp congen malform of uterus, second tri Maternal care for unsp congen malform of uterus, third tri Maternal care for benign tumor of corpus uteri, first tri Maternal care for benign tumor of corpus uteri, second tri Maternal care for benign tumor of corpus uteri, third tri Maternal care for scar from previous cesarean delivery Maternal care due to uterine scar from oth previous surgery Maternal care for cervical incompetence, first trimester Maternal care for cervical incompetence, second trimester Maternal care for cervical incompetence, third trimester Maternal care for oth abnlt of cervix, first trimester Maternal care for oth abnlt of cervix, second trimester Maternal care for oth abnlt of cervix, third trimester Maternal care for incarceration of gravid uterus, first tri Maternal care for incarceration of gravid uterus, second tri Maternal care for incarceration of gravid uterus, third tri Maternal care for prolapse of gravid uterus, first trimester Maternal care for prolapse of gravid uterus, second tri Maternal care for prolapse of gravid uterus, third trimester Maternal care for retroversion of gravid uterus, first tri Maternal care for retroversion of gravid uterus, second tri Maternal care for retroversion of gravid uterus, third tri Maternal care for oth abnlt of gravid uterus, first tri Maternal care for oth abnlt of gravid uterus, second tri Maternal care for oth abnlt of gravid uterus, third tri Maternal care for abnormality of vagina, first trimester Maternal care for abnormality of vagina, second trimester Maternal care for abnormality of vagina, third trimester Maternal care for abnlt of vulva and perineum, first tri Maternal care for abnlt of vulva and perineum, second tri O34.73 O34.81 Maternal care for abnlt of vulva and perineum, third tri Maternal care for oth abnlt of pelvic organs, first tri PC v2014A 285 O34.82 O34.83 O34.91 O34.92 O34.93 O35.0XX0 O35.0XX1 O35.0XX2 O35.0XX3 O35.0XX4 O35.0XX5 O35.0XX9 O35.1XX0 O35.1XX1 O35.1XX2 O35.1XX3 O35.1XX4 O35.1XX5 O35.1XX9 O35.2XX0 O35.2XX1 O35.2XX2 O35.2XX3 O35.2XX4 O35.2XX5 O35.2XX9 O35.3XX0 O35.3XX1 O35.3XX2 O35.3XX3 O35.3XX4 O35.3XX5 O35.3XX9 O35.4XX0 O35.4XX1 O35.4XX2 O35.4XX3 O35.4XX4 O35.4XX5 O35.4XX9 O35.5XX0 O35.5XX1 O35.5XX2 O35.5XX3 O35.5XX4 O35.5XX5 O35.5XX9 O35.6XX0 O35.6XX1 O35.6XX2 O35.6XX3 Maternal care for oth abnlt of pelvic organs, second tri Maternal care for oth abnlt of pelvic organs, third tri Maternal care for abnlt of pelvic organ, unsp, first tri Maternal care for abnlt of pelvic organ, unsp, second tri Maternal care for abnlt of pelvic organ, unsp, third tri Maternal care for (suspected) cnsl malform in fetus, unsp Maternal care for (suspected) cnsl malform in fetus, fetus 1 Maternal care for (suspected) cnsl malform in fetus, fetus 2 Maternal care for (suspected) cnsl malform in fetus, fetus 3 Maternal care for (suspected) cnsl malform in fetus, fetus 4 Maternal care for (suspected) cnsl malform in fetus, fetus 5 Maternal care for (suspected) cnsl malform in fetus, oth Maternal care for chromosomal abnormality in fetus, unsp Maternal care for chromosomal abnormality in fetus, fetus 1 Maternal care for chromosomal abnormality in fetus, fetus 2 Maternal care for chromosomal abnormality in fetus, fetus 3 Maternal care for chromosomal abnormality in fetus, fetus 4 Maternal care for chromosomal abnormality in fetus, fetus 5 Maternal care for chromosomal abnormality in fetus, oth Maternal care for hereditary disease in fetus, unsp Maternal care for hereditary disease in fetus, fetus 1 Maternal care for hereditary disease in fetus, fetus 2 Maternal care for hereditary disease in fetus, fetus 3 Maternal care for hereditary disease in fetus, fetus 4 Maternal care for hereditary disease in fetus, fetus 5 Maternal care for hereditary disease in fetus, oth Matern care for damag to fts from viral dis in mother, unsp Matern care for damag to fts from viral dis in mother, fts1 Matern care for damag to fts from viral dis in mother, fts2 Matern care for damag to fts from viral dis in mother, fts3 Matern care for damag to fts from viral dis in mother, fts4 Matern care for damag to fts from viral dis in mother, fts5 Matern care for damag to fts from viral dis in mother, oth Maternal care for damage to fetus from alcohol, unsp Maternal care for (suspected) damage to fetus from alcohol, fetus 1 Maternal care for (suspected) damage to fetus from alcohol, fetus 2 Maternal care for (suspected) damage to fetus from alcohol, fetus 3 Maternal care for (suspected) damage to fetus from alcohol, fetus 4 Maternal care for (suspected) damage to fetus from alcohol, fetus 5 Maternal care for (suspected) damage to fetus from alcohol, oth Maternal care for (suspected) damage to fetus by drugs, unsp Maternal care for (suspected) damage to fetus by drugs, fetus 1 Maternal care for (suspected) damage to fetus by drugs, fetus 2 Maternal care for (suspected) damage to fetus by drugs, fetus 3 Maternal care for (suspected) damage to fetus by drugs, fetus 4 Maternal care for (suspected) damage to fetus by drugs, fetus 5 Maternal care for (suspected) damage to fetus by drugs, oth Maternal care for (suspected) damage to fetus by radiation, unsp Maternal care for (suspected) damage to fetus by radiation, fetus 1 Maternal care for (suspected) damage to fetus by radiation, fetus 2 Maternal care for (suspected) damage to fetus by radiation, fetus 3 O35.6XX4 O35.6XX5 Maternal care for (suspected) damage to fetus by radiation, fetus 4 Maternal care for (suspected) damage to fetus by radiation, fetus 5 PC v2014A 286 O35.6XX9 O35.8XX0 O35.8XX1 O35.8XX2 O35.8XX3 O35.8XX4 O35.8XX5 O35.8XX9 O35.9XX0 O35.9XX1 O35.9XX2 O35.9XX3 O35.9XX4 O35.9XX5 O35.9XX9 O36.0110 O36.0110 O36.0111 O36.0111 O36.0112 O36.0112 O36.0113 O36.0113 O36.0114 O36.0114 O36.0115 O36.0115 O36.0119 O36.0120 O36.0120 O36.0121 O36.0121 O36.0122 O36.0122 O36.0123 O36.0123 O36.0124 O36.0124 O36.0125 O36.0125 O36.0129 O36.0130 O36.0131 O36.0131 O36.0132 O36.0133 O36.0134 O36.0135 O36.0139 O36.0190 O36.0191 O36.0192 O36.0193 PC v2014A Maternal care for (suspected) damage to fetus by radiation, oth Maternal care for oth fetal abnormality and damage, unsp Maternal care for oth fetal abnormality and damage, fetus 1 Maternal care for oth fetal abnormality and damage, fetus 2 Maternal care for oth fetal abnormality and damage, fetus 3 Maternal care for oth fetal abnormality and damage, fetus 4 Maternal care for oth fetal abnormality and damage, fetus 5 Maternal care for oth fetal abnormality and damage, oth Maternal care for fetal abnormality and damage, unsp, unsp Maternal care for fetal abnlt and damage, unsp, fetus 1 Maternal care for fetal abnlt and damage, unsp, fetus 2 Maternal care for fetal abnlt and damage, unsp, fetus 3 Maternal care for fetal abnlt and damage, unsp, fetus 4 Maternal care for fetal abnlt and damage, unsp, fetus 5 Maternal care for fetal abnlt and damage, unsp, oth Maternal care for anti-D antibodies, first trimester, unsp Maternal care for anti-D antibodies, first trimester, unsp Maternal care for anti-D antibodies, first tri, fetus 1 Maternal care for anti-D antibodies, first tri, fetus 1 Maternal care for anti-D antibodies, first tri, fetus 2 Maternal care for anti-D antibodies, first tri, fetus 2 Maternal care for anti-D antibodies, first tri, fetus 3 Maternal care for anti-D antibodies, first tri, fetus 3 Maternal care for anti-D antibodies, first tri, fetus 4 Maternal care for anti-D antibodies, first tri, fetus 4 Maternal care for anti-D antibodies, first tri, fetus 5 Maternal care for anti-D antibodies, first tri, oth Maternal care for anti-D antibodies, first trimester, oth Maternal care for anti-D antibodies, second trimester, unsp Maternal care for anti-D antibodies, second trimester, unsp Maternal care for anti-D antibodies, second tri, fetus 1 Maternal care for anti-D antibodies, second tri, fetus 1 Maternal care for anti-D antibodies, second tri, fetus 2 Maternal care for anti-D antibodies, second tri, fetus 2 Maternal care for anti-D antibodies, second tri, fetus 3 Maternal care for anti-D antibodies, second tri, fetus 3 Maternal care for anti-D antibodies, second tri, fetus 4 Maternal care for anti-D antibodies, second tri, fetus 4 Maternal care for anti-D antibodies, second tri, fetus 5 Maternal care for anti-D antibodies, second tri, fetus 5 Maternal care for anti-D antibodies, second tri, oth Maternal care for anti-D antibodies, third trimester, unsp Maternal care for anti-D antibodies, third tri, fetus 1 Maternal care for anti-D antibodies, third tri, fetus 1 Maternal care for anti-D antibodies, third tri, fetus 2 Maternal care for anti-D antibodies, third tri, fetus 3 Maternal care for anti-D antibodies, third tri, fetus 4 Maternal care for anti-D antibodies, third tri, fetus 5 Maternal care for anti-D antibodies, third trimester, oth Maternal care for anti-D antibodies, unsp trimester, unsp Maternal care for anti-D antibodies, unsp trimester, fetus 1 Maternal care for anti-D antibodies, unsp trimester, fetus 2 Maternal care for anti-D antibodies, unsp trimester, fetus 3 287 O36.0194 O36.0195 O36.0199 O36.0910 O36.0911 O36.0912 O36.0913 O36.0914 O36.0915 O36.0919 O36.0920 O36.0921 O36.0922 O36.0923 O36.0924 O36.0925 O36.0929 O36.0930 O36.0931 O36.0932 O36.0933 O36.0934 O36.0935 O36.0939 O36.20X0 O36.20X1 O36.20X2 O36.20X3 O36.20X4 O36.20X5 O36.20X9 O36.21x0 O36.21x1 O36.21X2 O36.21X3 O36.21X4 O36.21X5 O36.21X9 O36.22x0 O36.22x1 O36.22x2 O36.22x3 O36.22x4 O36.22x5 O36.22x9 O36.22X9 O36.23X0 O36.23X1 O36.23X2 Maternal care for anti-D antibodies, unsp trimester, fetus 4 Maternal care for anti-D antibodies, unsp trimester, fetus 5 Maternal care for anti-D antibodies, unsp trimester, oth Maternal care for oth rhesus isoimmun, first trimester, unsp Maternal care for oth rhesus isoimmun, first tri, fetus 1 Maternal care for oth rhesus isoimmun, first tri, fetus 2 Maternal care for oth rhesus isoimmun, first tri, fetus 3 Maternal care for oth rhesus isoimmun, first tri, fetus 4 Maternal care for oth rhesus isoimmun, first tri, fetus 5 Maternal care for other rhesus isoimmunization, first trimester, oth Maternal care for oth rhesus isoimmun, second tri, unsp Maternal care for oth rhesus isoimmun, second tri, fetus 1 Maternal care for oth rhesus isoimmun, second tri, fetus 2 Maternal care for oth rhesus isoimmun, second tri, fetus 3 Maternal care for oth rhesus isoimmun, second tri, fetus 4 Maternal care for oth rhesus isoimmun, second tri, fetus 5 Maternal care for oth rhesus isoimmun, second trimester, oth Maternal care for oth rhesus isoimmun, third trimester, unsp Maternal care for oth rhesus isoimmun, third tri, fetus 1 Maternal care for oth rhesus isoimmun, third tri, fetus 2 Maternal care for oth rhesus isoimmun, third tri, fetus 3 Maternal care for oth rhesus isoimmun, third tri, fetus 4 Maternal care for oth rhesus isoimmun, third tri, fetus 5 Maternal care for oth rhesus isoimmun, third tri, oth Maternal care for hydrops fetalis, unsp trimester, unsp Maternal care for hydrops fetalis, unsp trimester, fetus 1 Maternal care for hydrops fetalis, unsp trimester, fetus 2 Maternal care for hydrops fetalis, unsp trimester, fetus 3 Maternal care for hydrops fetalis, unsp trimester, fetus 4 Maternal care for hydrops fetalis, unsp trimester, fetus 5 Maternal care for hydrops fetalis, unsp trimester, oth fetus Maternal care for hydrops fetalis, first trimester, unsp Maternal care for hydrops fetalis, first trimester, fetus 1 Maternal care for hydrops fetalis, first trimester, fetus 2 Maternal care for hydrops fetalis, first trimester, fetus 3 Maternal care for hydrops fetalis, first trimester, fetus 4 Maternal care for hydrops fetalis, first trimester, fetus 5 Maternal care for hydrops fetalis, first trimester, oth Maternal care for hydrops fetalis, second trimester, unsp Maternal care for hydrops fetalis, second trimester, fetus 1 Maternal care for hydrops fetalis, second trimester, fetus 2 Maternal care for hydrops fetalis, second trimester, fetus 3 Maternal care for hydrops fetalis, second trimester, fetus 4 Maternal care for hydrops fetalis, second trimester, fetus 5 Maternal care for hydrops fetalis, second trimester, oth Maternal care for hydrops fetalis, second trimester, other fetus Maternal care for hydrops fetalis, third trimester, unsp Maternal care for hydrops fetalis, third trimester, fetus 1 Maternal care for hydrops fetalis, third trimester, fetus 2 O36.23X3 O36.23X4 O36.23X5 Maternal care for hydrops fetalis, third trimester, fetus 3 Maternal care for hydrops fetalis, third trimester, fetus 4 Maternal care for hydrops fetalis, third trimester, fetus 5 PC v2014A 288 O36.23X9 O36.4XX0 O36.4XX1 O36.4XX2 O36.4XX3 O36.4XX4 O36.4XX5 O36.4XX9 O36.5110 O36.5111 O36.5112 O36.5113 O36.5114 O36.5115 O36.5119 O36.5120 O36.5121 O36.5122 O36.5123 O36.5124 O36.5125 O36.5129 O36.5130 O36.5131 O36.5132 O36.5133 O36.5134 O36.5135 O36.5139 O36.5190 O36.5191 O36.5192 O36.5193 O36.5194 O36.5195 O36.5199 O36.5920 O36.5921 O36.5922 O36.5923 O36.5924 O36.5925 O36.5929 O36.5930 O36.5931 O36.5932 O36.5933 O36.5934 O36.5935 Maternal care for hydrops fetalis, third trimester, other fetus Maternal care for intrauterine death, not applicable or unsp Maternal care for intrauterine death, fetus 1 Maternal care for intrauterine death, fetus 2 Maternal care for intrauterine death, fetus 3 Maternal care for intrauterine death, fetus 4 Maternal care for intrauterine death, fetus 5 Maternal care for intrauterine death, other fetus Matern care for known or susp placntl insuff, 1st tri, unsp Matern care for known or susp placntl insuff, 1st tri, fts1 Matern care for known or susp placntl insuff, 1st tri, fts2 Matern care for known or susp placntl insuff, 1st tri, fts3 Matern care for known or susp placntl insuff, 1st tri, fts4 Matern care for known or susp placntl insuff, 1st tri, fts5 Matern care for known or susp placntl insuff, first tri, oth Matern care for known or susp placntl insuff, 2nd tri, unsp Matern care for known or susp placntl insuff, 2nd tri, fts1 Matern care for known or susp placntl insuff, 2nd tri, fts2 Matern care for known or susp placntl insuff, 2nd tri, fts3 Matern care for known or susp placntl insuff, 2nd tri, fts4 Matern care for known or susp placntl insuff, 2nd tri, fts5 Matern care for known or susp placntl insuff, 2nd tri, oth Matern care for or susp placntl insuff, third tri, unsp Matern care for or susp placntl insuff, third tri, fts1 Matern care for or susp placntl insuff, third tri, fts2 Matern care for or susp placntl insuff, third tri, fts3 Matern care for or susp placntl insuff, third tri, fts4 Matern care for or susp placntl insuff, third tri, fts5 Matern care for or susp placntl insuff, third tri, oth Matern care for known or susp placntl insuff, unsp tri, unsp Matern care for known or susp placntl insuff, unsp tri, fts1 Matern care for known or susp placntl insuff, unsp tri, fts2 Matern care for known or susp placntl insuff, unsp tri, fts3 Matern care for known or susp placntl insuff, unsp tri, fts4 Matern care for known or susp placntl insuff, unsp tri, fts5 Matern care for known or susp placntl insuff, unsp tri, oth Matern care for oth or susp poor fetl grth, 2nd tri, unsp Matern care for oth or susp poor fetl grth, 2nd tri, fts1 Matern care for oth or susp poor fetl grth, 2nd tri, fts2 Matern care for oth or susp poor fetl grth, 2nd tri, fts3 Matern care for oth or susp poor fetl grth, 2nd tri, fts4 Matern care for oth or susp poor fetl grth, 2nd tri, fts5 Matern care for oth or susp poor fetl grth, 2nd tri, oth Matern care for oth or susp poor fetl grth, third tri, unsp Matern care for oth or susp poor fetl grth, third tri, fts1 Matern care for oth or susp poor fetl grth, third tri, fts2 Matern care for oth or susp poor fetl grth, third tri, fts3 Matern care for oth or susp poor fetl grth, third tri, fts4 Matern care for oth or susp poor fetl grth, third tri, fts5 O36.5939 O36.61X0 O36.61X1 Matern care for oth or susp poor fetl grth, third tri, oth Maternal care for excess fetal growth, first trimester, unsp Maternal care for excess fetal growth, first tri, fetus 1 PC v2014A 289 O36.61X2 O36.61X3 O36.61X4 O36.61X5 O36.61X9 O36.62X0 O36.62X1 O36.62X2 O36.62X3 O36.62X4 O36.62X5 O36.62X9 O36.63X0 O36.63X1 O36.63X2 O36.63X3 O36.63X4 O36.63X5 O36.63X9 O36.71X0 O36.71X1 O36.71X2 O36.71X3 O36.71X4 O36.71X5 O36.71X9 O36.72X0 O36.72X1 O36.72X2 O36.72X3 O36.72X4 O36.72X5 O36.72X9 O36.73X0 O36.73X1 O36.73X2 O36.73X3 O36.73X4 O36.73X5 O36.73X9 O36.8120 O36.8121 O36.8122 O36.8123 O36.8124 O36.8125 O36.8129 O36.8130 O36.8131 O36.8132 Maternal care for excess fetal growth, first tri, fetus 2 Maternal care for excess fetal growth, first tri, fetus 3 Maternal care for excess fetal growth, first tri, fetus 4 Maternal care for excess fetal growth, first tri, fetus 5 Maternal care for excess fetal growth, first trimester, oth Maternal care for excess fetal growth, second tri, unsp Maternal care for excess fetal growth, second tri, fetus 1 Maternal care for excess fetal growth, second tri, fetus 2 Maternal care for excess fetal growth, second tri, fetus 3 Maternal care for excess fetal growth, second tri, fetus 4 Maternal care for excess fetal growth, second tri, fetus 5 Maternal care for excess fetal growth, second trimester, oth Maternal care for excess fetal growth, third trimester, unsp Maternal care for excess fetal growth, third tri, fetus 1 Maternal care for excess fetal growth, third tri, fetus 2 Maternal care for excess fetal growth, third tri, fetus 3 Maternal care for excess fetal growth, third tri, fetus 4 Maternal care for excess fetal growth, third tri, fetus 5 Maternal care for excess fetal growth, third trimester, oth Maternal care for viable fetus in abd preg, first tri, unsp Matern care for viable fetus in abd preg, first tri, fetus 1 Matern care for viable fetus in abd preg, first tri, fetus 2 Matern care for viable fetus in abd preg, first tri, fetus 3 Matern care for viable fetus in abd preg, first tri, fetus 4 Matern care for viable fetus in abd preg, first tri, fetus 5 Maternal care for viable fetus in abd preg, first tri, oth Maternal care for viable fetus in abd preg, second tri, unsp Matern care for viable fetus in abd preg, second tri, fts1 Matern care for viable fetus in abd preg, second tri, fts2 Matern care for viable fetus in abd preg, second tri, fts3 Matern care for viable fetus in abd preg, second tri, fts4 Matern care for viable fetus in abd preg, second tri, fts5 Maternal care for viable fetus in abd preg, second tri, oth Maternal care for viable fetus in abd preg, third tri, unsp Matern care for viable fetus in abd preg, third tri, fetus 1 Matern care for viable fetus in abd preg, third tri, fetus 2 Matern care for viable fetus in abd preg, third tri, fetus 3 Matern care for viable fetus in abd preg, third tri, fetus 4 Matern care for viable fetus in abd preg, third tri, fetus 5 Maternal care for viable fetus in abd preg, third tri, oth Decreased fetal movements, second trimester, unsp Decreased fetal movements, second trimester, fetus 1 Decreased fetal movements, second trimester, fetus 2 Decreased fetal movements, second trimester, fetus 3 Decreased fetal movements, second trimester, fetus 4 Decreased fetal movements, second trimester, fetus 5 Decreased fetal movements, second trimester, other fetus Decreased fetal movements, third trimester, not applicable or unspecified Decreased fetal movements, third trimester, fetus 1 Decreased fetal movements, third trimester, fetus 2 O36.8133 O36.8134 Decreased fetal movements, third trimester, fetus 3 Decreased fetal movements, third trimester, fetus 4 PC v2014A 290 O36.8135 O36.8139 O36.8910 O36.8911 O36.8912 O36.8913 O36.8914 O36.8915 O36.8919 O36.8920 O36.8921 O36.8922 O36.8923 O36.8924 O36.8925 O36.8929 O36.8930 O36.8931 O36.8932 O36.8933 O36.8934 O36.8935 O36.8939 O36.91X0 O36.91X1 O36.91X2 O36.91X3 O36.91X4 O36.91X5 O36.91X9 O36.92X0 O36.92X1 O36.92X2 O36.92X3 O36.92X4 O36.92X5 O36.92X9 O36.93X0 O36.93X1 O36.93X2 O36.93X3 O36.93X4 O36.93X5 O36.93X9 O40.1XX0 O40.1XX1 O40.1XX2 O40.1XX3 O40.1XX4 O40.1XX5 Decreased fetal movements, third trimester, fetus 5 Decreased fetal movements, third trimester, other fetus Maternal care for oth fetal problems, first trimester, unsp Maternal care for oth fetal problems, first tri, fetus 1 Maternal care for oth fetal problems, first tri, fetus 2 Maternal care for oth fetal problems, first tri, fetus 3 Maternal care for oth fetal problems, first tri, fetus 4 Maternal care for oth fetal problems, first tri, fetus 5 Maternal care for oth fetal problems, first trimester, oth Maternal care for oth fetal problems, second trimester, unsp Maternal care for oth fetal problems, second tri, fetus 1 Maternal care for oth fetal problems, second tri, fetus 2 Maternal care for oth fetal problems, second tri, fetus 3 Maternal care for oth fetal problems, second tri, fetus 4 Maternal care for oth fetal problems, second tri, fetus 5 Maternal care for oth fetal problems, second trimester, oth Maternal care for oth fetal problems, third trimester, unsp Maternal care for oth fetal problems, third tri, fetus 1 Maternal care for oth fetal problems, third tri, fetus 2 Maternal care for oth fetal problems, third tri, fetus 3 Maternal care for oth fetal problems, third tri, fetus 4 Maternal care for oth fetal problems, third tri, fetus 5 Maternal care for oth fetal problems, third trimester, oth Maternal care for fetal problem, unsp, first trimester, unsp Maternal care for fetal problem, unsp, first tri, fetus 1 Maternal care for fetal problem, unsp, first tri, fetus 2 Maternal care for fetal problem, unsp, first tri, fetus 3 Maternal care for fetal problem, unsp, first tri, fetus 4 Maternal care for fetal problem, unsp, first tri, fetus 5 Maternal care for fetal problem, unsp, first trimester, oth Maternal care for fetal problem, unsp, second tri, unsp Maternal care for fetal problem, unsp, second tri, fetus 1 Maternal care for fetal problem, unsp, second tri, fetus 2 Maternal care for fetal problem, unsp, second tri, fetus 3 Maternal care for fetal problem, unsp, second tri, fetus 4 Maternal care for fetal problem, unsp, second tri, fetus 5 Maternal care for fetal problem, unsp, second trimester, oth Maternal care for fetal problem, unsp, third trimester, unsp Maternal care for fetal problem, unsp, third tri, fetus 1 Maternal care for fetal problem, unsp, third tri, fetus 2 Maternal care for fetal problem, unsp, third tri, fetus 3 Maternal care for fetal problem, unsp, third tri, fetus 4 Maternal care for fetal problem, unsp, third tri, fetus 5 Maternal care for fetal problem, unsp, third trimester, oth Polyhydramnios, first trimester, not applicable or unsp Polyhydramnios, first trimester, fetus 1 Polyhydramnios, first trimester, fetus 2 Polyhydramnios, first trimester, fetus 3 Polyhydramnios, first trimester, fetus 4 Polyhydramnios, first trimester, fetus 5 O40.1XX9 O40.2XX0 Polyhydramnios, first trimester, other fetus Polyhydramnios, second trimester, not applicable or unsp PC v2014A 291 O40.2XX1 O40.2XX2 O40.2XX3 O40.2XX4 O40.2XX5 O40.2XX9 O40.3XX0 O40.3XX1 O40.3XX2 O40.3XX3 O40.3XX4 O40.3XX5 O40.3XX9 O41.01X0 O41.01X1 O41.01X2 O41.01X3 O41.01X4 O41.01X5 O41.01X9 O41.02X0 O41.02X1 O41.02X2 O41.02X3 O41.02X4 O41.02X5 O41.02X9 O41.03X0 O41.03X1 O41.03X2 O41.03X3 O41.03X4 O41.03X5 O41.03X9 O41.1010 O41.1011 O41.1012 O41.1013 O41.1014 O41.1015 O41.1019 O41.1020 O41.1021 O41.1022 O41.1023 O41.1024 O41.1025 O41.1029 O41.1030 O41.1031 O41.1032 Polyhydramnios, second trimester, fetus 1 Polyhydramnios, second trimester, fetus 2 Polyhydramnios, second trimester, fetus 3 Polyhydramnios, second trimester, fetus 4 Polyhydramnios, second trimester, fetus 5 Polyhydramnios, second trimester, other fetus Polyhydramnios, third trimester, not applicable or unsp Polyhydramnios, third trimester, fetus 1 Polyhydramnios, third trimester, fetus 2 Polyhydramnios, third trimester, fetus 3 Polyhydramnios, third trimester, fetus 4 Polyhydramnios, third trimester, fetus 5 Polyhydramnios, third trimester, other fetus Oligohydramnios, first trimester, not applicable or unsp Oligohydramnios, first trimester, fetus 1 Oligohydramnios, first trimester, fetus 2 Oligohydramnios, first trimester, fetus 3 Oligohydramnios, first trimester, fetus 4 Oligohydramnios, first trimester, fetus 5 Oligohydramnios, first trimester, other fetus Oligohydramnios, second trimester, not applicable or unsp Oligohydramnios, second trimester, fetus 1 Oligohydramnios, second trimester, fetus 2 Oligohydramnios, second trimester, fetus 3 Oligohydramnios, second trimester, fetus 4 Oligohydramnios, second trimester, fetus 5 Oligohydramnios, second trimester, other fetus Oligohydramnios, third trimester, not applicable or unspecified Oligohydramnios, third trimester, fetus 1 Oligohydramnios, third trimester, fetus 2 Oligohydramnios, third trimester, fetus 3 Oligohydramnios, third trimester, fetus 4 Oligohydramnios, third trimester, fetus 5 Oligohydramnios, third trimester, other fetus Infct of amniotic sac and membrns, unsp, first tri, unsp Infct of amniotic sac and membrns, unsp, first tri, fetus 1 Infct of amniotic sac and membrns, unsp, first tri, fetus 2 Infct of amniotic sac and membrns, unsp, first tri, fetus 3 Infct of amniotic sac and membrns, unsp, first tri, fetus 4 Infct of amniotic sac and membrns, unsp, first tri, fetus 5 Infct of amniotic sac and membrns, unsp, first tri, oth Infct of amniotic sac and membrns, unsp, second tri, unsp Infct of amniotic sac and membrns, unsp, second tri, fetus 1 Infct of amniotic sac and membrns, unsp, second tri, fetus 2 Infct of amniotic sac and membrns, unsp, second tri, fetus 3 Infct of amniotic sac and membrns, unsp, second tri, fetus 4 Infct of amniotic sac and membrns, unsp, second tri, fetus 5 Infct of amniotic sac and membrns, unsp, second tri, oth Infct of amniotic sac and membrns, unsp, third tri, unsp Infct of amniotic sac and membrns, unsp, third tri, fetus 1 Infct of amniotic sac and membrns, unsp, third tri, fetus 2 O41.1033 O41.1034 Infct of amniotic sac and membrns, unsp, third tri, fetus 3 Infct of amniotic sac and membrns, unsp, third tri, fetus 4 PC v2014A 292 O41.1035 O41.1039 O41.1210 O41.1211 O41.1212 O41.1213 O41.1214 O41.1215 O41.1219 O41.1220 O41.1221 O41.1222 O41.1223 O41.1224 O41.1225 O41.1229 O41.1230 O41.1231 O41.1232 O41.1233 O41.1234 O41.1235 O41.1239 O41.1410 O41.1411 O41.1412 O41.1413 O41.1414 O41.1415 O41.1419 O41.1420 O41.1421 O41.1422 O41.1423 O41.1424 O41.1425 O41.1429 O41.1430 O41.1431 O41.1432 O41.1433 O41.1434 O41.1435 O41.1439 O41.8X10 O41.8X11 O41.8X12 O41.8X13 O41.8X14 O41.8X15 O41.8X19 O41.8X20 O41.8X21 PC v2014A Infct of amniotic sac and membrns, unsp, third tri, fetus 5 Infct of amniotic sac and membrns, unsp, third tri, oth Chorioamnionitis, first trimester, not applicable or unsp Chorioamnionitis, first trimester, fetus 1 Chorioamnionitis, first trimester, fetus 2 Chorioamnionitis, first trimester, fetus 3 Chorioamnionitis, first trimester, fetus 4 Chorioamnionitis, first trimester, fetus 5 Chorioamnionitis, first trimester, other fetus Chorioamnionitis, second trimester, not applicable or unsp Chorioamnionitis, second trimester, fetus 1 Chorioamnionitis, second trimester, fetus 2 Chorioamnionitis, second trimester, fetus 3 Chorioamnionitis, second trimester, fetus 4 Chorioamnionitis, second trimester, fetus 5 Chorioamnionitis, second trimester, other fetus Chorioamnionitis, third trimester, not applicable or unsp Chorioamnionitis, third trimester, fetus 1 Chorioamnionitis, third trimester, fetus 2 Chorioamnionitis, third trimester, fetus 3 Chorioamnionitis, third trimester, fetus 4 Chorioamnionitis, third trimester, fetus 5 Chorioamnionitis, third trimester, other fetus Placentitis, first trimester, not applicable or unspecified Placentitis, first trimester, fetus 1 Placentitis, first trimester, fetus 2 Placentitis, first trimester, fetus 3 Placentitis, first trimester, fetus 4 Placentitis, first trimester, fetus 5 Placentitis, first trimester, other fetus Placentitis, second trimester, not applicable or unspecified Placentitis, second trimester, fetus 1 Placentitis, second trimester, fetus 2 Placentitis, second trimester, fetus 3 Placentitis, second trimester, fetus 4 Placentitis, second trimester, fetus 5 Placentitis, second trimester, other fetus Placentitis, third trimester, not applicable or unspecified Placentitis, third trimester, fetus 1 Placentitis, third trimester, fetus 2 Placentitis, third trimester, fetus 3 Placentitis, third trimester, fetus 4 Placentitis, third trimester, fetus 5 Placentitis, third trimester, other fetus Oth disrd of amniotic fluid and membrns, first tri, unsp Oth disrd of amniotic fluid and membrns, first tri, fetus 1 Oth disrd of amniotic fluid and membrns, first tri, fetus 2 Oth disrd of amniotic fluid and membrns, first tri, fetus 3 Oth disrd of amniotic fluid and membrns, first tri, fetus 4 Oth disrd of amniotic fluid and membrns, first tri, fetus 5 Oth disrd of amniotic fluid and membrns, first tri, oth Oth disrd of amniotic fluid and membrns, second tri, unsp Oth disrd of amniotic fluid and membrns, second tri, fetus 1 293 O41.8X22 O41.8X23 O41.8X24 O41.8X25 O41.8X29 O41.8X30 O41.8X31 O41.8X32 O41.8X33 O41.8X34 O41.8X35 O41.8X39 O41.91X0 O41.91X1 O41.91X2 O41.91X3 O41.91X4 O41.91X5 O41.91X9 O41.92X0 O41.92X1 O41.92X2 O41.92X3 O41.92X4 O41.92X5 O41.92X9 O41.93X0 O41.93X1 O41.93X2 O41.93X3 O41.93X4 O41.93X5 O41.93X9 O42.011 O42.012 O42.013 O42.02 O42.111 O42.112 O42.113 O42.12 O42.911 O42.912 O42.913 O42.92 O43.011 O43.012 O43.013 O43.021 O43.022 Oth disrd of amniotic fluid and membrns, second tri, fetus Oth disrd of amniotic fluid and membrns, second tri, fetus 3 Oth disrd of amniotic fluid and membrns, second tri, fetus 4 Oth disrd of amniotic fluid and membrns, second tri, fetus 5 Oth disrd of amniotic fluid and membrns, second tri, oth Oth disrd of amniotic fluid and membrns, third tri, unsp Oth disrd of amniotic fluid and membrns, third tri, fetus 1 Oth disrd of amniotic fluid and membrns, third tri, fetus 2 Oth disrd of amniotic fluid and membrns, third tri, fetus 3 Oth disrd of amniotic fluid and membrns, third tri, fetus 4 Oth disrd of amniotic fluid and membrns, third tri, fetus 5 Oth disrd of amniotic fluid and membrns, third tri, oth Disorder of amnio fluid and membrns, unsp, first tri, unsp Disord of amnio fluid and membrns, unsp, first tri, fetus 1 Disord of amnio fluid and membrns, unsp, first tri, fetus 2 Disord of amnio fluid and membrns, unsp, first tri, fetus 3 Disord of amnio fluid and membrns, unsp, first tri, fetus 4 Disord of amnio fluid and membrns, unsp, first tri, fetus 5 Disorder of amniotic fluid and membrns, unsp, first tri, oth Disorder of amnio fluid and membrns, unsp, second tri, unsp Disord of amnio fluid and membrns, unsp, second tri, fetus 1 Disord of amnio fluid and membrns, unsp, second tri, fetus 2 Disord of amnio fluid and membrns, unsp, second tri, fetus 3 Disord of amnio fluid and membrns, unsp, second tri, fetus 4 Disord of amnio fluid and membrns, unsp, second tri, fetus 5 Disorder of amnio fluid and membrns, unsp, second tri, oth Disorder of amnio fluid and membrns, unsp, third tri, unsp Disord of amnio fluid and membrns, unsp, third tri, fetus 1 Disord of amnio fluid and membrns, unsp, third tri, fetus 2 Disord of amnio fluid and membrns, unsp, third tri, fetus 3 Disord of amnio fluid and membrns, unsp, third tri, fetus 4 Disord of amnio fluid and membrns, unsp, third tri, fetus 5 Disorder of amniotic fluid and membrns, unsp, third tri, oth Pretrm prem ROM, onset labor w/n 24 hours of rupt, first tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, 2nd tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, third tri Full-term prem ROM, onset labor within 24 hours of rupture Pretrm prem ROM, onset labor > 24 hours fol rupt, first tri Pretrm prem ROM, onset labor > 24 hours fol rupt, second tri Pretrm prem ROM, onset labor > 24 hours fol rupt, third tri Full-term premature ROM, onset labor > 24 hours fol rupture Pretrm prem ROM, unsp time betw rupt and onset labr, 1st tri Pretrm prem ROM, unsp time betw rupt and onset labr, 2nd tri Pretrm prem ROM, unsp time betw rupt and onst labr, 3rd tri Full-term prem ROM, unsp time betw rupture and onset labor Fetomaternal placental transfusion syndrome, first trimester Fetomaternal placental transfuse syndrome, second trimester Fetomaternal placental transfusion syndrome, third trimester Fetus-to-fetus placental transfuse syndrome, first trimester Fetus-to-fetus placntl transfuse syndrome, second trimester O43.023 O43.101 Fetus-to-fetus placental transfuse syndrome, third trimester Malformation of placenta, unspecified, first trimester PC v2014A 294 O43.102 O43.103 O43.111 O43.112 O43.113 O43.121 O43.122 O43.123 O43.191 O43.192 O43.193 O43.211 O43.212 O43.213 O43.221 O43.222 O43.223 O43.231 O43.232 O43.233 O43.811 O43.812 O43.813 O43.891 O43.892 O43.893 O43.91 O43.92 O43.93 O44.01 O44.02 O44.03 O44.11 O44.12 O44.13 O45.001 O45.002 O45.003 O45.011 O45.012 O45.013 O45.021 O45.022 O45.023 O45.091 O45.092 O45.093 O45.8X1 O45.8X2 O45.8X3 O45.91 Malformation of placenta, unspecified, second trimester Malformation of placenta, unspecified, third trimester Circumvallate placenta, first trimester Circumvallate placenta, second trimester Circumvallate placenta, third trimester Velamentous insertion of umbilical cord, first trimester Velamentous insertion of umbilical cord, second trimester Velamentous insertion of umbilical cord, third trimester Other malformation of placenta, first trimester Other malformation of placenta, second trimester Other malformation of placenta, third trimester Placenta accreta, first trimester Placenta accreta, second trimester Placenta accreta, third trimester Placenta increta, first trimester Placenta increta, second trimester Placenta increta, third trimester Placenta percreta, first trimester Placenta percreta, second trimester Placenta percreta, third trimester Placental infarction, first trimester Placental infarction, second trimester Placental infarction, third trimester Other placental disorders, first trimester Other placental disorders, second trimester Other placental disorders, third trimester Unspecified placental disorder, first trimester Unspecified placental disorder, second trimester Unspecified placental disorder, third trimester Placenta previa specified as w/o hemorrhage, first trimester Placenta previa specified as w/o hemor, second trimester Placenta previa specified as w/o hemorrhage, third trimester Placenta previa with hemorrhage, first trimester Placenta previa with hemorrhage, second trimester Placenta previa with hemorrhage, third trimester Prem separtn of placenta w coag defect, unsp, first tri Prem separtn of placenta w coag defect, unsp, second tri Prem separtn of placenta w coag defect, unsp, third tri Prem separtn of placenta w afibrinogenemia, first trimester Prem separtn of placenta w afibrinogenemia, second trimester Prem separtn of placenta w afibrinogenemia, third trimester Prem separtn of placenta w dissem intravasc coag, first tri Prem separtn of placenta w dissem intravasc coag, second tri Prem separtn of placenta w dissem intravasc coag, third tri Prem separtn of placenta w oth coag defect, first trimester Prem separtn of placenta w oth coag defect, second trimester Prem separtn of placenta w oth coag defect, third trimester Other premature separation of placenta, first trimester Other premature separation of placenta, second trimester Other premature separation of placenta, third trimester Premature separation of placenta, unsp, first trimester O45.92 O45.93 Premature separation of placenta, unsp, second trimester Premature separation of placenta, unsp, third trimester PC v2014A 295 O46.001 O46.002 O46.003 O46.011 O46.012 O46.013 O46.021 O46.022 O46.023 O46.091 O46.092 O46.093 O46.8X1 O46.8X2 O46.8X3 O46.91 O46.92 O46.93 O48.0 O60.12X0 O60.12X1 O60.12X2 O60.12X3 O60.12X4 O60.12X5 O60.12X9 O60.13X0 O60.13X1 O60.13X2 O60.13X3 O60.13X4 O60.13X5 O60.13X9 O60.14X0 O60.14X1 O60.14X2 O60.14X3 O60.14X4 O60.14X5 O60.14X9 O60.22X0 O60.22X1 O60.22X2 O60.22X3 O60.22X4 O60.22X5 O60.22X9 O60.23X0 O60.23X1 O60.23X2 Antepartum hemorrhage w coag defect, unsp, first trimester Antepartum hemorrhage w coag defect, unsp, second trimester Antepartum hemorrhage w coag defect, unsp, third trimester Antepartum hemorrhage with afibrinogenemia, first trimester Antepartum hemorrhage with afibrinogenemia, second trimester Antepartum hemorrhage with afibrinogenemia, third trimester Antepart hemorrhage w dissem intravasc coag, first trimester Antepart hemor w dissem intravasc coag, second trimester Antepart hemorrhage w dissem intravasc coag, third trimester Antepartum hemorrhage w oth coag defect, first trimester Antepartum hemorrhage w oth coag defect, second trimester Antepartum hemorrhage w oth coag defect, third trimester Other antepartum hemorrhage, first trimester Other antepartum hemorrhage, second trimester Other antepartum hemorrhage, third trimester Antepartum hemorrhage, unspecified, first trimester Antepartum hemorrhage, unspecified, second trimester Antepartum hemorrhage, unspecified, third trimester Post-term pregnancy Preterm labor second tri w preterm delivery second tri, unsp Preterm labor second tri w preterm del second tri, fetus 1 Preterm labor second tri w preterm del second tri, fetus 2 Preterm labor second tri w preterm del second tri, fetus 3 Preterm labor second tri w preterm del second tri, fetus 4 Preterm labor second tri w preterm del second tri, fetus 5 Preterm labor second tri w preterm delivery second tri, oth Preterm labor second tri w preterm delivery third tri, unsp Preterm labor second tri w preterm del third tri, fetus 1 Preterm labor second tri w preterm del third tri, fetus 2 Preterm labor second tri w preterm del third tri, fetus 3 Preterm labor second tri w preterm del third tri, fetus 4 Preterm labor second tri w preterm del third tri, fetus 5 Preterm labor second tri w preterm delivery third tri, oth Preterm labor third tri w preterm delivery third tri, unsp Preterm labor third tri w preterm del third tri, fetus 1 Preterm labor third tri w preterm del third tri, fetus 2 Preterm labor third tri w preterm del third tri, fetus 3 Preterm labor third tri w preterm del third tri, fetus 4 Preterm labor third tri w preterm del third tri, fetus 5 Preterm labor third tri w preterm delivery third tri, oth Term delivery w preterm labor, second trimester, unsp Term delivery with preterm labor, second trimester, fetus 1 Term delivery with preterm labor, second trimester, fetus 2 Term delivery with preterm labor, second trimester, fetus 3 Term delivery with preterm labor, second trimester, fetus 4 Term delivery with preterm labor, second trimester, fetus 5 Term delivery with preterm labor, second trimester, other fetus Term delivery w preterm labor, third trimester, unsp Term delivery with preterm labor, third trimester, fetus 1 Term delivery with preterm labor, third trimester, fetus 2 O60.23X3 O60.23X4 Term delivery with preterm labor, third trimester, fetus 3 Term delivery with preterm labor, third trimester, fetus 4 PC v2014A 296 O60.23X5 O60.23X9 O61.0 O61.1 O61.8 O61.9 O62.0 O62.1 O62.2 O62.3 O62.4 O62.8 O62.9 O63.0 O63.1 O63.2 O63.9 O64.0XX0 O64.0XX1 O64.0XX2 O64.0XX3 O64.0XX4 O64.0XX5 O64.0XX9 O64.1XX0 O64.1XX1 O64.1XX2 O64.1XX3 O64.1XX4 O64.1XX5 O64.1XX9 O64.2XX0 O64.2XX1 O64.2XX2 O64.2XX3 O64.2XX4 O64.2XX5 O64.2XX9 O64.3XX0 O64.3XX1 O64.3XX2 O64.3XX3 O64.3XX4 O64.3XX5 O64.3XX9 O64.4XX0 O64.4XX1 O64.4XX2 O64.4XX3 O64.4XX4 Term delivery with preterm labor, third trimester, fetus 5 Term delivery with preterm labor, third trimester, oth fetus Failed medical induction of labor Failed instrumental induction of labor Other failed induction of labor Failed induction of labor, unspecified Primary inadequate contractions Secondary uterine inertia Other uterine inertia Precipitate labor Hypertonic, incoordinate, and prolonged uterine contractions Other abnormalities of forces of labor Abnormality of forces of labor, unspecified Prolonged first stage (of labor) Prolonged second stage (of labor) Delayed delivery of second twin, triplet, etc. Long labor, unspecified Obstructed labor due to incmpl rotation of fetal head, unsp Obst labor due to incmpl rotation of fetal head, fetus 1 Obst labor due to incmpl rotation of fetal head, fetus 2 Obst labor due to incmpl rotation of fetal head, fetus 3 Obst labor due to incmpl rotation of fetal head, fetus 4 Obst labor due to incmpl rotation of fetal head, fetus 5 Obstructed labor due to incmpl rotation of fetal head, oth Obstructed labor due to breech presentation, unsp Obstructed labor due to breech presentation, fetus 1 Obstructed labor due to breech presentation, fetus 2 Obstructed labor due to breech presentation, fetus 3 Obstructed labor due to breech presentation, fetus 4 Obstructed labor due to breech presentation, fetus 5 Obstructed labor due to breech presentation, other fetus Obstructed labor due to face presentation, unspec Obstructed labor due to face presentation, fetus 1 Obstructed labor due to face presentation, fetus 2 Obstructed labor due to face presentation, fetus 3 Obstructed labor due to face presentation, fetus 4 Obstructed labor due to face presentation, fetus 5 Obstructed labor due to face presentation, other fetus Obstructed labor due to brow presentation, unsp Obstructed labor due to brow presentation, fetus 1 Obstructed labor due to brow presentation, fetus 2 Obstructed labor due to brow presentation, fetus 3 Obstructed labor due to brow presentation, fetus 4 Obstructed labor due to brow presentation, fetus 5 Obstructed labor due to brow presentation, other fetus Obstructed labor due to shoulder presentation, unsp Obstructed labor due to shoulder presentation, fetus 1 Obstructed labor due to shoulder presentation, fetus 2 Obstructed labor due to shoulder presentation, fetus 3 Obstructed labor due to shoulder presentation, fetus 4 O64.4XX5 O64.4XX9 Obstructed labor due to shoulder presentation, fetus 5 Obstructed labor due to shoulder presentation, other fetus PC v2014A 297 O64.5XX0 O64.5XX1 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0 O64.8XX1 O64.8XX2 O64.8XX3 O64.8XX4 O64.8XX5 O64.8XX9 O64.9XX0 O64.9XX1 O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 O65.0 O65.1 O65.2 O65.3 O65.4 O65.5 O65.8 O65.9 O66.0 O66.1 O66.2 O66.3 O66.40 O66.41 O66.5 O66.6 O66.8 O66.9 O67.0 O67.8 O67.9 O68 O69.0XX0 O69.0XX1 O69.0XX2 O69.0XX3 O69.0XX4 O69.0XX5 O69.0XX9 O69.1XX0 Obstructed labor due to compound presentation, unsp Obstructed labor due to compound presentation, fetus 1 Obstructed labor due to compound presentation, fetus 2 Obstructed labor due to compound presentation, fetus 3 Obstructed labor due to compound presentation, fetus 4 Obstructed labor due to compound presentation, fetus 5 Obstructed labor due to compound presentation, other fetus Obstructed labor due to other malposition and malpresentation, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 Obstructed labor due to oth malpos and malpresent, fetus 3 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth Obstructed labor due to malpos and malpresent, unsp, unsp Obstructed labor due to malpos and malpresent, unsp, fetus 1 Obstructed labor due to malpos and malpresent, unsp, fetus 2 Obstructed labor due to malpos and malpresent, unsp, fetus 3 Obstructed labor due to malpos and malpresent, unsp, fetus 4 Obstructed labor due to malpos and malpresent, unsp, fetus 5 Obstructed labor due to malpos and malpresent, unsp, oth Obstructed labor due to deformed pelvis Obstructed labor due to generally contracted pelvis Obstructed labor due to pelvic inlet contraction Obst labor due to pelvic outlet and mid-cavity contrctn Obstructed labor due to fetopelvic disproportion, unsp Obstructed labor due to abnlt of maternal pelvic organs Obstructed labor due to other maternal pelvic abnormalities Obstructed labor due to maternal pelvic abnormality, unsp Obstructed labor due to shoulder dystocia Obstructed labor due to locked twins Obstructed labor due to unusually large fetus Obstructed labor due to other abnormalities of fetus Failed trial of labor, unspecified Failed attempt vaginal birth after previous cesarean del Attempted application of vacuum extractor and forceps Obstructed labor due to other multiple fetuses Other specified obstructed labor Obstructed labor, unspecified Intrapartum hemorrhage with coagulation defect Other intrapartum hemorrhage Intrapartum hemorrhage, unspecified Labor and delivery complicated by abnormality of fetal acid-base balance Labor and delivery complicated by prolapse of cord, unsp Labor and delivery complicated by prolapse of cord, fetus 1 Labor and delivery complicated by prolapse of cord, fetus 2 Labor and delivery complicated by prolapse of cord, fetus 3 Labor and delivery complicated by prolapse of cord, fetus 4 Labor and delivery complicated by prolapse of cord, fetus 5 Labor and delivery complicated by prolapse of cord, oth Labor and delivery comp by cord around neck, w comprsn, unsp O69.1XX1 Labor and del comp by cord around neck, w comprsn, fetus 1 PC v2014A 298 O69.1XX2 O69.1XX3 O69.1XX4 O69.1XX5 O69.1XX9 O69.2XX0 O69.2XX1 O69.2XX2 O69.2XX3 O69.2XX4 O69.2XX5 O69.2XX9 O69.3XX0 O69.3XX1 O69.3XX2 O69.3XX3 O69.3XX4 O69.3XX5 O69.3XX9 O69.4XX0 O69.4XX1 O69.4XX2 O69.4XX3 O69.4XX4 O69.4XX5 O69.4XX9 O69.5XX0 O69.5XX1 O69.5XX2 O69.5XX3 O69.5XX4 O69.5XX5 O69.5XX9 O69.81X0 O69.81X1 O69.81X2 O69.81X3 O69.81X4 O69.81X5 O69.81X9 O69.82X0 O69.82X1 O69.82X2 O69.82X3 O69.82X4 O69.82X5 O69.82X9 O69.89X0 O69.89X1 O69.89X2 O69.89X3 O69.89X4 Labor and del comp by cord around neck, w comprsn, fetus 2 Labor and del comp by cord around neck, w comprsn, fetus 3 Labor and del comp by cord around neck, w comprsn, fetus 4 Labor and del comp by cord around neck, w comprsn, fetus 5 Labor and delivery comp by cord around neck, w comprsn, oth Labor and del comp by oth cord entangle, w comprsn, unsp Labor and del comp by oth cord entangle, w comprsn, fetus 1 Labor and del comp by oth cord entangle, w comprsn, fetus 2 Labor and del comp by oth cord entangle, w comprsn, fetus 3 Labor and del comp by oth cord entangle, w comprsn, fetus 4 Labor and del comp by oth cord entangle, w comprsn, fetus 5 Labor and delivery comp by oth cord entangle, w comprsn, oth Labor and delivery complicated by short cord, unsp Labor and delivery complicated by short cord, fetus 1 Labor and delivery complicated by short cord, fetus 2 Labor and delivery complicated by short cord, fetus 3 Labor and delivery complicated by short cord, fetus 4 Labor and delivery complicated by short cord, fetus 5 Labor and delivery complicated by short cord, other fetus Labor and delivery complicated by vasa previa, not applicable or unspecified Labor and delivery complicated by vasa previa, fetus 1 Labor and delivery complicated by vasa previa, fetus 2 Labor and delivery complicated by vasa previa, fetus 3 Labor and delivery complicated by vasa previa, fetus 4 Labor and delivery complicated by vasa previa, fetus 5 Labor and delivery complicated by vasa previa, other fetus Labor and delivery comp by vascular lesion of cord, unsp Labor and delivery comp by vascular lesion of cord, fetus 1 Labor and delivery comp by vascular lesion of cord, fetus 2 Labor and delivery comp by vascular lesion of cord, fetus 3 Labor and delivery comp by vascular lesion of cord, fetus 4 Labor and delivery comp by vascular lesion of cord, fetus 5 Labor and delivery comp by vascular lesion of cord, oth Labor and del comp by cord around neck, w/o comprsn, unsp Labor and del comp by cord around neck, w/o comprsn, fetus 1 Labor and del comp by cord around neck, w/o comprsn, fetus 2 Labor and del comp by cord around neck, w/o comprsn, fetus 3 Labor and del comp by cord around neck, w/o comprsn, fetus 4 Labor and del comp by cord around neck, w/o comprsn, fetus 5 Labor and del comp by cord around neck, w/o comprsn, oth Labor and del comp by oth cord entangle, w/o comprsn, unsp Labor and del comp by oth cord entangle, w/o comprsn, fts1 Labor and del comp by oth cord entangle, w/o comprsn, fts2 Labor and del comp by oth cord entangle, w/o comprsn, fts3 Labor and del comp by oth cord entangle, w/o comprsn, fts4 Labor and del comp by oth cord entangle, w/o comprsn, fts5 Labor and del comp by oth cord entangle, w/o comprsn, oth Labor and delivery complicated by oth cord comp, unsp Labor and delivery complicated by oth cord comp, fetus 1 Labor and delivery complicated by oth cord comp, fetus 2 Labor and delivery complicated by oth cord comp, fetus 3 Labor and delivery complicated by oth cord comp, fetus 4 O69.89X5 Labor and delivery complicated by oth cord comp, fetus 5 PC v2014A 299 O69.89X9 O69.9XX0 O69.9XX1 O69.9XX2 O69.9XX3 O69.9XX4 O69.9XX5 O69.9XX9 O70.0 O70.1 O70.2 O70.3 O70.9 O71.02 O71.03 O71.1 O71.2 O71.3 O71.4 O71.5 O71.6 O71.7 O71.81 O71.82 O71.89 O71.9 O72.0 O72.1 O72.2 O72.3 O73.0 O73.1 O74.0 O74.1 O74.2 O74.3 O74.4 O74.5 O74.6 O74.7 O74.8 O74.9 O75.0 O75.1 O75.2 O75.3 O75.4 O75.5 O75.81 O75.89 O75.9 Labor and delivery complicated by oth cord comp, oth Labor and delivery complicated by cord comp, unsp, unsp Labor and delivery complicated by cord comp, unsp, fetus 1 Labor and delivery complicated by cord comp, unsp, fetus 2 Labor and delivery complicated by cord comp, unsp, fetus 3 Labor and delivery complicated by cord comp, unsp, fetus 4 Labor and delivery complicated by cord comp, unsp, fetus 5 Labor and delivery complicated by cord comp, unsp, oth First degree perineal laceration during delivery Second degree perineal laceration during delivery Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Perineal laceration during delivery, unspecified Rupture of uterus before onset of labor, second trimester Rupture of uterus before onset of labor, third trimester Rupture of uterus during labor Postpartum inversion of uterus Obstetric laceration of cervix Obstetric high vaginal laceration alone Other obstetric injury to pelvic organs Obstetric damage to pelvic joints and ligaments Obstetric hematoma of pelvis Laceration of uterus, not elsewhere classified Other specified trauma to perineum and vulva Other specified obstetric trauma Obstetric trauma, unspecified Third-stage hemorrhage Other immediate postpartum hemorrhage Delayed and secondary postpartum hemorrhage Postpartum coagulation defects Retained placenta without hemorrhage Retained portions of placenta and membranes, w/o hemorrhage Aspirat pneumonitis due to anesth during labor and delivery Oth pulmonary comp of anesthesia during labor and delivery Cardiac comp of anesthesia during labor and delivery Cnsl complications of anesthesia during labor and delivery Toxic reaction to local anesthesia during labor and delivery Spinal and epidur anesthesia-induced hdache dur labr and del Oth comp of spinal and epidural anesth during labor and del Failed or difficult intubation for anesth dur labor and del Other complications of anesthesia during labor and delivery Complication of anesthesia during labor and delivery, unsp Maternal distress during labor and delivery Shock during or following labor and delivery Pyrexia during labor, not elsewhere classified Other infection during labor Other complications of obstetric surgery and procedures Delayed delivery after artificial rupture of membranes Maternal exhaustion complicating labor and delivery Other specified complications of labor and delivery Complication of labor and delivery, unspecified O76 Abnlt in fetal heart rate and rhythm comp labor and delivery PC v2014A 300 O77.0 O77.1 O77.8 O77.9 O80 O82 O85 O86.0 O86.12 O86.4 O86.81 O86.89 O87.0 O87.1 O87.2 O87.3 O87.4 O87.8 O87.9 O88.011 O88.012 O88.013 O88.02 O88.03 O88.111 O88.112 O88.113 O88.12 O88.13 O88.211 O88.212 O88.213 O88.22 O88.23 O88.311 O88.312 O88.313 O88.32 O88.33 O88.811 O88.812 O88.813 O88.82 O88.83 O89.09 O89.8 O89.9 O90.0 O90.1 O90.2 O90.4 Labor and delivery complicated by meconium in amniotic fluid Fetal stress in labor or delivery due to drug administration Labor and delivery comp by oth evidence of fetal stress Labor and delivery complicated by fetal stress, unspecified Encounter for full-term uncomplicated delivery Encounter for cesarean delivery without indication Puerperal sepsis Infection of obstetric surgical wound Endometritis following delivery Pyrexia of unknown origin following delivery Puerperal septic thrombophlebitis Other specified puerperal infections Superficial thrombophlebitis in the puerperium Deep phlebothrombosis in the puerperium Hemorrhoids in the puerperium Cerebral venous thrombosis in the puerperium Varicose veins of lower extremity in the puerperium Other venous complications in the puerperium Venous complication in the puerperium, unspecified Air embolism in pregnancy, first trimester Air embolism in pregnancy, second trimester Air embolism in pregnancy, third trimester Air embolism in childbirth Air embolism in the puerperium Amniotic fluid embolism in pregnancy, first trimester Amniotic fluid embolism in pregnancy, second trimester Amniotic fluid embolism in pregnancy, third trimester Amniotic fluid embolism in childbirth Amniotic fluid embolism in the puerperium Thromboembolism in pregnancy, first trimester Thromboembolism in pregnancy, second trimester Thromboembolism in pregnancy, third trimester Thromboembolism in childbirth Thromboembolism in the puerperium Pyemic and septic embolism in pregnancy, first trimester Pyemic and septic embolism in pregnancy, second trimester Pyemic and septic embolism in pregnancy, third trimester Pyemic and septic embolism in childbirth Pyemic and septic embolism in the puerperium Other embolism in pregnancy, first trimester Other embolism in pregnancy, second trimester Other embolism in pregnancy, third trimester Other embolism in childbirth Other embolism in the puerperium Oth pulmonary comp of anesthesia during the puerperium Other complications of anesthesia during the puerperium Complication of anesthesia during the puerperium, unsp Disruption of cesarean delivery wound Disruption of perineal obstetric wound Hematoma of obstetric wound Postpartum acute kidney failure O90.5 O90.6 Postpartum thyroiditis Postpartum mood disturbance PC v2014A 301 O90.89 O90.9 O91.011 O91.012 O91.013 O91.02 O91.111 O91.112 O91.113 O91.12 O91.211 O91.212 O91.213 O91.22 O91.23 O92.011 O92.012 O92.013 O92.03 O92.111 O92.112 O92.113 O92.13 O92.20 O92.29 O92.3 O92.5 O92.6 O92.70 O92.79 O98.011 O98.012 O98.013 O98.02 O98.03 O98.111 O98.112 O98.113 O98.12 O98.13 O98.211 O98.212 O98.213 O98.22 O98.23 O98.311 O98.312 O98.313 O98.32 O98.33 Oth complications of the puerperium, NEC Complication of the puerperium, unspecified Infection of nipple associated w pregnancy, first trimester Infection of nipple associated w pregnancy, second trimester Infection of nipple associated with pregnancy, third trimester Infection of nipple associated with the puerperium Abscess of breast associated with pregnancy, first trimester Abscess of breast associated w pregnancy, second trimester Abscess of breast associated with pregnancy, third trimester Abscess of breast associated with the puerperium Nonpurulent mastitis associated w pregnancy, first trimester Nonpurulent mastitis assoc w pregnancy, second trimester Nonpurulent mastitis associated w pregnancy, third trimester Nonpurulent mastitis associated with the puerperium Nonpurulent mastitis associated with lactation Retracted nipple associated with pregnancy, first trimester Retracted nipple associated with pregnancy, second trimester Retracted nipple associated with pregnancy, third trimester Retracted nipple associated with lactation Cracked nipple associated with pregnancy, first trimester Cracked nipple associated with pregnancy, second trimester Cracked nipple associated with pregnancy, third trimester Cracked nipple associated with lactation Unsp disorder of breast assoc w pregnancy and the puerperium Oth disorders of breast assoc w pregnancy and the puerperium Agalactia Suppressed lactation Galactorrhea Unspecified disorders of lactation Other disorders of lactation Tuberculosis complicating pregnancy, first trimester Tuberculosis complicating pregnancy, second trimester Tuberculosis complicating pregnancy, third trimester Tuberculosis complicating childbirth Tuberculosis complicating the puerperium Syphilis complicating pregnancy, first trimester Syphilis complicating pregnancy, second trimester Syphilis complicating pregnancy, third trimester Syphilis complicating childbirth Syphilis complicating the puerperium Gonorrhea complicating pregnancy, first trimester Gonorrhea complicating pregnancy, second trimester Gonorrhea complicating pregnancy, third trimester Gonorrhea complicating childbirth Gonorrhea complicating the puerperium Oth infect w sexl mode of transmiss comp preg, first tri Oth infect w sexl mode of transmiss comp preg, second tri Oth infect w sexl mode of transmiss comp preg, third tri Oth infections w sexl mode of transmiss comp childbirth Oth infections w sexl mode of transmiss comp the puerperium O98.411 O98.412 O98.413 Viral hepatitis complicating pregnancy, first trimester Viral hepatitis complicating pregnancy, second trimester Viral hepatitis complicating pregnancy, third trimester PC v2014A 302 O98.42 O98.43 O98.511 O98.512 O98.513 O98.52 O98.53 O98.611 O98.612 O98.613 O98.62 O98.63 O98.711 O98.712 O98.713 O98.72 O98.811 O98.812 O98.813 O98.82 O98.83 O98.911 O98.912 O98.913 O98.92 O98.93 O99.011 O99.012 O99.013 O99.02 O99.03 O99.111 O99.112 O99.113 O99.12 O99.211 O99.212 O99.213 O99.214 O99.215 O99.281 O99.282 O99.283 O99.284 O99.311 O99.312 O99.313 O99.314 O99.321 O99.322 O99.323 O99.324 O99.325 PC v2014A Viral hepatitis complicating childbirth Viral hepatitis complicating the puerperium Other viral diseases complicating pregnancy, first trimester Oth viral diseases complicating pregnancy, second trimester Other viral diseases complicating pregnancy, third trimester Other viral diseases complicating childbirth Other viral diseases complicating the puerperium Protozoal diseases complicating pregnancy, first trimester Protozoal diseases complicating pregnancy, second trimester Protozoal diseases complicating pregnancy, third trimester Protozoal diseases complicating childbirth Protozoal diseases complicating the puerperium Human immunodef virus disease comp preg, first trimester Human immunodef virus disease comp preg, second trimester Human immunodef virus disease comp preg, third trimester Human immunodeficiency virus [HIV] disease complicating childbirth Oth maternal infec/parastc diseases comp preg, first tri Oth maternal infec/parastc diseases comp preg, second tri Oth maternal infec/parastc diseases comp preg, third tri Oth maternal infec/parastc diseases complicating childbirth Oth maternal infec/parastc diseases comp the puerperium Unsp maternal infec/parastc disease comp preg, first tri Unsp maternal infec/parastc disease comp preg, second tri Unsp maternal infec/parastc disease comp preg, third tri Unsp maternal infec/parastc disease complicating childbirth Unsp maternal infec/parastc disease comp the puerperium Anemia complicating pregnancy, first trimester Anemia complicating pregnancy, second trimester Anemia complicating pregnancy, third trimester Anemia complicating childbirth Anemia complicating the puerperium Oth dis of bld/bld-form org/immun mechnsm comp preg, 1st tri Oth dis of bld/bld-form org/immun mechnsm comp preg, 2nd tri Oth dis of bld/bld-form org/immun mechnsm comp preg, 3rd tri Oth dis of the bld/bld-form org/immun mechnsm comp chldbrth Obesity complicating pregnancy, first trimester Obesity complicating pregnancy, second trimester Obesity complicating pregnancy, third trimester Obesity complicating childbirth Obesity complicating the puerperium Endo, nutritional and metab diseases comp preg, first tri Endo, nutritional and metab diseases comp preg, second tri Endo, nutritional and metab diseases comp preg, third tri Endocrine, nutritional and metabolic diseases comp chldbrth Alcohol use complicating pregnancy, first trimester Alcohol use complicating pregnancy, second trimester Alcohol use complicating pregnancy, third trimester Alcohol use complicating childbirth Drug use complicating pregnancy, first trimester Drug use complicating pregnancy, second trimester Drug use complicating pregnancy, third trimester Drug use complicating childbirth Drug use complicating the puerperium 303 O99.331 O99.332 O99.333 O99.334 O99.335 O99.341 O99.342 O99.343 O99.344 O99.345 O99.351 O99.352 O99.353 O99.354 O99.355 O99.411 O99.412 O99.413 O99.42 O99.511 O99.512 O99.513 O99.52 O99.611 O99.612 O99.613 O99.62 O99.711 O99.712 O99.713 O99.72 O99.810 O99.814 O99.815 O99.824 O99.830 O99.834 O99.841 O99.842 O99.843 O99.844 O99.845 O9A.111 O9A.112 O9A.113 O9A.12 O9A.211 O9A.212 O9A.213 Smoking (tobacco) complicating pregnancy, first trimester Smoking (tobacco) complicating pregnancy, second trimester Smoking (tobacco) complicating pregnancy, third trimester Smoking (tobacco) complicating childbirth Smoking (tobacco) complicating the puerperium Oth mental disorders complicating pregnancy, first trimester Oth mental disorders comp pregnancy, second trimester Oth mental disorders complicating pregnancy, third trimester Other mental disorders complicating childbirth Other mental disorders complicating the puerperium Diseases of the nervous sys comp pregnancy, first trimester Diseases of the nervous sys comp pregnancy, second trimester Diseases of the nervous sys comp pregnancy, third trimester Diseases of the nervous system complicating childbirth Diseases of the nervous system complicating the puerperium Diseases of the circ sys comp pregnancy, first trimester Diseases of the circ sys comp pregnancy, second trimester Diseases of the circ sys comp pregnancy, third trimester Diseases of the circulatory system complicating childbirth Diseases of the resp sys comp pregnancy, first trimester Diseases of the resp sys comp pregnancy, second trimester Diseases of the resp sys comp pregnancy, third trimester Diseases of the respiratory system complicating childbirth Diseases of the dgstv sys comp pregnancy, first trimester Diseases of the dgstv sys comp pregnancy, second trimester Diseases of the dgstv sys comp pregnancy, third trimester Diseases of the digestive system complicating childbirth Diseases of the skin, subcu comp pregnancy, first trimester Diseases of the skin, subcu comp pregnancy, second trimester Diseases of the skin, subcu comp pregnancy, third trimester Diseases of the skin, subcu complicating childbirth Abnormal glucose complicating pregnancy Abnormal glucose complicating childbirth Abnormal glucose complicating the puerperium Streptococcus B carrier state complicating childbirth Other infection carrier state complicating pregnancy Other infection carrier state complicating childbirth Bariatric surgery status comp pregnancy, first trimester Bariatric surgery status comp pregnancy, second trimester Bariatric surgery status comp pregnancy, third trimester Bariatric surgery status complicating childbirth Bariatric surgery status complicating the puerperium Malignant neoplasm complicating pregnancy, first trimester Malignant neoplasm complicating pregnancy, second trimester Malignant neoplasm complicating pregnancy, third trimester Malignant neoplasm complicating childbirth Inj/poisn/oth conseq of external causes comp preg, first tri Inj/poisn/oth conseq of extrn causes comp preg, second tri Inj/poisn/oth conseq of external causes comp preg, third tri O9A.22 O9A.311 O9A.312 Inj/poisn/oth conseq of external causes comp childbirth Physical abuse complicating pregnancy, first trimester Physical abuse complicating pregnancy, second trimester PC v2014A 304 O9A.313 O9A.32 O9A.411 O9A.412 O9A.413 O9A.42 O9A.511 O9A.512 O9A.513 O9A.52 P36.0 P36.10 P36.19 P36.2 P36.30 P36.39 P36.4 P36.5 P36.8 P36.9 R78.81 Physical abuse complicating pregnancy, third trimester Physical abuse complicating childbirth Sexual abuse complicating pregnancy, first trimester Sexual abuse complicating pregnancy, second trimester Sexual abuse complicating pregnancy, third trimester Sexual abuse complicating childbirth Psychological abuse complicating pregnancy, first trimester Psychological abuse complicating pregnancy, second trimester Psychological abuse complicating pregnancy, third trimester Psychological abuse complicating childbirth Sepsis of newborn due to streptococcus, group B Sepsis of newborn due to unspecified streptococci Sepsis of newborn due to other streptococci Sepsis of newborn due to Staphylococcus aureus Sepsis of newborn due to unspecified staphylococci Sepsis of newborn due to other staphylococci Sepsis of newborn due to Escherichia coli Sepsis of newborn due to anaerobes Other bacterial sepsis of newborn Bacterial sepsis of newborn, unspecified Bacteremia Table 11.02 Normal Delivery and Other Indications for Care Short Description ICD-10-CM Code 043.021 Fetus-to-fetus placental transfuse syndrome, first trimester 043.022 Fetus-to-fetus placental transfuse syndrome, second trimester 043.023 Fetus-to-fetus placental transfuse syndrome, third trimester O09.511 Supervision of elderly primigravida, first trimester O09.512 Supervision of elderly primigravida, second trimester O09.513 Supervision of elderly primigravida, third trimester O09.521 O09.522 O09.523 O09.941 O09.942 O09.943 O30.001 O30.002 O30.003 O30.011 O30.012 O30.013 O30.031 O30.032 O30.033 O30.041 O30.042 O30.043 O30.091 O30.092 Supervision of elderly multigravida, first trimester Supervision of elderly multigravida, second trimester Supervision of elderly multigravida, third trimester Suprvsn of pregnancy w grand multiparity, first trimester Suprvsn of pregnancy w grand multiparity, second trimester Suprvsn of pregnancy w grand multiparity, third trimester Twin preg, unsp num plcnta & amnio sacs, first trimester Twin preg, unsp num plcnta & amnio sacs, second trimester Twin preg, unsp num plcnta & amnio sacs, third trimester Twin pregnancy, monochorionic/monoamniotic, first trimester Twin pregnancy, monochorionic/monoamniotic, second trimester Twin pregnancy, monochorionic/monoamniotic, third trimester Twin pregnancy, monochorionic/diamniotic, first trimester Twin pregnancy, monochorionic/diamniotic, second trimester Twin pregnancy, monochorionic/diamniotic, third trimester Twin pregnancy, dichorionic/diamniotic, first trimester Twin pregnancy, dichorionic/diamniotic, second trimester Twin pregnancy, dichorionic/diamniotic, third trimester Twin preg, unable to dtrm num plcnta & amnio sacs, first tri Twin preg, unable to dtrm num plcnta & amnio sacs, 2nd tri PC v2014A 305 O30.093 O30.101 O30.102 O30.103 O30.111 O30.112 O30.113 O30.121 O30.122 O30.123 O30.13X2 O30.13X3 O30.13X4 O30.13X5 Twin preg, unable to dtrm num plcnta & amnio sacs, third tri Triplet preg, unsp num plcnta & amnio sacs, first trimester Triplet preg, unsp num plcnta & amnio sacs, second trimester Triplet preg, unsp num plcnta & amnio sacs, third trimester Triplet preg w two or more monochorionic fetuses, first trimester Triplet preg w two or more monochorionic fetuses, second trimester Triplet preg w two or more monochorionic fetuses, third trimester Triplet preg w two or more monoamniotic fetuses, first trimester Triplet preg w two or more monoamniotic fetuses, second trimester Triplet preg w two or more monoamniotic fetuses, third trimester Cont preg aft spon abort of one fts or more, 3rd tri, fts2 Cont preg aft spon abort of one fts or more, 3rd tri, fts3 Cont preg aft spon abort of one fts or more, 3rd tri, fts4 Cont preg aft spon abort of one fts or more, 3rd tri, fts5 O30.13X9 O30.191 O30.192 O30.193 O30.201 O30.202 O30.203 O30.211 O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 O30.292 O30.293 O30.801 O30.802 O30.803 O30.811 O30.812 O30.813 O30.821 O30.822 O30.823 O30.891 O30.892 O30.893 O30.91 Cont preg aft spon abort of one fts or more, 3rd tri, oth fts Triplet preg, unable to dtrm num plcnta & amnio sacs, first trimester Triplet preg, unable to dtrm num plcnta & amnio sacs, second trimester Triplet preg, unable to dtrm num plcnta & amnio sacs, third trimester Quad preg, unsp num plcnta & amnio sacs, first trimester Quad preg, unsp num plcnta & amnio sacs, second trimester Quad preg, unsp num plcnta & amnio sacs, third trimester Quad preg w two or more monochorionic fetuses, first trimester Quad preg w two or more monochorionic fetuses, second trimester Quad preg w two or more monochorionic fetuses, third trimester Quad preg w two or more monoamniotic fetuses, first trimester Quad preg w two or more monoamniotic fetuses, second trimester Quad preg w two or more monoamniotic fetuses, third trimester Quad preg, unable to dtrm num plcnta & amnio sacs, first trimester Quad preg, unable to dtrm num plcnta & amnio sacs, second trimester Quad preg, unable to dtrm num plcnta & amnio sacs, third trimester Oth multiple gest, unsp num plcnta and amnio sacs, first tri Oth multiple gest, unsp num plcnta and amnio sacs, second tri Oth multiple gest, unsp num plcnta and amnio sacs, third tri Oth mult gest w two or more monochorionic fetuses, first tri Oth mult gest w two or more monochorionic fetuses, 2nd tri Oth mult gest w two or more monochorionic fetuses, third tri Oth mult gest w two or more monoamniotic fetuses, first tri Oth mult gest w two or more monoamniotic fetuses, second tri Oth mult gest w two or more monoamniotic fetuses, third tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 1st tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 2nd tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 3rd tri Multiple gestation, unspecified, first trimester O30.92 O30.93 O31.11X0 O31.11X0 O31.11X0 O31.11X1 O31.11X1 O31.11X2 O31.11X2 Multiple gestation, unspecified, second trimester Multiple gestation, unspecified, third trimester Cont preg aft spon abort of one fts or more, first tri, unsp Cont preg aft spon abort of one fts or more, first tri, unsp Cont preg aft spon abort of one fts or more, first tri, unsp Cont preg aft spon abort of one fts or more, first tri, fts1 Cont preg aft spon abort of one fts or more, first tri, fts1 Cont preg aft spon abort of one fts or more, first tri, fts2 Cont preg aft spon abort of one fts or more, first tri, fts2 PC v2014A 306 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X0 O31.12X1 O31.12X1 O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 O31.13X1 O31.13X2 O31.21X0 O31.21X1 Cont preg aft spon abort of one fts or more, first tri, fts3 Cont preg aft spon abort of one fts or more, first tri, fts4 Cont preg aft spon abort of one fts or more, first tri, fts5 Cont preg aft spon abort of one fts or more, first tri, oth fts Cont preg aft spon abort of one fetus or more, 2nd tri, unsp Cont preg aft spon abort of one fts or more, 2nd tri, unsp Cont preg aft spon abort of one fetus or more, 2nd tri, fts1 Cont preg aft spon abort of one fts or more, 2nd tri, fts1 Cont preg aft spon abort of one fetus or more, 2nd tri, fts2 Cont preg aft spon abort of one fts or more, 2nd tri, fts3 Cont preg aft spon abort of one fts or more, 2nd tri, fts4 Cont preg aft spon abort of one fts or more, 2nd tri, fts5 Cont preg aft spon abort of one fts or more, 2nd tri, oth fts Cont preg aft spon abort of one fts or more, third tri, unsp Cont preg aft spon abort of one fts or more, 3rd tri, fts1 Cont preg aft spon abort of one fts or more, third tri, fts2 Cont preg aft uterin dth of one fts or more, first tri, unsp Cont preg aft uterin dth of one fts or more, first tri, fts1 O31.21X2 O31.21X3 O31.21X4 O31.21X5 O31.21X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5 O31.22X9 O31.23X0 O31.23X0 O31.23X1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 Cont preg aft uterin dth of one fts or more, first tri, fts2 Cont preg aft uterin dth of one fts or more, first tri, fts3 Cont preg aft uterin dth of one fts or more, first tri, fts4 Cont preg aft uterin dth of one fts or more, first tri, fts5 Cont preg aft uterin dth of one fts or more, first tri, oth fts Cont preg aft uterin dth of one fts or more, 2nd tri, unsp Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1 Cont preg aft uterin dth of one fts or more, 2nd tri, fts2 Cont preg aft uterin dth of one fts or more, 2nd tri, fts3 Cont preg aft uterin dth of one fts or more, 2nd tri, fts4 Cont preg aft uterin dth of one fts or more, 2nd tri, fts5 Cont preg aft uterin dth of one fts or more, 2nd tri, oth fts Cont preg aft uterin dth of one fts or more, third tri, unsp Cont preg aft uterin dth of one fts or more, 3rd tri, unsp Cont preg aft uterin dth of one fts or more, 3rd tri, fts1 Cont preg aft uterin dth of one fts or more, third tri, fts2 Cont preg aft uterin dth of one fts or more, 3rd tri, fts3 Cont preg aft uterin dth of one fts or more, 3rd tri, fts4 Cont preg aft uterin dth of one fts or more, 3rd tri, fts5 O31.23X9 O31.31X0 O31.31X1 O31.31X2 O31.31X3 O31.31X4 O31.31X5 O31.31X9 O31.32X0 O31.32X1 O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 Cont preg aft uterin dth of one fts or more, 3rd tri, oth fts Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 1st tri, oth Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, oth PC v2014A 307 O31.33X0 O31.33X1 O31.33X2 O31.33X3 O31.33X4 O31.33X5 O31.33X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, oth Oth comp specific to multiple gest, first tri, unsp Oth comp specific to multiple gest, first trimester, fts1 Oth comp specific to multiple gest, first trimester, fts2 Oth comp specific to multiple gest, first trimester, fts3 O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24 O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35 O31.8X39 O32.0XX0 O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 O32.0XX9 O32.1XX0 O32.1XX0 O32.1XX1 O32.1XX2 O32.1XX3 O32.1XX4 O32.1XX5 O32.1XX9 O32.2XX0 O32.2XX1 O32.2XX2 O32.2XX3 O32.2XX4 O32.2XX5 O32.2XX9 O32.3xx0 O32.3xx1 Oth comp specific to multiple gest, first trimester, fts4 Oth comp specific to multiple gest, first trimester, fts5 Oth comp specific to multiple gest, first trimester, oth fts Oth comp specific to multiple gest, second tri, unsp Oth comp specific to multiple gest, second tri, fetus 1 Oth comp specific to multiple gest, second tri, fetus 2 Oth comp specific to multiple gest, second tri, fetus 3 Oth comp specific to multiple gest, second tri, fetus 4 Oth comp specific to multiple gest, second tri, fetus 5 Oth comp specific to multiple gest, second trimester, oth Oth comp specific to multiple gest, third trimester, unsp Oth comp specific to multiple gest, third trimester, fetus 1 Oth comp specific to multiple gest, third trimester, fetus 2 Oth comp specific to multiple gest, third trimester, fetus 3 Oth comp specific to multiple gest, third trimester, fetus 4 Oth comp specific to multiple gest, third trimester, fetus 5 Oth comp specific to multiple gest, third trimester, oth Maternal care for unstable lie, not applicable or unsp Maternal care for unstable lie, fetus 1 Maternal care for unstable lie, fetus 2 Maternal care for unstable lie, fetus 3 Maternal care for unstable lie, fetus 4 Maternal care for unstable lie, fetus 5 Maternal care for unstable lie, other fetus Maternal care for breech presentation, unsp Maternal care for breech presentation, unsp Maternal care for breech presentation, fetus 1 Maternal care for breech presentation, fetus 2 Maternal care for breech presentation, fetus 3 Maternal care for breech presentation, fetus 4 Maternal care for breech presentation, fetus 5 Maternal care for breech presentation, other fetus Maternal care for transverse and oblique lie, unsp Maternal care for transverse and oblique lie, fetus 1 Maternal care for transverse and oblique lie, fetus 2 Maternal care for transverse and oblique lie, fetus 3 Maternal care for transverse and oblique lie, fetus 4 Maternal care for transverse and oblique lie, fetus 5 Maternal care for transverse and oblique lie, other fetus Maternal care for face, brow and chin presentation, unsp Maternal care for face, brow and chin presentation, fetus 1 PC v2014A 308 O32.3xx2 O32.3xx3 O32.3xx4 O32.3xx5 Maternal care for face, brow and chin presentation, fetus 2 Maternal care for face, brow and chin presentation, fetus 3 Maternal care for face, brow and chin presentation, fetus 4 Maternal care for face, brow and chin presentation, fetus 5 O32.3xx9 O32.4XX0 O32.4XX1 O32.4XX2 O32.4XX3 O32.4XX4 O32.4XX5 O32.4XX9 O32.6XX0 O32.6XX1 O32.6XX2 O32.6XX3 O32.6XX4 O32.6XX5 O32.6XX9 O32.8XX0 O32.8XX1 O32.8XX2 O32.8XX3 O32.8XX4 O32.8XX5 O32.8XX9 O32.9XX0 O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O32.9XX9 O33.0 O33.1 O33.2 O33.3XX0 O33.3XX1 O33.3XX2 O33.3XX3 O33.3XX4 O33.3XX5 O33.3XX9 O33.4XX0 O33.4XX1 O33.4XX2 O33.4XX3 O33.4XX4 Maternal care for face, brow and chin presentation, oth Maternal care for high head at term, not applicable or unsp Maternal care for high head at term, fetus 1 Maternal care for high head at term, fetus 2 Maternal care for high head at term, fetus 3 Maternal care for high head at term, fetus 4 Maternal care for high head at term, fetus 5 Maternal care for high head at term, other fetus Maternal care for compound presentation, unsp Maternal care for compound presentation, fetus 1 Maternal care for compound presentation, fetus 2 Maternal care for compound presentation, fetus 3 Maternal care for compound presentation, fetus 4 Maternal care for compound presentation, fetus 5 Maternal care for compound presentation, other fetus Maternal care for oth malpresentation of fetus, unsp Maternal care for other malpresentation of fetus, fetus 1 Maternal care for other malpresentation of fetus, fetus 2 Maternal care for other malpresentation of fetus, fetus 3 Maternal care for other malpresentation of fetus, fetus 4 Maternal care for other malpresentation of fetus, fetus 5 Maternal care for oth malpresentation of fetus, other fetus Maternal care for malpresentation of fetus, unsp, unsp Maternal care for malpresentation of fetus, unsp, fetus 1 Maternal care for malpresentation of fetus, unsp, fetus 2 Maternal care for malpresentation of fetus, unsp, fetus 3 Maternal care for malpresentation of fetus, unsp, fetus 4 Maternal care for malpresentation of fetus, unsp, fetus 5 Maternal care for malpresentation of fetus, unsp, oth fetus Maternal care for malpresentation of fetus, unsp, oth fetus Matern care for disproprtn d/t deformity of matern pelv bone Matern care for disproprtn d/t generally contracted pelvis Maternal care for disproprtn due to inlet contrctn of pelvis Maternal care for disproprtn d/t outlet contrctn of pelv, unsp Maternal care for disproprtn d/t outlet contrctn of pelv, fts1 Maternal care for disproprtn d/t outlet contrctn of pelv, fts2 Maternal care for disproprtn d/t outlet contrctn of pelv, fts3 Maternal care for disproprtn d/t outlet contrctn of pelv, fts4 Maternal care for disproprtn d/t outlet contrctn of pelv, fts5 Maternal care for disproprtn d/t outlet contrctn of pelv, oth fts Matern care for disproprtn of mix matern & fetl origin, unsp Matern care for disproprtn of mix matern & fetl origin, fts1 Matern care for disproprtn of mix matern & fetl origin, fts2 Matern care for disproprtn of mix matern & fetl origin, fts3 Matern care for disproprtn of mix matern & fetl origin, fts4 O33.4XX5 O33.4XX9 O33.5XX0 Matern care for disproprtn of mix matern & fetl origin, fts5 Matern care for disproprtn of mix matern & fetl origin, oth Matern care for disproprtn d/t unusually large fetus, unsp PC v2014A 309 O33.5XX1 O33.5XX2 O33.5XX3 O33.5XX4 O33.5XX5 O33.5XX9 O33.6XX0 O33.6XX1 O33.6XX2 O33.6XX3 O33.6XX4 O33.6XX5 O33.6XX9 O33.7 O33.8 O33.9 O34.01 O34.01 Matern care for disproprtn d/t unusually large fetus, fts1 Matern care for disproprtn d/t unusually large fetus, fts2 Matern care for disproprtn d/t unusually large fetus, fts3 Matern care for disproprtn d/t unusually large fetus, fts4 Matern care for disproprtn d/t unusually large fetus, fts5 Matern care for disproprtn due to unusually large fetus, oth Matern care for disproprtn due to hydrocephalic fetus, unsp Matern care for disproprtn due to hydrocephalic fetus, fts1 Matern care for disproprtn due to hydrocephalic fetus, fts2 Matern care for disproprtn due to hydrocephalic fetus, fts3 Matern care for disproprtn due to hydrocephalic fetus, fts4 Matern care for disproprtn due to hydrocephalic fetus, fts5 Maternal care for disproprtn due to hydrocephalic fetus, oth Maternal care for disproportion due to oth fetal deformities Maternal care for disproportion of other origin Maternal care for disproportion, unspecified Maternal care for unsp congen malform of uterus, first tri Maternal care for unsp congen malform of uterus, first tri O34.02 O34.02 O34.03 O34.03 O34.11 O34.11 O34.12 O34.13 O34.21 O34.29 O34.31 O34.32 O34.33 O34.33 O34.41 O34.42 O34.43 O34.511 O34.512 O34.513 O34.521 O34.522 O34.523 O34.531 O34.532 O34.533 O34.591 O34.592 O34.593 O34.61 O34.62 O34.63 O34.71 O34.72 Maternal care for unsp congen malform of uterus, second tri Maternal care for unsp congen malform of uterus, second tri Maternal care for unsp congen malform of uterus, third tri Maternal care for unsp congen malform of uterus, third tri Maternal care for benign tumor of corpus uteri, first tri Maternal care for benign tumor of corpus uteri, first tri Maternal care for benign tumor of corpus uteri, second tri Maternal care for benign tumor of corpus uteri, third tri Maternal care for scar from previous cesarean delivery Maternal care due to uterine scar from oth previous surgery Maternal care for cervical incompetence, first trimester Maternal care for cervical incompetence, second trimester Maternal care for cervical incompetence, third trimester Maternal care for cervical incompetence, third trimester Maternal care for oth abnlt of cervix, first trimester Maternal care for oth abnlt of cervix, second trimester Maternal care for oth abnlt of cervix, third trimester Maternal care for incarceration of gravid uterus, first tri Maternal care for incarceration of gravid uterus, second tri Maternal care for incarceration of gravid uterus, third tri Maternal care for prolapse of gravid uterus, first tri Maternal care for prolapse of gravid uterus, second tri Maternal care for prolapse of gravid uterus, third tri Maternal care for retroversion of gravid uterus, first tri Maternal care for retroversion of gravid uterus, second tri Maternal care for retroversion of gravid uterus, third tri Maternal care for oth abnlt of gravid uterus, first tri Maternal care for oth abnlt of gravid uterus, second tri Maternal care for oth abnlt of gravid uterus, third tri Maternal care for abnormality of vagina, first trimester Maternal care for abnormality of vagina, second trimester Maternal care for abnormality of vagina, third trimester Maternal care for abnlt of vulva and perineum, first tri Maternal care for abnlt of vulva and perineum, second tri PC v2014A 310 O34.73 O34.81 O34.82 O34.83 O34.91 O34.92 O34.93 O35.0XX0 O35.0XX1 O35.0XX2 O35.0XX3 O35.0XX4 Maternal care for abnlt of vulva and perineum, third tri Maternal care for oth abnlt of pelvic organs, first tri Maternal care for oth abnlt of pelvic organs, second tri Maternal care for oth abnlt of pelvic organs, third tri Maternal care for abnlt of pelvic organ, unsp, first tri Maternal care for abnlt of pelvic organ, unsp, second tri Maternal care for abnlt of pelvic organ, unsp, third tri Maternal care for (suspected) cnsl malform in fetus, unsp Maternal care for (suspected) cnsl malform in fetus, fetus 1 Maternal care for (suspected) cnsl malform in fetus, fetus 2 Maternal care for (suspected) cnsl malform in fetus, fetus 3 Maternal care for (suspected) cnsl malform in fetus, fetus 4 O35.0XX5 O35.0XX9 O35.1XX0 O35.1XX1 O35.1XX2 O35.1XX3 O35.1XX4 O35.1XX5 O35.1XX9 O35.2XX0 O35.2XX1 O35.2XX2 O35.2XX3 O35.2XX4 O35.2XX5 O35.2XX9 O35.3XX0 O35.3XX1 O35.3XX2 O35.3XX3 O35.3XX4 O35.3XX5 O35.3XX9 O35.4XX0 O35.4XX1 O35.4XX2 O35.4XX3 O35.4XX4 O35.4XX5 O35.4XX9 O35.5XX0 O35.5XX1 O35.5XX2 O35.5XX3 O35.5XX4 O35.5XX5 O35.5XX9 O35.6XX0 O35.6XX1 O35.6XX2 Maternal care for (suspected) cnsl malform in fetus, fetus 5 Maternal care for (suspected) cnsl malform in fetus, oth Maternal care for chromosomal abnormality in fetus, unsp Maternal care for chromosomal abnormality in fetus, fetus 1 Maternal care for chromosomal abnormality in fetus, fetus 2 Maternal care for chromosomal abnormality in fetus, fetus 3 Maternal care for chromosomal abnormality in fetus, fetus 4 Maternal care for chromosomal abnormality in fetus, fetus 5 Maternal care for chromosomal abnormality in fetus, oth Maternal care for hereditary disease in fetus, unsp Maternal care for hereditary disease in fetus, fetus 1 Maternal care for hereditary disease in fetus, fetus 2 Maternal care for hereditary disease in fetus, fetus 3 Maternal care for hereditary disease in fetus, fetus 4 Maternal care for hereditary disease in fetus, fetus 5 Maternal care for hereditary disease in fetus, oth Matern care for damag to fts from viral dis in mother, unsp Matern care for damag to fts from viral dis in mother, fts1 Matern care for damag to fts from viral dis in mother, fts2 Matern care for damag to fts from viral dis in mother, fts3 Matern care for damag to fts from viral dis in mother, fts4 Matern care for damag to fts from viral dis in mother, fts5 Matern care for damag to fetus from viral dis in mother, oth Maternal care for damage to fetus from alcohol, unsp Maternal care for damage to fetus from alcohol, fetus 1 Maternal care for damage to fetus from alcohol, fetus 2 Maternal care for damage to fetus from alcohol, fetus 3 Maternal care for damage to fetus from alcohol, fetus 4 Maternal care for damage to fetus from alcohol, fetus 5 Maternal care for damage to fetus from alcohol, oth Maternal care for (suspected) damage to fetus by drugs, unsp Maternal care for damage to fetus by drugs, fetus 1 Maternal care for damage to fetus by drugs, fetus 2 Maternal care for damage to fetus by drugs, fetus 3 Maternal care for damage to fetus by drugs, fetus 4 Maternal care for damage to fetus by drugs, fetus 5 Maternal care for (suspected) damage to fetus by drugs, oth Maternal care for damage to fetus by radiation, unsp Maternal care for damage to fetus by radiation, fetus 1 Maternal care for damage to fetus by radiation, fetus 2 PC v2014A 311 O35.6XX3 O35.6XX4 O35.6XX5 O35.6XX9 O35.8XX0 Maternal care for damage to fetus by radiation, fetus 3 Maternal care for damage to fetus by radiation, fetus 4 Maternal care for damage to fetus by radiation, fetus 5 Maternal care for damage to fetus by radiation, oth Maternal care for oth fetal abnormality and damage, unsp O35.8XX1 O35.8XX2 O35.8XX3 O35.8XX4 O35.8XX5 O35.8XX9 O35.9XX0 O35.9XX1 O35.9XX2 O35.9XX3 O35.9XX4 O35.9XX5 O35.9XX9 O36.0110 O36.0111 O36.0112 O36.0113 O36.0114 O36.0115 O36.0119 O36.0120 O36.0121 O36.0122 O36.0123 O36.0124 O36.0125 O36.0129 O36.0130 O36.0131 O36.0132 O36.0133 O36.0134 O36.0135 O36.0139 O36.0910 O36.0911 O36.0912 O36.0913 O36.0914 O36.0915 O36.0919 O36.0920 O36.0921 O36.0922 O36.0923 O36.0924 Maternal care for oth fetal abnormality and damage, fetus 1 Maternal care for oth fetal abnormality and damage, fetus 2 Maternal care for oth fetal abnormality and damage, fetus 3 Maternal care for oth fetal abnormality and damage, fetus 4 Maternal care for oth fetal abnormality and damage, fetus 5 Maternal care for oth fetal abnormality and damage, oth Maternal care for fetal abnormality and damage, unsp, unsp Maternal care for fetal abnlt and damage, unsp, fetus 1 Maternal care for fetal abnlt and damage, unsp, fetus 2 Maternal care for fetal abnlt and damage, unsp, fetus 3 Maternal care for fetal abnlt and damage, unsp, fetus 4 Maternal care for fetal abnlt and damage, unsp, fetus 5 Maternal care for fetal abnormality and damage, unsp, oth Maternal care for anti-D antibodies, first trimester, unsp Maternal care for anti-D antibodies, first tri, fetus 1 Maternal care for anti-D antibodies, first tri, fetus 2 Maternal care for anti-D antibodies, first tri, fetus 3 Maternal care for anti-D antibodies, first tri, fetus 4 Maternal care for anti-D antibodies, first tri, fetus 5 Maternal care for anti-D antibodies, first trimester, oth Maternal care for anti-D antibodies, second trimester, unsp Maternal care for anti-D antibodies, second tri, fetus 1 Maternal care for anti-D antibodies, second tri, fetus 2 Maternal care for anti-D antibodies, second tri, fetus 3 Maternal care for anti-D antibodies, second tri, fetus 4 Maternal care for anti-D antibodies, second tri, fetus 5 Maternal care for anti-D antibodies, second trimester, oth Maternal care for anti-D antibodies, third trimester, unsp Maternal care for anti-D antibodies, third tri, fetus 1 Maternal care for anti-D antibodies, third tri, fetus 2 Maternal care for anti-D antibodies, third tri, fetus 3 Maternal care for anti-D antibodies, third tri, fetus 4 Maternal care for anti-D antibodies, third tri, fetus 5 Maternal care for anti-D antibodies, third trimester, oth Maternal care for oth rhesus isoimmun, first trimester, unsp Maternal care for oth rhesus isoimmun, first tri, fetus 1 Maternal care for oth rhesus isoimmun, first tri, fetus 2 Maternal care for oth rhesus isoimmun, first tri, fetus 3 Maternal care for oth rhesus isoimmun, first tri, fetus 4 Maternal care for oth rhesus isoimmun, first tri, fetus 5 Maternal care for oth rhesus isoimmun, first trimester, oth Maternal care for oth rhesus isoimmun, second tri, unsp Maternal care for oth rhesus isoimmun, second tri, fetus 1 Maternal care for oth rhesus isoimmun, second tri, fetus 2 Maternal care for oth rhesus isoimmun, second tri, fetus 3 Maternal care for oth rhesus isoimmun, second tri, fetus 4 O36.0925 Maternal care for oth rhesus isoimmun, second tri, fetus 5 PC v2014A 312 O36.0929 O36.0930 O36.0931 O36.0932 O36.0933 O36.0934 O36.0935 O36.0939 O36.1110 O36.1111 O36.1112 O36.1113 O36.1114 O36.1115 O36.1119 O36.1120 O36.1121 O36.1122 O36.1123 O36.1124 O36.1125 Maternal care for oth rhesus isoimmun, second trimester, oth Maternal care for oth rhesus isoimmun, third trimester, unsp Maternal care for oth rhesus isoimmun, third tri, fetus 1 Maternal care for oth rhesus isoimmun, third tri, fetus 2 Maternal care for oth rhesus isoimmun, third tri, fetus 3 Maternal care for oth rhesus isoimmun, third tri, fetus 4 Maternal care for oth rhesus isoimmun, third tri, fetus 5 Maternal care for oth rhesus isoimmun, third trimester, oth Maternal care for Anti-A sensitization, first tri, unsp Maternal care for Anti-A sensitization, first tri, fetus 1 Maternal care for Anti-A sensitization, first tri, fetus 2 Maternal care for Anti-A sensitization, first tri, fetus 3 Maternal care for Anti-A sensitization, first tri, fetus 4 Maternal care for Anti-A sensitization, first tri, fetus 5 Maternal care for Anti-A sensitization, first trimester, oth Maternal care for Anti-A sensitization, second tri, unsp Maternal care for Anti-A sensitization, second tri, fetus 1 Maternal care for Anti-A sensitization, second tri, fetus 2 Maternal care for Anti-A sensitization, second tri, fetus 3 Maternal care for Anti-A sensitization, second tri, fetus 4 Maternal care for Anti-A sensitization, second tri, fetus 5 O36.1129 O36.1130 O36.1131 O36.1132 O36.1133 O36.1134 O36.1135 O36.1139 O36.1910 O36.1911 O36.1912 O36.1913 O36.1914 O36.1915 O36.1919 O36.1920 O36.1921 O36.1922 O36.1923 O36.1924 O36.1925 O36.1929 O36.1930 Maternal care for Anti-A sensitization, second tri, oth Maternal care for Anti-A sensitization, third tri, unsp Maternal care for Anti-A sensitization, third tri, fetus 1 Maternal care for Anti-A sensitization, third tri, fetus 2 Maternal care for Anti-A sensitization, third tri, fetus 3 Maternal care for Anti-A sensitization, third tri, fetus 4 Maternal care for Anti-A sensitization, third tri, fetus 5 Maternal care for Anti-A sensitization, third trimester, oth Maternal care for oth isoimmunization, first trimester, unsp Maternal care for oth isoimmun, first trimester, fetus 1 Maternal care for oth isoimmun, first trimester, fetus 2 Maternal care for oth isoimmun, first trimester, fetus 3 Maternal care for oth isoimmun, first trimester, fetus 4 Maternal care for oth isoimmun, first trimester, fetus 5 Maternal care for oth isoimmunization, first trimester, oth Maternal care for oth isoimmun, second trimester, unsp Maternal care for oth isoimmun, second trimester, fetus 1 Maternal care for oth isoimmun, second trimester, fetus 2 Maternal care for oth isoimmun, second trimester, fetus 3 Maternal care for oth isoimmun, second trimester, fetus 4 Maternal care for oth isoimmun, second trimester, fetus 5 Maternal care for oth isoimmunization, second trimester, oth Maternal care for oth isoimmunization, third trimester, unsp O36.1931 O36.1932 O36.1933 O36.1934 O36.1935 O36.1939 O36.21x0 O36.21x1 Maternal care for oth isoimmun, third trimester, fetus 1 Maternal care for oth isoimmun, third trimester, fetus 2 Maternal care for oth isoimmun, third trimester, fetus 3 Maternal care for oth isoimmun, third trimester, fetus 4 Maternal care for oth isoimmun, third trimester, fetus 5 Maternal care for oth isoimmunization, third trimester, oth Maternal care for hydrops fetalis, first trimester, unsp Maternal care for hydrops fetalis, first trimester, fetus 1 PC v2014A 313 O36.21x2 O36.21x3 O36.21x4 O36.21x5 O36.21x9 O36.22x0 O36.22x1 O36.22x2 O36.22x3 O36.22x4 O36.22x5 O36.22x9 O36.23x0 O36.23x1 Maternal care for hydrops fetalis, first trimester, fetus 2 Maternal care for hydrops fetalis, first trimester, fetus 3 Maternal care for hydrops fetalis, first trimester, fetus 4 Maternal care for hydrops fetalis, first trimester, fetus 5 Maternal care for hydrops fetalis, first trimester, oth Maternal care for hydrops fetalis, second trimester, unsp Maternal care for hydrops fetalis, second trimester, fetus 1 Maternal care for hydrops fetalis, second trimester, fetus 2 Maternal care for hydrops fetalis, second trimester, fetus 3 Maternal care for hydrops fetalis, second trimester, fetus 4 Maternal care for hydrops fetalis, second trimester, fetus 5 Maternal care for hydrops fetalis, second trimester, oth Maternal care for hydrops fetalis, third trimester, unsp Maternal care for hydrops fetalis, third trimester, fetus 1 O36.23x2 O36.23x3 O36.23x4 O36.23x5 O36.23x9 O36.4XX0 O36.4XX1 O36.4XX2 O36.4XX3 O36.4XX4 O36.4XX5 O36.4XX9 O36.5110 O36.5111 O36.5112 O36.5113 O36.5114 O36.5115 O36.5119 O36.5120 O36.5121 O36.5122 O36.5123 O36.5124 Maternal care for hydrops fetalis, third trimester, fetus 2 Maternal care for hydrops fetalis, third trimester, fetus 3 Maternal care for hydrops fetalis, third trimester, fetus 4 Maternal care for hydrops fetalis, third trimester, fetus 5 Maternal care for hydrops fetalis, third trimester, oth Maternal care for intrauterine death, not applicable or unsp Maternal care for intrauterine death, fetus 1 Maternal care for intrauterine death, fetus 2 Maternal care for intrauterine death, fetus 3 Maternal care for intrauterine death, fetus 4 Maternal care for intrauterine death, fetus 5 Maternal care for intrauterine death, other fetus Matern care for known or susp placntl insuff, 1st tri, unsp Matern care for known or susp placntl insuff, 1st tri, fts1 Matern care for known or susp placntl insuff, 1st tri, fts2 Matern care for known or susp placntl insuff, 1st tri, fts3 Matern care for known or susp placntl insuff, 1st tri, fts4 Matern care for known or susp placntl insuff, 1st tri, fts5 Matern care for known or susp placntl insuff, first tri, oth Matern care for known or susp placntl insuff, 2nd tri, unsp Matern care for known or susp placntl insuff, 2nd tri, fts1 Matern care for known or susp placntl insuff, 2nd tri, fts2 Matern care for known or susp placntl insuff, 2nd tri, fts3 Matern care for known or susp placntl insuff, 2nd tri, fts4 O36.5125 O36.5129 O36.5130 O36.5131 O36.5132 O36.5133 O36.5134 O36.5135 O36.5139 O36.5910 O36.5911 O36.5912 O36.5913 O36.5914 Matern care for known or susp placntl insuff, 2nd tri, fts5 Matern care for known or susp placntl insuff, 2nd tri, oth Matern care for or susp placntl insuff, third tri, unsp Matern care for or susp placntl insuff, third tri, fts1 Matern care for or susp placntl insuff, third tri, fts2 Matern care for or susp placntl insuff, third tri, fts3 Matern care for or susp placntl insuff, third tri, fts4 Matern care for or susp placntl insuff, third tri, fts5 Matern care for known or susp placntl insuff, third tri, oth Matern care for oth or susp poor fetl grth, 1st tri, unsp Matern care for oth or susp poor fetl grth, 1st tri, fts1 Matern care for oth or susp poor fetl grth, 1st tri, fts2 Matern care for oth or susp poor fetl grth, 1st tri, fts3 Matern care for oth or susp poor fetl grth, 1st tri, fts4 PC v2014A 314 O36.5915 O36.5919 O36.5920 O36.5921 O36.5922 O36.5923 O36.5924 Matern care for oth or susp poor fetl grth, 1st tri, fts5 Matern care for oth or susp poor fetl grth, 1st tri, oth Matern care for oth or susp poor fetl grth, 2nd tri, unsp Matern care for oth or susp poor fetl grth, 2nd tri, fts1 Matern care for oth or susp poor fetl grth, 2nd tri, fts2 Matern care for oth or susp poor fetl grth, 2nd tri, fts3 Matern care for oth or susp poor fetl grth, 2nd tri, fts4 O36.5925 O36.5929 O36.5930 O36.5931 O36.5932 O36.5933 O36.5934 O36.5935 O36.5939 O36.61X0 O36.61X1 O36.61X2 O36.61X3 O36.61X4 O36.61X5 O36.61X9 O36.62X0 O36.62X1 O36.62X2 O36.62X3 O36.62X4 O36.62X5 O36.62X9 O36.63X0 O36.63X1 O36.63X2 O36.63X3 O36.63X4 O36.63X5 O36.63X9 O36.71X0 O36.71X1 O36.71X2 O36.71X3 O36.71X4 O36.71X5 O36.71X9 O36.72X0 O36.72X1 O36.72X2 O36.72X3 O36.72X4 O36.72X5 O36.72X9 O36.73X0 Matern care for oth or susp poor fetl grth, 2nd tri, fts5 Matern care for oth or susp poor fetl grth, 2nd tri, oth Matern care for oth or susp poor fetl grth, third tri, unsp Matern care for oth or susp poor fetl grth, third tri, fts1 Matern care for oth or susp poor fetl grth, third tri, fts2 Matern care for oth or susp poor fetl grth, third tri, fts3 Matern care for oth or susp poor fetl grth, third tri, fts4 Matern care for oth or susp poor fetl grth, third tri, fts5 Matern care for oth or susp poor fetl grth, third tri, oth Maternal care for excess fetal growth, first trimester, unsp Maternal care for excess fetal growth, first tri, fetus 1 Maternal care for excess fetal growth, first tri, fetus 2 Maternal care for excess fetal growth, first tri, fetus 3 Maternal care for excess fetal growth, first tri, fetus 4 Maternal care for excess fetal growth, first tri, fetus 5 Maternal care for excess fetal growth, first trimester, oth Maternal care for excess fetal growth, second tri, unsp Maternal care for excess fetal growth, second tri, fetus 1 Maternal care for excess fetal growth, second tri, fetus 2 Maternal care for excess fetal growth, second tri, fetus 3 Maternal care for excess fetal growth, second tri, fetus 4 Maternal care for excess fetal growth, second tri, fetus 5 Maternal care for excess fetal growth, second trimester, oth Maternal care for excess fetal growth, third trimester, unsp Maternal care for excess fetal growth, third tri, fetus 1 Maternal care for excess fetal growth, third tri, fetus 2 Maternal care for excess fetal growth, third tri, fetus 3 Maternal care for excess fetal growth, third tri, fetus 4 Maternal care for excess fetal growth, third tri, fetus 5 Maternal care for excess fetal growth, third trimester, oth Maternal care for viable fetus in abd preg, first tri, unsp Maternal care for viable fetus in abd preg, first tri, fetus 1 Maternal care for viable fetus in abd preg, first tri, fetus 2 Maternal care for viable fetus in abd preg, first tri, fetus 3 Maternal care for viable fetus in abd preg, first tri, fetus 4 Maternal care for viable fetus in abd preg, first tri, fetus 5 Maternal care for viable fetus in abd preg, first tri, oth fetus Maternal care for viable fetus in abd preg, second tri, unsp Maternal care for viable fetus in abd preg, second tri, fetus 1 Maternal care for viable fetus in abd preg, second tri, fetus 2 Maternal care for viable fetus in abd preg, second tri, fetus 3 Maternal care for viable fetus in abd preg, second tri, fetus 4 Maternal care for viable fetus in abd preg, second tri, fetus 5 Maternal care for viable fetus in abd preg, second tri, oth fetus Maternal care for viable fetus in abd preg, third tri, unsp PC v2014A 315 O36.73X1 O36.73X2 O36.73X3 O36.73X4 O36.73X5 O36.73X9 O36.8120 O36.8121 O36.8122 O36.8123 O36.8124 O36.8125 O36.8129 O36.8130 O36.8131 O36.8132 O36.8133 O36.8134 O36.8135 O36.8139 O36.8910 O36.8911 O36.8912 O36.8913 O36.8914 O36.8915 O36.8919 O36.8920 O36.8921 O36.8922 O36.8923 O36.8924 O36.8925 O36.8929 O36.8930 O36.8931 O36.8932 O36.8933 O36.8934 O36.8935 O36.8939 O36.91X0 O36.91X1 O36.91X2 O36.91X3 Maternal care for viable fetus in abd preg, third tri, fetus 1 Maternal care for viable fetus in abd preg, third tri, fetus 2 Maternal care for viable fetus in abd preg, third tri, fetus 3 Maternal care for viable fetus in abd preg, third tri, fetus 4 Maternal care for viable fetus in abd preg, third tri, fetus 5 Maternal care for viable fetus in abd preg, third tri, oth fetus Decreased fetal movements, second trimester, unsp Decreased fetal movements, second trimester, fetus 1 Decreased fetal movements, second trimester, fetus 2 Decreased fetal movements, second trimester, fetus 3 Decreased fetal movements, second trimester, fetus 4 Decreased fetal movements, second trimester, fetus 5 Decreased fetal movements, second trimester, other fetus Decreased fetal movements, third trimester, unsp Decreased fetal movements, third trimester, fetus 1 Decreased fetal movements, third trimester, fetus 2 Decreased fetal movements, third trimester, fetus 3 Decreased fetal movements, third trimester, fetus 4 Decreased fetal movements, third trimester, fetus 5 Decreased fetal movements, third trimester, other fetus Maternal care for other fetal problems, first trimester, unsp Maternal care for other fetal problems, first trimester, fetus 1 Maternal care for other fetal problems, first trimester, fetus 2 Maternal care for other fetal problems, first trimester, fetus 3 Maternal care for other fetal problems, first trimester, fetus 4 Maternal care for other fetal problems, first trimester, fetus 5 Maternal care for other fetal problems, first trimester, oth fetus Maternal care for other fetal problems, second trimester, unsp Maternal care for other fetal problems, second trimester, fetus 1 Maternal care for other fetal problems, second trimester, fetus 2 Maternal care for other fetal problems, second trimester, fetus 3 Maternal care for other fetal problems, second trimester, fetus 4 Maternal care for other fetal problems, second trimester, fetus 5 Maternal care for other fetal problems, second trimester, oth fetus Maternal care for other fetal problems, third trimester, unsp Maternal care for other fetal problems, third trimester, fetus 1 Maternal care for other fetal problems, third trimester, fetus 2 Maternal care for other fetal problems, third trimester, fetus 3 Maternal care for other fetal problems, third trimester, fetus 4 Maternal care for other fetal problems, third trimester, fetus 5 Maternal care for other fetal problems, third trimester, oth fetus Maternal care for fetal problem, unsp, first trimester, unsp Maternal care for fetal problem, unsp, first tri, fetus 1 Maternal care for fetal problem, unsp, first tri, fetus 2 Maternal care for fetal problem, unsp, first tri, fetus 3 O36.91X4 O36.91X5 O36.91X9 O36.92X0 O36.92X1 O36.92X2 O36.92X3 Maternal care for fetal problem, unsp, first tri, fetus 4 Maternal care for fetal problem, unsp, first tri, fetus 5 Maternal care for fetal problem, unsp, first trimester, oth Maternal care for fetal problem, unsp, second tri, unsp Maternal care for fetal problem, unsp, second tri, fetus 1 Maternal care for fetal problem, unsp, second tri, fetus 2 Maternal care for fetal problem, unsp, second tri, fetus 3 PC v2014A 316 O36.92X4 O36.92X5 O36.92X9 O36.93X0 O36.93X1 Maternal care for fetal problem, unsp, second tri, fetus 4 Maternal care for fetal problem, unsp, second tri, fetus 5 Maternal care for fetal problem, unsp, second trimester, oth Maternal care for fetal problem, unsp, third trimester, unsp Maternal care for fetal problem, unsp, third tri, fetus 1 O36.93X2 O36.93X3 O36.93X4 O36.93X5 O36.93X9 O40.1XX0 O40.1XX1 O40.1XX2 O40.1XX3 O40.1XX4 O40.1XX5 O40.1XX9 O40.2XX0 O40.2XX1 O40.2XX2 O40.2XX3 O40.2XX4 O40.2XX5 O40.2XX9 O40.3XX0 O40.3XX1 O40.3XX2 O40.3XX3 O40.3XX4 O40.3XX5 O40.3XX9 O41.01X0 O41.01X1 O41.01X2 O41.01X3 O41.01X4 O41.01X5 O41.01X9 Maternal care for fetal problem, unsp, third tri, fetus 2 Maternal care for fetal problem, unsp, third tri, fetus 3 Maternal care for fetal problem, unsp, third tri, fetus 4 Maternal care for fetal problem, unsp, third tri, fetus 5 Maternal care for fetal problem, unsp, third trimester, oth Polyhydramnios, first trimester, not applicable or unsp Polyhydramnios, first trimester, fetus 1 Polyhydramnios, first trimester, fetus 2 Polyhydramnios, first trimester, fetus 3 Polyhydramnios, first trimester, fetus 4 Polyhydramnios, first trimester, fetus 5 Polyhydramnios, first trimester, other fetus Polyhydramnios, second trimester, not applicable or unsp Polyhydramnios, second trimester, fetus 1 Polyhydramnios, second trimester, fetus 2 Polyhydramnios, second trimester, fetus 3 Polyhydramnios, second trimester, fetus 4 Polyhydramnios, second trimester, fetus 5 Polyhydramnios, second trimester, other fetus Polyhydramnios, third trimester, not applicable or unsp Polyhydramnios, third trimester, fetus 1 Polyhydramnios, third trimester, fetus 2 Polyhydramnios, third trimester, fetus 3 Polyhydramnios, third trimester, fetus 4 Polyhydramnios, third trimester, fetus 5 Polyhydramnios, third trimester, other fetus Oligohydramnios, first trimester, not applicable or unsp Oligohydramnios, first trimester, fetus 1 Oligohydramnios, first trimester, fetus 2 Oligohydramnios, first trimester, fetus 3 Oligohydramnios, first trimester, fetus 4 Oligohydramnios, first trimester, fetus 5 Oligohydramnios, first trimester, other fetus O41.02X0 O41.02X1 O41.02X2 O41.02X3 O41.02X4 O41.02X5 O41.02X9 O41.03X0 O41.03X1 O41.03X2 O41.03X3 O41.03X4 O41.03X5 Oligohydramnios, second trimester, not applicable or unsp Oligohydramnios, second trimester, fetus 1 Oligohydramnios, second trimester, fetus 2 Oligohydramnios, second trimester, fetus 3 Oligohydramnios, second trimester, fetus 4 Oligohydramnios, second trimester, fetus 5 Oligohydramnios, second trimester, other fetus Oligohydramnios, third trimester, not applicable or unsp Oligohydramnios, third trimester, fetus 1 Oligohydramnios, third trimester, fetus 2 Oligohydramnios, third trimester, fetus 3 Oligohydramnios, third trimester, fetus 4 Oligohydramnios, third trimester, fetus 5 O41.03X9 Oligohydramnios, third trimester, other fetus PC v2014A 317 O41.1010 O41.1011 O41.1012 O41.1013 O41.1014 O41.1015 O41.1019 O41.1020 O41.1021 O41.1022 O41.1023 O41.1024 O41.1025 O41.1029 O41.1030 O41.1031 O41.1032 O41.1033 O41.1034 O41.1035 O41.1039 O41.1210 O41.1211 O41.1212 O41.1213 O41.1214 O41.1215 O41.1219 O41.1220 O41.1221 O41.1222 Infct of amniotic sac and membrns, unsp, first tri, unsp Infct of amniotic sac and membrns, unsp, first tri, fetus 1 Infct of amniotic sac and membrns, unsp, first tri, fetus 2 Infct of amniotic sac and membrns, unsp, first tri, fetus 3 Infct of amniotic sac and membrns, unsp, first tri, fetus 4 Infct of amniotic sac and membrns, unsp, first tri, fetus 5 Infct of amniotic sac and membrns, unsp, first tri, oth Infct of amniotic sac and membrns, unsp, second tri, unsp Infct of amniotic sac and membrns, unsp, second tri, fetus 1 Infct of amniotic sac and membrns, unsp, second tri, fetus 2 Infct of amniotic sac and membrns, unsp, second tri, fetus 3 Infct of amniotic sac and membrns, unsp, second tri, fetus 4 Infct of amniotic sac and membrns, unsp, second tri, fetus 5 Infct of amniotic sac and membrns, unsp, second tri, oth Infct of amniotic sac and membrns, unsp, third tri, unsp Infct of amniotic sac and membrns, unsp, third tri, fetus 1 Infct of amniotic sac and membrns, unsp, third tri, fetus 2 Infct of amniotic sac and membrns, unsp, third tri, fetus 3 Infct of amniotic sac and membrns, unsp, third tri, fetus 4 Infct of amniotic sac and membrns, unsp, third tri, fetus 5 Infct of amniotic sac and membrns, unsp, third tri, oth Chorioamnionitis, first trimester, not applicable or unsp Chorioamnionitis, first trimester, fetus 1 Chorioamnionitis, first trimester, fetus 2 Chorioamnionitis, first trimester, fetus 3 Chorioamnionitis, first trimester, fetus 4 Chorioamnionitis, first trimester, fetus 5 Chorioamnionitis, first trimester, other fetus Chorioamnionitis, second trimester, not applicable or unsp Chorioamnionitis, second trimester, fetus 1 Chorioamnionitis, second trimester, fetus 2 O41.1223 O41.1224 O41.1225 O41.1229 O41.1230 O41.1231 O41.1232 O41.1233 O41.1234 O41.1235 O41.1239 O41.1410 O41.1411 O41.1412 Chorioamnionitis, second trimester, fetus 3 Chorioamnionitis, second trimester, fetus 4 Chorioamnionitis, second trimester, fetus 5 Chorioamnionitis, second trimester, other fetus Chorioamnionitis, third trimester, not applicable or unsp Chorioamnionitis, third trimester, fetus 1 Chorioamnionitis, third trimester, fetus 2 Chorioamnionitis, third trimester, fetus 3 Chorioamnionitis, third trimester, fetus 4 Chorioamnionitis, third trimester, fetus 5 Chorioamnionitis, third trimester, other fetus Placentitis, first trimester, not applicable or unspecified Placentitis, first trimester, fetus 1 Placentitis, first trimester, fetus 2 O41.1413 O41.1414 O41.1415 O41.1419 O41.1420 O41.1421 O41.1422 Placentitis, first trimester, fetus 3 Placentitis, first trimester, fetus 4 Placentitis, first trimester, fetus 5 Placentitis, first trimester, other fetus Placentitis, second trimester, not applicable or unspecified Placentitis, second trimester, fetus 1 Placentitis, second trimester, fetus 2 PC v2014A 318 O41.1423 O41.1424 O41.1425 O41.1429 O41.1430 O41.1431 O41.1432 O41.1433 O41.1434 O41.1435 O41.1439 O41.8X10 O41.8X11 O41.8X12 O41.8X13 O41.8X14 O41.8X15 O41.8X19 O41.8X20 O41.8X21 O41.8X22 O41.8X23 O41.8X24 O41.8X25 Placentitis, second trimester, fetus 3 Placentitis, second trimester, fetus 4 Placentitis, second trimester, fetus 5 Placentitis, second trimester, other fetus Placentitis, third trimester, not applicable or unspecified Placentitis, third trimester, fetus 1 Placentitis, third trimester, fetus 2 Placentitis, third trimester, fetus 3 Placentitis, third trimester, fetus 4 Placentitis, third trimester, fetus 5 Placentitis, third trimester, other fetus Oth disrd of amniotic fluid and membrns, first tri, unsp Oth disrd of amniotic fluid and membrns, first tri, fetus 1 Oth disrd of amniotic fluid and membrns, first tri, fetus 2 Oth disrd of amniotic fluid and membrns, first tri, fetus 3 Oth disrd of amniotic fluid and membrns, first tri, fetus 4 Oth disrd of amniotic fluid and membrns, first tri, fetus 5 Oth disrd of amniotic fluid and membrns, first tri, oth Oth disrd of amniotic fluid and membrns, second tri, unsp Oth disrd of amniotic fluid and membrns, second tri, fetus 1 Oth disrd of amniotic fluid and membrns, second tri, fetus 2 Oth disrd of amniotic fluid and membrns, second tri, fetus 3 Oth disrd of amniotic fluid and membrns, second tri, fetus 4 Oth disrd of amniotic fluid and membrns, second tri, fetus 5 O41.8X29 O41.8X30 O41.8X31 O41.8X32 O41.8X33 O41.8X34 O41.8X35 O41.8X39 O41.91X0 O41.91X1 O41.91X2 O41.91X3 O41.91X4 O41.91X5 O41.91X9 O41.92X0 O41.92X1 O41.92X2 O41.92X3 O41.92X4 O41.92X5 O41.92X9 O41.93X0 O41.93X1 O41.93X2 O41.93X3 O41.93X4 O41.93X5 Oth disrd of amniotic fluid and membrns, second tri, oth Oth disrd of amniotic fluid and membrns, third tri, unsp Oth disrd of amniotic fluid and membrns, third tri, fetus 1 Oth disrd of amniotic fluid and membrns, third tri, fetus 2 Oth disrd of amniotic fluid and membrns, third tri, fetus 3 Oth disrd of amniotic fluid and membrns, third tri, fetus 4 Oth disrd of amniotic fluid and membrns, third tri, fetus 5 Oth disrd of amniotic fluid and membrns, third tri, oth Disorder of amnio fluid and membrns, unsp, first tri, unsp Disord of amnio fluid and membrns, unsp, first tri, fetus 1 Disord of amnio fluid and membrns, unsp, first tri, fetus 2 Disord of amnio fluid and membrns, unsp, first tri, fetus 3 Disord of amnio fluid and membrns, unsp, first tri, fetus 4 Disord of amnio fluid and membrns, unsp, first tri, fetus 5 Disorder of amniotic fluid and membrns, unsp, first tri, oth Disorder of amnio fluid and membrns, unsp, second tri, unsp Disord of amnio fluid and membrns, unsp, second tri, fetus 1 Disord of amnio fluid and membrns, unsp, second tri, fetus 2 Disord of amnio fluid and membrns, unsp, second tri, fetus 3 Disord of amnio fluid and membrns, unsp, second tri, fetus 4 Disord of amnio fluid and membrns, unsp, second tri, fetus 5 Disorder of amnio fluid and membrns, unsp, second tri, oth Disorder of amnio fluid and membrns, unsp, third tri, unsp Disord of amnio fluid and membrns, unsp, third tri, fetus 1 Disord of amnio fluid and membrns, unsp, third tri, fetus 2 Disord of amnio fluid and membrns, unsp, third tri, fetus 3 Disord of amnio fluid and membrns, unsp, third tri, fetus 4 Disord of amnio fluid and membrns, unsp, third tri, fetus 5 PC v2014A 319 O41.93X9 O42.00 O42.011 O42.012 O42.013 O42.02 O42.10 O42.111 O42.112 O42.113 O42.12 O42.911 O42.912 O42.913 O42.92 O43.011 O43.012 Disorder of amniotic fluid and membrns, unsp, third tri, oth Prem ROM. Onset labor w/n 24 hr of rupt, unsp weeks gest Pretrm prem ROM, onset labor w/n 24 hours of rupt, first tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, 2nd tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, third tri Full-term prem ROM, onset labor within 24 hours of rupture Prem ROM, onset labor > 24 hr fol rupt, unsp weeks of gest Pretrm prem ROM, onset labor > 24 hours fol rupt, first tri Pretrm prem ROM, onset labor > 24 hours fol rupt, second tri Pretrm prem ROM, onset labor > 24 hours fol rupt, third tri Full-term premature ROM, onset labor > 24 hr fol rupt Pretrm prem ROM, unsp time betw rupt and onset labr, 1st tri Pretrm prem ROM, unsp time betw rupt and onset labr, 2nd tri Pretrm prem ROM, unsp time betw rupt and onst labr, 3rd tri Full-term prem ROM, unsp time betw rupture and onset labor Fetomaternal placental transfusion syndrome, first trimester Fetomaternal placental transfuse syndrome, second trimester O43.013 O43.101 O43.102 O43.103 O43.111 O43.112 O43.113 O43.191 O43.192 O43.193 O43.811 O43.812 O43.813 O43.891 O43.892 O43.893 O43.91 O43.92 O43.93 O61.0 O61.1 O61.8 O61.9 O64.1XX0 O64.1XX1 O64.1XX2 O64.1XX3 O64.1XX4 O64.1XX5 O64.1XX9 O64.2XX0 O64.2XX1 O64.2XX2 O64.2XX3 O64.2XX4 Fetomaternal placental transfusion syndrome, third trimester Malformation of placenta, unspecified, first trimester Malformation of placenta, unspecified, second trimester Malformation of placenta, unspecified, third trimester Circumvallate placenta, first trimester Circumvallate placenta, second trimester Circumvallate placenta, third trimester Other malformation of placenta, first trimester Other malformation of placenta, second trimester Other malformation of placenta, third trimester Placental infarction, first trimester Placental infarction, second trimester Placental infarction, third trimester Other placental disorders, first trimester Other placental disorders, second trimester Other placental disorders, third trimester Unspecified placental disorder, first trimester Unspecified placental disorder, second trimester Unspecified placental disorder, third trimester Failed medical induction of labor Failed instrumental induction of labor Other failed induction of labor Failed induction of labor, unspecified Obstructed labor due to breech presentation, unsp Obstructed labor due to breech presentation, fetus 1 Obstructed labor due to breech presentation, fetus 2 Obstructed labor due to breech presentation, fetus 3 Obstructed labor due to breech presentation, fetus 4 Obstructed labor due to breech presentation, fetus 5 Obstructed labor due to breech presentation, other fetus Obstructed labor due to face presentation, unsp Obstructed labor due to face presentation, fetus 1 Obstructed labor due to face presentation, fetus 2 Obstructed labor due to face presentation, fetus 3 Obstructed labor due to face presentation, fetus 4 PC v2014A 320 O64.2XX5 O64.2XX9 O64.3XX0 O64.3XX1 O64.3XX2 O64.3XX3 O64.3XX4 O64.3XX5 O64.3XX9 O64.4XX0 Obstructed labor due to face presentation, fetus 5 Obstructed labor due to face presentation, other fetus Obstructed labor due to brow presentation, unsp Obstructed labor due to brow presentation, fetus 1 Obstructed labor due to brow presentation, fetus 2 Obstructed labor due to brow presentation, fetus 3 Obstructed labor due to brow presentation, fetus 4 Obstructed labor due to brow presentation, fetus 5 Obstructed labor due to brow presentation, other fetus Obstructed labor due to shoulder presentation, unsp O64.4XX1 O64.4XX2 O64.4XX3 O64.4XX4 O64.4XX5 O64.4XX9 O64.5XX0 O64.5XX1 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0 O64.8XX1 O64.8XX2 O64.8XX3 O64.8XX4 O64.8XX5 O64.8XX9 O64.9XX0 O64.9XX1 O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 O65.0 O65.1 O65.2 O65.3 O65.4 O65.8 O65.9 O66.2 O66.6 O68 O75.2 O75.3 O75.5 O75.89 O75.9 Obstructed labor due to shoulder presentation, fetus 1 Obstructed labor due to shoulder presentation, fetus 2 Obstructed labor due to shoulder presentation, fetus 3 Obstructed labor due to shoulder presentation, fetus 4 Obstructed labor due to shoulder presentation, fetus 5 Obstructed labor due to shoulder presentation, other fetus Obstructed labor due to compound presentation, unsp Obstructed labor due to compound presentation, fetus 1 Obstructed labor due to compound presentation, fetus 2 Obstructed labor due to compound presentation, fetus 3 Obstructed labor due to compound presentation, fetus 4 Obstructed labor due to compound presentation, fetus 5 Obstructed labor due to compound presentation, other fetus Obstructed labor due to oth malposition and malpresent, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 Obstructed labor due to oth malpos and malpresent, fetus 3 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth Obstructed labor due to malpos and malpresent, unsp, unsp Obstructed labor due to malpos and malpresent, unsp, fetus 1 Obstructed labor due to malpos and malpresent, unsp, fetus 2 Obstructed labor due to malpos and malpresent, unsp, fetus 3 Obstructed labor due to malpos and malpresent, unsp, fetus 4 Obstructed labor due to malpos and malpresent, unsp, fetus 5 Obstructed labor due to malpos and malpresent, unsp, oth Obstructed labor due to deformed pelvis Obstructed labor due to generally contracted pelvis Obstructed labor due to pelvic inlet contraction Obst labor due to pelvic outlet and mid-cavity contrctn Obstructed labor due to fetopelvic disproportion, unsp Obstructed labor due to other maternal pelvic abnormalities Obstructed labor due to maternal pelvic abnormality, unsp Obstructed labor due to unusually large fetus Obstructed labor due to other multiple fetuses Labor and delivery comp by abnlt of fetal acid-base balance Pyrexia during labor, not elsewhere classified Other infection during labor Delayed delivery after artificial rupture of membranes Other specified complications of labor and delivery Complication of labor and delivery, unspecified PC v2014A 321 O76 O77.0 O77.1 Abnlt in fetal heart rate and rhythm comp labor and delivery Labor and delivery complicated by meconium in amniotic fluid Fetal stress in labor or delivery due to drug administration O77.8 O77.9 O80 Labor and delivery comp by oth evidence of fetal stress Labor and delivery complicated by fetal stress, unspecified Encounter for full-term uncomplicated delivery Table 11.03 Complications Mainly in the Course of Labor and Delivery Short Description ICD-10-CM Code O64.1XX0 Obstructed labor due to breech presentation, unsp O64.1XX1 Obstructed labor due to breech presentation, fetus 1 O64.1XX2 Obstructed labor due to breech presentation, fetus 2 O64.1XX3 Obstructed labor due to breech presentation, fetus 3 O64.1XX4 Obstructed labor due to breech presentation, fetus 4 O64.1XX5 Obstructed labor due to breech presentation, fetus 5 O64.1XX9 Obstructed labor due to breech presentation, other fetus O64.2XX0 Obstructed labor due to face presentation, unsp O64.2XX1 Obstructed labor due to face presentation, fetus 1 O64.2XX2 Obstructed labor due to face presentation, fetus 2 O64.2XX3 Obstructed labor due to face presentation, fetus 3 O64.2XX4 Obstructed labor due to face presentation, fetus 4 O64.2XX5 Obstructed labor due to face presentation, fetus 5 O64.2XX9 Obstructed labor due to face presentation, other fetus O64.3XX0 Obstructed labor due to brow presentation, unsp O64.3XX1 Obstructed labor due to brow presentation, fetus 1 O64.3XX2 Obstructed labor due to brow presentation, fetus 2 O64.3XX3 Obstructed labor due to brow presentation, fetus 3 O64.3XX4 Obstructed labor due to brow presentation, fetus 4 O64.3XX5 Obstructed labor due to brow presentation, fetus 5 O64.3XX9 Obstructed labor due to brow presentation, other fetus O64.4XX0 Obstructed labor due to shoulder presentation, unsp O64.4XX1 Obstructed labor due to shoulder presentation, fetus 1 O64.4XX2 Obstructed labor due to shoulder presentation, fetus 2 O64.4XX3 Obstructed labor due to shoulder presentation, fetus 3 O64.4XX4 Obstructed labor due to shoulder presentation, fetus 4 O64.4XX5 Obstructed labor due to shoulder presentation, fetus 5 O64.4XX9 Obstructed labor due to shoulder presentation, other fetus O64.5XX0 Obstructed labor due to compound presentation, unsp O64.5XX1 Obstructed labor due to compound presentation, fetus 1 O64.5XX2 Obstructed labor due to compound presentation, fetus 2 O64.5XX3 Obstructed labor due to compound presentation, fetus 3 O64.5XX4 Obstructed labor due to compound presentation, fetus 4 O64.5XX5 Obstructed labor due to compound presentation, fetus 5 O64.5XX9 Obstructed labor due to compound presentation, other fetus O64.8XX0 O64.8XX1 O64.8XX2 O64.8XX3 PC v2014A Obstructed labor due to oth malposition and malpresent, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 Obstructed labor due to oth malpos and malpresent, fetus 3 322 O64.8XX4 O64.8XX5 O64.8XX9 O64.9XX0 O64.9XX1 O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 O65.0 O65.1 O65.2 O65.3 O65.4 O65.5 O65.8 O65.9 O64.0XX0 O64.0XX1 O64.0XX2 O64.0XX3 O64.0XX4 O64.0XX5 O64.0XX9 O66.0 O66.1 O66.40 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth Obstructed labor due to malpos and malpresent, unsp, unsp Obstructed labor due to malpos and malpresent, unsp, fetus 1 Obstructed labor due to malpos and malpresent, unsp, fetus 2 Obstructed labor due to malpos and malpresent, unsp, fetus 3 Obstructed labor due to malpos and malpresent, unsp, fetus 4 Obstructed labor due to malpos and malpresent, unsp, fetus 5 Obstructed labor due to malpos and malpresent, unsp, oth Obstructed labor due to deformed pelvis Obstructed labor due to generally contracted pelvis Obstructed labor due to pelvic inlet contraction Obst labor due to pelvic outlet and mid-cavity contrctn Obstructed labor due to fetopelvic disproportion, unsp Obstructed labor due to abnlt of maternal pelvic organs Obstructed labor due to other maternal pelvic abnormalities Obstructed labor due to maternal pelvic abnormality, unsp Obstructed labor due to incmpl rotation of fetal head, unsp Obst labor due to incmpl rotation of fetal head, fetus 1 Obst labor due to incmpl rotation of fetal head, fetus 2 Obst labor due to incmpl rotation of fetal head, fetus 3 Obst labor due to incmpl rotation of fetal head, fetus 4 Obst labor due to incmpl rotation of fetal head, fetus 5 Obstructed labor due to incmpl rotation of fetal head, oth Obstructed labor due to shoulder dystocia Obstructed labor due to locked twins Failed trial of labor, unspecified O66.41 O66.5 O66.2 O66.3 O66.6 O66.8 O66.9 O62.0 O62.1 O62.2 O62.3 O62.4 O62.8 O62.9 Failed attempt vaginal birth after previous cesarean del Attempted application of vacuum extractor and forceps Obstructed labor due to unusually large fetus Obstructed labor due to other abnormalities of fetus Obstructed labor due to other multiple fetuses Other specified obstructed labor Obstructed labor, unspecified Primary inadequate contractions Secondary uterine inertia Other uterine inertia Precipitate labor Hypertonic, incoordinate, and prolonged uterine contractions Other abnormalities of forces of labor Abnormality of forces of labor, unspecified O63.0 O63.9 O63.1 O63.2 O69.0XX0 O69.0XX1 O69.0XX2 O69.0XX3 O69.0XX4 O69.0XX5 Prolonged first stage (of labor) Long labor, unspecified Prolonged second stage (of labor) Delayed delivery of second twin, triplet, etc. Labor and delivery complicated by prolapse of cord, unsp Labor and delivery complicated by prolapse of cord, fetus 1 Labor and delivery complicated by prolapse of cord, fetus 2 Labor and delivery complicated by prolapse of cord, fetus 3 Labor and delivery complicated by prolapse of cord, fetus 4 Labor and delivery complicated by prolapse of cord, fetus 5 PC v2014A 323 O69.0XX9 O69.1XX0 O69.1XX1 O69.1XX2 O69.1XX3 O69.1XX4 O69.1XX5 O69.1XX9 O69.2XX0 Labor and delivery complicated by prolapse of cord, oth Labor and delivery comp by cord around neck, w comprsn, unsp Labor and del comp by cord around neck, w comprsn, fetus 1 Labor and del comp by cord around neck, w comprsn, fetus 2 Labor and del comp by cord around neck, w comprsn, fetus 3 Labor and del comp by cord around neck, w comprsn, fetus 4 Labor and del comp by cord around neck, w comprsn, fetus 5 Labor and delivery comp by cord around neck, w comprsn, oth Labor and del comp by oth cord entangle, w comprsn, unsp O69.2XX1 O69.2XX2 O69.2XX3 O69.2XX4 O69.2XX5 O69.2XX9 O69.81X0 O69.81X1 O69.81X2 O69.81X3 O69.81X4 O69.81X5 O69.81X9 O69.82X0 O69.82X1 O69.82X2 O69.82X3 O69.82X4 O69.82X5 O69.82X9 O69.89X0 O69.89X1 O69.89X2 O69.89X3 O69.89X4 O69.89X5 Labor and del comp by oth cord entangle, w comprsn, fetus 1 Labor and del comp by oth cord entangle, w comprsn, fetus 2 Labor and del comp by oth cord entangle, w comprsn, fetus 3 Labor and del comp by oth cord entangle, w comprsn, fetus 4 Labor and del comp by oth cord entangle, w comprsn, fetus 5 Labor and delivery comp by oth cord entangle, w comprsn, oth Labor and del comp by cord around neck, w/o comprsn, unsp Labor and del comp by cord around neck, w/o comprsn, fetus 1 Labor and del comp by cord around neck, w/o comprsn, fetus 2 Labor and del comp by cord around neck, w/o comprsn, fetus 3 Labor and del comp by cord around neck, w/o comprsn, fetus 4 Labor and del comp by cord around neck, w/o comprsn, fetus 5 Labor and del comp by cord around neck, w/o comprsn, oth Labor and del comp by oth cord entangle, w/o comprsn, unsp Labor and del comp by oth cord entangle, w/o comprsn, fts1 Labor and del comp by oth cord entangle, w/o comprsn, fts2 Labor and del comp by oth cord entangle, w/o comprsn, fts3 Labor and del comp by oth cord entangle, w/o comprsn, fts4 Labor and del comp by oth cord entangle, w/o comprsn, fts5 Labor and del comp by oth cord entangle, w/o comprsn, oth Labor and delivery complicated by oth cord comp, unsp Labor and delivery complicated by oth cord comp, fetus 1 Labor and delivery complicated by oth cord comp, fetus 2 Labor and delivery complicated by oth cord comp, fetus 3 Labor and delivery complicated by oth cord comp, fetus 4 Labor and delivery complicated by oth cord comp, fetus 5 O69.89X9 O69.3XX0 O69.3XX1 O69.3XX2 O69.3XX3 O69.3XX4 O69.3XX5 O69.3XX9 O69.4XX0 O69.4XX1 O69.4XX2 O69.4XX3 O69.4XX4 O69.4XX5 O69.4XX9 O69.5XX0 Labor and delivery complicated by oth cord comp, oth Labor and delivery complicated by short cord, unsp Labor and delivery complicated by short cord, fetus 1 Labor and delivery complicated by short cord, fetus 2 Labor and delivery complicated by short cord, fetus 3 Labor and delivery complicated by short cord, fetus 4 Labor and delivery complicated by short cord, fetus 5 Labor and delivery complicated by short cord, other fetus Labor and delivery complicated by vasa previa, unsp Labor and delivery complicated by vasa previa, fetus 1 Labor and delivery complicated by vasa previa, fetus 2 Labor and delivery complicated by vasa previa, fetus 3 Labor and delivery complicated by vasa previa, fetus 4 Labor and delivery complicated by vasa previa, fetus 5 Labor and delivery complicated by vasa previa, other fetus Labor and delivery comp by vascular lesion of cord, unsp PC v2014A 324 O69.5XX1 O69.5XX2 O69.5XX3 O69.5XX4 O69.5XX5 O69.5XX9 O43.121 O43.122 O43.123 O69.89X0 O69.89X1 O69.89X2 O69.89X3 O69.89X4 O69.89X5 O69.89X9 O69.9XX0 O69.9XX1 O69.9XX2 O69.9XX3 O69.9XX4 O69.9XX5 O69.9XX9 O70.0 O70.1 Labor and delivery comp by vascular lesion of cord, fetus 1 Labor and delivery comp by vascular lesion of cord, fetus 2 Labor and delivery comp by vascular lesion of cord, fetus 3 Labor and delivery comp by vascular lesion of cord, fetus 4 Labor and delivery comp by vascular lesion of cord, fetus 5 Labor and delivery comp by vascular lesion of cord, oth Velamentous insertion of umbilical cord, first trimester Velamentous insertion of umbilical cord, second trimester Velamentous insertion of umbilical cord, third trimester Labor and delivery complicated by oth cord comp, unsp Labor and delivery complicated by oth cord comp, fetus 1 Labor and delivery complicated by oth cord comp, fetus 2 Labor and delivery complicated by oth cord comp, fetus 3 Labor and delivery complicated by oth cord comp, fetus 4 Labor and delivery complicated by oth cord comp, fetus 5 Labor and delivery complicated by oth cord comp, oth Labor and delivery complicated by cord comp, unsp, unsp Labor and delivery complicated by cord comp, unsp, fetus 1 Labor and delivery complicated by cord comp, unsp, fetus 2 Labor and delivery complicated by cord comp, unsp, fetus 3 Labor and delivery complicated by cord comp, unsp, fetus 4 Labor and delivery complicated by cord comp, unsp, fetus 5 Labor and delivery complicated by cord comp, unsp, oth First degree perineal laceration during delivery Second degree perineal laceration during delivery O70.2 O70.3 O70.9 O90.2 O71.89 O71.9 O71.02 O71.03 O71.1 O71.2 O71.3 O71.4 O71.5 O71.6 O71.7 O71.7 O71.81 O71.89 O71.81 O71.89 O71.9 O71.9 O72.0 O72.1 O72.2 O72.3 O43.211 Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Perineal laceration during delivery, unspecified Obstetric hematoma of pelvis Other specified trauma to perineum and vulva Obstetric trauma, unspecified Rupture of uterus before onset of labor, second trimester Rupture of uterus before onset of labor, third trimester Rupture of uterus during labor Postpartum inversion of uterus Obstetric laceration of cervix Obstetric high vaginal laceration alone Other obstetric injury to pelvic organs Obstetric damage to pelvic joints and ligaments Obstetric hematoma of pelvis Obstetric hematoma of pelvis Laceration of uterus, not elsewhere classified Other specified obstetric trauma Laceration of uterus, not elsewhere classified Other specified obstetric trauma Obstetric trauma, unspecified Obstetric trauma, unspecified Third-stage hemorrhage Other immediate postpartum hemorrhage Delayed and secondary postpartum hemorrhage Postpartum coagulation defects Placenta accreta, first trimester PC v2014A 325 O43.212 O43.213 O43.221 O43.222 O43.223 O43.231 O43.232 O43.233 O73.0 O73.1 O74.0 O74.1 O74.0 O74.1 O89.09 O74.2 O74.2 O74.3 O74.3 O74.4 O74.5 Placenta accreta, second trimester Placenta accreta, third trimester Placenta increta, first trimester Placenta increta, second trimester Placenta increta, third trimester Placenta percreta, first trimester Placenta percreta, second trimester Placenta percreta, third trimester Retained placenta without hemorrhage Retained portions of placenta and membranes, w/o hemorrhage Aspirat pneumonitis due to anesth during labor and delivery Oth pulmonary comp of anesthesia during labor and delivery Aspirat pneumonitis due to anesth during labor and delivery Oth pulmonary comp of anesthesia during labor and delivery Oth pulmonary comp of anesthesia during the puerperium Cardiac comp of anesthesia during labor and delivery Cardiac comp of anesthesia during labor and delivery Cnsl complications of anesthesia during labor and delivery Cnsl complications of anesthesia during labor and delivery Toxic reaction to local anesthesia during labor and delivery Spinal and epidur anesthesia-induced hdache dur labr and del O74.6 O74.7 O74.8 O74.4 O74.5 O74.6 O74.7 O74.8 O89.8 O74.9 O74.9 O89.9 O75.0 O75.0 O75.1 O75.1 O26.51 O26.52 O26.53 O26.51 O26.52 O26.53 O90.4 O75.4 O75.4 O66.5 O64.1XX0 O82 O75.81 O75.89 O75.81 Oth comp of spinal and epidural anesth during labor and del Failed or difficult intubation for anesth dur labor and del Other complications of anesthesia during labor and delivery Toxic reaction to local anesthesia during labor and delivery Spinal and epidur anesthesia-induced hdache dur labr and del Oth comp of spinal and epidural anesth during labor and del Failed or difficult intubation for anesth dur labor and del Other complications of anesthesia during labor and delivery Other complications of anesthesia during the puerperium Complication of anesthesia during labor and delivery, unsp Complication of anesthesia during labor and delivery, unsp Complication of anesthesia during the puerperium, unsp Maternal distress during labor and delivery Maternal distress during labor and delivery Shock during or following labor and delivery Shock during or following labor and delivery Maternal hypotension syndrome, first trimester Maternal hypotension syndrome, second trimester Maternal hypotension syndrome, third trimester Maternal hypotension syndrome, first trimester Maternal hypotension syndrome, second trimester Maternal hypotension syndrome, third trimester Postpartum acute kidney failure Other complications of obstetric surgery and procedures Other complications of obstetric surgery and procedures Attempted application of vacuum extractor and forceps Obstructed labor due to breech presentation, unsp Encounter for cesarean delivery without indication Maternal exhaustion complicating labor and delivery Other specified complications of labor and delivery Maternal exhaustion complicating labor and delivery PC v2014A 326 O75.89 O75.9 O75.9 Other specified complications of labor and delivery Complication of labor and delivery, unspecified Complication of labor and delivery, unspecified Table 11.04 Complication of the Puerperium ICD-10-CM Code Short Description O22.01 Varicose veins of lower extremity in pregnancy, first trimester O22.02 Varicose veins of lower extremity in pregnancy, second trimester O22.03 Varicose veins of lower extremity in pregnancy, third trimester O22.11 Genital varices in pregnancy, first trimester O22.12 Genital varices in pregnancy, third trimester O22.13 Genital varices in pregnancy, third trimester O22.22 Superficial thrombophlebitis in pregnancy, second trimester O22.23 Superficial thrombophlebitis in pregnancy, third trimester O22.31 Deep phlebothrombosis in pregnancy, first trimester O22.32 Deep phlebothrombosis in pregnancy, second trimester O22.33 Deep phlebothrombosis in pregnancy, third trimester O22.41 Hemorrhoids in pregnancy, first trimester O22.42 Hemorrhoids in pregnancy, second trimester O22.43 Hemorrhoids in pregnancy, third trimester O22.51 Cerebral venous thrombosis in pregnancy, first trimester O22.52 Cerebral venous thrombosis in pregnancy, second trimester O22.53 Cerebral venous thrombosis in pregnancy, third trimester O22.8X1 Other venous complications in pregnancy, first trimester O22.8X2 Other venous complications in pregnancy, second trimester O22.8X3 Other venous complications in pregnancy, third trimester O22.91 Venous complication in pregnancy, unspecified, first trimester O22.92 Venous complication in pregnancy, unspecified, second trimester O22.93 Venous complication in pregnancy, unspecified, third trimester O85 Puerperal sepsis O86.0 Infection of obstetric surgical wound O86.12 Endometritis following delivery O86.4 Pyrexia of unknown origin following delivery O86.81 Puerperal septic thrombophlebitis O86.89 Other specified puerperal infections O87.0 Superficial thrombophlebitis in the puerperium O87.1 Deep phlebothrombosis in the puerperium O87.2 Hemorrhoids in the puerperium O87.3 Cerebral venous thrombosis in the puerperium O87.4 Varicose veins of lower extremity in the puerperium O87.8 Other venous complications in the puerperium O87.9 Venous complication in the puerperium, unspecified O88.011 Air embolism in pregnancy, first trimester O88.012 Air embolism in pregnancy, second trimester O88.013 Air embolism in pregnancy, third trimester O88.02 Air embolism in childbirth O88.02 Air embolism in childbirth O88.03 Air embolism in the puerperium O88.111 Amniotic fluid embolism in pregnancy, third trimester O88.12 Amniotic fluid embolism in childbirth O88.13 Amniotic fluid embolism in the puerperium PC v2014A 327 O88.211 O88.212 O88.213 O88.22 O88.23 O88.311 O88.312 Thromboembolism in pregnancy, first trimester Thromboembolism in pregnancy, second trimester Thromboembolism in pregnancy, third trimester Thromboembolism in childbirth Thromboembolism in the puerperium Pyemic and septic embolism in pregnancy, first trimester Pyemic and septic embolism in pregnancy, second trimester O88.313 O88.32 O88.33 O88.811 O88.812 O88.813 O88.82 O88.83 O90.0 O90.1 O90.2 O90.89 O90.9 O91.011 O91.012 O91.013 O91.02 O91.111 O91.112 O91.113 O91.12 O91.211 O91.212 O91.213 O91.22 O91.23 O92.011 O92.012 O92.013 O92.03 O92.111 O92.112 O92.113 O92.13 O92.20 Pyemic and septic embolism in pregnancy, third trimester Pyemic and septic embolism in childbirth Pyemic and septic embolism in the puerperium Other embolism in pregnancy, first trimester Other embolism in pregnancy, second trimester Other embolism in childbirth Other embolism in childbirth Other embolism in the puerperium Disruption of cesarean delivery wound Disruption of perineal obstetric wound Hematoma of obstetric wound Other complications of the puerperium, not elsewhere classified Complication of the puerperium, unspecified Infection of nipple associated with pregnancy, first trimester Infection of nipple associated with pregnancy, second trimester Infection of nipple associated with pregnancy, third trimester Infection of nipple associated with the puerperium Abscess of breast associated with pregnancy, first trimester Abscess of breast associated with pregnancy, second trimester Abscess of breast associated with pregnancy, third trimester Abscess of breast associated with the puerperium Nonpurulent mastitis associated with pregnancy, first trimester Nonpurulent mastitis associated with pregnancy, second trimester Nonpurulent mastitis associated with pregnancy, third trimester Nonpurulent mastitis associated with the puerperium Nonpurulent mastitis associated with lactation Retracted nipple associated with pregnancy, first trimester Retracted nipple associated with pregnancy, second trimester Retracted nipple associated with pregnancy, third trimester Retracted nipple associated with lactation Cracked nipple associated with pregnancy, first trimester Cracked nipple associated with pregnancy, second trimester Cracked nipple associated with pregnancy, third trimester Cracked nipple associated with lactation Unspecified disorder of breast associated with pregnancy and the puerperium O92.29 O92.3 O92.5 O92.6 O92.70 O92.79 O99.411 O99.412 O99.413 O99.42 Other disorders of breast associated with pregnancy and the puerperium Agalactia Suppressed lactation Galactorrhea Unspecified disorders of lactation Other disorders of lactation Diseases of the circulatory system complicating pregnancy, first trimester Diseases of the circulatory system complicating pregnancy, second trimester Diseases of the circulatory system complicating pregnancy, third trimester Diseases of the circulatory system complicating childbirth PC v2014A 328 Table 11.05 Medical Induction of Labor ICD-10-PCS Code 0U7C7ZZ 10900ZC 10903ZC 10904ZC 10907ZC 10908ZC 3E053VJ 3E0DXGC Code Description Dilation of Cervix, Via Natural or Artificial Opening Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Open Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Percutaneous Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Percutaneous Endoscopic Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Via Natural or Artificial Opening Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Via Natural or Artificial Opening Endoscopic Introduction of Other Hormone into Peripheral Artery, Percutaneous Approach Introduction of Other Therapeutic Substance into Mouth and Pharynx, External Approach Table 11.06.1 Planned Cesarean Section in Labor ICD-10Code Description PCS Code O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section Table 11.06 Cesarean Section Code Description ICD-10-PCS Code 10D00Z0 Extraction of Products of Conception, Classical, Open Approach 10D00Z1 Extraction of Products of Conception, Low Cervical, Open Approach 10D00Z2 Extraction of Products of Conception, Extraperitoneal, Open Approach 10D00Z0 Extraction of Products of Conception, Classical, Open Approach 10D00Z0 Extraction of Products of Conception, Classical, Open Approach 10D00Z1 Extraction of Products of Conception, Low Cervical, Open Approach 10D00Z2 Extraction of Products of Conception, Extraperitoneal, Open Approach Table 11.07 Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation ICD-10-CM Code Description Code B20 Human immunodeficiency virus [HIV] disease O09.291 Supervision of pregnancy with other poor reproductive or obstetric history, first trimester O09.292 Supervision of pregnancy with other poor reproductive or obstetric history, second trimester O09.293 Supervision of pregnancy with other poor reproductive or obstetric history, third trimester O09.299 Supervision of pregnancy with other poor reproductive or obstetric history, unspecified trimester O10.011 Pre-existing essential hypertension complicating pregnancy, first trimester O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester O10.013 Pre-existing essential hypertension complicating pregnancy, third trimester O10.02 O10.111 PC v2014A Pre-existing essential hypertension complicating childbirth Pre-existing hypertensive heart disease complicating pregnancy, first trimester 329 O10.112 O10.113 O10.12 O10.211 O10.212 O10.212 O10.213 O10.22 O10.311 O10.312 O10.313 O10.32 O10.411 O10.412 O10.413 O10.42 O10.911 O10.912 O10.913 O10.92 O11.1 O11.1 O11.2 O11.2 O11.3 O11.3 O12.11 O12.12 O12.13 O12.21 O12.22 O12.23 O13.1 O13.1 O13.2 O13.2 O13.3 O13.3 O14.02 Pre-existing hypertensive heart disease complicating pregnancy, second trimester Pre-existing hypertensive heart disease complicating pregnancy, third trimester Pre-existing hypertensive heart disease complicating childbirth Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester Pre-existing hypertensive chronic kidney disease complicating childbirth Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester Pre-existing hypertensive heart and chronic kidney disease complicating childbirth Pre-existing secondary hypertension complicating pregnancy, first trimester Pre-existing secondary hypertension complicating pregnancy, second trimester Pre-existing secondary hypertension complicating pregnancy, third trimester Pre-existing secondary hypertension complicating childbirth Unspecified pre-existing hypertension complicating pregnancy, first trimester Unspecified pre-existing hypertension complicating pregnancy, second trimester Unspecified pre-existing hypertension complicating pregnancy, third trimester Unspecified pre-existing hypertension complicating childbirth Pre-existing hypertension with pre-eclampsia, first trimester Pre-existing hypertension with pre-eclampsia, first trimester Pre-existing hypertension with pre-eclampsia, second trimester Pre-existing hypertension with pre-eclampsia, second trimester Pre-existing hypertension with pre-eclampsia, third trimester Pre-existing hypertension with pre-eclampsia, third trimester Gestational proteinuria, first trimester Gestational proteinuria, second trimester Gestational proteinuria, third trimester Gestational edema with proteinuria, first trimester Gestational edema with proteinuria, second trimester Gestational edema with proteinuria, third trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester Mild to moderate pre-eclampsia, second trimester O14.02 O14.03 O14.03 O14.12 O14.12 O14.13 O14.13 O14.22 O14.22 O14.23 O14.23 O14.92 O14.93 O15.02 Mild to moderate pre-eclampsia, second trimester Mild to moderate pre-eclampsia, third trimester Mild to moderate pre-eclampsia, third trimester Severe pre-eclampsia, second trimester Severe pre-eclampsia, second trimester Severe pre-eclampsia, third trimester Severe pre-eclampsia, third trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester HELLP syndrome (HELLP), third trimester Unspecified pre-eclampsia, second trimester Unspecified pre-eclampsia, third trimester Eclampsia in pregnancy, second trimester PC v2014A 330 O15.03 O15.1 O15.2 O15.2 O16.1 O16.2 O16.3 O2.662 O24.011 O24.012 O24.013 O24.02 O24.111 O24.112 O24.113 O24.12 O24.311 O24.312 O24.313 O24.32 O24.410 O24.414 O24.419 O24.420 O24.424 O24.429 O24.811 O24.812 O24.813 O24.82 O24.911 O24.912 O24.913 O24.92 O26.611 O26.612 O26.613 Eclampsia in pregnancy, third trimester Eclampsia in labor Eclampsia in the puerperium Eclampsia in the puerperium Unspecified maternal hypertension, first trimester Unspecified maternal hypertension, second trimester Unspecified maternal hypertension, third trimester Liver and biliary tract disorders in childbirth Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester Pre-existing diabetes mellitus, type 1, in childbirth Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester Pre-existing diabetes mellitus, type 2, in childbirth Unspecified pre-existing diabetes mellitus in pregnancy, first trimester Unspecified pre-existing diabetes mellitus in pregnancy, second trimester Unspecified pre-existing diabetes mellitus in pregnancy, third trimester Unspecified pre-existing diabetes mellitus in childbirth Gestational diabetes mellitus in pregnancy, diet controlled Gestational diabetes mellitus in pregnancy, insulin controlled Gestational diabetes mellitus in pregnancy, unspecified control Gestational diabetes mellitus in childbirth, diet controlled Gestational diabetes mellitus in childbirth, insulin controlled Gestational diabetes mellitus in childbirth, unspecified control Other pre-existing diabetes mellitus in pregnancy, first trimester Other pre-existing diabetes mellitus in pregnancy, second trimester Other pre-existing diabetes mellitus in pregnancy, third trimester Other pre-existing diabetes mellitus in childbirth Unspecified diabetes mellitus in pregnancy, first trimester Unspecified diabetes mellitus in pregnancy, second trimester Unspecified diabetes mellitus in pregnancy, third trimester Unspecified diabetes mellitus in childbirth Liver and biliary tract disorders in pregnancy, first trimester Liver and biliary tract disorders in pregnancy, second trimester Liver and biliary tract disorders in pregnancy, third trimester O26.831 O26.831 O26.832 O26.832 O26.833 O26.833 O30.001 Pregnancy related renal disease, first trimester Pregnancy related renal disease, first trimester Pregnancy related renal disease, second trimester Pregnancy related renal disease, second trimester Pregnancy related renal disease, third trimester Pregnancy related renal disease, third trimester Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Twin pregnancy, monochorionic/monoamniotic, first trimester Twin pregnancy, monochorionic/monoamniotic, second trimester Twin pregnancy, monochorionic/monoamniotic, third trimester O30.002 O30.003 O30.011 O30.012 O30.013 PC v2014A 331 O30.031 O30.032 O30.033 O30.041 O30.042 O30.043 O30.091 O30.092 O30.093 O30.101 O30.102 O30.103 O30.111 O30.112 O30.113 O30.121 O30.122 O30.123 O30.191 O30.192 O30.193 O30.201 O30.202 O30.203 O30.211 O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 Twin pregnancy, monochorionic/diamniotic, first trimester Twin pregnancy, monochorionic/diamniotic, second trimester Twin pregnancy, monochorionic/diamniotic, third trimester Twin pregnancy, dichorionic/diamniotic, first trimester Twin pregnancy, dichorionic/diamniotic, second trimester Twin pregnancy, dichorionic/diamniotic, third trimester Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Triplet pregnancy with two or more monochorionic fetuses, first trimester Triplet pregnancy with two or more monochorionic fetuses, second trimester Triplet pregnancy with two or more monochorionic fetuses, third trimester Triplet pregnancy with two or more monoamniotic fetuses, first trimester Triplet pregnancy with two or more monoamniotic fetuses, second trimester Triplet pregnancy with two or more monoamniotic fetuses, third trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Quadruplet pregnancy with two or more monochorionic fetuses, first trimester Quadruplet pregnancy with two or more monochorionic fetuses, second trimester Quadruplet pregnancy with two or more monochorionic fetuses, third trimester O30.811 O30.812 O30.813 Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Other specified multiple gestation, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Other specified multiple gestation with two or more monochorionic fetuses, first trimester Other specified multiple gestation with two or more monochorionic fetuses, second trimester Other specified multiple gestation with two or more monochorionic fetuses, third trimester PC v2014A 332 O30.292 O30.293 O30.801 O30.802 O30.803 O30.821 O30.822 O30.823 O30.891 O30.892 O30.893 O30.91 O30.92 O30.93 O31.11X0 O31.11X0 O31.11X0 O31.11X0 O31.11X1 O31.11X1 O31.11X2 O31.11X2 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X0 O31.12X1 O31.12X1 O31.12X2 O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 O31.13X0 O31.13X1 O31.13X1 O31.13X2 O31.13X2 O31.13X3 O31.13X4 O31.13X5 O31.13X9 O31.21X0 PC v2014A Other specified multiple gestation with two or more monoamniotic fetuses, first trimester Other specified multiple gestation with two or more monoamniotic fetuses, second trimester Other specified multiple gestation with two or more monoamniotic fetuses, third trimester Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, first trimester Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, second trimester Other specified multiple gestation, unable to determine number of placenta and number of amniotic sacs, third trimester Multiple gestation, unspecified, first trimester Multiple gestation, unspecified, second trimester Multiple gestation, unspecified, third trimester Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 3 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 4 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 5 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, other fetus Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 3 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 4 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 5 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, other fetus Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecified Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 2 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 3 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 4 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 5 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, other fetus Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecified 333 O31.21X0 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecified O31.21X1 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1 O31.21X1 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1 O31.21X2 O31.21X2 O31.21X3 O31.21X4 O31.21X5 O31.21X9 O31.22X0 O31.22X0 O31.22X1 O31.22X1 O31.22X2 O31.22X2 O31.22X3 O31.22X4 O31.22X5 O31.22X9 O31.23X0 O31.23X0 O31.23X1 O31.23X1 O31.23X2 O31.23X2 O31.23X3 O31.23X4 O31.23X5 O31.23X9 O31.31X0 O31.31X1 O31.31X2 O31.31X3 O31.31X4 O31.31X5 O31.31X9 O31.32X0 O31.32X1 O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 O31.33X0 PC v2014A Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 3 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 4 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 5 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, other fetus Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecified Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecified Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 3 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 4 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 5 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, other fetus Continuing pregnancy after intrauterine death of one fetus or more, third trimester, not applicable or unspecified Continuing pregnancy after intrauterine death of one fetus or more, third trimester, not applicable or unspecified Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 2 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 3 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 4 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 5 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, other fetus Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, not applicable or unspecified Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 1 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 2 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 3 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 4 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, fetus 5 Continuing pregnancy after elective fetal reduction of one fetus or more, first trimester, other fetus Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, not applicable or unspecified Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 1 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 2 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 3 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 4 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 5 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, other fetus Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, not applicable or unspecified 334 O31.33X1 O31.33X2 O31.33X3 O31.33X4 O31.33X5 O31.33X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13 O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 1 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 2 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 3 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 4 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, fetus 5 Continuing pregnancy after elective fetal reduction of one fetus or more, third trimester, other fetus Other complications specific to multiple gestation, first trimester, not applicable or unspecified Other complications specific to multiple gestation, first trimester, fetus 1 Other complications specific to multiple gestation, first trimester, fetus 2 Other complications specific to multiple gestation, first trimester, fetus 3 Other complications specific to multiple gestation, first trimester, fetus 4 Other complications specific to multiple gestation, first trimester, fetus 5 Other complications specific to multiple gestation, first trimester, other fetus Other complications specific to multiple gestation, second trimester, not applicable or unspecified Other complications specific to multiple gestation, second trimester, fetus 1 Other complications specific to multiple gestation, second trimester, fetus 2 O31.8X23 O31.8X24 O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35 O31.8X39 O32.0XX0 O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 O32.0XX9 O32.9XX0 O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O35.0XX0 Other complications specific to multiple gestation, second trimester, fetus 3 Other complications specific to multiple gestation, second trimester, fetus 4 Other complications specific to multiple gestation, second trimester, fetus 5 Other complications specific to multiple gestation, second trimester, other fetus Other complications specific to multiple gestation, third trimester, not applicable or unspecified Other complications specific to multiple gestation, third trimester, fetus 1 Other complications specific to multiple gestation, third trimester, fetus 2 Other complications specific to multiple gestation, third trimester, fetus 3 Other complications specific to multiple gestation, third trimester, fetus 4 Other complications specific to multiple gestation, third trimester, fetus 5 Other complications specific to multiple gestation, third trimester, other fetus Maternal care for unstable lie, not applicable or unspecified Maternal care for unstable lie, fetus 1 Maternal care for unstable lie, fetus 2 Maternal care for unstable lie, fetus 3 Maternal care for unstable lie, fetus 4 Maternal care for unstable lie, fetus 5 Maternal care for unstable lie, other fetus Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified Maternal care for malpresentation of fetus, unspecified, fetus 1 Maternal care for malpresentation of fetus, unspecified, fetus 2 Maternal care for malpresentation of fetus, unspecified, fetus 3 Maternal care for malpresentation of fetus, unspecified, fetus 4 Maternal care for malpresentation of fetus, unspecified, fetus 5 Maternal care for malpresentation of fetus, unspecified, other fetus Maternal care for (suspected) central nervous system malformation in fetus, not applicable or unspecified Maternal care for (suspected) central nervous system malformation in fetus, fetus 1 Maternal care for (suspected) central nervous system malformation in fetus, fetus 2 Maternal care for (suspected) central nervous system malformation in fetus, fetus 3 Maternal care for (suspected) central nervous system malformation in fetus, fetus 4 Maternal care for (suspected) central nervous system malformation in fetus, fetus 5 Maternal care for (suspected) central nervous system malformation in fetus, other fetus Maternal care for (suspected) chromosomal abnormality in fetus, not applicable or unspecified Maternal care for (suspected) chromosomal abnormality in fetus, fetus 1 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 2 O35.0XX1 O35.0XX2 O35.0XX3 O35.0XX4 O35.0XX5 O35.0XX9 O35.1XX0 O35.1XX1 O35.1XX2 PC v2014A 335 O35.1XX3 O35.1XX4 O35.1XX5 O35.1XX9 O35.3XX0 O35.3XX1 O35.3XX2 O35.3XX3 O35.3XX4 O35.3XX5 O35.3XX9 O35.4XX0 O35.4XX1 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 3 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 4 Maternal care for (suspected) chromosomal abnormality in fetus, fetus 5 Maternal care for (suspected) chromosomal abnormality in fetus, other fetus Maternal care for (suspected) damage to fetus from viral disease in mother, not applicable or unspecified Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 1 Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 2 Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 3 Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 4 Maternal care for (suspected) damage to fetus from viral disease in mother, fetus 5 Maternal care for (suspected) damage to fetus from viral disease in mother, other fetus Maternal care for (suspected) damage to fetus from alcohol, not applicable or unspecified Maternal care for (suspected) damage to fetus from alcohol, fetus 1 O35.4XX2 O35.4XX3 O35.4XX4 O35.4XX5 O35.4XX9 O35.5XX0 O35.5XX1 O35.5XX2 O35.5XX3 O35.5XX4 O35.5XX5 O35.5XX9 O35.6XX0 O35.6XX1 O35.6XX2 O35.6XX3 O35.6XX4 O35.6XX5 O35.6XX9 O35.8XX0 O35.8XX1 O35.8XX2 O35.8XX3 O35.8XX4 O35.8XX5 O35.8XX9 O36.0110 O36.0111 O36.0112 O36.0113 O36.0114 O36.0115 O36.0119 O36.0120 O36.0121 O36.0122 O36.0123 O36.0124 Maternal care for (suspected) damage to fetus from alcohol, fetus 2 Maternal care for (suspected) damage to fetus from alcohol, fetus 3 Maternal care for (suspected) damage to fetus from alcohol, fetus 4 Maternal care for (suspected) damage to fetus from alcohol, fetus 5 Maternal care for (suspected) damage to fetus from alcohol, other fetus Maternal care for (suspected) damage to fetus by drugs, not applicable or unspecified Maternal care for (suspected) damage to fetus by drugs, fetus 1 Maternal care for (suspected) damage to fetus by drugs, fetus 2 Maternal care for (suspected) damage to fetus by drugs, fetus 3 Maternal care for (suspected) damage to fetus by drugs, fetus 4 Maternal care for (suspected) damage to fetus by drugs, fetus 5 Maternal care for (suspected) damage to fetus by drugs, other fetus Maternal care for (suspected) damage to fetus by radiation, not applicable or unspecified Maternal care for (suspected) damage to fetus by radiation, fetus 1 Maternal care for (suspected) damage to fetus by radiation, fetus 2 Maternal care for (suspected) damage to fetus by radiation, fetus 3 Maternal care for (suspected) damage to fetus by radiation, fetus 4 Maternal care for (suspected) damage to fetus by radiation, fetus 5 Maternal care for (suspected) damage to fetus by radiation, other fetus Maternal care for other (suspected) fetal abnormality and damage, not applicable or unspecified Maternal care for other (suspected) fetal abnormality and damage, fetus 1 Maternal care for other (suspected) fetal abnormality and damage, fetus 2 Maternal care for other (suspected) fetal abnormality and damage, fetus 3 Maternal care for other (suspected) fetal abnormality and damage, fetus 4 Maternal care for other (suspected) fetal abnormality and damage, fetus 5 Maternal care for other (suspected) fetal abnormality and damage, other fetus Maternal care for anti-D [Rh] antibodies, first trimester, not applicable or unspecified Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1 Maternal care for anti-D [Rh] antibodies, first trimester, fetus 2 Maternal care for anti-D [Rh] antibodies, first trimester, fetus 3 Maternal care for anti-D [Rh] antibodies, first trimester, fetus 4 Maternal care for anti-D [Rh] antibodies, first trimester, fetus 5 Maternal care for anti-D [Rh] antibodies, first trimester, other fetus Maternal care for anti-D [Rh] antibodies, second trimester, not applicable or unspecified Maternal care for anti-D [Rh] antibodies, second trimester, fetus 1 Maternal care for anti-D [Rh] antibodies, second trimester, fetus 2 Maternal care for anti-D [Rh] antibodies, second trimester, fetus 3 Maternal care for anti-D [Rh] antibodies, second trimester, fetus 4 PC v2014A 336 O36.0125 O36.0129 O36.0130 O36.0131 O36.0132 O36.0133 O36.0134 O36.0135 O36.0139 O36.0910 O36.0911 Maternal care for anti-D [Rh] antibodies, second trimester, fetus 5 Maternal care for anti-D [Rh] antibodies, second trimester, other fetus Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 2 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 3 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 4 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 5 Maternal care for anti-D [Rh] antibodies, third trimester, other fetus Maternal care for other rhesus isoimmunization, first trimester, not applicable or unspecified Maternal care for other rhesus isoimmunization, first trimester, fetus 1 O36.0912 O36.0913 O36.0914 O36.0915 O36.0919 O36.0920 O36.0921 O36.0922 O36.0923 O36.0924 O36.0925 O36.0929 O36.0930 O36.0931 O36.0932 O36.0933 O36.0934 O36.0935 O36.0939 O36.1110 O36.1111 O36.1112 O36.1113 O36.1114 O36.1115 O36.1119 O36.1120 O36.1121 O36.1122 O36.1123 O36.1124 O36.1125 O36.1129 O36.1130 O36.1131 O36.1132 O36.1133 O36.1134 O36.1139 O36.1910 O36.1911 O36.1912 Maternal care for other rhesus isoimmunization, first trimester, fetus 2 Maternal care for other rhesus isoimmunization, first trimester, fetus 3 Maternal care for other rhesus isoimmunization, first trimester, fetus 4 Maternal care for other rhesus isoimmunization, first trimester, fetus 5 Maternal care for other rhesus isoimmunization, first trimester, other fetus Maternal care for other rhesus isoimmunization, second trimester, not applicable or unspecified Maternal care for other rhesus isoimmunization, second trimester, fetus 1 Maternal care for other rhesus isoimmunization, second trimester, fetus 2 Maternal care for other rhesus isoimmunization, second trimester, fetus 3 Maternal care for other rhesus isoimmunization, second trimester, fetus 4 Maternal care for other rhesus isoimmunization, second trimester, fetus 5 Maternal care for other rhesus isoimmunization, second trimester, other fetus Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified Maternal care for other rhesus isoimmunization, third trimester, fetus 1 Maternal care for other rhesus isoimmunization, third trimester, fetus 2 Maternal care for other rhesus isoimmunization, third trimester, fetus 3 Maternal care for other rhesus isoimmunization, third trimester, fetus 4 Maternal care for other rhesus isoimmunization, third trimester, fetus 5 Maternal care for other rhesus isoimmunization, third trimester, other fetus Maternal care for Anti-A sensitization, first trimester, not applicable or unspecified Maternal care for Anti-A sensitization, first trimester, fetus 1 Maternal care for Anti-A sensitization, first trimester, fetus 2 Maternal care for Anti-A sensitization, first trimester, fetus 3 Maternal care for Anti-A sensitization, first trimester, fetus 4 Maternal care for Anti-A sensitization, first trimester, fetus 5 Maternal care for Anti-A sensitization, first trimester, other fetus Maternal care for Anti-A sensitization, second trimester, not applicable or unspecified Maternal care for Anti-A sensitization, second trimester, fetus 1 Maternal care for Anti-A sensitization, second trimester, fetus 2 Maternal care for Anti-A sensitization, second trimester, fetus 3 Maternal care for Anti-A sensitization, second trimester, fetus 4 Maternal care for Anti-A sensitization, second trimester, fetus 5 Maternal care for Anti-A sensitization, second trimester, other fetus Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified Maternal care for Anti-A sensitization, third trimester, fetus 2 Maternal care for Anti-A sensitization, third trimester, fetus 3 Maternal care for Anti-A sensitization, third trimester, fetus 4 Maternal care for Anti-A sensitization, third trimester, fetus 5 Maternal care for Anti-A sensitization, third trimester, other fetus Maternal care for other isoimmunization, first trimester, not applicable or unspecified Maternal care for other isoimmunization, first trimester, fetus 1 Maternal care for other isoimmunization, first trimester, fetus 2 PC v2014A 337 O36.1913 O36.1914 O36.1915 O36.1919 O36.1920 O36.1921 O36.1922 Maternal care for other isoimmunization, first trimester, fetus 3 Maternal care for other isoimmunization, first trimester, fetus 4 Maternal care for other isoimmunization, first trimester, fetus 5 Maternal care for other isoimmunization, first trimester, other fetus Maternal care for other isoimmunization, second trimester, not applicable or unspecified Maternal care for other isoimmunization, second trimester, fetus 1 Maternal care for other isoimmunization, second trimester, fetus 2 O36.1923 O36.1924 O36.1925 O36.1929 O36.1930 O36.1931 O36.1932 O36.1933 O36.1934 O36.1935 O36.1939 O36.1940 O36.1941 O36.1942 O36.1943 O36.1944 O36.1945 O36.4XX9 O36.5110 Maternal care for other isoimmunization, second trimester, fetus 3 Maternal care for other isoimmunization, second trimester, fetus 4 Maternal care for other isoimmunization, second trimester, fetus 5 Maternal care for other isoimmunization, second trimester, other fetus Maternal care for other isoimmunization, third trimester, not applicable or unspecified Maternal care for other isoimmunization, third trimester, fetus 1 Maternal care for other isoimmunization, third trimester, fetus 2 Maternal care for other isoimmunization, third trimester, fetus 3 Maternal care for other isoimmunization, third trimester, fetus 4 Maternal care for other isoimmunization, third trimester, fetus 5 Maternal care for other isoimmunization, third trimester, other fetus Maternal care for intrauterine death, not applicable or unspecified Maternal care for intrauterine death, fetus 1 Maternal care for intrauterine death, fetus 2 Maternal care for intrauterine death, fetus 3 Maternal care for intrauterine death, fetus 4 Maternal care for intrauterine death, fetus 5 Maternal care for intrauterine death, other fetus Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified Maternal care for known or suspected placental insufficiency, first trimester, fetus 1 Maternal care for known or suspected placental insufficiency, first trimester, fetus 2 Maternal care for known or suspected placental insufficiency, first trimester, fetus 3 Maternal care for known or suspected placental insufficiency, first trimester, fetus 4 Maternal care for known or suspected placental insufficiency, first trimester, fetus 5 Maternal care for known or suspected placental insufficiency, first trimester, other fetus Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified Maternal care for known or suspected placental insufficiency, second trimester, fetus 1 Maternal care for known or suspected placental insufficiency, second trimester, fetus 2 Maternal care for known or suspected placental insufficiency, second trimester, fetus 3 Maternal care for known or suspected placental insufficiency, second trimester, fetus 4 Maternal care for known or suspected placental insufficiency, second trimester, fetus 5 Maternal care for known or suspected placental insufficiency, second trimester, other fetus Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified Maternal care for known or suspected placental insufficiency, third trimester, fetus 1 Maternal care for known or suspected placental insufficiency, third trimester, fetus 2 Maternal care for known or suspected placental insufficiency, third trimester, fetus 3 Maternal care for known or suspected placental insufficiency, third trimester, fetus 4 Maternal care for known or suspected placental insufficiency, third trimester, fetus 5 Maternal care for known or suspected placental insufficiency, third trimester, other fetus Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2 O36.5111 O36.5112 O36.5113 O36.5114 O36.5115 O36.5119 O36.5120 O36.5121 O36.5122 O36.5123 O36.5124 O36.5125 O36.5129 O36.5130 O36.5131 O36.5132 O36.5133 O36.5134 O36.5135 O36.5139 O36.5910 O36.5911 O36.5912 PC v2014A 338 O36.5913 O36.5914 O36.5915 O36.5919 O36.5920 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 3 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 4 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 5 Maternal care for other known or suspected poor fetal growth, first trimester, other fetus Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified O36.5921 O36.5922 O36.5923 O36.5924 O36.5925 O36.5929 O36.5930 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 1 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 2 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 3 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 4 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5 Maternal care for other known or suspected poor fetal growth, second trimester, other fetus Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified Maternal care for other known or suspected poor fetal growth, third trimester, fetus 1 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 2 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 3 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 5 Maternal care for other known or suspected poor fetal growth, third trimester, other fetus Polyhydramnios, first trimester, not applicable or unspecified Polyhydramnios, first trimester, fetus 1 Polyhydramnios, first trimester, fetus 2 Polyhydramnios, first trimester, fetus 3 Polyhydramnios, first trimester, fetus 4 Polyhydramnios, first trimester, fetus 5 Polyhydramnios, first trimester, other fetus Polyhydramnios, second trimester, not applicable or unspecified Polyhydramnios, second trimester, fetus 1 Polyhydramnios, second trimester, fetus 2 Polyhydramnios, second trimester, fetus 3 Polyhydramnios, second trimester, fetus 4 Polyhydramnios, second trimester, fetus 5 Polyhydramnios, second trimester, other fetus Polyhydramnios, third trimester, not applicable or unspecified Polyhydramnios, third trimester, fetus 1 Polyhydramnios, third trimester, fetus 2 Polyhydramnios, third trimester, fetus 3 Polyhydramnios, third trimester, fetus 4 Polyhydramnios, third trimester, fetus 5 Polyhydramnios, third trimester, other fetus Oligohydramnios, first trimester, not applicable or unspecified Oligohydramnios, first trimester, fetus 1 Oligohydramnios, first trimester, fetus 2 Oligohydramnios, first trimester, fetus 3 Oligohydramnios, first trimester, fetus 4 Oligohydramnios, first trimester, fetus 5 Oligohydramnios, first trimester, other fetus Oligohydramnios, second trimester, not applicable or unspecified Oligohydramnios, second trimester, fetus 1 Oligohydramnios, second trimester, fetus 2 Oligohydramnios, second trimester, fetus 3 O36.5931 O36.5932 O36.5933 O36.5934 O36.5935 O36.5939 O40.1XX0 O40.1XX1 O40.1XX2 O40.1XX3 O40.1XX4 O40.1XX5 O40.1XX9 O40.2XX0 O40.2XX1 O40.2XX2 O40.2XX3 O40.2XX4 O40.2XX5 O40.2XX9 O40.3XX0 O40.3XX1 O40.3XX2 O40.3XX3 O40.3XX4 O40.3XX5 O40.3XX9 O41.01X0 O41.01X1 O41.01X2 O41.01X3 O41.01X4 O41.01X5 O41.01X9 O41.02X0 O41.02X1 O41.02X2 O41.02X3 PC v2014A 339 O41.02X4 O41.02X5 O41.02X9 O41.03X0 O41.03X1 O41.03X2 Oligohydramnios, second trimester, fetus 4 Oligohydramnios, second trimester, fetus 5 Oligohydramnios, second trimester, other fetus Oligohydramnios, third trimester, not applicable or unspecified Oligohydramnios, third trimester, fetus 1 Oligohydramnios, third trimester, fetus 2 O41.03X3 O41.03X4 O41.03X5 O41.03X9 O41.1010 O41.1011 O41.1012 O41.1013 O41.1014 O41.1015 O41.1019 O41.1020 O41.1021 O41.1022 O41.1023 O41.1024 O41.1025 O41.1029 O41.1030 O41.1031 O41.1032 O41.1033 O41.1034 O41.1035 O41.1039 O41.1210 O41.1211 O41.1212 O41.1213 O41.1214 O41.1215 O41.1219 O41.1220 O41.1221 O41.1222 O41.1223 O41.1224 O41.1225 O41.1229 O41.1230 O41.1231 O41.1232 O41.1233 O41.1234 O41.1235 O41.1239 O41.1410 Oligohydramnios, third trimester, fetus 3 Oligohydramnios, third trimester, fetus 4 Oligohydramnios, third trimester, fetus 5 Oligohydramnios, third trimester, other fetus Infection of amniotic sac and membranes, unspecified, first trimester, not applicable or unspecified Infection of amniotic sac and membranes, unspecified, first trimester, fetus 1 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 2 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 3 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 4 Infection of amniotic sac and membranes, unspecified, first trimester, fetus 5 Infection of amniotic sac and membranes, unspecified, first trimester, other fetus Infection of amniotic sac and membranes, unspecified, second trimester, not applicable or unspecified Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 2 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 3 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 4 Infection of amniotic sac and membranes, unspecified, second trimester, fetus 5 Infection of amniotic sac and membranes, unspecified, second trimester, other fetus Infection of amniotic sac and membranes, unspecified, third trimester, not applicable or unspecified Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 2 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 3 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 4 Infection of amniotic sac and membranes, unspecified, third trimester, fetus 5 Infection of amniotic sac and membranes, unspecified, third trimester, other fetus Chorioamnionitis, first trimester, not applicable or unspecified Chorioamnionitis, first trimester, fetus 1 Chorioamnionitis, first trimester, fetus 2 Chorioamnionitis, first trimester, fetus 3 Chorioamnionitis, first trimester, fetus 4 Chorioamnionitis, first trimester, fetus 5 Chorioamnionitis, first trimester, other fetus Chorioamnionitis, second trimester, not applicable or unspecified Chorioamnionitis, second trimester, fetus 1 Chorioamnionitis, second trimester, fetus 2 Chorioamnionitis, second trimester, fetus 3 Chorioamnionitis, second trimester, fetus 4 Chorioamnionitis, second trimester, fetus 5 Chorioamnionitis, second trimester, other fetus Chorioamnionitis, third trimester, not applicable or unspecified Chorioamnionitis, third trimester, fetus 1 Chorioamnionitis, third trimester, fetus 2 Chorioamnionitis, third trimester, fetus 3 Chorioamnionitis, third trimester, fetus 4 Chorioamnionitis, third trimester, fetus 5 Chorioamnionitis, third trimester, other fetus Placentitis, first trimester, not applicable or unspecified PC v2014A 340 O41.1411 Placentitis, first trimester, fetus 1 O41.1412 Placentitis, first trimester, fetus 2 O41.1413 Placentitis, first trimester, fetus 3 O41.1414 O41.1415 O41.1419 O41.1420 O41.1421 O41.1422 O41.1423 O41.1424 O41.1425 O41.1429 O41.1430 O41.1431 O41.1432 O41.1433 O41.1434 O41.1435 O41.1439 O42.011 O42.012 O42.013 O42.02 O42.111 O43.011 O43.012 O43.013 O43.021 O43.022 O43.023 O44.01 O44.02 O44.03 O44.11 O44.12 O44.13 O45.001 Placentitis, first trimester, fetus 4 Placentitis, first trimester, fetus 5 Placentitis, first trimester, other fetus Placentitis, second trimester, not applicable or unspecified Placentitis, second trimester, fetus 1 Placentitis, second trimester, fetus 2 Placentitis, second trimester, fetus 3 Placentitis, second trimester, fetus 4 Placentitis, second trimester, fetus 5 Placentitis, second trimester, other fetus Placentitis, third trimester, not applicable or unspecified Placentitis, third trimester, fetus 1 Placentitis, third trimester, fetus 2 Placentitis, third trimester, fetus 3 Placentitis, third trimester, fetus 4 Placentitis, third trimester, fetus 5 Placentitis, third trimester, other fetus Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester Full-term premature rupture of membranes, onset of labor within 24 hours of rupture Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor Fetomaternal placental transfusion syndrome, first trimester Fetomaternal placental transfusion syndrome, second trimester Fetomaternal placental transfusion syndrome, third trimester Fetus-to-fetus placental transfusion syndrome, first trimester Fetus-to-fetus placental transfusion syndrome, second trimester Fetus-to-fetus placental transfusion syndrome, third trimester Placenta previa specified as without hemorrhage, first trimester Placenta previa specified as without hemorrhage, second trimester Placenta previa specified as without hemorrhage, third trimester Placenta previa with hemorrhage, first trimester Placenta previa with hemorrhage, second trimester Placenta previa with hemorrhage, third trimester Premature separation of placenta with coagulation defect, unspecified, first trimester PC v2014A 341 O42.112 O42.113 O42.12 O42.911 O42.912 O42.913 O42.92 O45.002 O45.003 O45.011 O45.012 O45.013 O45.021 O45.022 O45.023 O45.091 O45.092 O45.093 O45.8X1 O45.8X2 O45.8X3 O45.91 O45.92 O45.93 O46.001 O46.002 O46.003 O46.011 O46.012 O46.013 O46.021 O46.022 O46.023 O46.091 O46.092 O46.093 O46.8X1 O46.8X2 O46.8X3 O46.91 O46.92 O46.93 O48.0 O66.6 O67.0 O67.8 O67.9 O68 O69.4XX0 O69.4XX1 O69.4XX2 O69.4XX3 O69.4XX4 O69.4XX9 O76 O99.111 Premature separation of placenta with coagulation defect, unspecified, second trimester Premature separation of placenta with coagulation defect, unspecified, third trimester Premature separation of placenta with afibrinogenemia, first trimester Premature separation of placenta with afibrinogenemia, second trimester Premature separation of placenta with afibrinogenemia, third trimester Premature separation of placenta with disseminated intravascular coagulation, first trimester Premature separation of placenta with disseminated intravascular coagulation, second trimester Premature separation of placenta with disseminated intravascular coagulation, third trimester Premature separation of placenta with other coagulation defect, first trimester Premature separation of placenta with other coagulation defect, second trimester Premature separation of placenta with other coagulation defect, third trimester Other premature separation of placenta, first trimester Other premature separation of placenta, second trimester Other premature separation of placenta, third trimester Premature separation of placenta, unspecified, first trimester Premature separation of placenta, unspecified, second trimester Premature separation of placenta, unspecified, third trimester Antepartum hemorrhage with coagulation defect, unspecified, first trimester Antepartum hemorrhage with coagulation defect, unspecified, second trimester Antepartum hemorrhage with coagulation defect, unspecified, third trimester Antepartum hemorrhage with afibrinogenemia, first trimester Antepartum hemorrhage with afibrinogenemia, second trimester Antepartum hemorrhage with afibrinogenemia, third trimester Antepartum hemorrhage with disseminated intravascular coagulation, first trimester Antepartum hemorrhage with disseminated intravascular coagulation, second trimester Antepartum hemorrhage with disseminated intravascular coagulation, third trimester Antepartum hemorrhage with other coagulation defect, first trimester Antepartum hemorrhage with other coagulation defect, second trimester Antepartum hemorrhage with other coagulation defect, third trimester Other antepartum hemorrhage, first trimester Other antepartum hemorrhage, second trimester Other antepartum hemorrhage, third trimester Antepartum hemorrhage, unspecified, first trimester Antepartum hemorrhage, unspecified, second trimester Antepartum hemorrhage, unspecified, third trimester Post-term pregnancy Obstructed labor due to other multiple fetuses Intrapartum hemorrhage with coagulation defect Other intrapartum hemorrhage Intrapartum hemorrhage, unspecified Labor and delivery complicated by abnormality of fetal acid-base balance Labor and delivery complicated by vasa previa, not applicable or unspecified Labor and delivery complicated by vasa previa, fetus 1 Labor and delivery complicated by vasa previa, fetus 2 Labor and delivery complicated by vasa previa, fetus 3 Labor and delivery complicated by vasa previa, fetus 4 Labor and delivery complicated by vasa previa, other fetus Abnormality in fetal heart rate and rhythm complicating labor and delivery Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester O99.112 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester Other diseases of the blood and blood-forming organs and certain disorders involving the immune O99.113 PC v2014A 342 O99.12 O99.810 O99.814 O99.815 Z21 Z37.1 mechanism complicating pregnancy, third trimester Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth Abnormal glucose complicating pregnancy Abnormal glucose complicating childbirth Abnormal glucose complicating the puerperium Asymptomatic human immunodeficiency virus [HIV] infection status Single stillbirth Table 11.08 Outcome of Delivery ICD-10-CM CodeCode Description Z37.0 Single Live Birth Table 11.09.1 Fetal Demise ICD-10-CM Code Code Description O36.4XX0 Maternal care for intrauterine death, not applicable or unspecified O36.4XX1 Maternal care for intrauterine death, fetus 1 O36.4XX2 Maternal care for intrauterine death, fetus 2 O36.4XX3 Maternal care for intrauterine death, fetus 3 Table 11.09 Contraindications to Vaginal Delivery Short Description ICD-10-CM Code O30.001 Twin preg, unsp num plcnta & amnio sacs, first trimester O30.002 Twin preg, unsp num plcnta & amnio sacs, second trimester O30.003 Twin preg, unsp num plcnta & amnio sacs, third trimester O30.011 Twin pregnancy, monochorionic/monoamniotic, first trimester O30.012 Twin pregnancy, monochorionic/monoamniotic, second trimester O30.013 Twin pregnancy, monochorionic/monoamniotic, third trimester O30.031 Twin pregnancy, monochorionic/diamniotic, first trimester O30.032 Twin pregnancy, monochorionic/diamniotic, second trimester O30.033 Twin pregnancy, monochorionic/diamniotic, third trimester O30.041 Twin pregnancy, dichorionic/diamniotic, first trimester O30.042 Twin pregnancy, dichorionic/diamniotic, second trimester O30.043 Twin pregnancy, dichorionic/diamniotic, third trimester O30.091 Twin preg, unable to dtrm num plcnta & amnio sacs, first tri O30.092 Twin preg, unable to dtrm num plcnta & amnio sacs, 2nd tri O30.093 Twin preg, unable to dtrm num plcnta & amnio sacs, third tri O30.101 Triplet preg, unsp num plcnta & amnio sacs, first trimester O30.102 Triplet preg, unsp num plcnta & amnio sacs, second trimester O30.103 Triplet preg, unsp num plcnta & amnio sacs, third trimester O30.111 O30.112 O30.113 O30.121 O30.122 O30.123 Triplet preg w two or more monochorionic fetuses, first tri Triplet preg w two or more monochorionic fetuses, second tri Triplet preg w two or more monochorionic fetuses, third tri Triplet preg w two or more monoamnio fetuses, first tri Triplet preg w two or more monoamnio fetuses, second tri Triplet preg w two or more monoamnio fetuses, third tri O30.191 Trp preg, unable to dtrm num plcnta & amnio sacs, first tri PC v2014A 343 O30.192 O30.193 O30.201 O30.202 O30.203 O30.211 O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 O30.292 O30.293 O30.801 O30.802 O30.803 O30.811 O30.812 O30.813 O30.821 O30.822 O30.823 O30.891 O30.892 O30.893 O30.91 O30.92 O30.93 O31.11X0 O31.11X1 O31.11X2 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X1 O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 Trp preg, unable to dtrm num plcnta & amnio sacs, second tri Trp preg, unable to dtrm num plcnta & amnio sacs, third tri Quad preg, unsp num plcnta & amnio sacs, first trimester Quad preg, unsp num plcnta & amnio sacs, second trimester Quad preg, unsp num plcnta & amnio sacs, third trimester Quad preg w two or more monochorionic fetuses, first tri Quad preg w two or more monochorionic fetuses, second tri Quad preg w two or more monochorionic fetuses, third tri Quad preg w two or more monoamnio fetuses, first trimester Quad preg w two or more monoamnio fetuses, second trimester Quad preg w two or more monoamnio fetuses, third trimester Quad preg, unable to dtrm num plcnta & amnio sacs, first tri Quad preg, unable to dtrm num plcnta & amnio sacs, 2nd tri Quad preg, unable to dtrm num plcnta & amnio sacs, third tri Oth multiple gest, unsp num plcnta & amnio sacs, first tri Oth multiple gest, unsp num plcnta & amnio sacs, second tr Oth multiple gest, unsp num plcnta & amnio sacs, third tri Oth mult gest w two or more monochorionic fetuses, first tr Oth mult gest w two or more monochorionic fetuses, 2nd tri Oth mult gest w two or more monochorionic fetuses, third tri Oth multiple gest w two or more monoamnio fetuses, first tri Oth mult gest w two or more monoamnio fetuses, second tri Oth multiple gest w two or more monoamnio fetuses, third tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 1st tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 1st tri Oth mult gest, unab to dtrm num plcnta & amnio sacs, 3rd tri Multiple gestation, unspecified, first trimester Multiple gestation, unspecified, second trimester Multiple gestation, unspecified, third trimester Cont preg aft spon abort of one fts or more, unsp tri, unsp Cont preg aft spon abort of one fts or more, unsp tri, fts1 Cont preg aft spon abort of one fts or more, unsp tri, fts2 Cont preg aft spon abort of one fts or more, unsp tri, fts3 Cont preg aft spon abort of one fts or more, unsp tri, fts4 Cont preg aft spon abort of one fts or more, unsp tri, fts5 Cont preg aft spon abort of one fetus or more, unsp tri, oth Cont preg aft spon abort of one fetus or more, 2nd tri, unsp Cont preg aft spon abort of one fetus or more, 2nd tri, fts1 Cont preg aft spon abort of one fetus or more, 2nd tri, fts2 Cont preg aft spon abort of one fetus or more, 2nd tri, fts3 Cont preg aft spon abort of one fetus or more, 2nd tri, fts4 Cont preg aft spon abort of one fetus or more, 2nd tri, fts5 Cont preg aft spon abort of one fetus or more, 2nd tri, oth Cont preg aft spon abort of one fts or more, third tri, unsp O31.13X1 O31.13X2 O31.13X3 O31.13X4 O31.13X5 O31.13X9 O31.21X0 O31.21X1 Cont preg aft spon abort of one fts or more, third tri, fts1 Cont preg aft spon abort of one fts or more, third tri, fts2 Cont preg aft spon abort of one fts or more, third tri, fts3 Cont preg aft spon abort of one fts or more, third tri, fts4 Cont preg aft spon abort of one fts or more, third tri, fts5 Cont preg aft spon abort of one fts or more, third tri, oth Cont preg aft uterin dth of one fts or more, first tri, unsp Cont preg aft uterin dth of one fts or more, first tri, fts1 PC v2014A 344 O31.21X2 O31.21X3 O31.21X4 O31.21X5 O31.21X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5 O31.22X9 O31.23X0 O31.23X1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 Cont preg aft uterin dth of one fts or more, first tri, fts2 Cont preg aft uterin dth of one fts or more, first tri, fts3 Cont preg aft uterin dth of one fts or more, first tri, fts4 Cont preg aft uterin dth of one fts or more, first tri, fts5 Cont preg aft uterin dth of one fts or more, first tri, oth Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts3 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts4 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5 Cont preg aft uterin dth of one fetus or more, 2nd tri, oth Cont preg aft uterin dth of one fts or more, third tri, unsp Cont preg aft uterin dth of one fts or more, third tri, fts1 Cont preg aft uterin dth of one fts or more, third tri, fts2 Cont preg aft uterin dth of one fts or more, third tri, fts3 Cont preg aft uterin dth of one fts or more, third tri, fts4 Cont preg aft uterin dth of one fts or more, third tri, fts5 O31.23X9 O31.8X10 O31.8X11 O31.8X12 O31.8X13 O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24 O31.8X25 O31.8X29 O31.8X30 O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35 O31.8X39 O32.1XX0 O32.1XX1 O32.1XX2 O32.1XX3 O32.1XX4 O32.1XX5 O32.1XX9 O32.2XX0 O32.2XX1 O32.2XX2 O32.2XX3 O32.2XX4 Cont preg aft uterin dth of one fts or more, third tri, oth Oth comp specific to multiple gest, first trimester, unsp Oth comp specific to multiple gest, first trimester, fetus 1 Oth comp specific to multiple gest, first trimester, fetus 2 Oth comp specific to multiple gest, first trimester, fetus 3 Oth comp specific to multiple gest, first trimester, fetus 4 Oth comp specific to multiple gest, first trimester, fetus 5 Oth comp specific to multiple gest, first trimester, oth Oth comp specific to multiple gest, second trimester, unsp Oth comp specific to multiple gest, second tri, fetus 1 Oth comp specific to multiple gest, second tri, fetus 2 Oth comp specific to multiple gest, second tri, fetus 3 Oth comp specific to multiple gest, second tri, fetus 4 Oth comp specific to multiple gest, second tri, fetus 5 Oth comp specific to multiple gest, second trimester, oth Oth comp specific to multiple gest, third trimester, unsp Oth comp specific to multiple gest, third trimester, fetus 1 Oth comp specific to multiple gest, third trimester, fetus 2 Oth comp specific to multiple gest, third trimester, fetus 3 Oth comp specific to multiple gest, third trimester, fetus 4 Oth comp specific to multiple gest, third trimester, fetus 5 Oth comp specific to multiple gest, third trimester, oth Maternal care for breech presentation, unsp Maternal care for breech presentation, fetus 1 Maternal care for breech presentation, fetus 2 Maternal care for breech presentation, fetus 3 Maternal care for breech presentation, fetus 4 Maternal care for breech presentation, fetus 5 Maternal care for breech presentation, other fetus Maternal care for transverse and oblique lie, unsp Maternal care for transverse and oblique lie, fetus 1 Maternal care for transverse and oblique lie, fetus 2 Maternal care for transverse and oblique lie, fetus 3 Maternal care for transverse and oblique lie, fetus 4 PC v2014A 345 O32.2XX5 O32.2XX9 O32.3XX0 O32.3XX1 O32.3XX2 O32.3XX3 O32.3XX4 O32.3XX5 O32.3XX9 O32.6XX0 O32.6XX1 Maternal care for transverse and oblique lie, fetus 5 Maternal care for transverse and oblique lie, other fetus Maternal care for face, brow and chin presentation, unsp Maternal care for face, brow and chin presentation, fetus 1 Maternal care for face, brow and chin presentation, fetus 2 Maternal care for face, brow and chin presentation, fetus 3 Maternal care for face, brow and chin presentation, fetus 4 Maternal care for face, brow and chin presentation, fetus 5 Maternal care for face, brow and chin presentation, other fetus Maternal care for compound presentation, unsp Maternal care for compound presentation, fetus 1 O32.6XX2 O32.6XX3 O32.6XX4 O32.6XX5 O32.6XX9 O32.8XX0 O32.8XX1 O32.8XX2 O32.8XX3 O32.8XX4 O32.8XX5 O32.8XX9 O32.9XX0 O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O34.21 O36.4XX0 O36.4XX1 O36.4XX2 O36.4XX3 O36.4XX4 O36.4XX5 O36.4XX9 O60.12X0 O60.12X1 O60.12X2 O60.12X3 O60.12X4 O60.12X5 O60.12X9 O60.13X0 O60.13X1 O60.13X2 O60.13X3 O60.13X4 O60.13X5 O60.13X9 Maternal care for compound presentation, fetus 2 Maternal care for compound presentation, fetus 3 Maternal care for compound presentation, fetus 4 Maternal care for compound presentation, fetus 5 Maternal care for compound presentation, other fetus Maternal care for oth malpresentation of fetus, unsp Maternal care for other malpresentation of fetus, fetus 1 Maternal care for other malpresentation of fetus, fetus 2 Maternal care for other malpresentation of fetus, fetus 3 Maternal care for other malpresentation of fetus, fetus 4 Maternal care for other malpresentation of fetus, fetus 5 Maternal care for other malpresentation of fetus, other fetus Maternal care for malpresentation of fetus, unsp, unsp Maternal care for malpresentation of fetus, unsp, fetus 1 Maternal care for malpresentation of fetus, unsp, fetus 2 Maternal care for malpresentation of fetus, unsp, fetus 3 Maternal care for malpresentation of fetus, unsp, fetus 4 Maternal care for malpresentation of fetus, unsp, fetus 5 Maternal care for malpresentation of fetus, unsp, oth fetus Maternal care for scar from previous cesarean delivery Maternal care for intrauterine death, not applicable or unsp Maternal care for intrauterine death, fetus 1 Maternal care for intrauterine death, fetus 2 Maternal care for intrauterine death, fetus 3 Maternal care for intrauterine death, fetus 4 Maternal care for intrauterine death, fetus 5 Maternal care for intrauterine death, other fetus Preterm labor second tri w preterm delivery second tri, unsp Preterm labor second tri w preterm del second tri, fetus 1 Preterm labor second tri w preterm del second tri, fetus 2 Preterm labor second tri w preterm del second tri, fetus 3 Preterm labor second tri w preterm del second tri, fetus 4 Preterm labor second tri w preterm del second tri, fetus 5 Preterm labor second tri w preterm delivery second tri, oth Preterm labor second tri w preterm delivery third tri, unsp Preterm labor second tri w preterm del third tri, fetus 1 Preterm labor second tri w preterm del third tri, fetus 2 Preterm labor second tri w preterm del third tri, fetus 3 Preterm labor second tri w preterm del third tri, fetus 4 Preterm labor second tri w preterm del third tri, fetus 5 Preterm labor second tri w preterm delivery third tri, oth PC v2014A 346 O60.14X0 O60.14X1 O60.14X2 O60.14X3 Preterm labor third tri w preterm delivery third tri, unsp Preterm labor third tri w preterm del third tri, fetus 1 Preterm labor third tri w preterm del third tri, fetus 2 Preterm labor third tri w preterm del third tri, fetus 3 O60.14X4 O60.14X5 O60.14X9 O60.22X0 O60.22X1 O60.22X2 O60.22X3 O60.22X4 O60.22X5 O60.22X9 O60.23X0 O60.23X1 O60.23X2 O60.23X3 O60.23X4 O60.23X5 O60.23X9 O63.2 O64.1XX0 O64.1XX1 O64.1XX2 O64.1XX3 O64.1XX4 O64.1XX5 O64.1XX9 O64.2XX0 O64.2XX1 O64.2XX2 O64.2XX3 O64.2XX4 O64.2XX5 O64.2XX9 O64.3XX0 O64.3XX1 O64.3XX2 O64.3XX3 O64.3XX4 O64.3XX5 O64.3XX9 O64.4XX0 O64.4XX1 O64.4XX2 O64.4XX3 O64.4XX4 O64.4XX5 O64.4XX9 Preterm labor third tri w preterm del third tri, fetus 4 Preterm labor third tri w preterm del third tri, fetus 5 Preterm labor third tri w preterm delivery third tri, oth Term delivery w preterm labor, second trimester, unsp Term delivery with preterm labor, second trimester, fetus 1 Term delivery with preterm labor, second trimester, fetus 2 Term delivery with preterm labor, second trimester, fetus 3 Term delivery with preterm labor, second trimester, fetus 4 Term delivery with preterm labor, second trimester, fetus 5 Term delivery w preterm labor, second trimester, oth fetus Term delivery w preterm labor, third trimester, unsp Term delivery with preterm labor, third trimester, fetus 1 Term delivery with preterm labor, third trimester, fetus 2 Term delivery with preterm labor, third trimester, fetus 3 Term delivery with preterm labor, third trimester, fetus 4 Term delivery with preterm labor, third trimester, fetus 5 Term delivery with preterm labor, third trimester, oth fetus Delayed delivery of second twin, triplet, etc. Obstructed labor due to breech presentation, unsp Obstructed labor due to breech presentation, fetus 1 Obstructed labor due to breech presentation, fetus 2 Obstructed labor due to breech presentation, fetus 3 Obstructed labor due to breech presentation, fetus 4 Obstructed labor due to breech presentation, fetus 5 Obstructed labor due to breech presentation, other fetus Obstructed labor due to face presentation, unsp Obstructed labor due to face presentation, fetus 1 Obstructed labor due to face presentation, fetus 2 Obstructed labor due to face presentation, fetus 3 Obstructed labor due to face presentation, fetus 4 Obstructed labor due to face presentation, fetus 5 Obstructed labor due to face presentation, other fetus Obstructed labor due to brow presentation, unsp Obstructed labor due to brow presentation, fetus 1 Obstructed labor due to brow presentation, fetus 2 Obstructed labor due to brow presentation, fetus 3 Obstructed labor due to brow presentation, fetus 4 Obstructed labor due to brow presentation, fetus 5 Obstructed labor due to brow presentation, other fetus Obstructed labor due to shoulder presentation, unsp Obstructed labor due to shoulder presentation, fetus 1 Obstructed labor due to shoulder presentation, fetus 2 Obstructed labor due to shoulder presentation, fetus 3 Obstructed labor due to shoulder presentation, fetus 4 Obstructed labor due to shoulder presentation, fetus 5 Obstructed labor due to shoulder presentation, other fetus O64.5XX0 O64.5XX1 Obstructed labor due to compound presentation, unsp Obstructed labor due to compound presentation, fetus 1 PC v2014A 347 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0 O64.8XX1 O64.8XX2 O64.8XX3 O64.8XX4 O64.8XX5 O64.8XX9 O66.1 O66.6 P01.5 Z37.1 Obstructed labor due to compound presentation, fetus 2 Obstructed labor due to compound presentation, fetus 3 Obstructed labor due to compound presentation, fetus 4 Obstructed labor due to compound presentation, fetus 5 Obstructed labor due to compound presentation, other fetus Obstructed labor due to oth malposition and malpresent, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 Obstructed labor due to oth malpos and malpresent, fetus 3 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth Obstructed labor due to locked twins Obstructed labor due to other multiple fetuses Newborn (suspected to be) affected by multiple pregnancy Single stillbirth Z37.2 Z37.3 Z37.4 Z37.50 Z37.51 Z37.52 Z37.53 Z37.54 Z37.59 Z37.60 Z37.61 Z37.62 Z37.63 Z37.64 Z37.69 Z37.7 Twins, both liveborn Twins, one liveborn and one stillborn Twins, both stillborn Multiple births, unspecified, all liveborn Triplets, all liveborn Quadruplets, all liveborn Quintuplets, all liveborn Sextuplets, all liveborn Other multiple births, all liveborn Multiple births, unspecified, some liveborn Triplets, some liveborn Quadruplets, some liveborn Quintuplets, some liveborn Sextuplets, some liveborn Other multiple births, some liveborn Other multiple births, all stillborn Table 11.10.1 Sepsis ICD-10-CM Code Code Description A40.0 Sepsis due to streptococcus, group A A40.1 Sepsis due to streptococcus, group B A40.3 Sepsis due to Streptococcus pneumoniae A40.8 Other streptococcal sepsis A40.9 Streptococcal sepsis, unspecified A41.2 Sepsis due to unspecified staphylococcus A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus A41.1 Sepsis due to other specified staphylococcus A40.3 Sepsis due to Streptococcus pneumoniae A41.4 Sepsis due to anaerobes A41.50 Gram-negative sepsis, unspecified A41.3 Sepsis due to Hemophilus influenzae A41.51 Sepsis due to Escherichia coli [E. coli] A41.52 Sepsis due to Pseudomonas A41.53 Sepsis due to Serratia PC v2014A 348 A41.59 A41.81 A41.89 A42.7 B37.7 R65.21 R78.81 Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis Actinomycotic sepsis Candidal sepsis Severe sepsis with septic shock Bacteremia A02.1 Salmonella sepsis A22.7 A26.7 A32.7 A40.0 A40..1 A40.3 A40.8 A40.9 A41.01 A41.02 A41.1 A41.2 A41.3 A41.4 A41.50 A41.51 A41.52 A41.53 A41.59 A41.81 A41.89 A41.9 A42.7 A54.86 B37.7 R65.20 R65.21 T81.12XA Anthrax sepsis Erysipelothrix sepsis Listerial sepsis Sepsis due to streptococcus, group A Sepsis due to streptococcus, group B Sepsis due to Streptococcus pneumoniae Other streptococcal sepsis Streptococcal sepsis, unspecified Sepsis due to Methicillin susceptible Staphylococcus aureus Sepsis due to Methicillin resistant Staphylococcus aureus Sepsis due to other specified staphylococcus Sepsis due to unspecified staphylococcus Sepsis due to Hemophilus influenzae Sepsis due to anaerobes Gram-negative sepsis, unspecified Sepsis due to Escherichia coli [E. coli] Sepsis due to Pseudomonas Sepsis due to Serratia Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis Sepsis, unspecified organism Actinomycotic sepsis Gonococcal sepsis Candidal sepsis Severe sepsis without septic shock Severe sepsis with septic shock Postprocedural septic shock, initial encounter Table 11.10.2 Septicemias or Bacteremias ICD-10-CM Code A40.0 A40.1 A40.3 A40.8 A40.9 A41.2 A41.01 A41.02 A41.1 A40.3 PC v2014A Code Description Sepsis due to streptococcus, group A Sepsis due to streptococcus, group B Sepsis due to Streptococcus pneumoniae Other streptococcal sepsis Streptococcal sepsis, unspecified Sepsis due to unspecified staphylococcus Sepsis due to Methicillin susceptible Staphylococcus aureus Sepsis due to Methicillin resistant Staphylococcus aureus Sepsis due to other specified staphylococcus Sepsis due to Streptococcus pneumoniae 349 A41.4 A41.50 A41.3 A41.51 A41.52 A41.53 A41.59 A41.81 A41.89 A42.7 B95.2 B95.8 A49.01 B95.61 B95.7 B96.1 B96.21 B96.22 B96.23 B96.20 B96.29 B96.5 B37.7 R65.21 R57.1 R57.8 R78.81 A021 A227 A267 A327 A40.0 A40.1 A40.3 A40.8 A40.9 A41.01 A41.02 A41.1 A41.2 A41.3 A41.4 A41.50 A41.51 A41.52 A41.53 A41.59 A41.81 A41.89 PC v2014A Sepsis due to anaerobes Gram-negative sepsis, unspecified Sepsis due to Hemophilus influenzae Sepsis due to Escherichia coli [E. coli] Sepsis due to Pseudomonas Sepsis due to Serratia Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis Actinomycotic sepsis Enterococcus as the cause of diseases classified elsewhere Unspecified staphylococcus as the cause of diseases classified elsewhere Methicillin susceptible Staphylococcus aureus infection, unspecified site Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere Other staphylococcus as the cause of diseases classified elsewhere Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere Shiga toxin-producing Escherichia coli [E. coli] (STEC) O157 as the cause of diseases classified elsewhere Other specified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Unspecified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere Other Escherichia coli [E. coli] as the cause of diseases classified elsewhere Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere Candidal sepsis Severe sepsis with septic shock Hypovolemic shock Other shock Bacteremia Salmonella sepsis Anthrax sepsis Erysipelothrix sepsis Listerial sepsis Sepsis due to streptococcus, group A Sepsis due to streptococcus, group B Sepsis due to Streptococcus pneumoniae Other streptococcal sepsis Streptococcal sepsis, unspecified Sepsis due to Methicillin susceptible Staphylococcus aureus Sepsis due to Methicillin resistant Staphylococcus aureus Sepsis due to other specified staphylococcus Sepsis due to unspecified staphylococcus Sepsis due to Hemophilus influenzae Sepsis due to anaerobes Gram-negative sepsis, unspecified Sepsis due to Escherichia coli [E. coli] Sepsis due to Pseudomonas Sepsis due to Serratia Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis 350 A41.9 A42.7 A54.86 B37.7 R65.20 R65.21 T81.10XA Sepsis, unspecified organism Actinomycotic sepsis Gonococcal sepsis Candidal sepsis Severe sepsis without septic shock Severe sepsis with septic shock Postprocedural shock unspecified, initial encounter Table 11.10.3 Liveborn Newborn ICD-10-CM Code Code Description Z38.00 Single liveborn infant, delivered vaginally Z38.2 Single liveborn infant, unspecified as to place of birth Z38.01 Single liveborn infant, delivered by cesarean Z38.1 Single liveborn infant, born outside hospital Z38.5 Twin liveborn infant, unspecified as to place of birth Z38.31 Twin liveborn infant, delivered by cesarean Z38.4 Twin liveborn infant, born outside hospital Z38.30 Twin liveborn infant, delivered vaginally Z38.61 Triplet liveborn infant, delivered vaginally Z38.63 Quadruplet liveborn infant, delivered vaginally Z38.65 Quintuplet liveborn infant, delivered vaginally Z38.68 Other multiple liveborn infant, delivered vaginally Z38.8 Other multiple liveborn infant, unspecified as to place of birth Z38.62 Triplet liveborn infant, delivered by cesarean Z38.64 Quadruplet liveborn infant, delivered by cesarean Z38.66 Quintuplet liveborn infant, delivered by cesarean Z38.69 Other multiple liveborn infant, delivered by cesarean Z38.7 Other multiple liveborn infant, born outside hospital Table 11.10 Newborn Septicemia or Bacteremia Code Description ICD-10-CM Code P36.0 Sepsis of newborn due to streptococcus, group B P36.10 Sepsis of newborn due to unspecified streptococci P36.19 Sepsis of newborn due to other streptococci P36.2 P36.30 P36.39 P36.4 P36.5 P36.8 P36.9 R78.81 Sepsis of newborn due to Staphylococcus aureus Sepsis of newborn due to unspecified staphylococci Sepsis of newborn due to other staphylococci Sepsis of newborn due to Escherichia coli Sepsis of newborn due to anaerobes Other bacterial sepsis of newborn Bacterial sepsis of newborn, unspecified Bacteremia Table 11.12 Birth Weight 500 – 749 grams Code Description ICD-10-CM Code P05.02 Newborn light for gestational age, 500-749 grams P05.12 Newborn small for gestational age, 500-749 grams P07.02 Extremely low birth weight newborn, 500-749 grams PC v2014A 351 Table 11.13.1 Birth Weight 500-999 Grams ICD-10-CM Code Code Description P07.02 Extremely low birth weight newborn, 500-749 grams P07.03 Extremely low birth weight newborn, 750-999 grams Table 11.13 Birth Weight 750 -999 grams ICD-10-CM Code Code Description P05.03 Newborn light for gestational age, 750-999 grams P05.13 Newborn small for gestational age, 750-999 grams P07.03 Extremely low birth weight newborn, 750-999 grams Table 11.14 Birth Weight 1000–1499 Grams Code Description ICD-10-CM Code P05.04 Newborn light for gestational age, 1000-1249 grams P05.05 Newborn light for gestational age, 1250-1499 grams P05.14 Newborn small for gestational age, 1000-1249 grams P05.15 Newborn small for gestational age, 1250-1499 grams P07.14 Other low birth weight newborn, 1000-1249 grams P07.15 Other low birth weight newborn, 1250-1499 grams Table 11.15 Birth Weight 1500–1999 Grams ICD-10-CM Code P05.06 P05.07 P05.16 P05.17 P07.16 P07.17 Code Description Newborn light for gestational age, 1500-1749 grams Newborn light for gestational age, 1750-1999 grams Newborn small for gestational age, 1500-1749 grams Newborn small for gestational age, 1750-1999 grams Other low birth weight newborn, 1500-1749 grams Other low birth weight newborn, 1750-1999 grams Table 11.16.1 Birth Weight 2000-2500 Grams Code Description ICD-10-CM Code P07.18 Other low birth weight newborn, 2000-2499 grams Table 11.16 Birth Weight 2000-2499 Grams ICD-10-CM Code Code Description P05.08 Newborn light for gestational age, 2000-2499 grams P05.18 Newborn small for gestational age, 2000-2499 grams P07.18 Other low birth weight newborn, 2000-2499 grams Table 11.17 Birth Weight 2500 Grams and Over ICD-10-CM Code PC v2014A Code Description 352 N/A No corresponding codes in ICD-10-CM Table 11.18 Major Surgery Download table (67,000+ rows) Major Surgery Code Table Table 11.19 Mechanical Ventilation ICD-10-PCS Code Code Description 5A1935Z Respiratory Ventilation, Less than 24 Consecutive Hours 5A1945Z Respiratory Ventilation, 24-96 Consecutive Hours 5A1955Z Respiratory Ventilation, Greater than 96 Consecutive Hours Table 11.20.1 Single Liveborn Newborn ICD-10-CM Code Code Description Z38.00 Single liveborn infant, delivered vaginally Z38.2 Single liveborn infant, unspecified as to place of birth Z38.01 Single liveborn infant, delivered by cesarean Table 11.20 Birth Weight Less Than 500 Grams ICD-10-CM Code Code Description P05.01 Newborn light for gestational age, less than 500 grams P05.11 Newborn small for gestational age, less than 500 grams P07.01 Extremely low birth weight newborn, less than 500 grams Table 11.21 Galactosemia ICD-10-CM CodeCode Description E74.21 Galactosemia Table 11.22 Parenteral Infusion Code Description ICD-10-PCS Code 3E0336Z Introduction of Nutritional Substance into Peripheral Vein, Percutaneous Approach 3E0436Z Introduction of Nutritional Substance into Central Vein, Percutaneous Approach 3E0536Z Introduction of Nutritional Substance into Peripheral Artery, Percutaneous Approach 3E0636Z Introduction of Nutritional Substance into Central Artery, Percutaneous Approach Table 11.23 Premature Newborns ICD-10-CM Code Code Description P07.20 Extreme immaturity of newborn, unspecified weeks of gestation P07.30 Preterm newborn, unspecified weeks of gestation P07.21 Extreme immaturity of newborn, gestational age less than 23 completed weeks P07.22 Extreme immaturity of newborn, gestational age 23 completed weeks P07.23 Extreme immaturity of newborn, gestational age 24 completed weeks P07.24 Extreme immaturity of newborn, gestational age 25 completed weeks PC v2014A 353 P07.25 P07.26 P07.31 P07.32 P07.33 P07.34 P07.35 P07.36 P07.37 P07.38 P07.39 PC v2014A Extreme immaturity of newborn, gestational age 26 completed weeks Extreme immaturity of newborn, gestational age 27 completed weeks Preterm newborn, gestational age 28 completed weeks Preterm newborn, gestational age 29 completed weeks Preterm newborn, gestational age 30 completed weeks Preterm newborn, gestational age 31 completed weeks Preterm newborn, gestational age 32 completed weeks Preterm newborn, gestational age 33 completed weeks Preterm newborn, gestational age 34 completed weeks Preterm newborn, gestational age 35 completed weeks Preterm newborn, gestational age 36 completed weeks 354 Appendix P Continued ICD-9-CM to ICD-10-CM Crosswalk of Code Tables Table 10.01 Mental Disorders ICD-9Code Description CM Code 290.0 Senile dementia, uncomplicated ICD-10Code Description CM Code F03.90 Unspecified dementia without behavioral disturbance 290.10 Presenile dementia, uncomplicated F03.90 Unspecified dementia without behavioral disturbance 290.11 Presenile dementia with delirium F03.90 Unspecified dementia without behavioral disturbance 290.12 Presenile dementia with delusional features F03.90 Unspecified dementia without behavioral disturbance 290.12 Presenile dementia with delusional features F05 Delirium due to known physiological condition 290.13 Presenile dementia with depressive features F03.90 Unspecified dementia without behavioral disturbance 290.20 Senile dementia with delusional features F03.90 Unspecified dementia without behavioral disturbance 290.20 Senile dementia with delusional features F05 Delirium due to known physiological condition 290.21 Senile dementia with depressive features F03.90 Unspecified dementia without behavioral disturbance 290.3 Senile dementia with delirium F03.90 Unspecified dementia without behavioral disturbance 290.3 Senile dementia with delirium F05 Delirium due to known physiological condition 290.40 Vascular dementia, uncomplicated F01.50 Vascular dementia without behavioral disturbance 290.41 Vascular dementia, with delirium F01.51 Vascular dementia with behavioral disturbance 290.42 Vascular dementia, with delusions F01.51 Vascular dementia with behavioral disturbance 290.43 Vascular dementia, with depressed mood F01.51 Vascular dementia with behavioral disturbance 290.8 Other specified senile psychotic conditions F03.90 Unspecified dementia without behavioral disturbance 290.9 Unspecified senile psychotic condition F03.90 Unspecified dementia without behavioral disturbance 293.0 Delirium due to conditions classified elsewhere F05 Delirium due to known physiological condition 293.1 Subacute delirium F06.2 Delirium due to known physiological condition 293.81 Psychotic disorder with delusions in conditions F06.0 Psychotic disorder with delusions due to known classified elsewhere physiological condition 293.82 Psychotic disorder with hallucinations in F06.30 Psychotic disorder with hallucinations due to conditions classified elsewhere known physiological condition 293.83 Mood disorder in conditions classified elsewhereF06.31 Mood disorder due to known physiological condition, unspecified 293.83 Mood disorder in conditions classified elsewhereF06.32 Mood disorder due to known physiological condition with depressive features 293.83 Mood disorder in conditions classified elsewhereF06.33 Mood disorder due to known physiological PC v2014A 355 condition with major depressive-like episode 293.83 Mood disorder in conditions classified elsewhereF06.34 Mood disorder due to known physiological condition with manic features 293.83 Mood disorder in conditions classified elsewhereF06.4 Mood disorder due to known physiological condition with mixed features 293.84 Anxiety disorder in conditions classified F06.1 Anxiety disorder due to known physiological elsewhere condition 293.89 Other specified transient mental disorders due to F53 Catatonic disorder due to known physiological conditions classified elsewhere, other condition 293.89 Other specified transient mental disorders due to F06.8 Puerperal psychosis conditions classified elsewhere, other 293.9 Unspecified transient mental disorder in F04 Other specified mental disorders due to known conditions classified elsewhere physiological condition 294.0 Amnestic disorder in conditions classified F0280 Amnestic disorder due to known physiological elsewhere condition 294.10 Dementia in conditions classified elsewhere F0281 Dementia in other diseases classified elsewhere without behavioral disturbance without behavioral disturbance 294.11 Dementia in conditions classified elsewhere with F03.90 Dementia in other diseases classified elsewhere behavioral disturbance with behavioral disturbance 294.20 Dementia, unspecified, without behavioral F03.91 Unspecified dementia without behavioral disturbance disturbance 294.21 Dementia, unspecified, with behavioral F06.1 Unspecified dementia with behavioral disturbance disturbance 294.8 Other persistent mental disorders due to F06.8 Catatonic disorder due to known physiological conditions classified elsewhere condition 294.8 Other persistent mental disorders due to F06.8 Other specified mental disorders due to known conditions classified elsewhere physiological condition 294.9 Unspecified persistent mental disorders due to F20.89 Other specified mental disorders due to known conditions classified elsewhere physiological condition 295.00 Simple type schizophrenia, unspecified F20.89 Other schizophrenia 295.01 Simple type schizophrenia, subchronic F20.89 Other schizophrenia 295.02 Simple type schizophrenia, chronic F20.89 Other schizophrenia 295.03 Simple type schizophrenia, subchronic with acuteF20.89 Other schizophrenia exacerbation 295.04 Simple type schizophrenia, chronic with acute F20.89 Other schizophrenia exacerbation 295.05 Simple type schizophrenia, in remission F20.1 Other schizophrenia 295.10 Disorganized type schizophrenia, unspecified F20.1 Disorganized schizophrenia 295.11 Disorganized type schizophrenia, subchronic F20.1 Disorganized schizophrenia 295.12 Disorganized type schizophrenia, chronic 295.13 Disorganized type schizophrenia, subchronic with acute exacerbation 295.14 Disorganized type schizophrenia, chronic with acute exacerbation 295.15 Disorganized type schizophrenia, in remission 295.20 Catatonic type schizophrenia, unspecified 295.21 Catatonic type schizophrenia, subchronic 295.22 Catatonic type schizophrenia, chronic 295.23 Catatonic type schizophrenia, subchronic with acute exacerbation 295.24 Catatonic type schizophrenia, chronic with acute exacerbation 295.25 Catatonic type schizophrenia, in remission 295.30 Paranoid type schizophrenia, unspecified PC v2014A F20.1 F20.1 Disorganized schizophrenia Disorganized schizophrenia F20.1 Disorganized schizophrenia F20.2 F20.2 F20.2 F20.2 F20.2 Disorganized schizophrenia Catatonic schizophrenia Catatonic schizophrenia Catatonic schizophrenia Catatonic schizophrenia F20.2 Catatonic schizophrenia F20.0 F20.0 Catatonic schizophrenia Paranoid schizophrenia 356 295.31 Paranoid type schizophrenia, subchronic 295.32 Paranoid type schizophrenia, chronic 295.33 Paranoid type schizophrenia, subchronic with acute exacerbation 295.34 Paranoid type schizophrenia, chronic with acute exacerbation 295.35 Paranoid type schizophrenia, in remission 295.40 Schizophreniform disorder, unspecified 295.41 Schizophreniform disorder, subchronic 295.42 Schizophreniform disorder, chronic 295.43 Schizophreniform disorder, subchronic with acute exacerbation 295.44 Schizophreniform disorder, chronic with acute exacerbation 295.45 Schizophreniform disorder, in remission 295.50 Latent schizophrenia, unspecified 295.51 Latent schizophrenia, subchronic 295.52 Latent schizophrenia, chronic 295.53 Latent schizophrenia, subchronic with acute exacerbation 295.54 Latent schizophrenia, chronic with acute exacerbation 295.55 Latent schizophrenia, in remission 295.60 Schizophrenic disorders, residual type, unspecified 295.61 Schizophrenic disorders, residual type, subchronic 295.62 Schizophrenic disorders, residual type, chronic 295.63 Schizophrenic disorders, residual type, subchronic with acute exacerbation 295.64 Schizophrenic disorders, residual type, chronic with acute exacerbation 295.65 Schizophrenic disorders, residual type, in remission 295.70 Schizoaffective disorder, unspecified 295.70 Schizoaffective disorder, unspecified 295.70 Schizoaffective disorder, unspecified 295.70 Schizoaffective disorder, unspecified 295.71 Schizoaffective disorder, subchronic 295.72 Schizoaffective disorder, chronic 295.73 Schizoaffective disorder, subchronic with acute exacerbation 295.74 Schizoaffective disorder, chronic with acute exacerbation 295.75 Schizoaffective disorder, in remission 295.80 Other specified types of schizophrenia, unspecified 295.81 Other specified types of schizophrenia, subchronic 295.82 Other specified types of schizophrenia, chronic 295.83 Other specified types of schizophrenia, subchronic with acute exacerbation 295.84 Other specified types of schizophrenia, chronic with acute exacerbation PC v2014A F20.0 F20.0 F20.0 Paranoid schizophrenia Paranoid schizophrenia Paranoid schizophrenia F20.0 Paranoid schizophrenia F20.81 F20.81 F20.81 F20.81 F20.81 Paranoid schizophrenia Schizophreniform disorder Schizophreniform disorder Schizophreniform disorder Schizophreniform disorder F20.81 Schizophreniform disorder F20.89 F20.89 F20.89 F20.89 F20.89 Schizophreniform disorder Other schizophrenia Other schizophrenia Other schizophrenia Other schizophrenia F20.89 Other schizophrenia F20.5 F20.5 Other schizophrenia Residual schizophrenia F20.5 Residual schizophrenia F20.5 F20.5 Residual schizophrenia Residual schizophrenia F20.5 Residual schizophrenia F25.0 Residual schizophrenia F25.1 F25.8 F25.9 F25.9 F25.9 F25.9 F25.9 Schizoaffective disorder, bipolar type Schizoaffective disorder, depressive type Other schizoaffective disorders Schizoaffective disorder, unspecified Schizoaffective disorder, unspecified Schizoaffective disorder, unspecified Schizoaffective disorder, unspecified F25.9 Schizoaffective disorder, unspecified F20.89 Schizoaffective disorder, unspecified F20.89 Other schizophrenia F20.89 Other schizophrenia F20.89 Other schizophrenia F20.89 Other schizophrenia F20.89 Other schizophrenia 357 295.85 Other specified types of schizophrenia, in F20.3 remission 295.90 Unspecified schizophrenia, unspecified F20.9 295.90 Unspecified schizophrenia, unspecified F20.9 295.91 Unspecified schizophrenia, subchronic F20.9 295.92 Unspecified schizophrenia, chronic F20.9 295.93 Unspecified schizophrenia, subchronic with F20.9 acute exacerbation 295.94 Unspecified schizophrenia, chronic with acute F20.9 exacerbation 295.95 Unspecified schizophrenia, in remission F30.10 296.00 Bipolar I disorder, single manic episode, F30.9 unspecified 296.00 Bipolar I disorder, single manic episode, F30.11 unspecified 296.01 Bipolar I disorder, single manic episode, mild F30.12 296.02 Bipolar I disorder, single manic episode, F30.13 moderate 296.03 Bipolar I disorder, single manic episode, severe, F30.2 without mention of psychotic behavior 296.04 Bipolar I disorder, single manic episode, severe, F30.3 specified as with psychotic behavior 296.05 Bipolar I disorder, single manic episode, in F30.4 partial or unspecified remission 296.06 Bipolar I disorder, single manic episode, in full F30.10 remission 296.10 Manic affective disorder, recurrent episode, F30.11 unspecified 296.11 Manic affective disorder, recurrent episode, mild F30.12 296.12 Manic affective disorder, recurrent episode, F30.13 moderate 296.13 Manic affective disorder, recurrent episode, F30.2 severe, without mention of psychotic behavior 296.14 Manic affective disorder, recurrent episode, F30.3 severe, specified as with psychotic behavior 296.15 Manic affective disorder, recurrent episode, in F30.4 partial or unspecified remission 296.16 Manic affective disorder, recurrent episode, in fullF32.9 remission 296.20 Major depressive affective disorder, single F32.0 episode, unspecified 296.21 Major depressive affective disorder, single F32.1 episode, mild 296.22 Major depressive affective disorder, single F32.2 episode, moderate 296.23 Major depressive affective disorder, single F32.3 episode, severe, without mention of psychotic behavior 296.24 Major depressive affective disorder, single F32.4 episode, severe, specified as with psychotic behavior 296.25 Major depressive affective disorder, single F32.5 episode, in partial or unspecified remission 296.26 Major depressive affective disorder, single F33.40 PC v2014A Other schizophrenia Undifferentiated schizophrenia Schizophrenia, unspecified Schizophrenia, unspecified Schizophrenia, unspecified Schizophrenia, unspecified Schizophrenia, unspecified Schizophrenia, unspecified Manic episode without psychotic symptoms, unspecified Manic episode, unspecified Manic episode without psychotic symptoms, mild Manic episode without psychotic symptoms, moderate Manic episode, severe, without psychotic symptoms Manic episode, severe with psychotic symptoms Manic episode in partial remission Manic episode in full remission Manic episode without psychotic symptoms, unspecified Manic episode without psychotic symptoms, mild Manic episode without psychotic symptoms, moderate Manic episode, severe, without psychotic symptoms Manic episode, severe with psychotic symptoms Manic episode in partial remission Manic episode in full remission Major depressive disorder, single episode, unspecified Major depressive disorder, single episode, mild Major depressive disorder, single episode, moderate Major depressive disorder, single episode, severe without psychotic features Major depressive disorder, single episode, severe with psychotic features Major depressive disorder, single episode, in partial remission Major depressive disorder, single episode, in full 358 episode, in full remission 296.30 Major depressive affective disorder, recurrent episode, unspecified 296.30 Major depressive affective disorder, recurrent episode, unspecified 296.31 Major depressive affective disorder, recurrent episode, mild 296.32 Major depressive affective disorder, recurrent episode, moderate 296.33 Major depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior 296.34 Major depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior 296.35 Major depressive affective disorder, recurrent episode, in partial or unspecified remission 296.36 Major depressive affective disorder, recurrent episode, in full remission 296.40 Bipolar I disorder, most recent episode (or current) manic, unspecified 296.40 Bipolar I disorder, most recent episode (or current) manic, unspecified 296.40 Bipolar I disorder, most recent episode (or current) manic, unspecified 296.41 Bipolar I disorder, most recent episode (or current) manic, mild 296.42 Bipolar I disorder, most recent episode (or current) manic, moderate 296.43 Bipolar I disorder, most recent episode (or current) manic, severe, without mention of psychotic behavior 296.44 Bipolar I disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior 296.45 Bipolar I disorder, most recent episode (or current) manic, in partial or unspecified remission 296.46 Bipolar I disorder, most recent episode (or current) manic, in full remission 296.50 Bipolar I disorder, most recent episode (or current) depressed, unspecified 296.51 Bipolar I disorder, most recent episode (or current) depressed, mild 296.52 Bipolar I disorder, most recent episode (or current) depressed, moderate 296.53 Bipolar I disorder, most recent episode (or current) depressed, severe, without mention of psychotic behavior 296.54 Bipolar I disorder, most recent episode (or current) depressed, severe, specified as with psychotic behavior 296.55 Bipolar I disorder, most recent episode (or current) depressed, in partial or unspecified PC v2014A F33.0 remission Major depressive disorder, recurrent, in remission, unspecified Major depressive disorder, recurrent, unspecified F33.1 Major depressive disorder, recurrent, mild F33.2 Major depressive disorder, recurrent, moderate F33.3 Major depressive disorder, recurrent severe without psychotic features F33.9 F33.41 Major depressive disorder, recurrent, severe with psychotic symptoms F33.42 Major depressive disorder, recurrent, in partial remission F31.0 Major depressive disorder, recurrent, in full remission F31.10 Bipolar disorder, current episode hypomanic F31.89 Bipolar disorder, current episode manic without psychotic features, unspecified F31.11 Other bipolar disorder F31.12 Bipolar disorder, current episode manic without psychotic features, mild F31.13 Bipolar disorder, current episode manic without psychotic features, moderate F31.2 Bipolar disorder, current episode manic without psychotic features, severe F31.73 Bipolar disorder, current episode manic severe with psychotic features F31.74 Bipolar disorder, in partial remission, most recent episode manic F31.30 Bipolar disorder, in full remission, most recent episode manic F31.31 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified F31.32 Bipolar disorder, current episode depressed, mild F31.4 Bipolar disorder, current episode depressed, moderate F31.5 Bipolar disorder, current episode depressed, severe, without psychotic features F31.75 Bipolar disorder, current episode depressed, severe, with psychotic features F31.76 Bipolar disorder, in partial remission, most recent episode depressed 359 remission 296.56 Bipolar I disorder, most recent episode (or current) depressed, in full remission 296.60 Bipolar I disorder, most recent episode (or current) mixed, unspecified 296.61 Bipolar I disorder, most recent episode (or current) mixed, mild 296.62 Bipolar I disorder, most recent episode (or current) mixed, moderate 296.63 Bipolar I disorder, most recent episode (or current) mixed, severe, without mention of psychotic behavior 296.64 Bipolar I disorder, most recent episode (or current) mixed, severe, specified as with psychotic behavior 296.65 Bipolar I disorder, most recent episode (or current) mixed, in partial or unspecified remission 296.66 Bipolar I disorder, most recent episode (or current) mixed, in full remission 296.7 Bipolar I disorder, most recent episode (or current) unspecified 296.7 Bipolar I disorder, most recent episode (or current) unspecified 296.7 Bipolar I disorder, most recent episode (or current) unspecified 296.80 Bipolar disorder, unspecified 296.81 Atypical manic disorder 296.82 Atypical depressive disorder 296.89 Other bipolar disorders 296.90 Unspecified episodic mood disorder 296.99 Other specified episodic mood disorder 296.99 Other specified episodic mood disorder 296.99 Other specified episodic mood disorder 297.0 Paranoid state, simple 297.1 Delusional disorder 297.2 Paraphrenia 297.3 Shared psychotic disorder 297.8 Other specified paranoid states 297.9 Unspecified paranoid state 298.0 Depressive type psychosis 298.0 Depressive type psychosis 298.1 Excitative type psychosis 298.2 298.3 298.4 298.8 298.9 Reactive confusion Acute paranoid reaction Psychogenic paranoid psychosis Other and unspecified reactive psychosis Unspecified psychosis 298.9 Unspecified psychosis PC v2014A F31.60 Bipolar disorder, in full remission, most recent episode depressed F31.61 Bipolar disorder, current episode mixed, unspecified F31.62 Bipolar disorder, current episode mixed, mild F31.63 Bipolar disorder, current episode mixed, moderate F31.64 Bipolar disorder, current episode mixed, severe, without psychotic features F31.77 Bipolar disorder, current episode mixed, severe, with psychotic features F31.78 Bipolar disorder, in partial remission, most recent episode mixed F31.70 Bipolar disorder, in full remission, most recent episode mixed F31.71 Bipolar disorder, currently in remission, most recent episode unspecified F31.72 Bipolar disorder, in partial remission, most recent episode hypomanic F31.9 Bipolar disorder, in full remission, most recent episode hypomanic F30.8 Bipolar disorder, unspecified F32.8 Other manic episodes F31.81 Other depressive episodes F39 Bipolar II disorder F33.8 Unspecified mood [affective] disorder F34.8 Other recurrent depressive disorders F349 Other persistent mood [affective] disorders F22 Persistent mood [affective] disorder, unspecified F22 Delusional disorders F22 Delusional disorders F24 Delusional disorders F22 Shared psychotic disorder F23 Delusional disorders F32.3 Brief psychotic disorder F33.3 Major depressive disorder, single episode, severe with psychotic features F28 Major depressive disorder, recurrent, severe with psychotic symptoms F44.89 Other psychotic disorder not due to a substance or known physiological condition F23 Other dissociative and conversion disorders F23 Brief psychotic disorder F23 Brief psychotic disorder F28 Brief psychotic disorder F29 Other psychotic disorder not due to a substance or known physiological condition F84.0 Unspecified psychosis not due to a substance or known physiological condition 360 299.00 Autistic disorder, current or active state 299.01 Autistic disorder, residual state 299.10 Childhood disintegrative disorder, current or active state 299.11 Childhood disintegrative disorder, residual state 299.80 Other specified pervasive developmental disorders, current or active state 299.80 Other specified pervasive developmental disorders, current or active state 299.81 Other specified pervasive developmental disorders, residual state 299.81 Other specified pervasive developmental disorders, residual state 299.90 Unspecified pervasive developmental disorder, current or active state 299.91 Unspecified pervasive developmental disorder, residual state 300.00 Anxiety state, unspecified 300.01 Panic disorder without agoraphobia 300.02 Generalized anxiety disorder 300.09 Other anxiety states 300.09 Other anxiety states 300.10 Hysteria, unspecified 300.11 Conversion disorder 300.11 Conversion disorder 300.11 Conversion disorder 300.11 Conversion disorder 300.12 Dissociative amnesia 300.13 Dissociative fugue 300.14 Dissociative identity disorder 300.15 Dissociative disorder or reaction, unspecified 300.16 Factitious disorder with predominantly psychological signs and symptoms 300.16 Factitious disorder with predominantly psychological signs and symptoms 300.16 Factitious disorder with predominantly psychological signs and symptoms 300.19 Other and unspecified factitious illness 300.19 Other and unspecified factitious illness 300.20 Phobia, unspecified 300.21 Agoraphobia with panic disorder 300.22 Agoraphobia without mention of panic attacks 300.22 Agoraphobia without mention of panic attacks 300.23 Social phobia 300.23 Social phobia 300.29 Other isolated or specific phobias PC v2014A F84.0 F84.3 F84.3 Autistic disorder Autistic disorder Other childhood disintegrative disorder F84.5 F84.8 Other childhood disintegrative disorder Asperger's syndrome F84.5 Other pervasive developmental disorders F84.8 Asperger's syndrome F84.9 Other pervasive developmental disorders F84.9 Pervasive developmental disorder, unspecified F41.9 Pervasive developmental disorder, unspecified F41.0 F41.1 Anxiety disorder, unspecified Panic disorder [episodic paroxysmal anxiety] without agoraphobia F41.3 Generalized anxiety disorder F41.8 Other mixed anxiety disorders F44.9 Other specified anxiety disorders F44.4 Dissociative and conversion disorder, unspecified F44.5 Conversion disorder with motor symptom or deficit F44.6 Conversion disorder with seizures or convulsions F44.7 Conversion disorder with sensory symptom or deficit F44.0 Conversion disorder with mixed symptom presentation F44.1 Dissociative amnesia F44.81 Dissociative fugue F44.9 Dissociative identity disorder F44.89 Dissociative and conversion disorder, unspecified F68.11 Other dissociative and conversion disorders F68.13 Factitious disorder with predominantly psychological signs and symptoms F44.2 Factitious disorder with combined psychological and physical signs and symptoms F68.8 Dissociative stupor F40.9 Other specified disorders of adult personality and behavior F40.01 Phobic anxiety disorder, unspecified F40.00 Agoraphobia with panic disorder F40.02 Agoraphobia, unspecified F40.10 Agoraphobia without panic disorder F40.11 Social phobia, unspecified F40.210 Social phobia, generalized F40.218 Arachnophobia 361 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias F40.220 Other animal type phobia F40.228 Fear of thunderstorms F40.230 Other natural environment type phobia F40.231 Fear of blood F40.232 Fear of injections and transfusions F40.233 Fear of other medical care F40.240 Fear of injury F40.241 Claustrophobia F40.242 Acrophobia F40.243 Fear of bridges 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.29 Other isolated or specific phobias 300.3 Obsessive-compulsive disorders 300.4 Dysthymic disorder 300.5 Neurasthenia 300.6 Depersonalization disorder 300.7 Hypochondriasis 300.7 Hypochondriasis 300.7 Hypochondriasis 300.7 Hypochondriasis 300.81 Somatization disorder 300.82 Undifferentiated somatoform disorder 300.82 Undifferentiated somatoform disorder 300.89 Other somatoform disorders 300.89 Other somatoform disorders 300.9 Unspecified nonpsychotic mental disorder 300.9 Unspecified nonpsychotic mental disorder 300.9 Unspecified nonpsychotic mental disorder 300.9 Unspecified nonpsychotic mental disorder 300.9 Unspecified nonpsychotic mental disorder 301.0 Paranoid personality disorder 301.10 Affective personality disorder, unspecified 301.11 Chronic hypomanic personality disorder 301.12 Chronic depressive personality disorder 301.13 Cyclothymic disorder 301.20 Schizoid personality disorder, unspecified 301.21 Introverted personality 301.22 Schizotypal personality disorder 301.3 Explosive personality disorder 301.4 Obsessive-compulsive personality disorder 301.50 Histrionic personality disorder, unspecified 301.51 Chronic factitious illness with physical symptoms 301.51 Chronic factitious illness with physical symptoms F40.248 Fear of flying F40.290 Other situational type phobia F40.291 Androphobia F40.298 Gynephobia F40.8 Other specified phobia F42 Other phobic anxiety disorders F34.1 Obsessive-compulsive disorder F48.8 Dysthymic disorder F48.1 Other specified nonpsychotic mental disorders F45.20 Depersonalization-derealization syndrome F45.21 Hypochondriacal disorder, unspecified F45.22 Hypochondriasis F45.29 Body dysmorphic disorder F45.0 Other hypochondriacal disorders F45.1 Somatization disorder F45.9 Undifferentiated somatoform disorder F45.8 Somatoform disorder, unspecified F48.8 Other somatoform disorders F48.9 Other specified nonpsychotic mental disorders F99 Nonpsychotic mental disorder, unspecified R45.2 Mental disorder, not otherwise specified R45.5 Unhappiness R45.6 Hostility F60.0 Violent behavior F34.0 Paranoid personality disorder F60.89 Cyclothymic disorder F34.1 Other specific personality disorders F34.0 Dysthymic disorder F60.1 Cyclothymic disorder F60.1 Schizoid personality disorder F21 Schizoid personality disorder F60.3 Schizotypal disorder F60.5 Borderline personality disorder F60.4 Obsessive-compulsive personality disorder F68.10 Histrionic personality disorder F68.12 Factitious disorder, unspecified F68.13 Factitious disorder with predominantly physical signs and symptoms 301.51 Chronic factitious illness with physical symptoms F60.4 Factitious disorder with combined psychological and physical signs and symptoms 301.59 Other histrionic personality disorder F60.7 Histrionic personality disorder 301.6 Dependent personality disorder F60.2 Dependent personality disorder 301.7 Antisocial personality disorder F60.81 Antisocial personality disorder PC v2014A 362 301.81 Narcissistic personality disorder 301.82 Avoidant personality disorder 301.83 Borderline personality disorder 301.84 Passive-aggressive personality 301.89 Other personality disorders 301.9 Unspecified personality disorder 301.9 Unspecified personality disorder F60.6 F60.3 F60.89 F60.89 F60.9 F69 F66 Narcissistic personality disorder Avoidant personality disorder Borderline personality disorder Other specific personality disorders Other specific personality disorders Personality disorder, unspecified Unspecified disorder of adult personality and behavior 302.0 Ego-dystonic sexual orientation F65.89 Other sexual disorders 302.1 Zoophilia F65.4 Other paraphilias 302.2 Pedophilia F65.1 Pedophilia 302.3 Transvestic fetishism F65.2 Transvestic fetishism 302.4 Exhibitionism F64.1 Exhibitionism 302.50 Trans-sexualism with unspecified sexual history Z87.890 Gender identity disorder in adolescence and adulthood 302.50 Trans-sexualism with unspecified sexual history F64.1 Personal history of sex reassignment 302.51 Trans-sexualism with asexual history F64.1 Gender identity disorder in adolescence and adulthood 302.52 Trans-sexualism with homosexual history F64.1 Gender identity disorder in adolescence and adulthood 302.53 Trans-sexualism with heterosexual history F64.2 Gender identity disorder in adolescence and adulthood 302.6 Gender identity disorder in children F64.8 Gender identity disorder of childhood 302.6 Gender identity disorder in children F64.9 Other gender identity disorders 302.6 Gender identity disorder in children F52.9 Gender identity disorder, unspecified 302.70 Psychosexual dysfunction, unspecified R37 Unspecified sexual dysfunction not due to a substance or known physiological condition 302.70 Psychosexual dysfunction, unspecified F52.0 Sexual dysfunction, unspecified 302.71 Hypoactive sexual desire disorder F52.21 Hypoactive sexual desire disorder 302.72 Psychosexual dysfunction with inhibited sexual F52.22 Male erectile disorder excitement 302.72 Psychosexual dysfunction with inhibited sexual F52.8 Female sexual arousal disorder excitement 302.72 Psychosexual dysfunction with inhibited sexual F52.31 Other sexual dysfunction not due to a substance excitement or known physiological condition 302.73 Female orgasmic disorder F52.32 Female orgasmic disorder 302.74 Male orgasmic disorder F52.4 Male orgasmic disorder 302.75 Premature ejaculation F52.6 Premature ejaculation 302.76 Dyspareunia, psychogenic F52.1 Dyspareunia not due to a substance or known physiological condition 302.79 Psychosexual dysfunction with other specified F52.8 Sexual aversion disorder psychosexual dysfunctions 302.79 Psychosexual dysfunction with other specified F65.0 Other sexual dysfunction not due to a substance psychosexual dysfunctions or known physiological condition 302.81 Fetishism F65.3 Fetishism 302.82 Voyeurism F65.51 Voyeurism 302.83 Sexual masochism F65.50 302.84 Sexual sadism F65.52 302.84 Sexual sadism F64.1 302.85 Gender identity disorder in adolescents or adults F65.81 302.89 Other specified psychosexual disorders 302.89 Other specified psychosexual disorders PC v2014A Sexual masochism Sadomasochism, unspecified Sexual sadism Gender identity disorder in adolescence and adulthood F65.89 Frotteurism F66 Other paraphilias 363 302.89 Other specified psychosexual disorders 302.9 Unspecified psychosexual disorder 306.0 Musculoskeletal malfunction arising from mental factors 306.1 Respiratory malfunction arising from mental factors 306.2 Cardiovascular malfunction arising from mental factors 306.3 Skin disorder arising from mental factors 306.4 Gastrointestinal malfunction arising from mental factors 306.50 Psychogenic genitourinary malfunction, unspecified 306.51 Psychogenic vaginismus F65.9 F45.8 F45.8 Other sexual disorders Paraphilia, unspecified Other somatoform disorders F45.8 Other somatoform disorders F45.8 Other somatoform disorders F45.8 F45.8 Other somatoform disorders Other somatoform disorders F52.5 Other somatoform disorders F45.8 Vaginismus not due to a substance or known physiological condition Other somatoform disorders Other somatoform disorders Other somatoform disorders 306.52 Psychogenic dysmenorrhea F45.8 306.53 Psychogenic dysuria F45.8 306.59 Other genitourinary malfunction arising from F45.8 mental factors 306.6 Endocrine disorder arising from mental factors F45.8 306.7 Disorder of organs of special sense arising from F45.8 mental factors 306.8 Other specified psychophysiological malfunction F59 306.8 Other specified psychophysiological malfunction F45.9 Other somatoform disorders Other somatoform disorders Other somatoform disorders Unspecified behavioral syndromes associated with physiological disturbances and physical factors Somatoform disorder, unspecified Adult onset fluency disorder Anorexia nervosa, unspecified Anorexia nervosa, restricting type Anorexia nervosa, binge eating/purging type Other tic disorders Tic disorder, unspecified Transient tic disorder Chronic motor or vocal tic disorder Tourette's disorder Stereotyped movement disorders Sleep disorder not due to a substance or known physiological condition, unspecified Adjustment insomnia 306.9 Unspecified psychophysiological malfunction 307.0 Adult onset fluency disorder 307.1 Anorexia nervosa 307.1 Anorexia nervosa 307.1 Anorexia nervosa 307.20 Tic disorder, unspecified 307.20 Tic disorder, unspecified 307.21 Transient tic disorder 307.22 Chronic motor or vocal tic disorder 307.23 Tourette's disorder 307.3 Stereotypic movement disorder 307.40 Nonorganic sleep disorder, unspecified F98.5 F50.00 F50.01 F50.02 F95.8 F95.9 F95.0 F95.1 F95.2 F98.4 F51.9 F51.02 307.41 Transient disorder of initiating or maintaining sleep F51.09 307.41 Transient disorder of initiating or maintaining sleep 307.42 Persistent disorder of initiating or maintaining sleep 307.42 Persistent disorder of initiating or maintaining sleep 307.42 Persistent disorder of initiating or maintaining sleep 307.44 Persistent disorder of initiating or maintaining wakefulness 307.44 Persistent disorder of initiating or maintaining wakefulness F51.01 Other insomnia not due to a substance or known physiological condition F51.03 Primary insomnia PC v2014A F51.09 Paradoxical insomnia F51.11 Other insomnia not due to a substance or known physiological condition F51.12 Primary hypersomnia F51.8 Insufficient sleep syndrome 364 307.45 Circadian rhythm sleep disorder of nonorganic origin 307.46 Sleep arousal disorder 307.46 Sleep arousal disorder 307.47 Other dysfunctions of sleep stages or arousal from sleep 307.48 Repetitive intrusions of sleep F51.3 F51.4 F51.5 F51.8 Other sleep disorders not due to a substance or known physiological condition Sleepwalking [somnambulism] Sleep terrors [night terrors] Nightmare disorder Other sleep disorders not due to a substance or known physiological condition 307.49 Other specific disorders of sleep of nonorganic F50.9 Other sleep disorders not due to a substance or origin known physiological condition 307.50 Eating disorder, unspecified F50.2 Eating disorder, unspecified 307.51 Bulimia nervosa F98.3 Bulimia nervosa 307.52 Pica F98.21 Pica of infancy and childhood 307.53 Rumination disorder F50.8 Rumination disorder of infancy 307.54 Psychogenic vomiting F50.8 Other eating disorders 307.59 Other disorders of eating F98.29 Other eating disorders 307.59 Other disorders of eating F98.0 Other feeding disorders of infancy and early childhood 307.6 Enuresis F98.1 Enuresis not due to a substance or known physiological condition 307.7 Encopresis F45.41 Encopresis not due to a substance or known physiological condition 307.80 Psychogenic pain, site unspecified G44.209Pain disorder exclusively related to psychological factors 307.81 Tension headache F45.42 Tension-type headache, unspecified, not intractable 307.89 Other pain disorders related to psychological F63.3 Pain disorder with related psychological factors factors 307.9 Other and unspecified special symptoms or R45.1 Trichotillomania syndromes, not elsewhere classified 307.9 Other and unspecified special symptoms or R45.81 Restlessness and agitation syndromes, not elsewhere classified 307.9 Other and unspecified special symptoms or R45.82 Low self-esteem syndromes, not elsewhere classified 307.9 Other and unspecified special symptoms or F43.0 Worries syndromes, not elsewhere classified 308.0 Predominant disturbance of emotions F43.0 Acute stress reaction 308.1 Predominant disturbance of consciousness F43.0 Acute stress reaction 308.2 Predominant psychomotor disturbance F43.0 Acute stress reaction 308.3 Other acute reactions to stress F43.0 Acute stress reaction 308.4 Mixed disorders as reaction to stress F43.0 Acute stress reaction 308.9 Unspecified acute reaction to stress R45.7 Acute stress reaction 308.9 Unspecified acute reaction to stress F43.21 State of emotional shock and stress, unspecified 309.0 Adjustment disorder with depressed mood F43.21 Adjustment disorder with depressed mood 309.1 Prolonged depressive reaction F93.0 Adjustment disorder with depressed mood 309.21 Separation anxiety disorder F94.8 Separation anxiety disorder of childhood 309.22 Emancipation disorder of adolescence and early F94.8 Other childhood disorders of social functioning adult life 309.23 Specific academic or work inhibition F43.22 Other childhood disorders of social functioning 309.24 Adjustment disorder with anxiety F43.23 Adjustment disorder with anxiety 309.28 Adjustment disorder with mixed anxiety and F43.29 Adjustment disorder with mixed anxiety and depressed mood depressed mood 309.29 Other adjustment reactions with predominant F94.8 Adjustment disorder with other symptoms disturbance of other emotions PC v2014A F51.8 365 309.29 Other adjustment reactions with predominant disturbance of other emotions 309.3 Adjustment disorder with disturbance of conduct 309.4 Adjustment disorder with mixed disburbance of emotions and conduct 309.81 Posttraumatic stress disorder 309.81 Posttraumatic stress disorder 309.81 Posttraumatic stress disorder 309.82 Adjustment reaction with physical symptoms 309.83 Adjustment reaction with withdrawal 309.89 Other specified adjustment reactions 309.9 Unspecified adjustment reaction 309.9 Unspecified adjustment reaction 310.0 Frontal lobe syndrome F43.24 Other childhood disorders of social functioning 311 F91.1 F43.25 Adjustment disorder with disturbance of conduct F43.10 Adjustment disorder with mixed disturbance of emotions and conduct F43.11 Post-traumatic stress disorder, unspecified F43.12 Post-traumatic stress disorder, acute F43.8 Post-traumatic stress disorder, chronic F43.8 Other reactions to severe stress F43.8 Other reactions to severe stress F43.20 Other reactions to severe stress F43.9 Adjustment disorder, unspecified F07.0 Reaction to severe stress, unspecified F07.0 Personality change due to known physiological condition 310.1 Personality change due to conditions classified F07.81 Personality change due to known physiological elsewhere condition 310.2 Postconcussion syndrome F48.2 Postconcussional syndrome 310.81 Pseudobulbar affect F07.89 Pseudobulbar affect 310.89 Other specified nonpsychotic mental disorders F07.9 Other personality and behavioral disorders due following organic brain damage to known physiological condition 310.9 Unspecified nonpsychotic mental disorder F09 Unspecified personality and behavioral disorder following organic brain damage due to known physiological condition 310.9 Unspecified nonpsychotic mental disorder F32.9 Unspecified mental disorder due to known following organic brain damage physiological condition Depressive disorder, not elsewhere classified 312.00 Undersocialized conduct disorder, aggressive type, unspecified 312.01 Undersocialized conduct disorder, aggressive type, mild 312.02 Undersocialized conduct disorder, aggressive type, moderate 312.03 Undersocialized conduct disorder, aggressive type, severe 312.10 Undersocialized conduct disorder, unaggressive type, unspecified 312.11 Undersocialized conduct disorder, unaggressive type, mild 312.12 Undersocialized conduct disorder, unaggressive type, moderate 312.13 Undersocialized conduct disorder, unaggressive type, severe 312.20 Socialized conduct disorder, unspecified 312.21 Socialized conduct disorder, mild 312.22 Socialized conduct disorder, moderate 312.23 Socialized conduct disorder, severe 312.30 Impulse control disorder, unspecified 312.31 Pathological gambling 312.32 Kleptomania 312.33 Pyromania 312.34 Intermittent explosive disorder 312.35 Isolated explosive disorder PC v2014A F91.1 Major depressive disorder, single episode, unspecified Conduct disorder, childhood-onset type F91.1 Conduct disorder, childhood-onset type F91.1 Conduct disorder, childhood-onset type F91.8 Conduct disorder, childhood-onset type F91.8 Other conduct disorders F91.8 Other conduct disorders F91.8 Other conduct disorders F91.2 Other conduct disorders F91.2 F91.2 F91.2 F63.9 F63.0 F63.2 F63.1 F63.81 F63.81 F63.3 Conduct disorder, adolescent-onset type Conduct disorder, adolescent-onset type Conduct disorder, adolescent-onset type Conduct disorder, adolescent-onset type Impulse disorder, unspecified Pathological gambling Kleptomania Pyromania Intermittent explosive disorder Intermittent explosive disorder 366 312.39 Other disorders of impulse control 312.39 Other disorders of impulse control 312.4 Mixed disturbance of conduct and emotions 312.81 Conduct disorder, childhood onset type 312.82 Conduct disorder, adolescent onset type 312.89 Other conduct disorder 312.89 Other conduct disorder 312.9 Unspecified disturbance of conduct 313.0 Overanxious disorder specific to childhood and adolescence 313.1 Misery and unhappiness disorder specific to childhood and adolescence 313.21 Shyness disorder of childhood 313.22 Introverted disorder of childhood 313.23 Selective mutism 313.3 Relationship problems specific to childhood and adolescence 313.81 Oppositional defiant disorder 313.82 Identity disorder of childhood or adolescence 313.83 Academic underachievement disorder of childhood or adolescence 313.89 Other emotional disturbances of childhood or adolescence 313.89 Other emotional disturbances of childhood or adolescence 313.89 Other emotional disturbances of childhood or adolescence 313.89 Other emotional disturbances of childhood or adolescence 313.89 Other emotional disturbances of childhood or adolescence F63.89 F91.8 F91.1 F91.2 F91.0 F91.8 F91.9 F93.8 F93.8 Trichotillomania Other impulse disorders Other conduct disorders Conduct disorder, childhood-onset type Conduct disorder, adolescent-onset type Conduct disorder confined to family context Other conduct disorders Conduct disorder, unspecified Other childhood emotional disorders F93.8 Other childhood emotional disorders F93.8 F94.0 F93.8 F91.3 Other childhood emotional disorders Other childhood emotional disorders Selective mutism Other childhood emotional disorders F93.8 F93.8 Oppositional defiant disorder Other childhood emotional disorders F93.8 Other childhood emotional disorders F94.1 Other childhood emotional disorders F94.2 Reactive attachment disorder of childhood F94.9 Disinhibited attachment disorder of childhood F98.8 Childhood disorder of social functioning, unspecified Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence Childhood emotional disorder, unspecified F93.9 313.9 Unspecified emotional disturbance of childhood F94.8 or adolescence 313.9 Unspecified emotional disturbance of childhood F98.9 or adolescence 313.9 Unspecified emotional disturbance of childhood F90.9 or adolescence 314.00 Attention deficit disorder without mention of hyperactivity 314.01 Attention deficit disorder with hyperactivity F90.1 314.01 Attention deficit disorder with hyperactivity F90.2 314.01 Attention deficit disorder with hyperactivity F90.9 314.01 Attention deficit disorder with hyperactivity F90.8 314.1 Hyperkinesis with developmental delay 314.2 Hyperkinetic conduct disorder 314.8 Other specified manifestations of hyperkinetic syndrome F90.8 F90.8 F90.9 PC v2014A F90.0 Other childhood disorders of social functioning Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence Attention-deficit hyperactivity disorder, unspecified type Attention-deficit hyperactivity disorder, predominantly inattentive type Attention-deficit hyperactivity disorder, predominantly hyperactive type Attention-deficit hyperactivity disorder, combined type Attention-deficit hyperactivity disorder, unspecified type Attention-deficit hyperactivity disorder, other type Attention-deficit hyperactivity disorder, other type Attention-deficit hyperactivity disorder, other type 367 314.9 Unspecified hyperkinetic syndrome F81.0 315.00 Developmental reading disorder, unspecified 315.01 Alexia 315.02 Developmental dyslexia 315.09 Other specific developmental reading disorder 315.1 Mathematics disorder 315.2 Other specific developmental learning difficulties 315.2 Other specific developmental learning difficulties R48.0 F81.0 F81.81 F81.2 F81.81 F81.89 F80.1 315.31 Expressive language disorder 315.32 Mixed receptive-expressive language disorder 315.32 Mixed receptive-expressive language disorder F80.2 H93.25 F80.4 315.34 Speech and language developmental delay due to hearing loss 315.35 Childhood onset fluency disorder 315.39 Other developmental speech or language disorder 315.39 Other developmental speech or language disorder 315.39 Other developmental speech or language disorder 315.4 Developmental coordination disorder F80.81 Speech and language development delay due to hearing loss F80.0 Childhood onset fluency disorder F80.89 Phonological disorder 315.5 Mixed development disorder 315.8 Other specified delays in development 315.9 Unspecified delay in development 315.9 Unspecified delay in development 316 Psychic factors associated with diseases classified elsewhere 317 Mild intellectual disabilities 318.0 Moderate intellectual disabilities 318.1 Severe intellectual disabilities 318.2 Profound intellectual disabilities 319 Unspecified intellectual disabilities 319 Unspecified intellectual disabilities Attention-deficit hyperactivity disorder, unspecified type Specific reading disorder Dyslexia and alexia Specific reading disorder Disorder of written expression Mathematics disorder Disorder of written expression Other developmental disorders of scholastic skills Expressive language disorder Mixed receptive-expressive language disorder Central auditory processing disorder F80.9 Other developmental disorders of speech and language F82 Developmental disorder of speech and language, unspecified F82 Specific developmental disorder of motor function F88 Specific developmental disorder of motor function F81.9 Other disorders of psychological development F89 Developmental disorder of scholastic skills, unspecified F54 Unspecified disorder of psychological development F70 Psychological and behavioral factors associated with disorders or diseases classified elsewhere F71 Mild intellectual disabilities F72 Moderate intellectual disabilities F73 Severe intellectual disabilities F78 Profound intellectual disabilities F79 Other intellectual disabilities F19.921 Unspecified intellectual disabilities Table 11.01 Complication Mainly Related to Pregnancy Code Description ICD-9-CM Code 640.81 HEM EARLY PREG NECDELIV ICD-10-CM Code Description Code O20.8 Other hemorrhage in early pregnancy 640.91 HEM EARLY PREGDELIVERED O20.9 Hemorrhage in early pregnancy, unspecified 641.01 PLACENTA PREVIADELIVER O44.01 Placenta previa specified as w/o hemorrhage, first trimester Placenta previa specified as w/o hemor, second O44.02 PC v2014A 368 641.11 641.21 PLACENTA PREV HEMDELIV PREM SEPAR PLACENDELIV O44.03 trimester Placenta previa specified as w/o hemorrhage, third trimester O44.11 Placenta previa with hemorrhage, first trimester O44.12 O44.13 Placenta previa with hemorrhage, second trimester Placenta previa with hemorrhage, third trimester O45.8X1 Other premature separation of placenta, first trimester O45.8X2 O45.93 Other premature separation of placenta, second trimester Other premature separation of placenta, third trimester Premature separation of placenta, unsp, first trimester Premature separation of placenta, unsp, second trimester Premature separation of placenta, unsp, third trimester O45.001 Prem separtn of placenta w coag defect, unsp, first tri O45.002 Prem separtn of placenta w coag defect, unsp, second tri Prem separtn of placenta w coag defect, unsp, third tri Prem separtn of placenta w afibrinogenemia, first trimester Prem separtn of placenta w afibrinogenemia, second trimester Prem separtn of placenta w afibrinogenemia, third trimester Prem separtn of placenta w dissem intravasc coag, first tri Prem separtn of placenta w dissem intravasc coag, second tri Prem separtn of placenta w dissem intravasc coag, third tri Prem separtn of placenta w oth coag defect, first trimester Prem separtn of placenta w oth coag defect, second trimester Prem separtn of placenta w oth coag defect, third trimester Antepartum hemorrhage w coag defect, unsp, first trimester Antepartum hemorrhage w coag defect, unsp, second trimester Antepartum hemorrhage w coag defect, unsp, third trimester Antepartum hemorrhage with afibrinogenemia, first trimester Antepartum hemorrhage with afibrinogenemia, second trimester Antepartum hemorrhage with afibrinogenemia, third trimester O45.8X3 O45.91 O45.92 641.31 COAG DEF HEMORRDELIVER O45.003 O45.011 O45.012 O45.013 O45.021 O45.022 O45.023 O45.091 O45.092 O45.093 O46.001 O46.002 O46.003 O46.011 O46.012 O46.013 PC v2014A 369 O46.021 O46.022 O46.023 O46.091 O46.092 O46.093 O67.0 641.81 641.91 642.01 Antepart hemorrhage w dissem intravasc coag, first trimester Antepart hemor w dissem intravasc coag, second trimester Antepart hemorrhage w dissem intravasc coag, third trimester Antepartum hemorrhage w oth coag defect, first trimester Antepartum hemorrhage w oth coag defect, second trimester Antepartum hemorrhage w oth coag defect, third trimester Intrapartum hemorrhage with coagulation defect ANTEPARTUM HEM NEC- O46.8X1 DELIV O46.8X2 O46.8X3 O67.8 Other antepartum hemorrhage, first trimester ANTEPARTUM HEM NOS- O46.91 DELIV O46.92 O46.93 O67.9 Antepartum hemorrhage, unspecified, first trimester ESSEN HYPERTENDELIVERED Pre-existing essential htn comp pregnancy, first trimester Pre-existing essential htn comp pregnancy, second trimester Pre-existing essential htn comp pregnancy, third trimester Pre-existing essential hypertension complicating childbirth Unsp pre-existing htn comp pregnancy, first trimester Unsp pre-existing htn comp pregnancy, second trimester Unsp pre-existing htn comp pregnancy, third trimester Unsp pre-existing htn complicating childbirth O10.011 O10.012 O10.013 O10.02 O10.911 O10.912 O10.913 O10.92 Other antepartum hemorrhage, second trimester Other antepartum hemorrhage, third trimester Other intrapartum hemorrhage Antepartum hemorrhage, unspecified, second trimester Antepartum hemorrhage, unspecified, third trimester Intrapartum hemorrhage, unspecified 642.02 ESSEN HYPERTEN-DEL W O10.03 P/P Pre-existing essential hypertension comp the puerperium 642.11 RENAL HYPERTEN PGDELIV O10.411 Pre-existing secondary htn comp pregnancy, first trimester O10.412 Pre-existing secondary htn comp pregnancy, second trimester Pre-existing secondary htn comp pregnancy, third trimester Pre-existing secondary hypertension complicating childbirth O10.413 O10.42 642.12 PC v2014A RENAL HYPERTEN-DEL W O10.43 P/P Pre-existing secondary hypertension comp the puerperium 370 642.21 OLD HYPERTEN NECDELIVER O10.111 O10.112 O10.113 O10.12 O10.211 O10.212 O10.213 O10.22 O10.311 O10.312 O10.313 O10.32 O11.1 O11.2 O11.3 Pre-exist hyp heart disease comp pregnancy, first trimester Pre-exist hyp heart disease comp pregnancy, second trimester Pre-exist hyp heart disease comp pregnancy, third trimester Pre-existing hypertensive heart disease comp childbirth Pre-exist hyp chronic kidney disease comp preg, first tri Pre-exist hyp chronic kidney disease comp preg, second tri Pre-exist hyp chronic kidney disease comp preg, third tri Pre-existing hyp chronic kidney disease comp childbirth Pre-exist hyp heart and chr kidney dis comp preg, first tri Pre-exist hyp heart and chr kidney dis comp preg, second tri Pre-exist hyp heart and chr kidney dis comp preg, third tri Pre-exist hyp heart and chronic kidney disease comp chldbrth Pre-existing hypertension w pre-eclampsia, first trimester Pre-existing hypertension w pre-eclampsia, second trimester Pre-existing hypertension w pre-eclampsia, third trimester 642.22 OLD HYPERTEN-DELIV W O10.13 P/P Pre-existing hypertensive heart disease comp the puerperium 642.31 TRANS HYPERTENDELIVERED O13.1 Gestational htn w/o significant proteinuria, first trimester O13.2 O13.3 O16.1 O16.2 O16.3 Gestatnl htn w/o significant proteinuria, second trimester Gestational htn w/o significant proteinuria, third trimester Unspecified maternal hypertension, first trimester Unspecified maternal hypertension, second trimester Unspecified maternal hypertension, third trimester 642.32 642.41 642.42 642.51 PC v2014A TRANS HYPERTEN-DEL W O13.1 P/P O13.2 O13.3 Gestational htn w/o significant proteinuria, first trimester MILD/NOS PREECLAMPDELIV O14.02 Mild to moderate pre-eclampsia, second trimester O14.03 O14.92 O14.93 Mild to moderate pre-eclampsia, third trimester Unspecified pre-eclampsia, second trimester Unspecified pre-eclampsia, third trimester Gestatnl htn w/o significant proteinuria, second trimester Gestational htn w/o significant proteinuria, third trimester MILD PREECLAMP-DEL W O14.02 P/P O14.03 Mild to moderate pre-eclampsia, second trimester SEVERE PREECLAMP- Severe pre-eclampsia, second trimester O14.12 Mild to moderate pre-eclampsia, third trimester 371 DELIVER O14.13 O14.22 O14.23 642.52 Severe pre-eclampsia, third trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester SEV PREECLAMP-DEL W O14.12 P/P O14.13 O14.22 O14.23 Severe pre-eclampsia, second trimester 642.61 ECLAMPSIA-DELIVERED O15.02 O15.03 O15.1 Eclampsia in pregnancy, second trimester Eclampsia in pregnancy, third trimester Eclampsia in labor 642.62 ECLAMPSIA-DELIV W P/P O15.2 Eclampsia in the puerperium 642.71 TOX W OLD HYPERTENDELIV Pre-existing hypertension w pre-eclampsia, first trimester Pre-existing hypertension w pre-eclampsia, second trimester Pre-existing hypertension w pre-eclampsia, third trimester O11.1 O11.2 O11.3 Severe pre-eclampsia, third trimester HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester 642.72 TOX W OLD HYP-DEL W P/P O15.2 Eclampsia in the puerperium 642.91 HYPERTENS NOSDELIVERED O16.1 Unspecified maternal hypertension, first trimester O16.2 O16.3 Unspecified maternal hypertension, second trimester Unspecified maternal hypertension, third trimester 642.92 HYPERTENS NOS-DEL W O16.9 P/P Unspecified maternal hypertension, unspecified trimester 643.01 MILD HYPEREM GRAVDELIV Mild hyperemesis gravidarum 643.11 HYPEREM W METAB DIS- O21.1 DEL Hyperemesis gravidarum with metabolic disturbance 643.21 LATE VOMIT OF PREGDELIV O21.2 Late vomiting of pregnancy 643.81 VOMIT COMPL PREGDELIVER O21.8 Other vomiting complicating pregnancy 643.91 VOMIT OF PREG NOSDELIV O21.9 Vomiting of pregnancy, unspecified 644.21 EARLY ONSET DELIVERY- O60.12X0 DEL PC v2014A O21.0 Preterm labor second tri w preterm delivery second tri, unsp 372 O60.12X1 O60.12X2 O60.12X3 O60.12X4 O60.12X5 O60.12X9 O60.13X0 O60.13X1 O60.13X2 O60.13X3 O60.13X4 O60.13X5 O60.13X9 O60.14X0 O60.14X1 O60.14X2 O60.14X3 O60.14X4 O60.14X5 O60.14X9 O60.22X0 O60.22X1 O60.22X2 O60.22X3 O60.22X4 O60.22X5 O60.22X9 O60.23X0 O60.23X1 O60.23X2 O60.23X3 O60.23X4 O60.23X5 O60.23X9 Preterm labor second tri w preterm del second tri, fetus 1 Preterm labor second tri w preterm del second tri, fetus 2 Preterm labor second tri w preterm del second tri, fetus 3 Preterm labor second tri w preterm del second tri, fetus 4 Preterm labor second tri w preterm del second tri, fetus 5 Preterm labor second tri w preterm delivery second tri, oth Preterm labor second tri w preterm delivery third tri, unsp Preterm labor second tri w preterm del third tri, fetus 1 Preterm labor second tri w preterm del third tri, fetus 2 Preterm labor second tri w preterm del third tri, fetus 3 Preterm labor second tri w preterm del third tri, fetus 4 Preterm labor second tri w preterm del third tri, fetus 5 Preterm labor second tri w preterm delivery third tri, oth Preterm labor third tri w preterm delivery third tri, unsp Preterm labor third tri w preterm del third tri, fetus 1 Preterm labor third tri w preterm del third tri, fetus 2 Preterm labor third tri w preterm del third tri, fetus 3 Preterm labor third tri w preterm del third tri, fetus 4 Preterm labor third tri w preterm del third tri, fetus 5 Preterm labor third tri w preterm delivery third tri, oth Term delivery w preterm labor, second trimester, unsp Term delivery with preterm labor, second trimester, fetus 1 Term delivery with preterm labor, second trimester, fetus 2 Term delivery with preterm labor, second trimester, fetus 3 Term delivery with preterm labor, second trimester, fetus 4 Term delivery with preterm labor, second trimester, fetus 5 Term delivery w preterm labor, second trimester, oth fetus Term delivery w preterm labor, third trimester, unsp Term delivery with preterm labor, third trimester, fetus 1 Term delivery with preterm labor, third trimester, fetus 2 Term delivery with preterm labor, third trimester, fetus 3 Term delivery with preterm labor, third trimester, fetus 4 Term delivery with preterm labor, third trimester, fetus 5 Term delivery with preterm labor, third trimester, oth fetus 645.11 POST TERM PREG-DEL O48.0 Post-term pregnancy 645.21 PROLONGED PREG-DEL O48.1 Prolonged pregnancy 646.01 PAPYRACEOUS FETUS- Papyraceous fetus, first trimester, not applicable or unsp PC v2014A O31.01X0 373 DELIV O31.01X1 O31.01X2 O31.01X3 Papyraceous fetus, first trimester, fetus 1 Papyraceous fetus, first trimester, fetus 2 Papyraceous fetus, first trimester, fetus 3 O31.01X4 O31.01X5 O31.01X9 O31.02X0 O31.03X1 O31.03X2 O31.03X3 O31.03X4 O31.03X5 O31.03X9 Papyraceous fetus, first trimester, fetus 4 Papyraceous fetus, first trimester, fetus 5 Papyraceous fetus, first trimester, other fetus Papyraceous fetus, second trimester, not applicable or unsp Papyraceous fetus, second trimester, fetus 1 Papyraceous fetus, second trimester, fetus 2 Papyraceous fetus, second trimester, fetus 3 Papyraceous fetus, second trimester, fetus 4 Papyraceous fetus, second trimester, fetus 5 Papyraceous fetus, second trimester, other fetus Papyraceous fetus, third trimester, not applicable or unsp Papyraceous fetus, third trimester, fetus 1 Papyraceous fetus, third trimester, fetus 2 Papyraceous fetus, third trimester, fetus 3 Papyraceous fetus, third trimester, fetus 4 Papyraceous fetus, third trimester, fetus 5 Papyraceous fetus, third trimester, other fetus O12.01 Gestational edema, first trimester O12.02 O12.03 O12.21 O12.22 O12.23 O26.01 O26.02 O26.03 Gestational edema, second trimester Gestational edema, third trimester Gestational edema with proteinuria, first trimester Gestational edema with proteinuria, second trimester Gestational edema with proteinuria, third trimester Excessive weight gain in pregnancy, first trimester Excessive weight gain in pregnancy, second trimester Excessive weight gain in pregnancy, third trimester O12.01 Gestational edema, first trimester O12.02 O12.03 Gestational edema, second trimester Gestational edema, third trimester O12.11 Gestestational proteinuria first trimester O12.12 O12.13 O12.21 O12.22 O12.23 O26.831 O26.832 O26.833 Gestestational proteinuria second trimester Gestestational proteinuria third trimester Gestational edema with proteinuria, first trimester Gestational edema with proteinuria, second trimester Gestational edema with proteinuria, third trimester Pregnancy related renal disease, first trimester Pregnancy related renal disease, second trimester Pregnancy related renal disease, third trimester O26.831 Pregnancy related renal disease, first trimester O31.02X1 O31.02X2 O31.02X3 O31.02X4 O31.02X5 O31.02X9 O31.03X0 646.11 646.12 646.21 646.22 PC v2014A EDEMA IN PREGDELIVERED EDEMA IN PREG-DEL W P/P RENAL DIS NOSDELIVERED RENAL DIS NOS-DEL W P/P 374 646.31 RECURNT PREG LOSSDELIV O26.832 O26.833 Pregnancy related renal disease, second trimester Pregnancy related renal disease, third trimester O26.21 Preg care for patient w recurrent preg loss, first trimester O26.22 O26.23 Preg care for patient w recur preg loss, second trimester Preg care for patient w recurrent preg loss, third trimester 646.41 NEURITIS-DELIVERED O26.821 O26.822 O26.823 Pregnancy related peripheral neuritis, first trimester Pregnancy related peripheral neuritis, second trimester Pregnancy related peripheral neuritis, third trimester 646.42 NEURITIS-DELIVERED W P/P O26.821 Pregnancy related peripheral neuritis, first trimester O26.822 O26.823 Pregnancy related peripheral neuritis, second trimester Pregnancy related peripheral neuritis, third trimester O23.41 Unsp infct of urinary tract in pregnancy, first trimester O23.42 O23.43 Unsp infct of urinary tract in pregnancy, second trimester Unsp infct of urinary tract in pregnancy, third trimester 646.51 646.52 646.61 PC v2014A ASYM BACTERIURIADELIVER ASYM BACTERURIA-DEL O23.91 W P/P O23.92 O23.93 Unsp GU tract infection in pregnancy, first trimester GU INFECTIONDELIVERED O23.01 Infections of kidney in pregnancy, first trimester O23.02 O23.03 O23.11 O23.12 O23.13 O23.21 O23.22 O23.23 O23.31 O23.32 O23.33 O23.41 O23.42 O23.43 O23.511 O23.512 O23.513 O23.521 O23.522 O23.523 O23.591 O23.592 O23.593 Infections of kidney in pregnancy, second trimester Infections of kidney in pregnancy, third trimester Infections of bladder in pregnancy, first trimester Infections of bladder in pregnancy, second trimester Infections of bladder in pregnancy, third trimester Infections of urethra in pregnancy, first trimester Infections of urethra in pregnancy, second trimester Infections of urethra in pregnancy, third trimester Infect of prt urinary tract in pregnancy, first trimester Infect of prt urinary tract in pregnancy, second trimester Infect of prt urinary tract in pregnancy, third trimester Unsp infct of urinary tract in pregnancy, first trimester Unsp infct of urinary tract in pregnancy, second trimester Unsp infct of urinary tract in pregnancy, third trimester Infections of cervix in pregnancy, first trimester Infections of cervix in pregnancy, second trimester Infections of cervix in pregnancy, third trimester Salpingo-oophoritis in pregnancy, first trimester Salpingo-oophoritis in pregnancy, second trimester Salpingo-oophoritis in pregnancy, third trimester Infection oth prt genitl trct in pregnancy, first trimester Infection oth prt genitl trct in pregnancy, second trimester Infection oth prt genitl trct in pregnancy, third trimester Unsp GU tract infection in pregnancy, second trimester Unsp GU tract infection in pregnancy, third trimester 375 646.62 GU INFECTION-DELIV W P/P O23.91 O23.92 O23.93 Unsp GU tract infection in pregnancy, first trimester Unsp GU tract infection in pregnancy, second trimester Unsp GU tract infection in pregnancy, third trimester O23.91 O23.91 Unsp GU tract infection in pregnancy, first trimester O23.92 Unsp GU tract infection in pregnancy, second trimester O23.93 Unsp GU tract infection in pregnancy, third trimester O23.92 O23.93 646.71 LIVER DISORDERDELIVERED O26.611 O26.612 O26.613 646.81 PREG COMPL NECDELIVERED 026.62 O26.62 Liver and biliary tract disorders in childbirth O26.11 Low weight gain in pregnancy, first trimester O26.12 O26.13 O26.31 Low weight gain in pregnancy, second trimester Low weight gain in pregnancy, third trimester Retained uterin contracep dev in pregnancy, first trimester Retained uterin contracep dev in pregnancy, second trimester Retained uterin contracep dev in pregnancy, third trimester Herpes gestationis, first trimester Herpes gestationis, second trimester Herpes gestationis, third trimester Sublux of symphysis (pubis) in pregnancy, first trimester Sublux of symphysis (pubis) in pregnancy, second trimester Sublux of symphysis (pubis) in pregnancy, third trimester Subluxation of symphysis (pubis) in childbirth Pregnancy related exhaustion and fatigue, first trimester Pregnancy related exhaustion and fatigue, second trimester Pregnancy related exhaustion and fatigue, third trimester Pruritic urticarial papules and plaques of pregnancy (PUPPP) Oth pregnancy related conditions, first trimester Oth pregnancy related conditions, second trimester Oth pregnancy related conditions, third trimester Pregnancy related conditions, unspecified, first trimester Pregnancy related conditions, unspecified, second trimester Pregnancy related conditions, unspecified, third trimester Aspirat pneumonitis due to anesth during preg, first tri Aspirat pneumonitis due to anesth during preg, second O26.32 O26.33 O26.41 O26.42 O26.43 O26.711 O26.712 O26.713 O26.72 O26.811 O26.812 O26.813 O26.86 O26.891 O26.892 O26.893 O26.91 O26.92 O26.93 O29.011 O29.012 PC v2014A O26.611 Liver and biliary tract disord in preg, first trimester O26.612 Liver and biliary tract disord in preg, second trimester O26.613 Liver and biliary tract disord in preg, third trimester 376 O29.013 O29.021 O29.022 O29.023 O29.091 O29.092 O29.093 O29.111 O29.112 O29.113 O29.121 O29.122 O29.123 O29.191 O29.192 O29.193 O29.211 O29.212 O29.213 O29.291 O29.292 O29.293 O29.3X1 O29.3X2 O29.3X3 O29.41 O29.42 O29.43 O29.5X1 O29.5X2 O29.5X3 O29.61 O29.62 O29.63 PC v2014A tri Aspirat pneumonitis due to anesth during preg, third tri Pressr collapse of lung due to anesth during preg, first tri Pressr collapse of lung d/t anesth during preg, second tri Pressr collapse of lung due to anesth during preg, third tri Oth pulmonary comp of anesth during preg, first trimester Oth pulmonary comp of anesth during preg, second trimester Oth pulmonary comp of anesth during preg, third trimester Cardiac arrest due to anesth during preg, first trimester Cardiac arrest due to anesth during preg, second trimester Cardiac arrest due to anesth during preg, third trimester Cardiac failure due to anesth during preg, first trimester Cardiac failure due to anesth during preg, second trimester Cardiac failure due to anesth during preg, third trimester Oth cardiac comp of anesth during preg, first trimester Oth cardiac comp of anesth during preg, second trimester Oth cardiac comp of anesth during pregnancy, third trimester Cerebral anoxia due to anesth during preg, first trimester Cerebral anoxia due to anesth during preg, second trimester Cerebral anoxia due to anesth during preg, third trimester Oth cnsl comp of anesth during pregnancy, first trimester Oth cnsl comp of anesth during pregnancy, second trimester Oth cnsl comp of anesth during pregnancy, third trimester Toxic reaction to local anesth during preg, first trimester Toxic reaction to local anesth during preg, second trimester Toxic reaction to local anesth during preg, third trimester Spinal and epidur anesth induce hdache dur preg, first tri Spinal and epidur anesth induce hdache dur preg, second tri Spinal and epidur anesth induce hdache dur preg, third tri Oth comp of spinal and epidur anesth during preg, first tri Oth comp of spinal and epidur anesth during preg, second tri Oth comp of spinal and epidur anesth during preg, third tri Fail or difficult intubation for anesth dur preg, first tri Fail or difficult intubation for anesth dur preg, second tri Fail or difficult intubation for anesth dur preg, third tri 377 O29.8X1 O29.8X2 O29.8X3 O29.91 O29.92 O29.93 O99.351 O99.352 O99.353 O99.354 O99.89 646.82 Oth comp of anesthesia during pregnancy, first trimester Oth comp of anesthesia during pregnancy, second trimester Oth comp of anesthesia during pregnancy, third trimester Unsp comp of anesthesia during pregnancy, first trimester Unsp comp of anesthesia during pregnancy, second trimester Unsp comp of anesthesia during pregnancy, third trimester Diseases of the nervous system comp pregnancy, first trimester Diseases of the nervous system comp pregnancy, second trimester Diseases of the nervous system comp pregnancy, third trimester Diseases of the nervous system comp childbirth Other diseases and conditions comp preg/childbirth PREG COMPL NEC-DEL W O26.891 P/P O26.892 O26.893 O99.355 Oth pregnancy related conditions, first trimester 646.91 PREG COMPL NOSDELIVERED O99.89 Oth diseases and cond comp pregnancy, chldbrth and the puerp 647.01 SYPHILIS-DELIVERED O98.111 O98.112 O98.113 O98.12 Syphilis complicating pregnancy, first trimester Syphilis complicating pregnancy, second trimester Syphilis complicating pregnancy, third trimester Syphilis complicating childbirth 647.02 SYPHILIS-DELIVERED W P/P O98.13 Syphilis complicating the puerperium 647.11 GONORRHEA-DELIVERED O98.211 O98.212 O98.213 O98.22 Gonorrhea complicating pregnancy, first trimester Gonorrhea complicating pregnancy, second trimester Gonorrhea complicating pregnancy, third trimester Gonorrhea complicating childbirth 647.12 GONORRHEA-DELIVER W O98.23 P/P Gonorrhea complicating the puerperium 647.21 OTHER VD-DELIVERED Oth infect w sexl mode of transmiss comp preg, first tri Oth infect w sexl mode of transmiss comp preg, second tri Oth infect w sexl mode of transmiss comp preg, third tri Oth infections w sexl mode of transmiss comp childbirth O98.311 O98.312 O98.313 O98.32 647.22 PC v2014A OTHER VD-DELIVERED W O98.33 P/P Oth pregnancy related conditions, second trimester Oth pregnancy related conditions, third trimester Diseases of the nervous system complicationg the puerperium Oth infections w sexl mode of transmiss comp the puerperium 378 647.31 TUBERCULOSISDELIVERED O98.011 Tuberculosis complicating pregnancy, first trimester O98.012 O98.013 O98.02 Tuberculosis complicating pregnancy, second trimester Tuberculosis complicating pregnancy, third trimester Tuberculosis complicating childbirth 647.32 TUBERCULOSIS-DELIV W O98.03 P/P Tuberculosis complicating the puerperium 647.41 MALARIA-DELIVERED O98.62 Protozoal diseases complicating pregnancy first trimester Protozoal diseases complicating pregnancy second trimester Protozoal diseases complicating pregnancy third trimester Protozoal diseases complicating childbirth O98.611 O98.612 O98.613 647.42 MALARIA-DELIVERED W P/P O98.63 Protozoal diseases complicating the puerperium 647.51 RUBELLA-DELIVERED O98.511 Other viral diseases complicating pregnancy, first trimester Oth viral diseases complicating pregnancy, second trimester Other viral diseases complicating pregnancy, third trimester Other viral diseases complicating childbirth O98.512 O98.513 O98.52 647.52 RUBELLA-DELIVERED W O98.53 P/P Other viral diseases complicating the puerperium 647.61 OTH VIRAL DISDELIVERED O98.411 Viral hepatitis complicating pregnancy, first trimester O98.412 O98.413 O98.42 O98.511 Viral hepatitis complicating pregnancy, second trimester Viral hepatitis complicating pregnancy, third trimester Viral hepatitis complicating childbirth Other viral diseases complicating pregnancy, first trimester Oth viral diseases complicating pregnancy, second trimester Other viral diseases complicating pregnancy, third trimester Other viral diseases complicating childbirth Human immunodef virus disease comp preg, first trimester Human immunodef virus disease comp preg, second trimester Human immunodef virus disease comp preg, third trimester Human immunodef virus disease complicating childbirth O98.512 O98.513 O98.52 O98.711 O98.712 O98.713 O98.72 PC v2014A 379 647.62 OTH VIRAL DIS-DEL W P/P O98.43 O98.53 Viral hepatitis complicating the puerperium Other viral diseases complicating the puerperium 647.81 INFECT DIS NECDELIVERED Protozoal diseases complicating pregnancy, first trimester Protozoal diseases complicating pregnancy, second trimester Protozoal diseases complicating pregnancy, third trimester Oth maternal infec/parastc diseases comp preg, first tri Oth maternal infec/parastc diseases comp preg, second tri Oth maternal infec/parastc diseases comp preg, third tri Oth maternal infec/parastc diseases complicating childbirth Other infection carrier state complicating pregnancy Other infection carrier state complicating childbirth O98.611 O98.612 O98.613 O98.811 O98.812 O98.813 O98.82 O99.830 O99.834 647.82 INFECT DIS NEC-DEL W P/P O98.83 O99.835 647.91 INFECT NOS-DELIVERED O98.911 O98.912 O98.913 O98.92 Oth maternal infec/parastc diseases comp the puerperium Oth infection carrier state complicating the puerperium Unsp maternal infec/parastc disease comp preg, first tri Unsp maternal infec/parastc disease comp preg, second tri Unsp maternal infec/parastc disease comp preg, third tri Unsp maternal infec/parastc disease complicating childbirth 647.92 INFECT NOS-DELIVER W O98.93 P/P Unsp maternal infec/parastc disease comp the puerperium 648.01 DIABETES-DELIVERED Pre-existing diabetes, type 1, in pregnancy, first trimester Pre-exist diabetes, type 1, in pregnancy, second trimester Pre-existing diabetes, type 1, in pregnancy, third trimester Pre-existing diabetes mellitus, type 1, in childbirth Pre-existing diabetes, type 2, in pregnancy, first trimester Pre-exist diabetes, type 2, in pregnancy, second trimester Pre-existing diabetes, type 2, in pregnancy, third trimester Pre-existing diabetes mellitus, type 2, in childbirth Unsp pre-existing diabetes in pregnancy, first trimester Unsp pre-existing diabetes in pregnancy, second trimester Unsp pre-existing diabetes in pregnancy, third trimester Unspecified pre-existing diabetes mellitus in childbirth Oth pre-existing diabetes in pregnancy, first trimester Oth pre-existing diabetes in pregnancy, second O24.011 O24.012 O24.013 O24.02 O24.111 O24.112 O24.113 O24.12 O24.311 O24.312 O24.313 O24.32 O24.811 O24.812 PC v2014A 380 O24.813 O24.82 O24.911 O24.912 O24.913 O24.92 trimester Oth pre-existing diabetes in pregnancy, third trimester Other pre-existing diabetes mellitus in childbirth Unspecified diabetes mellitus in pregnancy, first trimester Unspecified diabetes mellitus in pregnancy, second trimester Unspecified diabetes mellitus in pregnancy, third trimester Unspecified diabetes mellitus in childbirth 648.02 DIABETES-DELIVERED W O24.93 P/P Unspecified diabetes mellitus in the puerperium 648.11 THYROID DYSFUNCDELIVER O99.281 Endo, nutritional and metab diseases comp preg, first tri O99.282 Endo, nutritional and metab diseases comp preg, second tri O99.283 Endo, nutritional and metab diseases comp preg, third tri Endocrine, nutritional and metabolic diseases comp chldbrth O99.284 648.12 THYROID DYSFUN-DEL W O90.5 P/P O99.285 Postpartum thyroiditis Endocrine, nutritional and metabolic diseases comp the puerperium 648.21 ANEMIA-DELIVERED O99.011 O99.012 O99.013 O99.02 Anemia complicating pregnancy, first trimester Anemia complicating pregnancy, second trimester Anemia complicating pregnancy, third trimester Anemia complicating childbirth 648.22 ANEMIA-DELIVERED W P/P O99.03 Anemia complicating the puerperium 648.31 DRUG DEPENDENCEDELIVER O99.321 Drug use complicating pregnancy, first trimester O99.322 O99.323 O99.324 Drug use complicating pregnancy, second trimester Drug use complicating pregnancy, third trimester Drug use complicating childbirth 648.32 DRUG DEPENDEN-DEL W O99.325 P/P O99.311 O99.312 O99.313 O99.314 O99.341 O99.342 O99.343 PC v2014A Drug use complicating the puerperium Alcohol use complicating pregnancy, first trimester Alcohol use complicating pregnancy, second trimester Alcohol use complicating pregnancy, third trimester Alcohol use complicating childbirth Oth mental disorders complicating pregnancy, first trimester Oth mental disorders comp pregnancy, second trimester Oth mental disorders complicating pregnancy, third 381 O99.344 trimester Other mental disorders complicating childbirth 648.42 MENTAL DIS-DELIV W P/P O90.6 O99.345 Postpartum mood disturbance Other mental disorders complicating the puerperium 648.51 CONGEN CV DISDELIVERED O99.411 Diseases of the circ sys comp pregnancy, first trimester O99.412 Diseases of the circ sys comp pregnancy, second trimester O99.413 O99.42 Diseases of the circ sys comp pregnancy, third trimester Diseases of the circulatory system complicating childbirth 648.52 CONGEN CV DIS-DEL W P/P O99.43 Diseases of the circ sys complicating the puerperium 648.61 CV DIS NEC PREGDELIVER O99.411 Diseases of the circ sys comp pregnancy, first trimester O99.412 Diseases of the circ sys comp pregnancy, second trimester Diseases of the circ sys comp pregnancy, third trimester Diseases of the circulatory system complicating childbirth O99.413 O99.42 648.62 CV DIS NEC-DELIVER W P/P O99.43 Diseases of the circ sys complicating the puerperium 648.71 BONE DISORDERDELIVERED O33.0 Matern care for disproprtn d/t deformity of matern pelv bone 648.72 BONE DISORDER-DEL W O33.0 P/P Matern care for disproprtn d/t deformity of matern pelv bone 648.81 ABN GLUCOSE TOLERDELIV O24.414 O24.419 O24.420 O24.424 O24.429 O99.810 O99.814 Gestational diabetes mellitus in pregnancy, diet controlled Gestational diabetes in pregnancy, insulin controlled Gestational diabetes mellitus in pregnancy, unsp control Gestational diabetes mellitus in childbirth, diet controlled Gestational diabetes in childbirth, insulin controlled Gestational diabetes mellitus in childbirth, unsp control Abnormal glucose complicating pregnancy Abnormal glucose complicating childbirth O24.410 648.82 ABN GLUCOSE-DELIV W P/P O99.815 Abnormal glucose complicating the puerperium 648.91 OTH CURR CONDDELIVERED O25.11 Malnutrition in pregnancy, first trimester O25.12 O25.13 O25.2 O99.281 Malnutrition in pregnancy, second trimester Malnutrition in pregnancy, third trimester Malnutrition in childbirth Endo, nutritional and metab diseases comp preg, first tri PC v2014A 382 O99.282 O99.283 O99.284 O99.511 O99.512 O99.513 O99.52 O99.611 O99.612 O99.613 O99.62 O99.711 O99.712 O99.713 O99.72 O99.824 O9A.111 O9A.112 O9A.113 O9A.12 O9A.211 O9A.212 O9A.213 O9A.22 O9A.311 O9A.312 O9A.313 O9A.32 O9A.411 O9A.412 O9A.413 O9A.42 O9A.511 O9A.512 PC v2014A Endo, nutritional and metab diseases comp preg, second tri Endo, nutritional and metab diseases comp preg, third tri Endocrine, nutritional and metabolic diseases comp chldbrth Diseases of the resp sys comp pregnancy, first trimester Diseases of the resp sys comp pregnancy, second trimester Diseases of the resp sys comp pregnancy, third trimester Diseases of the resp system complicating childbirth Diseases of the dgstv sys comp pregnancy, first trimester Diseases of the dgstv sys comp pregnancy, second trimester Diseases of the dgstv sys comp pregnancy, third trimester Diseases of the digestive system complicating childbirth Diseases of the skin, subcu comp pregnancy, first trimester Diseases of the skin, subcu comp pregnancy, second trimester Diseases of the skin, subcu comp pregnancy, third trimester Diseases of the skin, subcu complicating childbirth Streptococcus B carrier state complicating childbirth Malignant neoplasm complicating pregnancy, first trimester Malignant neoplasm complicating pregnancy, second trimester Malignant neoplasm complicating pregnancy, third trimester Malignant neoplasm complicating childbirth Inj/poisn/oth conseq of external causes comp preg, first tri Inj/poisn/oth conseq of extrn causes comp preg, second tri Inj/poisn/oth conseq of external causes comp preg, third tri Inj/poisn/oth conseq of external causes comp childbirth Physical abuse complicating pregnancy, first trimester Physical abuse complicating pregnancy, second trimester Physical abuse complicating pregnancy, third trimester Physical abuse complicating childbirth Sexual abuse complicating pregnancy, first trimester Sexual abuse complicating pregnancy, second trimester Sexual abuse complicating pregnancy, third trimester Sexual abuse complicating childbirth Psychological abuse complicating pregnancy, first trimester Psychological abuse complicating pregnancy, second trimester 383 O9A.513 O9A.52 Psychological abuse complicating pregnancy, third trimester Psychological abuse complicating childbirth 648.92 OTH CURR COND-DEL W O99.285 P/P Endocrine, nutritional and metabolic diseases comp the puerp 649.01 TOBACCO USE DISORDELLIV Smoking (tobacco) complicating pregnancy, first trimester Smoking (tobacco) complicating pregnancy, second trimester Smoking (tobacco) complicating pregnancy, third trimester Smoking (tobacco) complicating childbirth O99.331 O99.332 O99.333 O99.334 649.02 TOBACCO USE DIS-DEL- O99.335 P/P Smoking (tobacco) complicating the puerperium 649.11 OBESITY-DELIVERED O99.211 O99.212 O99.213 O99.214 Obesity complicating pregnancy, first trimester Obesity complicating pregnancy, second trimester Obesity complicating pregnancy, third trimester Obesity complicating childbirth 649.12 OBESITY-DELIVERED W P/P O99.215 Obesity complicating the puerperium 649.21 BARIATRIC SURG STATDEL O99.841 Bariatric surgery status comp pregnancy, first trimester O99.842 Bariatric surgery status comp pregnancy, second trimester Bariatric surgery status comp pregnancy, third trimester Bariatric surgery status complicating childbirth O99.843 O99.844 649.22 BARIATRIC SURG-DEL W O99.845 P/P Bariatric surgery status complicating the puerperium 649.31 COAGULATION DEF-DELIVO99.111 Oth dis of bld/bld-form org/immun mechnsm comp preg, 1st tri Oth dis of bld/bld-form org/immun mechnsm comp preg, 2nd tri Oth dis of bld/bld-form org/immun mechnsm comp preg, 3rd tri Oth dis of the bld/bld-form org/immun mechnsm comp chldbrth O99.112 O99.113 O99.12 649.32 COAGULATN DEF-DEL W O99.13 P/P Oth dis of the bld/bld-form org/immun mechnsm comp the puerp 649.41 EPILEPSY-DELIVERED Diseases of the nervous system comp pregnancy, first trimester Diseases of the nervous system comp pregnancy, second trimester Diseases of the nervous system comp pregnancy, third trimester O99.351 O99.352 O99.353 PC v2014A 384 O99.354 Diseases of the nervous system complicating childbirth 649.42 EPILEPSY-DELIVERED W O99.355 P/P Diseases of the nervous system complicating the puerperium 649.51 SPOTTING-DELIVERED Spotting complicating pregnancy, first trimester Spotting complicating pregnancy, second trimester Spotting complicating pregnancy, third trimester 649.61 UTERINE SIZE DESCREP- O26.841 DEL O26.842 O26.843 Uterine size-date discrepancy, first trimester UTERINE SIZE-DEL W P/P O26.841 O26.842 O26.843 Uterine size-date discrepancy, first trimester Uterine size-date discrepancy, second trimester Uterine size-date discrepancy, third trimester 649.62 O26.851 O26.852 O26.853 Uterine size-date discrepancy, second trimester Uterine size-date discrepancy, third trimester Table 11.02 Normal Delivery and Other Indications for Care ICD-9-CM Code Description Code 650 NORMAL DELIVERY 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED 651.01 TWIN PREGNANCYDELIVERED PC v2014A ICD-10-CM Code Description Code O80 Encounter for full-term uncomplicated delivery O30.001 Twin preg, unsp num plcnta & amnio sacs, first trimester O30.002 O30.003 O30.011 O30.012 O30.013 O30.031 O30.032 Twin preg, unsp num plcnta & amnio sacs, second trimester Twin preg, unsp num plcnta & amnio sacs, third trimester Twin pregnancy, monochorionic/monoamniotic, first trimester Twin pregnancy, monochorionic/monoamniotic, second trimester Twin pregnancy, monochorionic/monoamniotic, third trimester Twin pregnancy, monochorionic/diamniotic, first trimester O30.033 Twin pregnancy, monochorionic/diamniotic, second trimester Twin pregnancy, monochorionic/diamniotic, third trimester O30.041 Twin pregnancy, dichorionic/diamniotic, first trimester O30.042 Twin pregnancy, dichorionic/diamniotic, second trimester O30.043 Twin pregnancy, dichorionic/diamniotic, third trimester O30.091 Twin preg, unable to dtrm num plcnta & amnio sacs, first tri Twin preg, unable to dtrm num plcnta & amnio sacs, 2nd tri Twin preg, unable to dtrm num plcnta & amnio sacs, third tri O30.092 O30.093 385 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.11 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.21 651.31 651.31 651.31 PC v2014A TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV TRIPLET PREGNANCYDELIV QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER QUADRUPLET PREGDELIVER TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL O30.101 Triplet preg, unsp num plcnta & amnio sacs, first trimester O30.102 Triplet preg, unsp num plcnta & amnio sacs, second trimester Triplet preg, unsp num plcnta & amnio sacs, third trimester Triplet preg w two or more monochorionic fetuses, first trimester Triplet preg w two or more monochorionic fetuses, second trimester Triplet preg w two or more monochorionic fetuses, third trimester Triplet preg w two or more monoamniotic fetuses, first trimester Triplet preg w two or more monoamniotic fetuses, second trimester Triplet preg w two or more monoamniotic fetuses, third trimester Triplet preg, unable to dtrm num plcnta & amnio sacs, first trimester Triplet preg, unable to dtrm num plcnta & amnio sacs, second trimester Triplet preg, unable to dtrm num plcnta & amnio sacs, third trimester Quad preg, unsp num plcnta & amnio sacs, first trimester O30.103 O30.111 O30.112 O30.113 O30.121 O30.122 O30.123 O30.191 O30.192 O30.193 O30.201 O30.202 O30.203 O30.211 Quad preg, unsp num plcnta & amnio sacs, second trimester Quad preg, unsp num plcnta & amnio sacs, third trimester O31.11X0 Quad preg w two or more monochorionic fetuses, first trimester Quad preg w two or more monochorionic fetuses, second trimester Quad preg w two or more monochorionic fetuses, third trimester Quad preg w two or more monoamniotic fetuses, first trimester Quad preg w two or more monoamniotic fetuses, second trimester Quad preg w two or more monoamniotic fetuses, third trimester Quad preg, unable to dtrm num plcnta & amnio sacs, first trimester Quad preg, unable to dtrm num plcnta & amnio sacs, second trimester Quad preg, unable to dtrm num plcnta & amnio sacs, third trimester Cont preg aft spon abort of one fts or more, first tri, unsp O31.11X1 Cont preg aft spon abort of one fts or more, first tri, fts1 O31.11X2 Cont preg aft spon abort of one fts or more, first tri, fts2 O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 O30.292 O30.293 386 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.31 651.41 651.51 651.61 PC v2014A TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TWINS W FETAL LOSSDEL TRIPLETS W FET LOSSDEL QUADS W FETAL LOSSDEL O31.12X0 O31.12X1 Cont preg aft spon abort of one fetus or more, 2nd tri, unsp Cont preg aft spon abort of one fetus or more, 2nd tri, fts1 O31.12X2 Cont preg aft spon abort of one fetus or more, 2nd tri, fts2 O31.13X0 Cont preg aft spon abort of one fts or more, third tri, unsp O31.13X1 Cont preg aft spon abort of one fts or more, third tri, fts1 O31.13X2 Cont preg aft spon abort of one fts or more, third tri, fts2 O31.21X0 Cont preg aft uterin dth of one fts or more, first tri, unsp O31.21X1 Cont preg aft uterin dth of one fts or more, first tri, fts1 O31.21X2 Cont preg aft uterin dth of one fts or more, first tri, fts2 O31.22X0 Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp O31.22X1 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1 O31.22X2 Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2 O31.23X0 Cont preg aft uterin dth of one fts or more, third tri, unsp O31.23X1 Cont preg aft uterin dth of one fts or more, third tri, fts1 O31.23X2 Cont preg aft uterin dth of one fts or more, third tri, fts2 O31.11X0 Cont preg aft spon abort of one fts or more, first tri, unsp O31.11X0 Cont preg aft spon abort of one fts or more, first tri, unsp MULT GES W FET LOSS- O31.11X0 DEL O31.11X1 O31.11X2 O31.11X3 O31.11X4 O31.11X5 O31.11X9 O31.12X0 O31.12X1 O31.12X2 O31.12X3 O31.12X4 O31.12X5 O31.12X9 O31.13X0 O31.13X1 O30.13X2 O30.13X3 Cont preg aft spon abort of one fts or more, first tri, unsp Cont preg aft spon abort of one fts or more, first tri, fts1 Cont preg aft spon abort of one fts or more, first tri, fts2 Cont preg aft spon abort of one fts or more, first tri, fts3 Cont preg aft spon abort of one fts or more, first tri, fts4 Cont preg aft spon abort of one fts or more, first tri, fts5 Cont preg aft spon abort of one fts or more, first tri, oth fts Cont preg aft spon abort of one fts or more, 2nd tri, unsp Cont preg aft spon abort of one fts or more, 2nd tri, fts1 Cont preg aft spon abort of one fts or more, 2nd tri, fts2 Cont preg aft spon abort of one fts or more, 2nd tri, fts3 Cont preg aft spon abort of one fts or more, 2nd tri, fts4 Cont preg aft spon abort of one fts or more, 2nd tri, fts5 Cont preg aft spon abort of one fts or more, 2nd tri, oth fts Cont preg aft spon abort of one fts or more, 3rd tri, unsp Cont preg aft spon abort of one fts or more, 3rd tri, fts1 Cont preg aft spon abort of one fts or more, 3rd tri, fts2 Cont preg aft spon abort of one fts or more, 3rd tri, fts3 387 651.71 651.81 O30.13X4 O30.13X5 O30.13X9 O31.21X0 O31.21X1 O31.21X2 O31.21X3 O31.21X4 O31.21X5 O31.21X9 O31.22X0 O31.22X1 O31.22X2 O31.22X3 O31.22X4 O31.22X5 O31.22X9 O31.23X0 O31.23X1 Cont preg aft spon abort of one fts or more, 3rd tri, fts4 Cont preg aft spon abort of one fts or more, 3rd tri, fts5 Cont preg aft spon abort of one fts or more, 3rd tri, oth fts Cont preg aft uterin dth of one fts or more, first tri, unsp Cont preg aft uterin dth of one fts or more, first tri, fts1 Cont preg aft uterin dth of one fts or more, first tri, fts2 Cont preg aft uterin dth of one fts or more, first tri, fts3 Cont preg aft uterin dth of one fts or more, first tri, fts4 Cont preg aft uterin dth of one fts or more, first tri, fts5 Cont preg aft uterin dth of one fts or more, first tri, oth fts Cont preg aft uterin dth of one fts or more, 2nd tri, unsp Cont preg aft uterin dth of one fts or more, 2nd tri, fts1 Cont preg aft uterin dth of one fts or more, 2nd tri, fts2 Cont preg aft uterin dth of one fts or more, 2nd tri, fts3 Cont preg aft uterin dth of one fts or more, 2nd tri, fts4 Cont preg aft uterin dth of one fts or more, 2nd tri, fts5 Cont preg aft uterin dth of one fts or more, 2nd tri, oth fts Cont preg aft uterin dth of one fts or more, 3rd tri, unsp Cont preg aft uterin dth of one fts or more, 3rd tri, fts1 O31.23X2 O31.23X3 O31.23X4 O31.23X5 O31.23X9 Cont preg aft uterin dth of one fts or more, 3rd tri, fts2 Cont preg aft uterin dth of one fts or more, 3rd tri, fts3 Cont preg aft uterin dth of one fts or more, 3rd tri, fts4 Cont preg aft uterin dth of one fts or more, 3rd tri, fts5 Cont preg aft uterin dth of one fts or more, 3rd tri, oth fts MULT GEST-FET REDUCT O31.31X0 DEL O31.31X1 O31.31X2 O31.31X3 O31.31X4 O31.31X5 O31.31X9 O31.32X0 O31.32X1 O31.32X2 O31.32X3 O31.32X4 O31.32X5 O31.32X9 O31.33X0 O31.33X1 O31.33X2 O31.33X3 O31.33X4 O31.33X5 O31.33X9 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, unsp MULTI GESTAT NECDELIVER Oth multiple gest, unsp num plcnta and amnio sacs, first tri Oth multiple gest, unsp num plcnta and amnio sacs, second tri O30.801 O30.802 PC v2014A Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 1st tri, oth Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, oth Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unsp Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4 Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5 Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, oth 388 O30.803 O31.8X10 O31.8X11 O31.8X12 O31.8X13 O31.8X14 O31.8X15 O31.8X19 O31.8X20 O31.8X21 O31.8X22 O31.8X23 O31.8X24 O31.8X25 O31.8X29 O31.8X30 Oth multiple gest, unsp num plcnta and amnio sacs, third tri Oth mult gest w two or more monochorionic fetuses, first tri Oth mult gest w two or more monochorionic fetuses, 2nd tri Oth mult gest w two or more monochorionic fetuses, third tri Oth mult gest w two or more monoamniotic fetuses, first tri Oth mult gest w two or more monoamniotic fetuses, second tri Oth mult gest w two or more monoamniotic fetuses, third tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 1st tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 2nd tri Oth multiple gest, unable to dtrm num plcnta and amnio sacs, 3rd tri Oth comp specific to multiple gest, first tri, unsp Oth comp specific to multiple gest, first trimester, fts1 Oth comp specific to multiple gest, first trimester, fts2 Oth comp specific to multiple gest, first trimester, fts3 Oth comp specific to multiple gest, first trimester, fts4 Oth comp specific to multiple gest, first trimester, fts5 Oth comp specific to multiple gest, first trimester, oth fts Oth comp specific to multiple gest, second tri, unsp Oth comp specific to multiple gest, second tri, fetus 1 Oth comp specific to multiple gest, second tri, fetus 2 Oth comp specific to multiple gest, second tri, fetus 3 Oth comp specific to multiple gest, second tri, fetus 4 Oth comp specific to multiple gest, second tri, fetus 5 Oth comp specific to multiple gest, second trimester, oth Oth comp specific to multiple gest, third trimester, unsp O31.8X31 O31.8X32 O31.8X33 O31.8X34 O31.8X35 O31.8X39 Oth comp specific to multiple gest, third trimester, fetus 1 Oth comp specific to multiple gest, third trimester, fetus 2 Oth comp specific to multiple gest, third trimester, fetus 3 Oth comp specific to multiple gest, third trimester, fetus 4 Oth comp specific to multiple gest, third trimester, fetus 5 Oth comp specific to multiple gest, third trimester, oth O30.91 Multiple gestation, unspecified, first trimester O30.92 O30.93 Multiple gestation, unspecified, second trimester Multiple gestation, unspecified, third trimester O32.0XX0 Maternal care for unstable lie, not applicable or unsp O32.0XX1 O32.0XX2 O32.0XX3 O32.0XX4 O32.0XX5 Maternal care for unstable lie, fetus 1 Maternal care for unstable lie, fetus 2 Maternal care for unstable lie, fetus 3 Maternal care for unstable lie, fetus 4 Maternal care for unstable lie, fetus 5 O30.811 O30.812 O30.813 O30.821 O30.822 O30.823 O30.891 O30.892 O30.893 651.91 652.01 PC v2014A MULT GESTATION NOSDELIV UNSTABLE LIEDELIVERED 389 652.11 652.21 652.31 652.41 CEPHALIC VERS NOSDELIV BREECH PRESENTATDELIVER TRANSVER/OBLIQ LIEDELIV O32.0XX9 Maternal care for unstable lie, other fetus O32.1XX0 Maternal care for breech presentation, unsp O32.1XX1 O32.1XX2 O32.1XX3 O32.1XX4 O32.1XX5 O32.1XX9 Maternal care for breech presentation, fetus 1 Maternal care for breech presentation, fetus 2 Maternal care for breech presentation, fetus 3 Maternal care for breech presentation, fetus 4 Maternal care for breech presentation, fetus 5 Maternal care for breech presentation, other fetus O32.1XX0 Maternal care for breech presentation, unsp O32.1XX1 O32.1XX2 O32.1XX3 O32.1XX4 O32.1XX5 O32.1XX9 O64.1XX0 O64.1XX1 O64.1XX2 O64.1XX3 O64.1XX4 O64.1XX5 O64.1XX9 Maternal care for breech presentation, fetus 1 Maternal care for breech presentation, fetus 2 Maternal care for breech presentation, fetus 3 Maternal care for breech presentation, fetus 4 Maternal care for breech presentation, fetus 5 Maternal care for breech presentation, other fetus Obstructed labor due to breech presentation, unsp Obstructed labor due to breech presentation, fetus 1 Obstructed labor due to breech presentation, fetus 2 Obstructed labor due to breech presentation, fetus 3 Obstructed labor due to breech presentation, fetus 4 Obstructed labor due to breech presentation, fetus 5 Obstructed labor due to breech presentation, other fetus O32.2XX0 Maternal care for transverse and oblique lie, unsp O32.2XX1 O32.2XX2 O32.2XX3 O32.2XX4 O32.2XX5 O32.2XX9 Maternal care for transverse and oblique lie, fetus 1 Maternal care for transverse and oblique lie, fetus 2 Maternal care for transverse and oblique lie, fetus 3 Maternal care for transverse and oblique lie, fetus 4 Maternal care for transverse and oblique lie, fetus 5 Maternal care for transverse and oblique lie, other fetus FACE/BROW PRESENT- O32.3xx0 DELIV O32.3xx1 O32.3xx2 O32.3xx3 O32.3xx4 O32.3xx5 O32.3xx9 O64.2XX0 O64.2XX1 O64.2XX2 O64.2XX3 PC v2014A Maternal care for face, brow and chin presentation, unsp Maternal care for face, brow and chin presentation, fetus 1 Maternal care for face, brow and chin presentation, fetus 2 Maternal care for face, brow and chin presentation, fetus 3 Maternal care for face, brow and chin presentation, fetus 4 Maternal care for face, brow and chin presentation, fetus 5 Maternal care for face, brow and chin presentation, oth Obstructed labor due to face presentation, unsp Obstructed labor due to face presentation, fetus 1 Obstructed labor due to face presentation, fetus 2 Obstructed labor due to face presentation, fetus 3 390 652.51 652.61 HIGH HEAD AT TERMDELIV MULT GEST MALPRESDELIV O64.2XX4 O64.2XX5 O64.2XX9 O64.3XX0 O64.3XX1 O64.3XX2 O64.3XX3 Obstructed labor due to face presentation, fetus 4 Obstructed labor due to face presentation, fetus 5 Obstructed labor due to face presentation, other fetus Obstructed labor due to brow presentation, unsp Obstructed labor due to brow presentation, fetus 1 Obstructed labor due to brow presentation, fetus 2 Obstructed labor due to brow presentation, fetus 3 O64.3XX4 O64.3XX5 O64.3XX9 Obstructed labor due to brow presentation, fetus 4 Obstructed labor due to brow presentation, fetus 5 Obstructed labor due to brow presentation, other fetus O32.4XX0 O32.4XX1 O32.4XX2 O32.4XX3 O32.4XX4 O32.4XX5 O32.4XX9 Maternal care for high head at term, not applicable or unsp Maternal care for high head at term, fetus 1 Maternal care for high head at term, fetus 2 Maternal care for high head at term, fetus 3 Maternal care for high head at term, fetus 4 Maternal care for high head at term, fetus 5 Maternal care for high head at term, other fetus O32.9XX0 Maternal care for malpresentation of fetus, unsp, unsp O32.9XX1 O32.9XX2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O66.6 Maternal care for malpresentation of fetus, unsp, fetus 1 Maternal care for malpresentation of fetus, unsp, fetus 2 Maternal care for malpresentation of fetus, unsp, fetus 3 Maternal care for malpresentation of fetus, unsp, fetus 4 Maternal care for malpresentation of fetus, unsp, fetus 5 Maternal care for malpresentation of fetus, unsp, oth fetus Obstructed labor due to other multiple fetuses 652.71 PROLAPSED ARMDELIVERED O32.8XX0 Maternal care for oth malpresentation of fetus, unsp 652.81 MALPOSITION NECDELIVER O32.6XX0 Maternal care for compound presentation, unsp O32.6XX1 O32.6XX2 O32.6XX3 O32.6XX4 O32.6XX5 O32.6XX9 O32.8XX0 O32.8XX1 O32.8XX2 O32.8XX3 O32.8XX4 O32.8XX5 O32.8XX9 O64.4XX0 O64.4XX1 O64.4XX2 O64.4XX3 O64.4XX4 Maternal care for compound presentation, fetus 1 Maternal care for compound presentation, fetus 2 Maternal care for compound presentation, fetus 3 Maternal care for compound presentation, fetus 4 Maternal care for compound presentation, fetus 5 Maternal care for compound presentation, other fetus Maternal care for oth malpresentation of fetus, unsp Maternal care for other malpresentation of fetus, fetus 1 Maternal care for other malpresentation of fetus, fetus 2 Maternal care for other malpresentation of fetus, fetus 3 Maternal care for other malpresentation of fetus, fetus 4 Maternal care for other malpresentation of fetus, fetus 5 Maternal care for oth malpresentation of fetus, other fetus Obstructed labor due to shoulder presentation, unsp Obstructed labor due to shoulder presentation, fetus 1 Obstructed labor due to shoulder presentation, fetus 2 Obstructed labor due to shoulder presentation, fetus 3 Obstructed labor due to shoulder presentation, fetus 4 PC v2014A 391 O64.4XX5 O64.4XX9 O64.5XX0 O64.5XX1 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0 O64.8XX1 O64.8XX2 O64.8XX3 O64.8XX4 O64.8XX5 O64.8XX9 652.91 MALPOSITION NOSDELIVER O32.9XX0 Maternal care for malpresentation of fetus, unsp, unsp O32.9XX1 O32.9XX2 Maternal care for malpresentation of fetus, unsp, fetus 1 Maternal care for malpresentation of fetus, unsp, fetus 2 O32.9XX3 O32.9XX4 O32.9XX5 O32.9XX9 O64.9XX0 Maternal care for malpresentation of fetus, unsp, fetus 3 Maternal care for malpresentation of fetus, unsp, fetus 4 Maternal care for malpresentation of fetus, unsp, fetus 5 Maternal care for malpresentation of fetus, unsp, oth fetus Obstructed labor due to malpos and malpresent, unsp, unsp Obstructed labor due to malpos and malpresent, unsp, fetus 1 Obstructed labor due to malpos and malpresent, unsp, fetus 2 Obstructed labor due to malpos and malpresent, unsp, fetus 3 Obstructed labor due to malpos and malpresent, unsp, fetus 4 Obstructed labor due to malpos and malpresent, unsp, fetus 5 Obstructed labor due to malpos and malpresent, unsp, oth O64.9XX1 O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 653.01 653.11 PC v2014A PELVIC DEFORM NOSDELIV CONTRACT PELV NOS- Obstructed labor due to shoulder presentation, fetus 5 Obstructed labor due to shoulder presentation, other fetus Obstructed labor due to compound presentation, unsp Obstructed labor due to compound presentation, fetus 1 Obstructed labor due to compound presentation, fetus 2 Obstructed labor due to compound presentation, fetus 3 Obstructed labor due to compound presentation, fetus 4 Obstructed labor due to compound presentation, fetus 5 Obstructed labor due to compound presentation, other fetus Obstructed labor due to oth malposition and malpresent, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 Obstructed labor due to oth malpos and malpresent, fetus 3 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth O33.0 O65.0 Matern care for disproprtn d/t deformity of matern pelv bone Obstructed labor due to deformed pelvis O33.1 Matern care for disproprtn d/t generally contracted pelvis 392 DELIV 653.21 653.31 INLET CONTRACTIONDELIV O65.1 Obstructed labor due to generally contracted pelvis O33.2 Maternal care for disproprtn due to inlet contrctn of pelvis O65.2 Obstructed labor due to pelvic inlet contraction OUTLET CONTRACTION- O33.3XX0 DELIV O33.3XX1 O33.3XX2 O33.3XX3 O33.3XX4 O33.3XX5 O33.3XX9 O65.3 Maternal care for disproprtn d/t outlet contrctn of pelv, unsp Maternal care for disproprtn d/t outlet contrctn of pelv, fts1 Maternal care for disproprtn d/t outlet contrctn of pelv, fts2 Maternal care for disproprtn d/t outlet contrctn of pelv, fts3 Maternal care for disproprtn d/t outlet contrctn of pelv, fts4 Maternal care for disproprtn d/t outlet contrctn of pelv, fts5 Maternal care for disproprtn d/t outlet contrctn of pelv, oth fts Obst labor due to pelvic outlet and mid-cavity contrctn 653.41 FETOPELV DISPROPOR- O33.4XX0 DELIV O33.4XX1 O33.4XX2 O33.4XX3 O33.4XX4 O33.4XX5 O33.4XX9 O65.4 Matern care for disproprtn of mix matern & fetl origin, unsp Matern care for disproprtn of mix matern & fetl origin, fts1 Matern care for disproprtn of mix matern & fetl origin, fts2 Matern care for disproprtn of mix matern & fetl origin, fts3 Matern care for disproprtn of mix matern & fetl origin, fts4 Matern care for disproprtn of mix matern & fetl origin, fts5 Matern care for disproprtn of mix matern & fetl origin, oth Obstructed labor due to fetopelvic disproportion, unsp 653.51 FETAL DISPROP NOSDELIV O33.5XX0 Matern care for disproprtn d/t unusually large fetus, unsp O33.5XX1 O33.5XX2 O33.5XX3 O33.5XX4 O33.5XX5 O33.5XX9 O66.2 Matern care for disproprtn d/t unusually large fetus, fts1 Matern care for disproprtn d/t unusually large fetus, fts2 Matern care for disproprtn d/t unusually large fetus, fts3 Matern care for disproprtn d/t unusually large fetus, fts4 Matern care for disproprtn d/t unusually large fetus, fts5 Matern care for disproprtn due to unusually large fetus, oth Obstructed labor due to unusually large fetus O33.6XX0 Matern care for disproprtn due to hydrocephalic fetus, unsp Matern care for disproprtn due to hydrocephalic fetus, fts1 Matern care for disproprtn due to hydrocephalic fetus, fts2 Matern care for disproprtn due to hydrocephalic fetus, fts3 Matern care for disproprtn due to hydrocephalic fetus, fts4 Matern care for disproprtn due to hydrocephalic fetus, fts5 Maternal care for disproprtn due to hydrocephalic fetus, oth 653.61 HYDROCEPH FETUSDELIVER O33.6XX1 O33.6XX2 O33.6XX3 O33.6XX4 O33.6XX5 O33.6XX9 653.71 OTH ABN FET DISPRODELIV O33.7 Maternal care for disproportion due to oth fetal deformities 653.81 DISPROPORTION NECDELIV O33.8 Maternal care for disproportion of other origin PC v2014A 393 653.91 DISPROPORTION NOSDELIV O33.9 Maternal care for disproportion, unspecified 654.01 CONGEN ABN UTERUSDELIV O34.01 Maternal care for unsp congen malform of uterus, first tri O34.02 Maternal care for unsp congen malform of uterus, second tri Maternal care for unsp congen malform of uterus, third tri O34.03 654.02 654.11 654.12 CONG ABN UTER-DEL W O34.01 P/P O34.02 UTERINE TUMORDELIVERED Maternal care for unsp congen malform of uterus, first tri O34.03 Maternal care for unsp congen malform of uterus, second tri Maternal care for unsp congen malform of uterus, third tri O34.11 Maternal care for benign tumor of corpus uteri, first tri O34.12 O34.13 Maternal care for benign tumor of corpus uteri, second tri Maternal care for benign tumor of corpus uteri, third tri UTERINE TUMOR-DEL W O34.11 P/P O34.12 O34.13 Maternal care for benign tumor of corpus uteri, first tri 654.21 PREV C-DELIVERYDELIVRD O34.21 Maternal care for scar from previous cesarean delivery 654.31 RETROVERT UTERUSDELIVER O34.511 Maternal care for incarceration of gravid uterus, first tri O34.512 O34.513 O34.531 O34.532 O34.533 Maternal care for incarceration of gravid uterus, second tri Maternal care for incarceration of gravid uterus, third tri Maternal care for retroversion of gravid uterus, first tri Maternal care for retroversion of gravid uterus, second tri Maternal care for retroversion of gravid uterus, third tri O34.511 Maternal care for incarceration of gravid uterus, first tri O34.512 O34.513 O34.531 O34.532 O34.533 Maternal care for incarceration of gravid uterus, second tri Maternal care for incarceration of gravid uterus, third tri Maternal care for retroversion of gravid uterus, first tri Maternal care for retroversion of gravid uterus, second tri Maternal care for retroversion of gravid uterus, third tri O34.521 Maternal care for prolapse of gravid uterus, first tri O34.522 O34.523 O34.591 O34.592 O34.593 Maternal care for prolapse of gravid uterus, second tri Maternal care for prolapse of gravid uterus, third tri Maternal care for oth abnlt of gravid uterus, first tri Maternal care for oth abnlt of gravid uterus, second tri Maternal care for oth abnlt of gravid uterus, third tri 654.32 654.41 654.42 PC v2014A RETROVERT UTER-DEL W P/P ABN UTERUS NECDELIVERED ABN UTERUS NEC-DEL WO34.591 Maternal care for benign tumor of corpus uteri, second tri Maternal care for benign tumor of corpus uteri, third tri Maternal care for oth abnlt of gravid uterus, first tri 394 P/P 654.51 CERVICAL INCOMPETDELIV O34.592 O34.593 Maternal care for oth abnlt of gravid uterus, second tri Maternal care for oth abnlt of gravid uterus, third tri O34.31 Maternal care for cervical incompetence, first trimester O34.32 Maternal care for cervical incompetence, second trimester Maternal care for cervical incompetence, third trimester O34.33 654.52 654.61 654.62 654.71 654.72 654.81 654.82 654.91 CERV INCOMPET-DEL W O34.31 P/P O34.32 ABN CERVIX NECDELIVERED O34.33 Maternal care for cervical incompetence, second trimester Maternal care for cervical incompetence, third trimester O34.41 Maternal care for oth abnlt of cervix, first trimester O34.42 O34.43 Maternal care for oth abnlt of cervix, second trimester Maternal care for oth abnlt of cervix, third trimester ABN CERVIX NEC-DEL W O34.41 P/P O34.42 O34.43 Maternal care for oth abnlt of cervix, first trimester ABNORM VAGINADELIVERED O34.61 Maternal care for abnormality of vagina, first trimester O34.62 O34.63 Maternal care for abnormality of vagina, second trimester Maternal care for abnormality of vagina, third trimester Maternal care for oth abnlt of cervix, second trimester Maternal care for oth abnlt of cervix, third trimester ABNORM VAGINA-DEL W O34.61 P/P O34.62 O34.63 Maternal care for abnormality of vagina, first trimester ABNORMAL VULVADELIVERED O34.71 Maternal care for abnlt of vulva and perineum, first tri O34.72 O34.73 Maternal care for abnlt of vulva and perineum, second tri Maternal care for abnlt of vulva and perineum, third tri Maternal care for abnormality of vagina, second trimester Maternal care for abnormality of vagina, third trimester ABNORMAL VULVA-DEL O34.71 W P/P O34.72 O34.73 Maternal care for abnlt of vulva and perineum, first tri ABN PELV ORG NECDELIVER Maternal care due to uterine scar from oth previous surgery Maternal care for oth abnlt of pelvic organs, first tri Maternal care for oth abnlt of pelvic organs, second tri Maternal care for oth abnlt of pelvic organs, third tri Maternal care for abnlt of pelvic organ, unsp, first tri Maternal care for abnlt of pelvic organ, unsp, second tri O34.29 O34.81 O34.82 O34.83 O34.91 O34.92 PC v2014A Maternal care for cervical incompetence, first trimester Maternal care for abnlt of vulva and perineum, second tri Maternal care for abnlt of vulva and perineum, third tri 395 O34.93 O65.8 O65.9 654.92 655.01 ABN PELV NEC-DELIV W O34.81 P/P O34.82 O34.83 O34.91 O34.92 O34.93 Maternal care for oth abnlt of pelvic organs, first tri FETAL CNS MALFORMDELIV O35.0XX0 Maternal care for (suspected) cnsl malform in fetus, unsp O35.0XX1 Maternal care for (suspected) cnsl malform in fetus, fetus 1 Maternal care for (suspected) cnsl malform in fetus, fetus 2 Maternal care for (suspected) cnsl malform in fetus, fetus 3 Maternal care for (suspected) cnsl malform in fetus, fetus 4 Maternal care for (suspected) cnsl malform in fetus, fetus 5 Maternal care for (suspected) cnsl malform in fetus, oth O35.0XX2 O35.0XX3 O35.0XX4 O35.0XX5 O35.0XX9 655.11 FETAL CHROMOSO ABN- O35.1XX0 DELIV O35.1XX1 O35.2XX0 Maternal care for hereditary disease in fetus, unsp O35.2XX1 O35.2XX2 O35.2XX3 O35.2XX4 O35.2XX5 O35.2XX9 Maternal care for hereditary disease in fetus, fetus 1 Maternal care for hereditary disease in fetus, fetus 2 Maternal care for hereditary disease in fetus, fetus 3 Maternal care for hereditary disease in fetus, fetus 4 Maternal care for hereditary disease in fetus, fetus 5 Maternal care for hereditary disease in fetus, oth O35.3XX0 Matern care for damag to fts from viral dis in mother, unsp O35.3XX1 O35.3XX2 Matern care for damag to fts from viral dis in mother, fts1 Matern care for damag to fts from viral dis in mother, fts2 O35.1XX4 O35.1XX5 655.31 PC v2014A FET DAMG D/T VIRUSDELIV Maternal care for chromosomal abnormality in fetus, unsp O35.1XX9 O35.1XX3 FAMIL HEREDIT DISDELIV Maternal care for oth abnlt of pelvic organs, second tri Maternal care for oth abnlt of pelvic organs, third tri Maternal care for abnlt of pelvic organ, unsp, first tri Maternal care for abnlt of pelvic organ, unsp, second tri Maternal care for abnlt of pelvic organ, unsp, third tri Maternal care for chromosomal abnormality in fetus, fetus 1 Maternal care for chromosomal abnormality in fetus, fetus 2 Maternal care for chromosomal abnormality in fetus, fetus 3 Maternal care for chromosomal abnormality in fetus, fetus 4 Maternal care for chromosomal abnormality in fetus, fetus 5 Maternal care for chromosomal abnormality in fetus, oth O35.1XX2 655.21 Maternal care for abnlt of pelvic organ, unsp, third tri Obstructed labor due to other maternal pelvic abnormalities Obstructed labor due to maternal pelvic abnormality, unsp 396 655.41 655.51 FET DAMG D/T DISDELIVER FET DAMAG D/T DRUGDELIV O35.3XX3 O35.3XX4 O35.3XX5 O35.3XX9 Matern care for damag to fts from viral dis in mother, fts3 Matern care for damag to fts from viral dis in mother, fts4 Matern care for damag to fts from viral dis in mother, fts5 Matern care for damag to fetus from viral dis in mother, oth O35.4XX0 Maternal care for damage to fetus from alcohol, unsp O35.4XX1 O35.4XX2 O35.4XX3 O35.4XX4 O35.4XX5 O35.4XX9 Maternal care for damage to fetus from alcohol, fetus 1 Maternal care for damage to fetus from alcohol, fetus 2 Maternal care for damage to fetus from alcohol, fetus 3 Maternal care for damage to fetus from alcohol, fetus 4 Maternal care for damage to fetus from alcohol, fetus 5 Maternal care for damage to fetus from alcohol, oth O35.5XX0 Maternal care for (suspected) damage to fetus by drugs, unsp Maternal care for damage to fetus by drugs, fetus 1 Maternal care for damage to fetus by drugs, fetus 2 Maternal care for damage to fetus by drugs, fetus 3 Maternal care for damage to fetus by drugs, fetus 4 Maternal care for damage to fetus by drugs, fetus 5 Maternal care for (suspected) damage to fetus by drugs, oth O35.5XX1 O35.5XX2 O35.5XX3 O35.5XX4 O35.5XX5 O35.5XX9 655.61 655.71 655.81 PC v2014A RADIAT FETAL DAMAGDELIV DECREASE FETAL MOVMT DEL FETAL ABNORM NECDELIVER O35.6XX0 Maternal care for damage to fetus by radiation, unsp O35.6XX1 O35.6XX2 O35.6XX3 O35.6XX4 O35.6XX5 O35.6XX9 Maternal care for damage to fetus by radiation, fetus 1 Maternal care for damage to fetus by radiation, fetus 2 Maternal care for damage to fetus by radiation, fetus 3 Maternal care for damage to fetus by radiation, fetus 4 Maternal care for damage to fetus by radiation, fetus 5 Maternal care for damage to fetus by radiation, oth O36.8120 Decreased fetal movements, second trimester, unsp O36.8121 O36.8122 O36.8123 O36.8124 O36.8125 O36.8129 O36.8130 O36.8131 O36.8132 O36.8133 O36.8134 O36.8135 O36.8139 Decreased fetal movements, second trimester, fetus 1 Decreased fetal movements, second trimester, fetus 2 Decreased fetal movements, second trimester, fetus 3 Decreased fetal movements, second trimester, fetus 4 Decreased fetal movements, second trimester, fetus 5 Decreased fetal movements, second trimester, other fetus Decreased fetal movements, third trimester, unsp Decreased fetal movements, third trimester, fetus 1 Decreased fetal movements, third trimester, fetus 2 Decreased fetal movements, third trimester, fetus 3 Decreased fetal movements, third trimester, fetus 4 Decreased fetal movements, third trimester, fetus 5 Decreased fetal movements, third trimester, other fetus O35.8XX0 Maternal care for oth fetal abnormality and damage, unsp 397 O35.8XX1 O35.8XX2 O35.8XX3 O35.8XX4 O35.8XX5 O35.8XX9 655.91 656.01 FETAL ABNORM NOSDELIVER O35.9XX0 O35.9XX1 O35.9XX2 O35.9XX3 Maternal care for fetal abnormality and damage, unsp, unsp Maternal care for fetal abnlt and damage, unsp, fetus 1 Maternal care for fetal abnlt and damage, unsp, fetus 2 Maternal care for fetal abnlt and damage, unsp, fetus 3 O35.9XX4 O35.9XX5 O35.9XX9 Maternal care for fetal abnlt and damage, unsp, fetus 4 Maternal care for fetal abnlt and damage, unsp, fetus 5 Maternal care for fetal abnormality and damage, unsp, oth FETAL-MATERNAL HEM- O43.011 DELIV O43.012 O43.013 043.021 043.022 043.023 656.11 RH ISOIMMUNIZATDELIVER Fetomaternal placental transfusion syndrome, first trimester Fetomaternal placental transfuse syndrome, second trimester Fetomaternal placental transfusion syndrome, third trimester Fetus-to-fetus placental transfuse syndrome, first trimester Fetus-to-fetus placental transfuse syndrome, second trimester Fetus-to-fetus placental transfuse syndrome, third trimester O36.0110 Maternal care for anti-D antibodies, first trimester, unsp O36.0111 O36.0112 O36.0113 O36.0114 O36.0115 O36.0119 O36.0120 Maternal care for anti-D antibodies, first tri, fetus 1 Maternal care for anti-D antibodies, first tri, fetus 2 Maternal care for anti-D antibodies, first tri, fetus 3 Maternal care for anti-D antibodies, first tri, fetus 4 Maternal care for anti-D antibodies, first tri, fetus 5 Maternal care for anti-D antibodies, first trimester, oth Maternal care for anti-D antibodies, second trimester, unsp Maternal care for anti-D antibodies, second tri, fetus 1 Maternal care for anti-D antibodies, second tri, fetus 2 Maternal care for anti-D antibodies, second tri, fetus 3 Maternal care for anti-D antibodies, second tri, fetus 4 Maternal care for anti-D antibodies, second tri, fetus 5 Maternal care for anti-D antibodies, second trimester, oth Maternal care for anti-D antibodies, third trimester, unsp Maternal care for anti-D antibodies, third tri, fetus 1 Maternal care for anti-D antibodies, third tri, fetus 2 O36.0121 O36.0122 O36.0123 O36.0124 O36.0125 O36.0129 O36.0130 O36.0131 O36.0132 PC v2014A Maternal care for oth fetal abnormality and damage, fetus 1 Maternal care for oth fetal abnormality and damage, fetus 2 Maternal care for oth fetal abnormality and damage, fetus 3 Maternal care for oth fetal abnormality and damage, fetus 4 Maternal care for oth fetal abnormality and damage, fetus 5 Maternal care for oth fetal abnormality and damage, oth 398 O36.0133 O36.0134 O36.0135 O36.0139 O36.0910 O36.0931 O36.0932 O36.0933 O36.0934 O36.0935 O36.0939 Maternal care for anti-D antibodies, third tri, fetus 3 Maternal care for anti-D antibodies, third tri, fetus 4 Maternal care for anti-D antibodies, third tri, fetus 5 Maternal care for anti-D antibodies, third trimester, oth Maternal care for oth rhesus isoimmun, first trimester, unsp Maternal care for oth rhesus isoimmun, first tri, fetus 1 Maternal care for oth rhesus isoimmun, first tri, fetus 2 Maternal care for oth rhesus isoimmun, first tri, fetus 3 Maternal care for oth rhesus isoimmun, first tri, fetus 4 Maternal care for oth rhesus isoimmun, first tri, fetus 5 Maternal care for oth rhesus isoimmun, first trimester, oth Maternal care for oth rhesus isoimmun, second tri, unsp Maternal care for oth rhesus isoimmun, second tri, fetus 1 Maternal care for oth rhesus isoimmun, second tri, fetus 2 Maternal care for oth rhesus isoimmun, second tri, fetus 3 Maternal care for oth rhesus isoimmun, second tri, fetus 4 Maternal care for oth rhesus isoimmun, second tri, fetus 5 Maternal care for oth rhesus isoimmun, second trimester, oth Maternal care for oth rhesus isoimmun, third trimester, unsp Maternal care for oth rhesus isoimmun, third tri, fetus 1 Maternal care for oth rhesus isoimmun, third tri, fetus 2 Maternal care for oth rhesus isoimmun, third tri, fetus 3 Maternal care for oth rhesus isoimmun, third tri, fetus 4 Maternal care for oth rhesus isoimmun, third tri, fetus 5 Maternal care for oth rhesus isoimmun, third trimester, oth O36.1110 Maternal care for Anti-A sensitization, first tri, unsp O36.1111 Maternal care for Anti-A sensitization, first tri, fetus 1 O36.1112 O36.1113 O36.1114 O36.1115 O36.1119 O36.1120 O36.1121 O36.1122 O36.1123 O36.1124 O36.1125 O36.1129 O36.1130 O36.1131 O36.1132 O36.1133 O36.1134 O36.1135 O36.1139 O36.1910 O36.1911 Maternal care for Anti-A sensitization, first tri, fetus 2 Maternal care for Anti-A sensitization, first tri, fetus 3 Maternal care for Anti-A sensitization, first tri, fetus 4 Maternal care for Anti-A sensitization, first tri, fetus 5 Maternal care for Anti-A sensitization, first trimester, oth Maternal care for Anti-A sensitization, second tri, unsp Maternal care for Anti-A sensitization, second tri, fetus 1 Maternal care for Anti-A sensitization, second tri, fetus 2 Maternal care for Anti-A sensitization, second tri, fetus 3 Maternal care for Anti-A sensitization, second tri, fetus 4 Maternal care for Anti-A sensitization, second tri, fetus 5 Maternal care for Anti-A sensitization, second tri, oth Maternal care for Anti-A sensitization, third tri, unsp Maternal care for Anti-A sensitization, third tri, fetus 1 Maternal care for Anti-A sensitization, third tri, fetus 2 Maternal care for Anti-A sensitization, third tri, fetus 3 Maternal care for Anti-A sensitization, third tri, fetus 4 Maternal care for Anti-A sensitization, third tri, fetus 5 Maternal care for Anti-A sensitization, third trimester, oth Maternal care for oth isoimmunization, first trimester, unsp Maternal care for oth isoimmun, first trimester, fetus 1 O36.0911 O36.0912 O36.0913 O36.0914 O36.0915 O36.0919 O36.0920 O36.0921 O36.0922 O36.0923 O36.0924 O36.0925 O36.0929 O36.0930 656.21 PC v2014A ABO ISOIMMUNIZATDELIVER 399 O36.1912 O36.1913 O36.1914 O36.1915 O36.1919 O36.1920 Maternal care for oth isoimmun, first trimester, fetus 2 Maternal care for oth isoimmun, first trimester, fetus 3 Maternal care for oth isoimmun, first trimester, fetus 4 Maternal care for oth isoimmun, first trimester, fetus 5 Maternal care for oth isoimmunization, first trimester, oth Maternal care for oth isoimmun, second trimester, unsp O36.1921 O36.1922 O36.1923 O36.1924 O36.1925 O36.1929 Maternal care for oth isoimmun, second trimester, fetus 1 Maternal care for oth isoimmun, second trimester, fetus 2 Maternal care for oth isoimmun, second trimester, fetus 3 Maternal care for oth isoimmun, second trimester, fetus 4 Maternal care for oth isoimmun, second trimester, fetus 5 Maternal care for oth isoimmunization, second trimester, oth Maternal care for oth isoimmunization, third trimester, unsp Maternal care for oth isoimmun, third trimester, fetus 1 Maternal care for oth isoimmun, third trimester, fetus 2 Maternal care for oth isoimmun, third trimester, fetus 3 Maternal care for oth isoimmun, third trimester, fetus 4 Maternal care for oth isoimmun, third trimester, fetus 5 Maternal care for oth isoimmunization, third trimester, oth O36.1930 O36.1931 O36.1932 O36.1933 O36.1934 O36.1935 O36.1939 656.31 FETAL DISTRESSDELIVERED O68 Labor and delivery comp by abnlt of fetal acid-base balance 656.41 INTRAUTER DEATHDELIVER O36.4XX0 O36.4XX1 O36.4XX2 O36.4XX3 O36.4XX4 O36.4XX5 O36.4XX9 Maternal care for intrauterine death, not applicable or unsp Maternal care for intrauterine death, fetus 1 Maternal care for intrauterine death, fetus 2 Maternal care for intrauterine death, fetus 3 Maternal care for intrauterine death, fetus 4 Maternal care for intrauterine death, fetus 5 Maternal care for intrauterine death, other fetus O36.5110 Matern care for known or susp placntl insuff, 1st tri, unsp O36.5111 O36.5112 O36.5113 O36.5114 O36.5115 O36.5119 Matern care for known or susp placntl insuff, 1st tri, fts1 Matern care for known or susp placntl insuff, 1st tri, fts2 Matern care for known or susp placntl insuff, 1st tri, fts3 Matern care for known or susp placntl insuff, 1st tri, fts4 Matern care for known or susp placntl insuff, 1st tri, fts5 Matern care for known or susp placntl insuff, first tri, oth O36.5120 O36.5121 O36.5122 O36.5123 O36.5124 O36.5125 O36.5129 O36.5130 O36.5131 O36.5132 Matern care for known or susp placntl insuff, 2nd tri, unsp Matern care for known or susp placntl insuff, 2nd tri, fts1 Matern care for known or susp placntl insuff, 2nd tri, fts2 Matern care for known or susp placntl insuff, 2nd tri, fts3 Matern care for known or susp placntl insuff, 2nd tri, fts4 Matern care for known or susp placntl insuff, 2nd tri, fts5 Matern care for known or susp placntl insuff, 2nd tri, oth Matern care for or susp placntl insuff, third tri, unsp Matern care for or susp placntl insuff, third tri, fts1 Matern care for or susp placntl insuff, third tri, fts2 656.51 PC v2014A POOR FETAL GROWTHDELIV 400 656.61 656.71 PC v2014A EXCESS FETAL GRTHDELIV OTH PLACENT CONDDELIVER O36.5133 O36.5134 O36.5135 O36.5139 O36.5910 O36.5911 O36.5912 O36.5913 O36.5914 O36.5915 O36.5919 O36.5920 O36.5921 O36.5922 O36.5923 O36.5924 O36.5925 O36.5929 O36.5930 O36.5931 O36.5932 O36.5933 O36.5934 O36.5935 O36.5939 Matern care for or susp placntl insuff, third tri, fts3 Matern care for or susp placntl insuff, third tri, fts4 Matern care for or susp placntl insuff, third tri, fts5 Matern care for known or susp placntl insuff, third tri, oth Matern care for oth or susp poor fetl grth, 1st tri, unsp Matern care for oth or susp poor fetl grth, 1st tri, fts1 Matern care for oth or susp poor fetl grth, 1st tri, fts2 Matern care for oth or susp poor fetl grth, 1st tri, fts3 Matern care for oth or susp poor fetl grth, 1st tri, fts4 Matern care for oth or susp poor fetl grth, 1st tri, fts5 Matern care for oth or susp poor fetl grth, 1st tri, oth Matern care for oth or susp poor fetl grth, 2nd tri, unsp Matern care for oth or susp poor fetl grth, 2nd tri, fts1 Matern care for oth or susp poor fetl grth, 2nd tri, fts2 Matern care for oth or susp poor fetl grth, 2nd tri, fts3 Matern care for oth or susp poor fetl grth, 2nd tri, fts4 Matern care for oth or susp poor fetl grth, 2nd tri, fts5 Matern care for oth or susp poor fetl grth, 2nd tri, oth Matern care for oth or susp poor fetl grth, third tri, unsp Matern care for oth or susp poor fetl grth, third tri, fts1 Matern care for oth or susp poor fetl grth, third tri, fts2 Matern care for oth or susp poor fetl grth, third tri, fts3 Matern care for oth or susp poor fetl grth, third tri, fts4 Matern care for oth or susp poor fetl grth, third tri, fts5 Matern care for oth or susp poor fetl grth, third tri, oth O36.61X0 Maternal care for excess fetal growth, first trimester, unsp O36.61X1 O36.61X2 O36.61X3 O36.61X4 O36.61X5 O36.61X9 O36.62X0 O36.62X1 O36.62X2 O36.62X3 O36.62X4 O36.62X5 O36.62X9 O36.63X0 O36.63X1 O36.63X2 O36.63X3 O36.63X4 O36.63X5 O36.63X9 Maternal care for excess fetal growth, first tri, fetus 1 Maternal care for excess fetal growth, first tri, fetus 2 Maternal care for excess fetal growth, first tri, fetus 3 Maternal care for excess fetal growth, first tri, fetus 4 Maternal care for excess fetal growth, first tri, fetus 5 Maternal care for excess fetal growth, first trimester, oth Maternal care for excess fetal growth, second tri, unsp Maternal care for excess fetal growth, second tri, fetus 1 Maternal care for excess fetal growth, second tri, fetus 2 Maternal care for excess fetal growth, second tri, fetus 3 Maternal care for excess fetal growth, second tri, fetus 4 Maternal care for excess fetal growth, second tri, fetus 5 Maternal care for excess fetal growth, second trimester, oth Maternal care for excess fetal growth, third trimester, unsp Maternal care for excess fetal growth, third tri, fetus 1 Maternal care for excess fetal growth, third tri, fetus 2 Maternal care for excess fetal growth, third tri, fetus 3 Maternal care for excess fetal growth, third tri, fetus 4 Maternal care for excess fetal growth, third tri, fetus 5 Maternal care for excess fetal growth, third trimester, oth O43.101 Malformation of placenta, unspecified, first trimester O43.102 Malformation of placenta, unspecified, second trimester 401 656.81 FET/PLAC PROB NECDELIV O43.103 O43.111 O43.112 O43.113 O43.191 O43.192 O43.193 O43.811 O43.812 O43.813 O43.91 O43.92 O43.93 Malformation of placenta, unspecified, third trimester Circumvallate placenta, first trimester Circumvallate placenta, second trimester Circumvallate placenta, third trimester Other malformation of placenta, first trimester Other malformation of placenta, second trimester Other malformation of placenta, third trimester Placental infarction, first trimester Placental infarction, second trimester Placental infarction, third trimester Unspecified placental disorder, first trimester Unspecified placental disorder, second trimester Unspecified placental disorder, third trimester O36.21x0 Maternal care for hydrops fetalis, first trimester, unsp O36.21x1 O36.21x2 O36.21x3 O36.21x4 O36.21x5 O36.21x9 O36.22x0 O36.22x1 Maternal care for hydrops fetalis, first trimester, fetus 1 Maternal care for hydrops fetalis, first trimester, fetus 2 Maternal care for hydrops fetalis, first trimester, fetus 3 Maternal care for hydrops fetalis, first trimester, fetus 4 Maternal care for hydrops fetalis, first trimester, fetus 5 Maternal care for hydrops fetalis, first trimester, oth Maternal care for hydrops fetalis, second trimester, unsp Maternal care for hydrops fetalis, second trimester, fetus 1 Maternal care for hydrops fetalis, second trimester, fetus 2 Maternal care for hydrops fetalis, second trimester, fetus 3 Maternal care for hydrops fetalis, second trimester, fetus 4 Maternal care for hydrops fetalis, second trimester, fetus 5 Maternal care for hydrops fetalis, second trimester, oth Maternal care for hydrops fetalis, third trimester, unsp Maternal care for hydrops fetalis, third trimester, fetus 1 Maternal care for hydrops fetalis, third trimester, fetus 2 Maternal care for hydrops fetalis, third trimester, fetus 3 Maternal care for hydrops fetalis, third trimester, fetus 4 Maternal care for hydrops fetalis, third trimester, fetus 5 Maternal care for hydrops fetalis, third trimester, oth Maternal care for viable fetus in abd preg, first tri, unsp Maternal care for viable fetus in abd preg, first tri, fetus 1 Maternal care for viable fetus in abd preg, first tri, fetus 2 Maternal care for viable fetus in abd preg, first tri, fetus 3 Maternal care for viable fetus in abd preg, first tri, fetus 4 Maternal care for viable fetus in abd preg, first tri, fetus 5 Maternal care for viable fetus in abd preg, first tri, oth fetus Maternal care for viable fetus in abd preg, second tri, unsp Maternal care for viable fetus in abd preg, second tri, fetus 1 Maternal care for viable fetus in abd preg, second tri, O36.22x2 O36.22x3 O36.22x4 O36.22x5 O36.22x9 O36.23x0 O36.23x1 O36.23x2 O36.23x3 O36.23x4 O36.23x5 O36.23x9 O36.71X0 O36.71X1 O36.71X2 O36.71X3 O36.71X4 O36.71X5 O36.71X9 O36.72X0 O36.72X1 PC v2014A O36.72X2 402 O36.72X3 O36.72X4 O36.72X5 O36.72X9 O36.73X0 O36.73X1 O36.73X2 O36.73X3 O36.73X4 O36.73X5 O36.73X9 O36.8910 O36.8911 O36.8912 O36.8913 O36.8914 O36.8915 O36.8919 O36.8920 O36.8921 O36.8922 O36.8923 O36.8924 O36.8925 O36.8929 O36.8930 O36.8931 O36.8932 O36.8933 O36.8934 PC v2014A fetus 2 Maternal care for viable fetus in abd preg, second tri, fetus 3 Maternal care for viable fetus in abd preg, second tri, fetus 4 Maternal care for viable fetus in abd preg, second tri, fetus 5 Maternal care for viable fetus in abd preg, second tri, oth fetus Maternal care for viable fetus in abd preg, third tri, unsp Maternal care for viable fetus in abd preg, third tri, fetus 1 Maternal care for viable fetus in abd preg, third tri, fetus 2 Maternal care for viable fetus in abd preg, third tri, fetus 3 Maternal care for viable fetus in abd preg, third tri, fetus 4 Maternal care for viable fetus in abd preg, third tri, fetus 5 Maternal care for viable fetus in abd preg, third tri, oth fetus Maternal care for other fetal problems, first trimester, unsp Maternal care for other fetal problems, first trimester, fetus 1 Maternal care for other fetal problems, first trimester, fetus 2 Maternal care for other fetal problems, first trimester, fetus 3 Maternal care for other fetal problems, first trimester, fetus 4 Maternal care for other fetal problems, first trimester, fetus 5 Maternal care for other fetal problems, first trimester, oth fetus Maternal care for other fetal problems, second trimester, unsp Maternal care for other fetal problems, second trimester, fetus 1 Maternal care for other fetal problems, second trimester, fetus 2 Maternal care for other fetal problems, second trimester, fetus 3 Maternal care for other fetal problems, second trimester, fetus 4 Maternal care for other fetal problems, second trimester, fetus 5 Maternal care for other fetal problems, second trimester, oth fetus Maternal care for other fetal problems, third trimester, unsp Maternal care for other fetal problems, third trimester, fetus 1 Maternal care for other fetal problems, third trimester, fetus 2 Maternal care for other fetal problems, third trimester, fetus 3 Maternal care for other fetal problems, third trimester, fetus 4 403 O36.8935 O36.8939 O43.891 O43.892 O43.893 O68 O77.0 O77.1 O77.8 O77.9 656.91 657.01 PC v2014A FET/PLAC PROB NOSDELIV POLYHYDRAMNIOSDELIVERED Maternal care for other fetal problems, third trimester, fetus 5 Maternal care for other fetal problems, third trimester, oth fetus Other placental disorders, first trimester Other placental disorders, second trimester Other placental disorders, third trimester Labor and delivery comp by abnlt of fetal acid-base balance Labor and delivery complicated by meconium in amniotic fluid Fetal stress in labor or delivery due to drug administration Labor and delivery comp by oth evidence of fetal stress Labor and delivery complicated by fetal stress, unspecified O36.91X0 Maternal care for fetal problem, unsp, first trimester, unsp O36.91X1 O36.91X2 O36.91X3 O36.91X4 O36.91X5 O36.91X9 O36.92X0 O36.92X1 O36.92X2 O36.92X3 O36.92X4 O36.92X5 O36.92X9 O36.93X0 O36.93X1 O36.93X2 O36.93X3 O36.93X4 O36.93X5 O36.93X9 Maternal care for fetal problem, unsp, first tri, fetus 1 Maternal care for fetal problem, unsp, first tri, fetus 2 Maternal care for fetal problem, unsp, first tri, fetus 3 Maternal care for fetal problem, unsp, first tri, fetus 4 Maternal care for fetal problem, unsp, first tri, fetus 5 Maternal care for fetal problem, unsp, first trimester, oth Maternal care for fetal problem, unsp, second tri, unsp Maternal care for fetal problem, unsp, second tri, fetus 1 Maternal care for fetal problem, unsp, second tri, fetus 2 Maternal care for fetal problem, unsp, second tri, fetus 3 Maternal care for fetal problem, unsp, second tri, fetus 4 Maternal care for fetal problem, unsp, second tri, fetus 5 Maternal care for fetal problem, unsp, second trimester, oth Maternal care for fetal problem, unsp, third trimester, unsp Maternal care for fetal problem, unsp, third tri, fetus 1 Maternal care for fetal problem, unsp, third tri, fetus 2 Maternal care for fetal problem, unsp, third tri, fetus 3 Maternal care for fetal problem, unsp, third tri, fetus 4 Maternal care for fetal problem, unsp, third tri, fetus 5 Maternal care for fetal problem, unsp, third trimester, oth O40.1XX0 Polyhydramnios, first trimester, not applicable or unsp O40.1XX1 O40.1XX2 O40.1XX3 O40.1XX4 O40.1XX5 O40.1XX9 O40.2XX0 O40.2XX1 O40.2XX2 O40.2XX3 O40.2XX4 Polyhydramnios, first trimester, fetus 1 Polyhydramnios, first trimester, fetus 2 Polyhydramnios, first trimester, fetus 3 Polyhydramnios, first trimester, fetus 4 Polyhydramnios, first trimester, fetus 5 Polyhydramnios, first trimester, other fetus Polyhydramnios, second trimester, not applicable or unsp Polyhydramnios, second trimester, fetus 1 Polyhydramnios, second trimester, fetus 2 Polyhydramnios, second trimester, fetus 3 Polyhydramnios, second trimester, fetus 4 404 658.01 OLIGOHYDRAMNIOSDELIVER O40.2XX5 O40.2XX9 O40.3XX0 O40.3XX1 O40.3XX2 O40.3XX3 O40.3XX4 O40.3XX5 O40.3XX9 Polyhydramnios, second trimester, fetus 5 Polyhydramnios, second trimester, other fetus Polyhydramnios, third trimester, not applicable or unsp Polyhydramnios, third trimester, fetus 1 Polyhydramnios, third trimester, fetus 2 Polyhydramnios, third trimester, fetus 3 Polyhydramnios, third trimester, fetus 4 Polyhydramnios, third trimester, fetus 5 Polyhydramnios, third trimester, other fetus O41.01X0 Oligohydramnios, first trimester, not applicable or unsp O41.01X1 O41.01X2 O41.01X3 O41.01X4 O41.01X5 O41.01X9 O41.02X0 Oligohydramnios, first trimester, fetus 1 Oligohydramnios, first trimester, fetus 2 Oligohydramnios, first trimester, fetus 3 Oligohydramnios, first trimester, fetus 4 Oligohydramnios, first trimester, fetus 5 Oligohydramnios, first trimester, other fetus Oligohydramnios, second trimester, not applicable or unsp Oligohydramnios, second trimester, fetus 1 Oligohydramnios, second trimester, fetus 2 Oligohydramnios, second trimester, fetus 3 Oligohydramnios, second trimester, fetus 4 Oligohydramnios, second trimester, fetus 5 Oligohydramnios, second trimester, other fetus Oligohydramnios, third trimester, not applicable or unsp Oligohydramnios, third trimester, fetus 1 Oligohydramnios, third trimester, fetus 2 Oligohydramnios, third trimester, fetus 3 Oligohydramnios, third trimester, fetus 4 Oligohydramnios, third trimester, fetus 5 Oligohydramnios, third trimester, other fetus O41.02X1 O41.02X2 O41.02X3 O41.02X4 O41.02X5 O41.02X9 O41.03X0 O41.03X1 O41.03X2 O41.03X3 O41.03X4 O41.03X5 O41.03X9 658.11 PREM RUPT MEMBRAN- O42.00 DELIV O42.011 O42.012 O42.013 O42.02 O42.911 O42.912 O42.913 O42.92 PC v2014A Prem ROM. Onset labor w/n 24 hr of rupt, unsp weeks gest Pretrm prem ROM, onset labor w/n 24 hours of rupt, first tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, 2nd tri Pretrm prem ROM, onset labor w/n 24 hours of rupt, third tri Full-term prem ROM, onset labor within 24 hours of rupture Pretrm prem ROM, unsp time betw rupt and onset labr, 1st tri Pretrm prem ROM, unsp time betw rupt and onset labr, 2nd tri Pretrm prem ROM, unsp time betw rupt and onst labr, 3rd tri Full-term prem ROM, unsp time betw rupture and onset labor 405 658.21 PROLONG RUPT MEMB- O42.10 DELIV O42.111 O42.112 O42.113 O42.12 Prem ROM, onset labor > 24 hr fol rupt, unsp weeks of gest Pretrm prem ROM, onset labor > 24 hours fol rupt, first tri Pretrm prem ROM, onset labor > 24 hours fol rupt, second tri Pretrm prem ROM, onset labor > 24 hours fol rupt, third tri Full-term premature ROM, onset labor > 24 hr fol rupt 658.31 ARTIFIC RUPT MEMBRDELIV O75.5 Delayed delivery after artificial rupture of membranes 658.41 AMNIOTIC INFECTIONDELIV O41.1010 Infct of amniotic sac and membrns, unsp, first tri, unsp O41.1011 O41.1012 O41.1013 O41.1014 O41.1015 O41.1019 O41.1020 O41.1021 Infct of amniotic sac and membrns, unsp, first tri, fetus 1 Infct of amniotic sac and membrns, unsp, first tri, fetus 2 Infct of amniotic sac and membrns, unsp, first tri, fetus 3 Infct of amniotic sac and membrns, unsp, first tri, fetus 4 Infct of amniotic sac and membrns, unsp, first tri, fetus 5 Infct of amniotic sac and membrns, unsp, first tri, oth Infct of amniotic sac and membrns, unsp, second tri, unsp Infct of amniotic sac and membrns, unsp, second tri, fetus 1 Infct of amniotic sac and membrns, unsp, second tri, fetus 2 Infct of amniotic sac and membrns, unsp, second tri, fetus 3 Infct of amniotic sac and membrns, unsp, second tri, fetus 4 Infct of amniotic sac and membrns, unsp, second tri, fetus 5 Infct of amniotic sac and membrns, unsp, second tri, oth Infct of amniotic sac and membrns, unsp, third tri, unsp Infct of amniotic sac and membrns, unsp, third tri, fetus 1 Infct of amniotic sac and membrns, unsp, third tri, fetus 2 Infct of amniotic sac and membrns, unsp, third tri, fetus 3 Infct of amniotic sac and membrns, unsp, third tri, fetus 4 Infct of amniotic sac and membrns, unsp, third tri, fetus 5 Infct of amniotic sac and membrns, unsp, third tri, oth Chorioamnionitis, first trimester, not applicable or unsp Chorioamnionitis, first trimester, fetus 1 Chorioamnionitis, first trimester, fetus 2 Chorioamnionitis, first trimester, fetus 3 Chorioamnionitis, first trimester, fetus 4 Chorioamnionitis, first trimester, fetus 5 Chorioamnionitis, first trimester, other fetus Chorioamnionitis, second trimester, not applicable or unsp Chorioamnionitis, second trimester, fetus 1 Chorioamnionitis, second trimester, fetus 2 Chorioamnionitis, second trimester, fetus 3 Chorioamnionitis, second trimester, fetus 4 Chorioamnionitis, second trimester, fetus 5 Chorioamnionitis, second trimester, other fetus Chorioamnionitis, third trimester, not applicable or unsp O41.1022 O41.1023 O41.1024 O41.1025 O41.1029 O41.1030 O41.1031 O41.1032 O41.1033 O41.1034 O41.1035 O41.1039 O41.1210 O41.1211 O41.1212 O41.1213 O41.1214 O41.1215 O41.1219 O41.1220 PC v2014A O41.1221 O41.1222 O41.1223 O41.1224 O41.1225 O41.1229 O41.1230 406 O41.1231 O41.1232 O41.1233 O41.1234 O41.1235 O41.1239 O41.1410 O41.1411 O41.1412 O41.1413 O41.1414 O41.1415 O41.1419 O41.1420 658.81 AMNIOTIC PROB NECDELIV O41.1421 O41.1422 O41.1423 O41.1424 O41.1425 O41.1429 O41.1430 O41.1431 O41.1432 O41.1433 Chorioamnionitis, third trimester, fetus 1 Chorioamnionitis, third trimester, fetus 2 Chorioamnionitis, third trimester, fetus 3 Chorioamnionitis, third trimester, fetus 4 Chorioamnionitis, third trimester, fetus 5 Chorioamnionitis, third trimester, other fetus Placentitis, first trimester, not applicable or unspecified Placentitis, first trimester, fetus 1 Placentitis, first trimester, fetus 2 Placentitis, first trimester, fetus 3 Placentitis, first trimester, fetus 4 Placentitis, first trimester, fetus 5 Placentitis, first trimester, other fetus Placentitis, second trimester, not applicable or unspecified Placentitis, second trimester, fetus 1 Placentitis, second trimester, fetus 2 Placentitis, second trimester, fetus 3 Placentitis, second trimester, fetus 4 Placentitis, second trimester, fetus 5 Placentitis, second trimester, other fetus Placentitis, third trimester, not applicable or unspecified Placentitis, third trimester, fetus 1 Placentitis, third trimester, fetus 2 Placentitis, third trimester, fetus 3 O41.1434 O41.1435 O41.1439 Placentitis, third trimester, fetus 4 Placentitis, third trimester, fetus 5 Placentitis, third trimester, other fetus O41.8X10 Oth disrd of amniotic fluid and membrns, first tri, unsp O41.8X11 O41.8X12 O41.8X13 O41.8X14 O41.8X15 O41.8X19 O41.8X20 O41.8X21 Oth disrd of amniotic fluid and membrns, first tri, fetus 1 Oth disrd of amniotic fluid and membrns, first tri, fetus 2 Oth disrd of amniotic fluid and membrns, first tri, fetus 3 Oth disrd of amniotic fluid and membrns, first tri, fetus 4 Oth disrd of amniotic fluid and membrns, first tri, fetus 5 Oth disrd of amniotic fluid and membrns, first tri, oth Oth disrd of amniotic fluid and membrns, second tri, unsp Oth disrd of amniotic fluid and membrns, second tri, fetus 1 Oth disrd of amniotic fluid and membrns, second tri, fetus 2 Oth disrd of amniotic fluid and membrns, second tri, fetus 3 Oth disrd of amniotic fluid and membrns, second tri, fetus 4 Oth disrd of amniotic fluid and membrns, second tri, fetus 5 Oth disrd of amniotic fluid and membrns, second tri, oth Oth disrd of amniotic fluid and membrns, third tri, unsp Oth disrd of amniotic fluid and membrns, third tri, fetus 1 Oth disrd of amniotic fluid and membrns, third tri, fetus 2 Oth disrd of amniotic fluid and membrns, third tri, fetus 3 O41.8X22 O41.8X23 O41.8X24 O41.8X25 O41.8X29 O41.8X30 O41.8X31 O41.8X32 O41.8X33 PC v2014A 407 658.91 AMNIOTIC PROB NOSDELIV O41.8X34 O41.8X35 O41.8X39 Oth disrd of amniotic fluid and membrns, third tri, fetus 4 Oth disrd of amniotic fluid and membrns, third tri, fetus 5 Oth disrd of amniotic fluid and membrns, third tri, oth O41.91X0 Disorder of amnio fluid and membrns, unsp, first tri, unsp O41.91X1 O41.91X2 O41.91X3 O41.91X4 O41.91X5 O41.91X9 O41.92X0 O41.93X0 O41.93X1 O41.93X2 O41.93X3 O41.93X4 O41.93X5 O41.93X9 Disord of amnio fluid and membrns, unsp, first tri, fetus 1 Disord of amnio fluid and membrns, unsp, first tri, fetus 2 Disord of amnio fluid and membrns, unsp, first tri, fetus 3 Disord of amnio fluid and membrns, unsp, first tri, fetus 4 Disord of amnio fluid and membrns, unsp, first tri, fetus 5 Disorder of amniotic fluid and membrns, unsp, first tri, oth Disorder of amnio fluid and membrns, unsp, second tri, unsp Disord of amnio fluid and membrns, unsp, second tri, fetus 1 Disord of amnio fluid and membrns, unsp, second tri, fetus 2 Disord of amnio fluid and membrns, unsp, second tri, fetus 3 Disord of amnio fluid and membrns, unsp, second tri, fetus 4 Disord of amnio fluid and membrns, unsp, second tri, fetus 5 Disorder of amnio fluid and membrns, unsp, second tri, oth Disorder of amnio fluid and membrns, unsp, third tri, unsp Disord of amnio fluid and membrns, unsp, third tri, fetus 1 Disord of amnio fluid and membrns, unsp, third tri, fetus 2 Disord of amnio fluid and membrns, unsp, third tri, fetus 3 Disord of amnio fluid and membrns, unsp, third tri, fetus 4 Disord of amnio fluid and membrns, unsp, third tri, fetus 5 Disorder of amniotic fluid and membrns, unsp, third tri, oth O41.92X1 O41.92X2 O41.92X3 O41.92X4 O41.92X5 O41.92X9 659.01 FAIL MECH INDUCTDELIVER O61.1 Failed instrumental induction of labor 659.11 FAIL INDUCTION NOSDELIV O61.0 Failed medical induction of labor O61.8 O61.9 Other failed induction of labor Failed induction of labor, unspecified 659.21 PYREXIA IN LABORDELIVER O75.2 Pyrexia during labor, not elsewhere classified 659.31 SEPTICEM IN LABORDELIV O75.3 Other infection during labor 659.41 GRAND MULTIPARITYDELIV O09.941 Suprvsn of pregnancy w grand multiparity, first trimester O09.942 Suprvsn of pregnancy w grand multiparity, second trimester O09.943 Suprvsn of pregnancy w grand multiparity, third trimester PC v2014A 408 659.51 659.61 ELDERLY PRIMIGRAVIDA- O09.511 DEL O09.512 O09.513 Supervision of elderly primigravida, first trimester ELDERLY MULTIGRAVIDA-DEL O09.521 Supervision of elderly multigravida, first trimester O09.522 O09.523 Supervision of elderly multigravida, second trimester Supervision of elderly multigravida, third trimester Supervision of elderly primigravida, second trimester Supervision of elderly primigravida, third trimester 659.71 ABN FTL HRT RATE/RHY- O76 DEL Abnlt in fetal heart rate and rhythm comp labor and delivery 659.81 COMPLIC LABOR NECDELIV O75.89 Other specified complications of labor and delivery O77.0 Labor and delivery complicated by meconium in amniotic fluid Fetal stress in labor or delivery due to drug administration Labor and delivery comp by oth evidence of fetal stress Labor and delivery complicated by fetal stress, unspecified O77.1 O77.8 O77.9 659.91 COMPLIC LABOR NOSDELIV O75.9 Labor and delivery complicated by meconium in amniotic fluid? Table 11.03 Complications Mainly in the Course of Labor and Delivery Code Description ICD-9-CM Code 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV 660.01 OBSTRUC/FET MALPOSDELIV PC v2014A ICD-10-CM Code Description Code O64.1XX0 Obstructed labor due to breech presentation, unsp O64.1XX1 Obstructed labor due to breech presentation, fetus 1 O64.1XX2 Obstructed labor due to breech presentation, fetus 2 O64.1XX3 Obstructed labor due to breech presentation, fetus 3 O64.1XX4 Obstructed labor due to breech presentation, fetus 4 O64.1XX5 Obstructed labor due to breech presentation, fetus 5 O64.1XX9 O64.2XX0 Obstructed labor due to breech presentation, other fetus Obstructed labor due to face presentation, unsp O64.2XX1 Obstructed labor due to face presentation, fetus 1 O64.2XX2 Obstructed labor due to face presentation, fetus 2 O64.2XX3 Obstructed labor due to face presentation, fetus 3 409 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 PC v2014A OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV O64.2XX4 Obstructed labor due to face presentation, fetus 4 O64.2XX5 Obstructed labor due to face presentation, fetus 5 O64.2XX9 Obstructed labor due to face presentation, other fetus O64.3XX0 Obstructed labor due to brow presentation, unsp O64.3XX1 Obstructed labor due to brow presentation, fetus 1 O64.3XX2 Obstructed labor due to brow presentation, fetus 2 O64.3XX3 Obstructed labor due to brow presentation, fetus 3 O64.3XX4 Obstructed labor due to brow presentation, fetus 4 O64.3XX5 Obstructed labor due to brow presentation, fetus 5 O64.3XX9 Obstructed labor due to brow presentation, other fetus O64.4XX0 Obstructed labor due to shoulder presentation, unsp O64.4XX1 Obstructed labor due to shoulder presentation, fetus 1 O64.4XX2 Obstructed labor due to shoulder presentation, fetus 2 O64.4XX3 Obstructed labor due to shoulder presentation, fetus 3 O64.4XX4 Obstructed labor due to shoulder presentation, fetus 4 O64.4XX5 Obstructed labor due to shoulder presentation, fetus 5 O64.4XX9 Obstructed labor due to shoulder presentation, other fetus Obstructed labor due to compound presentation, unsp O64.5XX0 O64.5XX1 O64.5XX2 O64.5XX3 O64.5XX4 O64.5XX5 O64.5XX9 O64.8XX0 O64.8XX1 O64.8XX2 Obstructed labor due to compound presentation, fetus 1 Obstructed labor due to compound presentation, fetus 2 Obstructed labor due to compound presentation, fetus 3 Obstructed labor due to compound presentation, fetus 4 Obstructed labor due to compound presentation, fetus 5 Obstructed labor due to compound presentation, other fetus Obstructed labor due to oth malposition and malpresent, unsp Obstructed labor due to oth malpos and malpresent, fetus 1 Obstructed labor due to oth malpos and malpresent, fetus 2 410 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.01 660.11 660.11 660.11 660.11 660.11 660.21 660.21 660.21 660.31 660.31 660.31 660.31 660.31 660.31 660.31 660.41 PC v2014A OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV OBSTRUC/FET MALPOSDELIV BONY PELV OBSTRUCTDELIV BONY PELV OBSTRUCTDELIV BONY PELV OBSTRUCTDELIV BONY PELV OBSTRUCTDELIV BONY PELV OBSTRUCTDELIV ABN PELV TIS OBSTRDELIV ABN PELV TIS OBSTRDELIV ABN PELV TIS OBSTRDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV PERSIST OCCIPTPOSTDELIV SHOULDER DYSTOCIADELIV O64.8XX3 O65.0 Obstructed labor due to oth malpos and malpresent, fetus 3 Obstructed labor due to oth malpos and malpresent, fetus 4 Obstructed labor due to oth malpos and malpresent, fetus 5 Obstructed labor due to oth malposition and malpresent, oth Obstructed labor due to malpos and malpresent, unsp, unsp Obstructed labor due to malpos and malpresent, unsp, fetus 1 Obstructed labor due to malpos and malpresent, unsp, fetus 2 Obstructed labor due to malpos and malpresent, unsp, fetus 3 Obstructed labor due to malpos and malpresent, unsp, fetus 4 Obstructed labor due to malpos and malpresent, unsp, fetus 5 Obstructed labor due to malpos and malpresent, unsp, oth 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 Obst labor due to pelvic outlet and mid-cavity contrctn O65.4 Obstructed labor due to fetopelvic disproportion, unsp O65.5 Obstructed labor due to abnlt of maternal pelvic organs O65.8 O64.0XX1 Obstructed labor due to other maternal pelvic abnormalities Obstructed labor due to maternal pelvic abnormality, unsp Obstructed labor due to incmpl rotation of fetal head, unsp Obst labor due to incmpl rotation of fetal head, fetus 1 O64.0XX2 Obst labor due to incmpl rotation of fetal head, fetus 2 O64.0XX3 Obst labor due to incmpl rotation of fetal head, fetus 3 O64.0XX4 Obst labor due to incmpl rotation of fetal head, fetus 4 O64.0XX5 Obst labor due to incmpl rotation of fetal head, fetus 5 O64.0XX9 Obstructed labor due to incmpl rotation of fetal head, oth Obstructed labor due to shoulder dystocia O64.8XX4 O64.8XX5 O64.8XX9 O64.9XX0 O64.9XX1 O64.9XX2 O64.9XX3 O64.9XX4 O64.9XX5 O64.9XX9 O65.9 O64.0XX0 O66.0 411 660.51 660.61 660.61 660.71 660.81 660.81 660.81 660.81 660.91 661.01 661.11 661.21 661.31 661.41 661.91 661.91 662.01 662.11 662.21 662.31 663.01 663.01 663.01 663.01 663.01 663.01 663.01 663.11 663.11 PC v2014A LOCKED TWINSO66.1 DELIVERED FAIL TRIAL LAB NOS-DELIV O66.40 FAIL TRIAL LAB NOS-DELIV O66.41 FAILED FORCEPS NOSO66.5 DELIV OBSTRUCT LABOR NEC- O66.2 DELIV OBSTRUCT LABOR NEC- O66.3 DELIV OBSTRUCT LABOR NEC- O66.6 DELIV OBSTRUCT LABOR NEC- O66.8 DELIV OBSTRUCT LABOR NOS- O66.9 DELIV PRIM UTERINE INERTO62.0 DELIV SEC UTERINE INERT-DELIVO62.1 UTERINE INERT NEC-DELIVO62.2 PRECIPITATE LABORO62.3 DELIV UTER DYSTOCIA NOSO62.4 DELIV ABNORMAL LABOR NOS- O62.8 DELIV ABNORMAL LABOR NOS- O62.9 DELIV PROLONG 1ST STAGEO63.0 DELIV PROLONG LABOR NOSO63.9 DELIV PROLONG 2ND STAGEO63.1 DELIV DELAY DEL 2ND TWINO63.2 DELIV CORD PROLAPSEO69.0XX0 DELIVERED CORD PROLAPSEO69.0XX1 DELIVERED CORD PROLAPSEO69.0XX2 DELIVERED CORD PROLAPSEO69.0XX3 DELIVERED CORD PROLAPSEO69.0XX4 DELIVERED CORD PROLAPSEO69.0XX5 DELIVERED CORD PROLAPSEO69.0XX9 DELIVERED CORD AROUND NECKO69.1XX0 DELIVER CORD AROUND NECK- O69.1XX1 Obstructed labor due to locked twins Failed trial of labor, unspecified Failed attempt vaginal birth after previous cesarean del Attempted application of vacuum extractor and forceps Obstructed labor due to unusually large fetus Obstructed labor due to other abnormalities of fetus Obstructed labor due to other multiple fetuses Other specified obstructed labor Obstructed labor, unspecified Primary inadequate contractions Secondary uterine inertia Other uterine inertia Precipitate labor Hypertonic, incoordinate, and prolonged uterine contractions Other abnormalities of forces of labor Abnormality of forces of labor, unspecified Prolonged first stage (of labor) Long labor, unspecified Prolonged second stage (of labor) Delayed delivery of second twin, triplet, etc. Labor and delivery complicated by prolapse of cord, unsp Labor and delivery complicated by prolapse of cord, fetus 1 Labor and delivery complicated by prolapse of cord, fetus 2 Labor and delivery complicated by prolapse of cord, fetus 3 Labor and delivery complicated by prolapse of cord, fetus 4 Labor and delivery complicated by prolapse of cord, fetus 5 Labor and delivery complicated by prolapse of cord, oth Labor and delivery comp by cord around neck, w comprsn, unsp Labor and del comp by cord around neck, w comprsn, 412 663.11 663.11 663.11 663.11 663.11 663.21 663.21 663.21 663.21 663.21 663.21 663.21 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 663.31 PC v2014A DELIVER CORD AROUND NECKDELIVER CORD AROUND NECKDELIVER CORD AROUND NECKDELIVER CORD AROUND NECKDELIVER CORD AROUND NECKDELIVER CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD COMPRESS NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NEC- O69.1XX2 O69.1XX3 O69.1XX4 O69.1XX5 O69.1XX9 O69.2XX0 O69.2XX1 O69.2XX2 O69.2XX3 O69.2XX4 O69.2XX5 O69.2XX9 O69.81X0 O69.81X1 O69.81X2 O69.81X3 O69.81X4 O69.81X5 O69.81X9 O69.82X0 O69.82X1 O69.82X2 O69.82X3 O69.82X4 O69.82X5 O69.82X9 O69.89X0 fetus 1 Labor and del comp by cord around neck, w comprsn, fetus 2 Labor and del comp by cord around neck, w comprsn, fetus 3 Labor and del comp by cord around neck, w comprsn, fetus 4 Labor and del comp by cord around neck, w comprsn, fetus 5 Labor and delivery comp by cord around neck, w comprsn, oth Labor and del comp by oth cord entangle, w comprsn, unsp Labor and del comp by oth cord entangle, w comprsn, fetus 1 Labor and del comp by oth cord entangle, w comprsn, fetus 2 Labor and del comp by oth cord entangle, w comprsn, fetus 3 Labor and del comp by oth cord entangle, w comprsn, fetus 4 Labor and del comp by oth cord entangle, w comprsn, fetus 5 Labor and delivery comp by oth cord entangle, w comprsn, oth Labor and del comp by cord around neck, w/o comprsn, unsp Labor and del comp by cord around neck, w/o comprsn, fetus 1 Labor and del comp by cord around neck, w/o comprsn, fetus 2 Labor and del comp by cord around neck, w/o comprsn, fetus 3 Labor and del comp by cord around neck, w/o comprsn, fetus 4 Labor and del comp by cord around neck, w/o comprsn, fetus 5 Labor and del comp by cord around neck, w/o comprsn, oth Labor and del comp by oth cord entangle, w/o comprsn, unsp Labor and del comp by oth cord entangle, w/o comprsn, fts1 Labor and del comp by oth cord entangle, w/o comprsn, fts2 Labor and del comp by oth cord entangle, w/o comprsn, fts3 Labor and del comp by oth cord entangle, w/o comprsn, fts4 Labor and del comp by oth cord entangle, w/o comprsn, fts5 Labor and del comp by oth cord entangle, w/o comprsn, oth Labor and delivery complicated by oth cord comp, 413 663.41 663.41 663.41 663.41 663.41 663.41 663.41 DELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV CORD ENTANGLE NECDELIV SHORT CORD-DELIVERED SHORT CORD-DELIVERED SHORT CORD-DELIVERED SHORT CORD-DELIVERED SHORT CORD-DELIVERED SHORT CORD-DELIVERED SHORT CORD-DELIVERED 663.51 663.51 663.51 663.51 663.51 663.51 663.51 VASA PREVIA-DELIVERED O69.4XX0 VASA PREVIA-DELIVERED O69.4XX1 VASA PREVIA-DELIVERED O69.4XX2 VASA PREVIA-DELIVERED O69.4XX3 VASA PREVIA-DELIVERED O69.4XX4 VASA PREVIA-DELIVERED O69.4XX5 VASA PREVIA-DELIVERED O69.4XX9 663.61 VASC LESION CORDDELIVER VASC LESION CORDDELIVER VASC LESION CORDDELIVER VASC LESION CORDDELIVER VASC LESION CORDDELIVER VASC LESION CORDDELIVER VASC LESION CORDDELIVER CORD COMPLICAT NECDELIV CORD COMPLICAT NECDELIV CORD COMPLICAT NECDELIV CORD COMPLICAT NECDELIV CORD COMPLICAT NECDELIV CORD COMPLICAT NEC- 663.31 663.31 663.31 663.31 663.31 663.31 663.61 663.61 663.61 663.61 663.61 663.61 663.81 663.81 663.81 663.81 663.81 663.81 PC v2014A O69.89X1 O69.89X2 O69.89X3 O69.89X4 O69.89X5 O69.89X9 O69.3XX0 O69.3XX1 O69.3XX2 O69.3XX3 O69.3XX4 O69.3XX5 O69.3XX9 unsp Labor and delivery complicated by oth cord comp, fetus 1 Labor and delivery complicated by oth cord comp, fetus 2 Labor and delivery complicated by oth cord comp, fetus 3 Labor and delivery complicated by oth cord comp, fetus 4 Labor and delivery complicated by oth cord comp, fetus 5 Labor and delivery complicated by oth cord comp, oth O69.5XX9 Labor and delivery complicated by short cord, unsp Labor and delivery complicated by short cord, fetus 1 Labor and delivery complicated by short cord, fetus 2 Labor and delivery complicated by short cord, fetus 3 Labor and delivery complicated by short cord, fetus 4 Labor and delivery complicated by short cord, fetus 5 Labor and delivery complicated by short cord, other fetus Labor and delivery complicated by vasa previa, unsp Labor and delivery complicated by vasa previa, fetus 1 Labor and delivery complicated by vasa previa, fetus 2 Labor and delivery complicated by vasa previa, fetus 3 Labor and delivery complicated by vasa previa, fetus 4 Labor and delivery complicated by vasa previa, fetus 5 Labor and delivery complicated by vasa previa, other fetus Labor and delivery comp by vascular lesion of cord, unsp Labor and delivery comp by vascular lesion of cord, fetus 1 Labor and delivery comp by vascular lesion of cord, fetus 2 Labor and delivery comp by vascular lesion of cord, fetus 3 Labor and delivery comp by vascular lesion of cord, fetus 4 Labor and delivery comp by vascular lesion of cord, fetus 5 Labor and delivery comp by vascular lesion of cord, oth O43.121 Velamentous insertion of umbilical cord, first trimester O43.122 Velamentous insertion of umbilical cord, second trimester Velamentous insertion of umbilical cord, third trimester O69.5XX0 O69.5XX1 O69.5XX2 O69.5XX3 O69.5XX4 O69.5XX5 O43.123 O69.89X0 O69.89X1 O69.89X2 Labor and delivery complicated by oth cord comp, unsp Labor and delivery complicated by oth cord comp, fetus 1 Labor and delivery complicated by oth cord comp, 414 663.81 663.81 663.81 663.81 663.91 663.91 663.91 663.91 663.91 663.91 663.91 664.01 664.11 664.21 664.31 664.41 664.51 664.81 664.91 665.01 665.01 665.11 665.22 665.31 665.41 665.51 665.61 PC v2014A DELIV CORD COMPLICAT NEC- O69.89X3 DELIV CORD COMPLICAT NEC- O69.89X4 DELIV CORD COMPLICAT NEC- O69.89X5 DELIV CORD COMPLICAT NEC- O69.89X9 DELIV CORD COMPLICAT NOS- O69.9XX0 DELIV CORD COMPLICAT NOS- O69.9XX1 DELIV CORD COMPLICAT NOS- O69.9XX2 DELIV CORD COMPLICAT NOS- O69.9XX3 DELIV CORD COMPLICAT NOS- O69.9XX4 DELIV CORD COMPLICAT NOS- O69.9XX5 DELIV CORD COMPLICAT NOS- O69.9XX9 DELIV DEL W 1 DEG LACERAT- O70.0 DEL DEL W 2 DEG LACERAT- O70.1 DEL DEL W 3 DEG LACERAT- O70.2 DEL DEL W 4 DEG LACERAT- O70.3 DEL OB PERINEAL LAC NOS- O70.9 DEL OB PERINEAL HEMATOMA- O90.2 DEL OB PERINEAL TRAU NEC- O71.89 DEL OB PERINEAL TRAU NOS- O71.9 DEL PRELABOR RUPT UTERUS-O71.02 DEL PRELABOR RUPT UTERUS-O71.03 DEL RUPTURE UTERUS NOS- O71.1 DELIV INVERS UTERUS-DEL W O71.2 P/P LACERAT OF CERVIXO71.3 DELIV HIGH VAGINAL LACERO71.4 DELIV OB INJ PELV ORG NECO71.5 DEL DAMAGE TO PELVIC JT- O71.6 fetus 2 Labor and delivery complicated by oth cord comp, fetus 3 Labor and delivery complicated by oth cord comp, fetus 4 Labor and delivery complicated by oth cord comp, fetus 5 Labor and delivery complicated by oth cord comp, oth Labor and delivery complicated by cord comp, unsp, unsp Labor and delivery complicated by cord comp, unsp, fetus 1 Labor and delivery complicated by cord comp, unsp, fetus 2 Labor and delivery complicated by cord comp, unsp, fetus 3 Labor and delivery complicated by cord comp, unsp, fetus 4 Labor and delivery complicated by cord comp, unsp, fetus 5 Labor and delivery complicated by cord comp, unsp, oth First degree perineal laceration during delivery Second degree perineal laceration during delivery Third degree perineal laceration during delivery Fourth degree perineal laceration during delivery Perineal laceration during delivery, unspecified Obstetric hematoma of pelvis Other specified trauma to perineum and vulva Obstetric trauma, unspecified Rupture of uterus before onset of labor, second trimester Rupture of uterus before onset of labor, third trimester Rupture of uterus during labor Postpartum inversion of uterus Obstetric laceration of cervix Obstetric high vaginal laceration alone Other obstetric injury to pelvic organs Obstetric damage to pelvic joints and ligaments 415 665.71 665.72 665.81 665.81 665.82 665.82 665.91 665.92 666.02 666.12 666.22 666.32 667.02 667.02 667.02 667.02 667.02 667.02 667.02 667.02 DEL OB PELVIC HEMATOMADELIV PELVIC HEMATOM-DEL W PP OB TRAUMA NECDELIVERED OB TRAUMA NECDELIVERED OB TRAUMA NEC-DEL W P/P OB TRAUMA NEC-DEL W P/P OB TRAUMA NOSDELIVERED OB TRAUMA NOS-DEL W P/P THRD-STAGE HEM-DEL W P/P POSTPA HEM NEC-DEL W P/P DELAY P/P HEM-DEL W P/P P/P COAG DEF-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P RETND PLAC NOS-DEL W P/P O71.7 Obstetric hematoma of pelvis O71.7 Obstetric hematoma of pelvis O71.81 Laceration of uterus, not elsewhere classified O71.89 Other specified obstetric trauma O71.81 Laceration of uterus, not elsewhere classified O71.89 Other specified obstetric trauma O71.9 Obstetric trauma, unspecified O71.9 Obstetric trauma, unspecified O72.0 Third-stage hemorrhage O72.1 Other immediate postpartum hemorrhage O72.2 Delayed and secondary postpartum hemorrhage O72.3 O43.211 Postpartum coagulation defects Placenta accreta, first trimester O43.212 Placenta accreta, second trimester O43.213 Placenta accreta, third trimester O43.221 Placenta increta, first trimester O43.222 Placenta increta, second trimester O43.223 Placenta increta, third trimester O43.231 Placenta percreta, first trimester 668.02 RETND PLAC NOS-DEL W O43.232 P/P RETND PLAC NOS-DEL W O43.233 P/P RETND PLAC NOS-DEL W O73.0 P/P RET PROD CONC-DEL W O73.1 P/P PULM COMPL IN DELO74.0 DELIV PULM COMPL IN DELO74.1 DELIV PULM COMPLIC-DEL W P/PO74.0 668.02 PULM COMPLIC-DEL W P/PO74.1 667.02 667.02 667.12 668.01 668.01 PC v2014A Placenta percreta, second trimester Placenta percreta, third trimester Retained placenta without hemorrhage Retained portions of placenta and membranes, w/o hemorrhage Aspirat pneumonitis due to anesth during labor and delivery Oth pulmonary comp of anesthesia during labor and delivery Aspirat pneumonitis due to anesth during labor and delivery Oth pulmonary comp of anesthesia during labor and delivery 416 668.02 PULM COMPLIC-DEL W P/PO89.09 668.11 HEART COMPL IN DELDELIV HEART COMPL-DEL W P/P CNS COMPL LAB/DELDELIV CNS COMPLIC-DEL W P/P 668.12 668.21 668.22 668.81 668.81 668.81 668.81 668.81 668.82 668.82 668.82 668.82 668.82 668.82 668.91 668.92 668.92 669.01 669.02 669.11 669.12 669.21 669.21 669.21 669.22 669.22 PC v2014A O74.2 O74.2 O74.3 O74.3 Oth pulmonary comp of anesthesia during the puerperium Cardiac comp of anesthesia during labor and delivery Cardiac comp of anesthesia during labor and delivery Cnsl complications of anesthesia during labor and delivery Cnsl complications of anesthesia during labor and delivery Toxic reaction to local anesthesia during labor and delivery Spinal and epidur anesthesia-induced hdache dur labr and del Oth comp of spinal and epidural anesth during labor and del Failed or difficult intubation for anesth dur labor and del ANESTH COMPL NECDELIVER ANESTH COMPL NECDELIVER ANESTH COMPL NECDELIVER ANESTH COMPL NECDELIVER ANESTH COMPL NECDELIVER ANESTH COMPL NEC-DEL P/P ANESTH COMPL NEC-DEL P/P ANESTH COMPL NEC-DEL P/P ANESTH COMPL NEC-DEL P/P ANESTH COMPL NEC-DEL P/P ANESTH COMPL NEC-DEL P/P ANESTH COMPL NOSDELIVER ANESTH COMPL NOS-DEL P/P ANESTH COMPL NOS-DEL P/P O74.4 MATERNAL DISTRESSDELIV MATERN DISTRES-DEL W P/P OBSTETRIC SHOCKDELIVER OBSTET SHOCK-DELIV W P/P MATERN HYPOTEN SYNDELIV MATERN HYPOTEN SYNDELIV MATERN HYPOTEN SYNDELIV MATERN HYPOTEN-DEL W P/P MATERN HYPOTEN-DEL W O75.0 Maternal distress during labor and delivery O75.0 Maternal distress during labor and delivery O75.1 Shock during or following labor and delivery O75.1 Shock during or following labor and delivery O26.51 Maternal hypotension syndrome, first trimester O26.52 Maternal hypotension syndrome, second trimester O26.53 Maternal hypotension syndrome, third trimester O26.51 Maternal hypotension syndrome, first trimester O26.52 Maternal hypotension syndrome, second trimester O74.5 O74.6 O74.7 O74.8 O74.4 O74.5 O74.6 O74.7 O74.8 O89.8 O74.9 O74.9 O89.9 Other complications of anesthesia during labor and delivery Toxic reaction to local anesthesia during labor and delivery Spinal and epidur anesthesia-induced hdache dur labr and del Oth comp of spinal and epidural anesth during labor and del Failed or difficult intubation for anesth dur labor and del Other complications of anesthesia during labor and delivery Other complications of anesthesia during the puerperium Complication of anesthesia during labor and delivery, unsp Complication of anesthesia during labor and delivery, unsp Complication of anesthesia during the puerperium, unsp 417 669.22 669.32 669.41 669.42 669.51 669.61 669.71 669.81 669.81 669.82 669.82 669.91 669.92 P/P MATERN HYPOTEN-DEL W P/P AC REN FAIL-DELIV W P/P OTH OB COMPLDELIVERED OTH OB COMPL-DELIV W P/P FORCEP DELIV NOSDELIVER BREECH EXTR NOSDELIVER CESAREAN DELIVERY NOS COMP LAB/DELIV NECDELIV COMP LAB/DELIV NECDELIV COMPL DEL NEC-DEL W P/P COMPL DEL NEC-DEL W P/P COMP LAB/DELIV NOSDELIV COMPL DEL NOS-DEL W P/P O26.53 Maternal hypotension syndrome, third trimester O90.4 O75.4 O66.5 Postpartum acute kidney failure Other complications of obstetric surgery and procedures Other complications of obstetric surgery and procedures Attempted application of vacuum extractor and forceps O64.1XX0 Obstructed labor due to breech presentation, unsp O82 Encounter for cesarean delivery without indication O75.81 Maternal exhaustion complicating labor and delivery O75.89 Other specified complications of labor and delivery O75.81 Maternal exhaustion complicating labor and delivery O75.89 Other specified complications of labor and delivery O75.9 Complication of labor and delivery, unspecified O75.9 Complication of labor and delivery, unspecified O75.4 Table 11.04 Complication of the Puerperium Code Description ICD-9CM Code 670.02 Major puerperal infection, delivered, with mention of postpartum complication 670.12 Puerperal endometritis, delivered, with mention of postpartum complication 670.22 Puerperal sepsis, delivered, with mention of postpartum complication 670.32 Puerperal septic thrombophlebitis, delivered, with mention of postpartum complication 670.82 Other major puerperal infection, delivered, with mention of postpartum complication 671.01 Varicose veins of legs complicating pregnancy and the puerperium, delivered, with or without mention of antepartum condition 671.01 Varicose veins of legs complicating pregnancy and the puerperium, delivered, with or without mention of antepartum condition 671.01 Varicose veins of legs complicating pregnancy and the puerperium, delivered, with or without mention of antepartum condition 671.02 Varicose veins of legs complicating pregnancy and the puerperium, delivered, with or without mention of antepartum condition PC v2014A ICD-10Code Description CM Code O86.89 Other specified puerperal infections O86.12 Endometritis following delivery O85 Puerperal sepsis O86.81 Puerperal septic thrombophlebitis O86.89 Other specified puerperal infections O22.01 Varicose veins of lower extremity in pregnancy, first trimester O22.02 Varicose veins of lower extremity in pregnancy, second trimester O22.03 Varicose veins of lower extremity in pregnancy, third trimester O87.4 Varicose veins of lower extremity in the puerperium 418 671.11 Varicose veins of legs complicating pregnancy and the O22.11 puerperium, delivered, with or without mention of antepartum condition 671.11 Varicose veins of legs complicating pregnancy and the O22.12 puerperium, delivered, with or without mention of antepartum condition 671.11 Varicose veins of legs complicating pregnancy and the O22.13 puerperium, delivered, with or without mention of antepartum condition 671.12 Varicose veins of legs complicating pregnancy and the O22.11 puerperium, delivered, with or without mention of antepartum condition 671.12 Varicose veins of legs complicating pregnancy and the O22.12 puerperium, delivered, with or without mention of antepartum condition 671.12 Varicose veins of legs complicating pregnancy and the O22.12 puerperium, delivered, with or without mention of antepartum condition 671.21 Varicose veins of legs complicating pregnancy and the O22.13 puerperium, delivered, with or without mention of antepartum condition 671.21 Varicose veins of legs complicating pregnancy and the O22.22 puerperium, delivered, with or without mention of antepartum condition 671.21 Varicose veins of legs complicating pregnancy and the O22.23 puerperium, delivered, with or without mention of antepartum condition 671.22 Varicose veins of legs complicating pregnancy and the O87.0 puerperium, delivered, with or without mention of antepartum condition 671.31 Deep phlebothrombosis, antepartum, delivered, with or O22.31 without mention of antepartum condition 671.31 Deep phlebothrombosis, antepartum, delivered, with or O22.32 without mention of antepartum condition 671.31 Deep phlebothrombosis, antepartum, delivered, with or O22.33 without mention of antepartum condition 671.42 Deep phlebothrombosis, postpartum, delivered, with mention O87.1 of postpartum complication 671.51 Other phlebitis and thrombosis complicating pregnancy and O22.51 the puerperium, delivered, with or without mention of antepartum condition 671.51 Other phlebitis and thrombosis complicating pregnancy and O22.52 the puerperium, delivered, with or without mention of antepartum condition 671.51 Other phlebitis and thrombosis complicating pregnancy and O22.53 the puerperium, delivered, with or without mention of antepartum condition 671.52 Other phlebitis and thrombosis complicating pregnancy and O87.3 the puerperium, delivered, with mention of postpartum complication 671.81 Other venous complications of pregnancy and the puerperium, O22.41 delivered, with or without mention of antepartum condition 671.81 Other venous complications of pregnancy and the puerperium, O22.42 delivered, with or without mention of antepartum condition 671.81 Other venous complications of pregnancy and the puerperium,O22.43 PC v2014A Genital varices in pregnancy, first trimester Genital varices in pregnancy, second trimester Genital varices in pregnancy, third trimester Genital varices in pregnancy, first trimester Genital varices in pregnancy, second trimester Genital varices in pregnancy, third trimester Superficial thrombophlebitis in pregnancy, first trimester Superficial thrombophlebitis in pregnancy, second trimester Superficial thrombophlebitis in pregnancy, third trimester Superficial thrombophlebitis in the puerperium Deep phlebothrombosis in pregnancy, first trimester Deep phlebothrombosis in pregnancy, second trimester Deep phlebothrombosis in pregnancy, third trimester Deep phlebothrombosis in the puerperium Cerebral venous thrombosis in pregnancy, first trimester Cerebral venous thrombosis in pregnancy, second trimester Cerebral venous thrombosis in pregnancy, third trimester Cerebral venous thrombosis in the puerperium Hemorrhoids in pregnancy, first trimester Hemorrhoids in pregnancy, second trimester Hemorrhoids in pregnancy, third 419 delivered, with or without mention of antepartum condition trimester 671.81 Other venous complications of pregnancy and the puerperium, O22.8X1Other venous complications in delivered, with or without mention of antepartum condition pregnancy, first trimester 671.81 Other venous complications of pregnancy and the puerperium, O22.8X2Other venous complications in delivered, with or without mention of antepartum condition pregnancy, second trimester 671.81 Other venous complications of pregnancy and the puerperium, O22.8X3Other venous complications in delivered, with or without mention of antepartum condition pregnancy, third trimester 671.82 Other venous complications of pregnancy and the puerperium, O87.2 Hemorrhoids in the puerperium delivered, with mention of postpartum complication 671.82 Other venous complications of pregnancy and the puerperium, O87.8 Other venous complications in the delivered, with mention of postpartum complication puerperium 671.91 Unspecified venous complication of pregnancy and the O22.91 Venous complication in pregnancy, puerperium, delivered, with or without mention of antepartum unspecified, first trimester condition 671.91 Unspecified venous complication of pregnancy and the O22.92 Venous complication in pregnancy, puerperium, delivered, with or without mention of antepartum unspecified, second trimester condition 671.91 Unspecified venous complication of pregnancy and the O22.93 Venous complication in pregnancy, puerperium, delivered, with or without mention of antepartum unspecified, third trimester condition 671.92 Unspecified venous complication of pregnancy and the O87.9 Venous complication in the puerperium, delivered, with mention of postpartum puerperium, unspecified complication 672.02 Pyrexia of unknown origin during the puerperium, delivered, O86.4 Pyrexia of unknown origin following with mention of postpartum complication delivery 673.01 Obstetrical air embolism, delivered, with or without mention of O88.011 Air embolism in pregnancy, first antepartum condition trimester 673.01 Obstetrical air embolism, delivered, with or without mention of O88.012 Air embolism in pregnancy, second antepartum condition trimester 673.01 Obstetrical air embolism, delivered, with or without mention of O88.013 Air embolism in pregnancy, third antepartum condition trimester 673.01 Obstetrical air embolism, delivered, with or without mention of O88.02 Air embolism in childbirth antepartum condition 673.02 Obstetrical air embolism, delivered, with mention of O88.02 Air embolism in childbirth postpartum complication 673.02 Obstetrical air embolism, delivered, with mention of O88.03 Air embolism in the puerperium postpartum complication 673.11 Amniotic fluid embolism, delivered, with or without mention of O88.111 Amniotic fluid embolism in antepartum condition pregnancy, first trimester 673.11 Amniotic fluid embolism, delivered, with or without mention of O88.111 Amniotic fluid embolism in antepartum condition pregnancy, second trimester 673.11 Amniotic fluid embolism, delivered, with or without mention of O88.111 Amniotic fluid embolism in antepartum condition pregnancy, third trimester 673.11 Amniotic fluid embolism, delivered, with or without mention of O88.12 Amniotic fluid embolism in antepartum condition childbirth 673.12 Amniotic fluid embolism, delivered, with mention of O88.12 Amniotic fluid embolism in postpartum complication childbirth 673.12 Amniotic fluid embolism, delivered, with mention of postpartum complication 673.21 Obstetrical blood-clot embolism, delivered, with or without mention of antepartum condition 673.21 Obstetrical blood-clot embolism, delivered, with or without mention of antepartum condition 673.21 Obstetrical blood-clot embolism, delivered, with or without PC v2014A O88.13 Amniotic fluid embolism in the puerperium O88.211 Thromboembolism in pregnancy, first trimester O88.212 Thromboembolism in pregnancy, second trimester O88.213 Thromboembolism in pregnancy, 420 mention of antepartum condition third trimester 673.21 Obstetrical blood-clot embolism, delivered, with or without O88.22 Thromboembolism in childbirth mention of antepartum condition 673.22 Obstetrical blood-clot embolism, delivered, with mention of O88.22 Thromboembolism in childbirth postpartum complication 673.22 Obstetrical blood-clot embolism, delivered, with mention of O88.23 Thromboembolism in the postpartum complication puerperium 673.31 Obstetrical pyemic and septic embolism, delivered, with or O88.311 Pyemic and septic embolism in without mention of antepartum condition pregnancy, first trimester 673.31 Obstetrical pyemic and septic embolism, delivered, with or O88.312 Pyemic and septic embolism in without mention of antepartum condition pregnancy, second trimester 673.31 Obstetrical pyemic and septic embolism, delivered, with or O88.313 Pyemic and septic embolism in without mention of antepartum condition pregnancy, third trimester 673.31 Obstetrical pyemic and septic embolism, delivered, with or O88.32 Pyemic and septic embolism in without mention of antepartum condition childbirth 673.32 Obstetrical pyemic and septic embolism, delivered, with O88.32 Pyemic and septic embolism in mention of postpartum complicaton childbirth 673.32 Obstetrical pyemic and septic embolism, delivered, with O88.33 Pyemic and septic embolism in the mention of postpartum complicaton puerperium 673.81 Other obstetrical pulmonary embolism, delivered, with or O88.811 Other embolism in pregnancy, first without mention of antepartum condition trimester 673.81 Other obstetrical pulmonary embolism, delivered, with or O88.812 Other embolism in pregnancy, without mention of antepartum condition second trimester 673.81 Other obstetrical pulmonary embolism, delivered, with or O88.813 Other embolism in pregnancy, third without mention of antepartum condition trimester 673.81 Other obstetrical pulmonary embolism, delivered, with or O88.813 Other embolism in childbirth without mention of antepartum condition 673.82 Other obstetrical pulmonary embolism, delivered, with mentionO88.811 Other embolism in pregnancy, first of postpartum complication trimester 673.82 Other obstetrical pulmonary embolism, delivered, with mentionO88.812 Other embolism in pregnancy, of postpartum complication second trimester 673.82 Other obstetrical pulmonary embolism, delivered, with mentionO88.812 Other embolism in pregnancy, third of postpartum complication trimester 673.82 Other obstetrical pulmonary embolism, delivered, with mentionO88.82 Other embolism in childbirth of postpartum complication 673.82 Other obstetrical pulmonary embolism, delivered, with mentionO88.83 Other embolism in the puerperium of postpartum complication 674.01 Cerebrovascular disorders in the puerperium, delivered, with O99.411 Diseases of the circulatory system or without mention of antepartum condition complicating pregnancy, first trimester 674.01 Cerebrovascular disorders in the puerperium, delivered, with O99.412 Diseases of the circulatory system or without mention of antepartum condition complicating pregnancy, second trimester 674.01 Cerebrovascular disorders in the puerperium, delivered, with O99.413 Diseases of the circulatory system or without mention of antepartum condition complicating pregnancy, third trimester 674.01 Cerebrovascular disorders in the puerperium, delivered, with or without mention of antepartum condition 674.02 Disruption of cesarean wound, delivered, with mention of postpartum complication 674.02 Cerebrovascular disorders in the puerperium, delivered, with mention of postpartum complication 674.22 Disruption of perineal wound, delivered, with mention of postpartum complication PC v2014A O99.42 Diseases of the circulatory system complicating childbirth O90.0 Disruption of cesarean delivery wound O99.42 Diseases of the circulatory system complicating childbirth O90.1 Disruption of perineal obstetric wound 421 674.32 Other complications of obstetrical surgical wounds, delivered, O86.0 with mention of postpartum complication 674.32 Other complications of obstetrical surgical wounds, delivered, O90.2 with mention of postpartum complication 674.42 Placental polyp, delivered, with mention of postpartum O90.89 complication Infection of obstetric surgical wound Hematoma of obstetric wound Other complications of the puerperium, not elsewhere classified 674.82 Other complications of puerperium, delivered, with mention of O90.89 Other complications of the postpartum complication puerperium, not elsewhere classified 674.92 Unspecified complications of puerperium, delivered, with O90.9 Complication of the puerperium, mention of postpartum complication unspecified 675.01 Infections of nipple associated with childbirth, delivered, with O91.011 Infection of nipple associated with or without mention of antepartum condition pregnancy, first trimester 675.01 Infections of nipple associated with childbirth, delivered, with O91.012 Infection of nipple associated with or without mention of antepartum condition pregnancy, second trimester 675.01 Infections of nipple associated with childbirth, delivered, with O91.013 Infection of nipple associated with or without mention of antepartum condition pregnancy, third trimester 675.02 Infections of nipple associated with childbirth, delivered, with O91.02 Infection of nipple associated with mention of postpartum complication the puerperium 675.11 Abscess of breast associated with childbirth, delivered, with O91.111 Abscess of breast associated with or without mention of antepartum condition pregnancy, first trimester 675.11 Abscess of breast associated with childbirth, delivered, with O91.112 Abscess of breast associated with or without mention of antepartum condition pregnancy, second trimester 675.11 Abscess of breast associated with childbirth, delivered, with O91.113 Abscess of breast associated with or without mention of antepartum condition pregnancy, third trimester 675.12 Abscess of breast associated with childbirth, delivered, with O91.12 Abscess of breast associated with mention of postpartum complication the puerperium 675.21 Nonpurulent mastitis associated with childbirth, delivered, with O91.211 Nonpurulent mastitis associated or without mention of antepartum condition with pregnancy, first trimester 675.21 Nonpurulent mastitis associated with childbirth, delivered, with O91.212 Nonpurulent mastitis associated or without mention of antepartum condition with pregnancy, second trimester 675.21 Nonpurulent mastitis associated with childbirth, delivered, with O91.213 Nonpurulent mastitis associated or without mention of antepartum condition with pregnancy, third trimester 675.22 Nonpurulent mastitis associated with childbirth, delivered, with O91.22 Nonpurulent mastitis associated mention of postpartum complication with the puerperium 675.81 Other specified infections of the breast and nipple associated O91.23 Nonpurulent mastitis associated with childbirth, delivered, with or without mention of antepartum with lactation condition 675.82 Other specified infections of the breast and nipple associated O91.23 Nonpurulent mastitis associated with childbirth, delivered, with mention of postpartum with lactation complication 675.91 Unspecified infection of the breast and nipple associated with O91.23 Nonpurulent mastitis associated childbirth, delivered, with or without mention of antepartum with lactation condition 675.92 Unspecified infection of the breast and nipple associated with O91.23 Nonpurulent mastitis associated childbirth, delivered, with mention of postpartum complication with lactation 676.01 Retracted nipple associated with childbirth, delivered, with or O92.011 Retracted nipple associated with without mention of antepartum condition pregnancy, first trimester 676.01 Retracted nipple associated with childbirth, delivered, with or O92.012 Retracted nipple associated with without mention of antepartum condition pregnancy, second trimester 676.01 Retracted nipple associated with childbirth, delivered, with or O92.013 Retracted nipple associated with without mention of antepartum condition pregnancy, third trimester 676.02 Retracted nipple associated with childbirth, delivered, with O92.03 Retracted nipple associated with PC v2014A 422 mention of postpartum complication 676.11 Cracked nipple associated with childbirth, delivered, with or without mention of antepartum condition 676.11 Cracked nipple associated with childbirth, delivered, with or without mention of antepartum condition 676.11 Cracked nipple associated with childbirth, delivered, with or without mention of antepartum condition 676.12 Cracked nipple associated with childbirth, delivered, with mention of postpartum complication 676.21 Engorgement of breasts associated with childbirth, delivered, with or without mention of antepartum condition lactation O92.111 Cracked nipple associated with pregnancy, first trimester O92.112 Cracked nipple associated with pregnancy, second trimester O92.113 Cracked nipple associated with pregnancy, third trimester O92.13 Cracked nipple associated with lactation O92.29 Other disorders of breast associated with pregnancy and the puerperium 676.22 Engorgement of breasts associated with childbirth, delivered, O92.29 Other disorders of breast with mention of postpartum complication associated with pregnancy and the puerperium 676.31 Other and unspecified disorder of breast associated with O92.20 Unspecified disorder of breast childbirth, delivered, with or without mention of antepartum associated with pregnancy and the condition puerperium 676.31 Other and unspecified disorder of breast associated with O92.29 Other disorders of breast childbirth, delivered, with or without mention of antepartum associated with pregnancy and the condition puerperium 676.32 Other and unspecified disorder of breast associated with O92.20 Unspecified disorder of breast childbirth, delivered, with mention of postpartum complication associated with pregnancy and the puerperium 676.32 Other and unspecified disorder of breast associated with O92.29 Other disorders of breast childbirth, delivered, with mention of postpartum complication associated with pregnancy and the puerperium 676.41 Failure of lactation, delivered, with or without mention of O92.3 Agalactia antepartum condition 676.42 Failure of lactation, delivered, with mention of postpartum O92.3 Agalactia complication 676.51 Suppressed lactation, delivered, with or without mention of O92.5 Suppressed lactation antepartum condition 676.52 Suppressed lactation, delivered, with mention of postpartum O92.5 Suppressed lactation complication 676.61 Galactorrhea associated with childbirth, delivered, with or O92.6 Galactorrhea without mention of antepartum condition 676.62 Galactorrhea associated with childbirth, delivered, with O92.6 Galactorrhea mention of postpartum complication 676.81 Other disorders of lactation, delivered, with or without mention O92.79 Other disorders of lactation of antepartum condition 676.82 Other disorders of lactation, delivered, with mention of O92.79 Other disorders of lactation postpartum complication 676.91 Unspecified disorder of lactation, delivered, with or without O92.70 Unspecified disorders of lactation mention of antepartum condition 676.92 Unspecified disorder of lactation, delivered, with mention of O92.70 Unspecified disorders of lactation postpartum complication Table 11.05 Medical Induction of Labor ICD-9CM Code PC v2014A Code Description ICD-10CM Code Code Description 423 73.01 73.4 Induction of labor by artificial 10900ZC rupture of membranes Induction of labor by artificial 10903ZC rupture of membranes Induction of labor by artificial 10904ZC rupture of membranes Induction of labor by artificial 10907ZC rupture of membranes Induction of labor by artificial 10908ZC rupture of membranes Other Surgical Induction of 0U7C7ZZ Labor Medical induction of labor 3E053VJ 73.4 Medical induction of labor 73.01 73.01 73.01 73.01 73.1 Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Open Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Percutaneous Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Percutaneous Endoscopic Approach Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Via Natural or Artificial Opening Drainage of Amniotic Fluid, Therapeutic from Products of Conception, Via Natural or Artificial Opening Endoscopic Dilation of Cervix, Via Natural or Artificial Opening Introduction of Other Hormone into Peripheral Artery, Percutaneous Approach 3E0DXGCIntroduction of Other Therapeutic Substance into Mouth and Pharynx, External Approach Table 11.06.1 Planned Cesarean Section in Labor Code Description ICD9-CM Code 64981Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with or without mention of antepartum condition 64982Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with mention of postpartum complication ICDCode Description 10-CM Code O7582Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section O7582Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section Table 11.06 Cesarean Section Code Description ICD-9-CM Code 74.0 Classical cesarean section 74.1 74.2 74.4 74.99 74.99 74.99 ICD-10-CM Code Description Code 10D00Z0 Extraction of Products of Conception, Classical, Open Approach Low cervical cesarean section 10D00Z1 Extraction of Products of Conception, Low Cervical, Open Approach Extraperitoneal cesarean section10D00Z2 Extraction of Products of Conception, Extraperitoneal, Open Approach Cesarean section of other 10D00Z0 Extraction of Products of Conception, Classical, Open specified type Approach Other cesarean section of 10D00Z0 Extraction of Products of Conception, Classical, Open unspecified type Approach Other cesarean section of 10D00Z1 Extraction of Products of Conception, Low Cervical, unspecified type Open Approach Other cesarean section of 10D00Z2 Extraction of Products of Conception, Extraperitoneal, unspecified type Open Approach Table 11.07 Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation PC v2014A 424 ICD-9Code Description CM Code 042 Human immunodeficiency virus [HIV] disease ICD-10CM Code B20 641.01Placenta previa without hemorrhage, delivered, with O44.01 or without mention of antepartum condition 641.01Placenta previa without hemorrhage, delivered, with O44.02 or without mention of antepartum condition 641.01Placenta previa without hemorrhage, delivered, with O44.03 or without mention of antepartum condition 641.11Hemorrhage from placenta previa, delivered, with or O44.11 without mention of antepartum condition 641.11Hemorrhage from placenta previa, delivered, with or O44.12 without mention of antepartum condition 641.11Hemorrhage from placenta previa, delivered, with or O44.13 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.8X1 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.8X2 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.8X3 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.91 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.92 without mention of antepartum condition 641.21Premature separation of placenta, delivered, with or O45.93 without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.001 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.002 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.003 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.011 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.012 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.013 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.021 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.022 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with O45.023 PC v2014A Code Description Human immunodeficiency virus [HIV] disease Placenta previa specified as without hemorrhage, first trimester Placenta previa specified as without hemorrhage, second trimester Placenta previa specified as without hemorrhage, third trimester Placenta previa with hemorrhage, first trimester Placenta previa with hemorrhage, second trimester Placenta previa with hemorrhage, third trimester Other premature separation of placenta, first trimester Other premature separation of placenta, second trimester Other premature separation of placenta, third trimester Premature separation of placenta, unspecified, first trimester Premature separation of placenta, unspecified, second trimester Premature separation of placenta, unspecified, third trimester Premature separation of placenta with coagulation defect, unspecified, first trimester Premature separation of placenta with coagulation defect, unspecified, second trimester Premature separation of placenta with coagulation defect, unspecified, third trimester Premature separation of placenta with afibrinogenemia, first trimester Premature separation of placenta with afibrinogenemia, second trimester Premature separation of placenta with afibrinogenemia, third trimester Premature separation of placenta with disseminated intravascular coagulation, first trimester Premature separation of placenta with disseminated intravascular coagulation, second trimester Premature separation of placenta with 425 coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition disseminated intravascular coagulation, third trimester O45.091 Premature separation of placenta with other coagulation defect, first trimester 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.31Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition 641.81Other antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.81Other antepartum hemorrhage, delivered, with or without mention of antepartum condition O46.093 Antepartum hemorrhage with other coagulation defect, third trimester PC v2014A O45.092 Premature separation of placenta with other coagulation defect, second trimester O45.093 Premature separation of placenta with other coagulation defect, third trimester O46.001 Antepartum hemorrhage with coagulation defect, unspecified, first trimester O46.002 Antepartum hemorrhage with coagulation defect, unspecified, second trimester O46.003 Antepartum hemorrhage with coagulation defect, unspecified, third trimester O46.011 Antepartum hemorrhage with afibrinogenemia, first trimester O46.012 Antepartum hemorrhage with afibrinogenemia, second trimester O46.013 Antepartum hemorrhage with afibrinogenemia, third trimester O46.021 Antepartum hemorrhage with disseminated intravascular coagulation, first trimester O46.022 Antepartum hemorrhage with disseminated intravascular coagulation, second trimester O46.023 Antepartum hemorrhage with disseminated intravascular coagulation, third trimester O46.091 Antepartum hemorrhage with other coagulation defect, first trimester O46.092 Antepartum hemorrhage with other coagulation defect, second trimester O67.0 Intrapartum hemorrhage with coagulation defect O46.8X1 Other antepartum hemorrhage, first trimester O46.8X2 Other antepartum hemorrhage, second trimester 426 641.81Other antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.81Other antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.91Unspecified antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.91Unspecified antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.91Unspecified antepartum hemorrhage, delivered, with or without mention of antepartum condition 641.91Unspecified antepartum hemorrhage, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition O46.8X3 Other antepartum hemorrhage, third trimester O67.8 Other intrapartum hemorrhage 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.01Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.11Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.11Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.11Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of O10.913 Unspecified pre-existing hypertension complicating pregnancy, third trimester PC v2014A O46.91 O46.92 O46.93 O67.9 Antepartum hemorrhage, unspecified, first trimester Antepartum hemorrhage, unspecified, second trimester Antepartum hemorrhage, unspecified, third trimester Intrapartum hemorrhage, unspecified O10.011 Pre-existing essential hypertension complicating pregnancy, first trimester O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester O10.013 Pre-existing essential hypertension complicating pregnancy, third trimester O10.02 Pre-existing essential hypertension complicating childbirth O10.911 Unspecified pre-existing hypertension complicating pregnancy, first trimester O10.912 Unspecified pre-existing hypertension complicating pregnancy, second trimester O10.92 Unspecified pre-existing hypertension complicating childbirth O10.411 Pre-existing secondary hypertension complicating pregnancy, first trimester O10.412 Pre-existing secondary hypertension complicating pregnancy, second trimester O10.413 Pre-existing secondary hypertension complicating pregnancy, third trimester 427 antepartum condition 642.11Hypertension secondary to renal disease, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, PC v2014A O10.42 Pre-existing secondary hypertension complicating childbirth O10.111 Pre-existing hypertensive heart disease complicating pregnancy, first trimester O10.112 Pre-existing hypertensive heart disease complicating pregnancy, second trimester O10.113 Pre-existing hypertensive heart disease complicating pregnancy, third trimester O10.12 Pre-existing hypertensive heart disease complicating childbirth O10.211 Pre-existing hypertensive chronic kidney disease complicating pregnancy, first trimester O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester O10.212 Pre-existing hypertensive chronic kidney disease complicating pregnancy, second trimester O10.213 Pre-existing hypertensive chronic kidney disease complicating pregnancy, third trimester O10.22 Pre-existing hypertensive chronic kidney disease complicating childbirth O10.311 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, first trimester O10.312 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, second trimester O10.313 Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, third trimester O10.32 Pre-existing hypertensive heart and chronic kidney disease complicating childbirth 428 delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Other pre-existing hypertension, complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 642.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition O11.1 Pre-existing hypertension with preeclampsia, first trimester O11.2 Pre-existing hypertension with preeclampsia, second trimester O11.3 Pre-existing hypertension with preeclampsia, third trimester O12.11 Gestational proteinuria, first trimester O12.12 Gestational proteinuria, second trimester O12.13 Gestational proteinuria, third trimester O12.21 Gestational edema with proteinuria, first trimester O12.22 Gestational edema with proteinuria, second trimester O12.23 Gestational edema with proteinuria, third trimester 642.31Transient hypertension of pregnancy, delivered , with or without mention of antepartum condition O13.1 642.31Transient hypertension of pregnancy, delivered , with or without mention of antepartum condition O13.2 642.31Transient hypertension of pregnancy, delivered , with or without mention of antepartum condition O13.3 Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, first trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, second trimester Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester Mild to moderate pre-eclampsia, second trimester Mild to moderate pre-eclampsia, third trimester Unspecified pre-eclampsia, second 642.32Transient hypertension of pregnancy, delivered, with O13.1 mention of postpartum complication 642.32Transient hypertension of pregnancy, delivered, with O13.2 mention of postpartum complication 642.32Transient hypertension of pregnancy, delivered, with O13.3 mention of postpartum complication 642.41Mild or unspecified pre-eclampsia, delivered, with or without mention of antepartum condition 642.41Mild or unspecified pre-eclampsia, delivered, with or without mention of antepartum condition 642.41Mild or unspecified pre-eclampsia, delivered, with PC v2014A O14.02 O14.03 O14.92 429 or without mention of antepartum condition 642.41Mild or unspecified pre-eclampsia, delivered, with or without mention of antepartum condition 642.42Mild or unspecified pre-eclampsia, delivered, with mention of postpartum complication 642.42Mild or unspecified pre-eclampsia, delivered, with mention of postpartum complication 642.51Severe pre-eclampsia, delivered, with or without mention of antepartum condition 642.51Severe pre-eclampsia, delivered, with or without mention of antepartum condition 642.51Severe pre-eclampsia, delivered, with or without mention of antepartum condition 642.51Severe pre-eclampsia, delivered, with or without mention of antepartum condition 642.52Severe pre-eclampsia, delivered, with mention of postpartum complication 642.52Severe pre-eclampsia, delivered, with mention of postpartum complication 642.52Severe pre-eclampsia, delivered, with mention of postpartum complication 642.52Severe pre-eclampsia, delivered, with mention of postpartum complication 642.61Eclampsia, delivered, with or without mention of antepartum condition 642.61Eclampsia, delivered, with or without mention of antepartum condition 642.61Eclampsia, delivered, with or without mention of antepartum condition 642.62Eclampsia, delivered, with mention of postpartum complication 642.71Pre-eclampsia or eclampsia superimposed on preexisting hypertension, delivered, with or without mention of antepartum condition 642.71Pre-eclampsia or eclampsia superimposed on preexisting hypertension, delivered, with or without mention of antepartum condition 642.71Pre-eclampsia or eclampsia superimposed on preexisting hypertension, delivered, with or without mention of antepartum condition 642.72Pre-eclampsia or eclampsia superimposed on preexisting hypertension, delivered, with mention of postpartum complication 642.91Unspecified hypertension,complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 642.91Unspecified hypertension,complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 642.91Unspecified hypertension,complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 645.11Post term pregnancy, delivered, with or without mention of antepartum condition PC v2014A O14.93 O14.02 trimester Unspecified pre-eclampsia, third trimester O14.12 Mild to moderate pre-eclampsia, second trimester Mild to moderate pre-eclampsia, third trimester Severe pre-eclampsia, second trimester O14.13 Severe pre-eclampsia, third trimester O14.22 O14.23 HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester O14.12 Severe pre-eclampsia, second trimester O14.13 Severe pre-eclampsia, third trimester O14.22 O14.23 HELLP syndrome (HELLP), second trimester HELLP syndrome (HELLP), third trimester O15.02 Eclampsia in pregnancy, second trimester O15.03 Eclampsia in pregnancy, third trimester O15.1 Eclampsia in labor O15.2 Eclampsia in the puerperium O11.1 Pre-existing hypertension with preeclampsia, first trimester O11.2 Pre-existing hypertension with preeclampsia, second trimester O11.3 Pre-existing hypertension with preeclampsia, third trimester O15.2 Eclampsia in the puerperium O16.1 Unspecified maternal hypertension, first trimester O16.2 Unspecified maternal hypertension, second trimester O16.3 Unspecified maternal hypertension, third trimester O48.0 Post-term pregnancy O14.03 430 646.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 646.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 646.21Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with or without mention of antepartum condition 646.22Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with mention of postpartum complication 646.22Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with mention of postpartum complication 646.22Unspecified renal disease in pregnancy, without mention of hypertension, delivered, with mention of postpartum complication 646.71Liver and biliary tract disorders in pregnancy, delivered, with or without mention of antepartum condition 646.71Liver and biliary tract disorders in pregnancy, delivered, with or without mention of antepartum condition 646.71Liver and biliary tract disorders in pregnancy, delivered, with or without mention of antepartum condition 646.71Liver and biliary tract disorders in pregnancy, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating PC v2014A O26.831 Pregnancy related renal disease, first trimester O26.832 Pregnancy related renal disease, second trimester O26.833 Pregnancy related renal disease, third trimester O26.831 Pregnancy related renal disease, first trimester O26.832 Pregnancy related renal disease, second trimester O26.833 Pregnancy related renal disease, third trimester O26.611 Liver and biliary tract disorders in pregnancy, first trimester O26.612 Liver and biliary tract disorders in pregnancy, second trimester O26.613 Liver and biliary tract disorders in pregnancy, third trimester O2.662 Liver and biliary tract disorders in childbirth O24.011 Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester O24.012 Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester O24.013 Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester O24.02 Pre-existing diabetes mellitus, type 1, in childbirth O24.111 Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester O24.112 Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester O24.113 Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester O24.12 Pre-existing diabetes mellitus, type 2, in childbirth O24.311 Unspecified pre-existing diabetes mellitus in 431 pregnancy, childbirth, or the puerperium, delivered, pregnancy, first trimester with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating O24.312 Unspecified pre-existing diabetes mellitus in pregnancy, childbirth, or the puerperium, delivered, pregnancy, second trimester with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating O24.313 Unspecified pre-existing diabetes mellitus in pregnancy, childbirth, or the puerperium, delivered, pregnancy, third trimester with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition O24.32 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.81Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition 648.82Abnormal glucose tolerance of mother, delivered, with mention of postpartum complication 649.31Coagulation defects complicating pregnancy, O99.810 Abnormal glucose complicating pregnancy PC v2014A Unspecified pre-existing diabetes mellitus in childbirth O24.811 Other pre-existing diabetes mellitus in pregnancy, first trimester O24.812 Other pre-existing diabetes mellitus in pregnancy, second trimester O24.813 Other pre-existing diabetes mellitus in pregnancy, third trimester O24.82 Other pre-existing diabetes mellitus in childbirth O24.911 Unspecified diabetes mellitus in pregnancy, first trimester O24.912 Unspecified diabetes mellitus in pregnancy, second trimester O24.913 Unspecified diabetes mellitus in pregnancy, third trimester O24.92 Unspecified diabetes mellitus in childbirth O24.410 Gestational diabetes mellitus in pregnancy, diet controlled O24.414 Gestational diabetes mellitus in pregnancy, insulin controlled O24.419 Gestational diabetes mellitus in pregnancy, unspecified control O24.420 Gestational diabetes mellitus in childbirth, diet controlled O24.424 Gestational diabetes mellitus in childbirth, insulin controlled O24.429 Gestational diabetes mellitus in childbirth, unspecified control O99.814 Abnormal glucose complicating childbirth O99.815 Abnormal glucose complicating the puerperium O99.111 Other diseases of the blood and blood432 childbirth, or the puerperium, delivered, with or without mention of antepartum condition 649.31Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition O99.112 649.31Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition O99.113 649.31Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition O99.12 651.01Twin pregnancy, delivered, with or without mention O30.001 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.002 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.003 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.011 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.012 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.013 of antepartum condition 651.01Twin pregnancy, delivered, with or without mention O30.031 of antepartum condition forming organs and certain disorders involving the immune mechanism complicating pregnancy, first trimester Other diseases of the blood and bloodforming organs and certain disorders involving the immune mechanism complicating pregnancy, second trimester Other diseases of the blood and bloodforming organs and certain disorders involving the immune mechanism complicating pregnancy, third trimester Other diseases of the blood and bloodforming organs and certain disorders involving the immune mechanism complicating childbirth Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Twin pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Twin pregnancy, monochorionic/monoamniotic, first trimester Twin pregnancy, monochorionic/monoamniotic, second trimester Twin pregnancy, monochorionic/monoamniotic, third trimester Twin pregnancy, monochorionic/diamniotic, first trimester 651.01Twin pregnancy, delivered, with or without mention of antepartum condition 651.01Twin pregnancy, delivered, with or without mention of antepartum condition 651.01Twin pregnancy, delivered, with or without mention of antepartum condition 651.01Twin pregnancy, delivered, with or without mention of antepartum condition 651.01Twin pregnancy, delivered, with or without mention of antepartum condition 651.01Twin pregnancy, delivered, with or without mention of antepartum condition O30.032 Twin pregnancy, monochorionic/diamniotic, second trimester O30.033 Twin pregnancy, monochorionic/diamniotic, third trimester O30.041 Twin pregnancy, dichorionic/diamniotic, first trimester O30.042 Twin pregnancy, dichorionic/diamniotic, second trimester O30.043 Twin pregnancy, dichorionic/diamniotic, third trimester O30.091 Twin pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester 651.01Twin pregnancy, delivered, with or without mention O30.092 Twin pregnancy, unable to determine of antepartum condition number of placenta and number of amniotic sacs, second trimester 651.01Twin pregnancy, delivered, with or without mention O30.093 Twin pregnancy, unable to determine of antepartum condition number of placenta and number of amniotic sacs, third trimester 651.11Triplet pregnancy, delivered, with or without mention O30.101 Triplet pregnancy, unspecified number of of antepartum condition placenta and unspecified number of PC v2014A 433 651.11Triplet pregnancy, delivered, with or without mention O30.102 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.103 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.111 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.112 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.113 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.121 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.122 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.123 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.191 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.192 of antepartum condition 651.11Triplet pregnancy, delivered, with or without mention O30.193 of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.201 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.202 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.203 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.211 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.292 PC v2014A O30.212 O30.213 O30.221 O30.222 O30.223 O30.291 amniotic sacs, first trimester Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Triplet pregnancy with two or more monochorionic fetuses, first trimester Triplet pregnancy with two or more monochorionic fetuses, second trimester Triplet pregnancy with two or more monochorionic fetuses, third trimester Triplet pregnancy with two or more monoamniotic fetuses, first trimester Triplet pregnancy with two or more monoamniotic fetuses, second trimester Triplet pregnancy with two or more monoamniotic fetuses, third trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, first trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, second trimester Quadruplet pregnancy, unspecified number of placenta and unspecified number of amniotic sacs, third trimester Quadruplet pregnancy with two or more monochorionic fetuses, first trimester Quadruplet pregnancy with two or more monochorionic fetuses, second trimester Quadruplet pregnancy with two or more monochorionic fetuses, third trimester Quadruplet pregnancy with two or more monoamniotic fetuses, first trimester Quadruplet pregnancy with two or more monoamniotic fetuses, second trimester Quadruplet pregnancy with two or more monoamniotic fetuses, third trimester Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, first trimester Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, second trimester 434 651.21Quadruplet pregnancy, delivered, with or without mention of antepartum condition O30.293 Quadruplet pregnancy, unable to determine number of placenta and number of amniotic sacs, third trimester 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition 651.31Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition O31.11X0 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, not applicable or unspecified O31.11X1 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 1 O31.11X2 Continuing pregnancy after spontaneous abortion of one fetus or more, first trimester, fetus 2 O31.12X0 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, not applicable or unspecified O31.12X1 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 1 O31.12X2 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 2 O31.13X0 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecified O31.13X1 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 1 O31.13X2 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, fetus 2 O31.21X0 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, not applicable or unspecified O31.21X1 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 1 O31.21X2 Continuing pregnancy after intrauterine death of one fetus or more, first trimester, fetus 2 O31.22X0 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, not applicable or unspecified O31.22X1 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 1 O31.22X2 Continuing pregnancy after intrauterine death of one fetus or more, second trimester, fetus 2 O31.23X0 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, not applicable or unspecified O31.23X1 Continuing pregnancy after intrauterine death of one fetus or more, third trimester, fetus 1 PC v2014A 435 651.31Twin pregnancy with fetal loss and retention of one O31.23X2 Continuing pregnancy after intrauterine fetus, delivered, with or without mention of death of one fetus or more, third trimester, antepartum condition fetus 2 651.41Triplet pregnancy with fetal loss and retention of one O31.11X0 Continuing pregnancy after spontaneous or more fetus(es), delivered, with or without mention abortion of one fetus or more, first trimester, of antepartum condition not applicable or unspecified 651.51Quadruplet pregnancy with fetal loss and retention ofO31.11X0 Continuing pregnancy after spontaneous one or more fetus(es), delivered, with or without abortion of one fetus or more, first trimester, mention of antepartum condition not applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.11X0 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition not applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.11X1 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition fetus 1 651.51Other multiple pregnancy with fetal loss and O31.11X2 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition fetus 2 651.51Other multiple pregnancy with fetal loss and O31.11X3 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition fetus 3 651.51Other multiple pregnancy with fetal loss and O31.11X4 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition fetus 4 651.51Other multiple pregnancy with fetal loss and O31.11X5 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition fetus 5 651.51Other multiple pregnancy with fetal loss and O31.11X9 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, first trimester, without mention of antepartum condition other fetus 651.51Other multiple pregnancy with fetal loss and O31.12X0 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, second without mention of antepartum condition trimester, not applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.12X1 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, second without mention of antepartum condition trimester, fetus 1 651.51Other multiple pregnancy with fetal loss and O31.12X2 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, second without mention of antepartum condition trimester, fetus 2 651.51Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition 651.51Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition 651.51Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition 651.51Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition 651.51Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition PC v2014A O31.12X3 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 3 O31.12X4 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 4 O31.12X5 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, fetus 5 O31.12X9 Continuing pregnancy after spontaneous abortion of one fetus or more, second trimester, other fetus O31.13X0 Continuing pregnancy after spontaneous abortion of one fetus or more, third trimester, not applicable or unspecified 436 651.51Other multiple pregnancy with fetal loss and O31.13X1 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition fetus 1 651.51Other multiple pregnancy with fetal loss and O31.13X2 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition fetus 2 651.51Other multiple pregnancy with fetal loss and O31.13X3 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition fetus 3 651.51Other multiple pregnancy with fetal loss and O31.13X4 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition fetus 4 651.51Other multiple pregnancy with fetal loss and O31.13X5 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition fetus 5 651.51Other multiple pregnancy with fetal loss and O31.13X9 Continuing pregnancy after spontaneous retention of one or more fetus(es), delivered, with or abortion of one fetus or more, third trimester, without mention of antepartum condition other fetus 651.51Other multiple pregnancy with fetal loss and O31.21X0 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, not without mention of antepartum condition applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.21X1 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition fetus 1 651.51Other multiple pregnancy with fetal loss and O31.21X2 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition fetus 2 651.51Other multiple pregnancy with fetal loss and O31.21X3 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition fetus 3 651.51Other multiple pregnancy with fetal loss and O31.21X4 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition fetus 4 651.51Other multiple pregnancy with fetal loss and O31.21X5 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition fetus 5 651.51Other multiple pregnancy with fetal loss and O31.21X9 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, first trimester, without mention of antepartum condition other fetus 651.51Other multiple pregnancy with fetal loss and O31.22X0 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, not applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.22X1 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, fetus 1 651.51Other multiple pregnancy with fetal loss and O31.22X2 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, fetus 2 651.51Other multiple pregnancy with fetal loss and O31.22X3 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, fetus 3 651.51Other multiple pregnancy with fetal loss and O31.22X4 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, fetus 4 651.51Other multiple pregnancy with fetal loss and O31.22X5 Continuing pregnancy after intrauterine PC v2014A 437 retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, fetus 5 651.51Other multiple pregnancy with fetal loss and O31.22X9 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, second without mention of antepartum condition trimester, other fetus 651.51Other multiple pregnancy with fetal loss and O31.23X0 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition not applicable or unspecified 651.51Other multiple pregnancy with fetal loss and O31.23X1 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition fetus 1 651.51Other multiple pregnancy with fetal loss and O31.23X2 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition fetus 2 651.51Other multiple pregnancy with fetal loss and O31.23X3 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition fetus 3 651.51Other multiple pregnancy with fetal loss and O31.23X4 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition fetus 4 651.51Other multiple pregnancy with fetal loss and O31.23X5 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition fetus 5 651.51Other multiple pregnancy with fetal loss and O31.23X9 Continuing pregnancy after intrauterine retention of one or more fetus(es), delivered, with or death of one fetus or more, third trimester, without mention of antepartum condition other fetus 651.71Multiple gestation following (elective) fetal O31.31X0 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition not applicable or unspecified 651.71Multiple gestation following (elective) fetal O31.31X1 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition fetus 1 651.71Multiple gestation following (elective) fetal O31.31X2 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition fetus 2 651.71Multiple gestation following (elective) fetal O31.31X3 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition fetus 3 651.71Multiple gestation following (elective) fetal O31.31X4 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition fetus 4 651.71Multiple gestation following (elective) fetal O31.31X5 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition fetus 5 651.71Multiple gestation following (elective) fetal O31.31X9 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, first trimester, antepartum condition other fetus 651.71Multiple gestation following (elective) fetal O31.32X0 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, second antepartum condition trimester, not applicable or unspecified 651.71Multiple gestation following (elective) fetal O31.32X1 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, second antepartum condition trimester, fetus 1 651.71Multiple gestation following (elective) fetal O31.32X2 Continuing pregnancy after elective fetal PC v2014A 438 reduction,delivered, with or without mention of antepartum condition 651.71Multiple gestation following (elective) fetal reduction,delivered, with or without mention of antepartum condition reduction of one fetus or more, second trimester, fetus 2 O31.32X3 Continuing pregnancy after elective fetal reduction of one fetus or more, second trimester, fetus 3 651.71Multiple gestation following (elective) fetal O31.32X4 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, second antepartum condition trimester, fetus 4 651.71Multiple gestation following (elective) fetal O31.32X5 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, second antepartum condition trimester, fetus 5 651.71Multiple gestation following (elective) fetal O31.32X9 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, second antepartum condition trimester, other fetus 651.71Multiple gestation following (elective) fetal O31.33X0 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, not applicable or unspecified 651.71Multiple gestation following (elective) fetal O31.33X1 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, fetus 1 651.71Multiple gestation following (elective) fetal O31.33X2 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, fetus 2 651.71Multiple gestation following (elective) fetal O31.33X3 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, fetus 3 651.71Multiple gestation following (elective) fetal O31.33X4 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, fetus 4 651.71Multiple gestation following (elective) fetal O31.33X5 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, fetus 5 651.71Multiple gestation following (elective) fetal O31.33X9 Continuing pregnancy after elective fetal reduction,delivered, with or without mention of reduction of one fetus or more, third antepartum condition trimester, other fetus 651.81Other specified multiple gestation, delivered, with or O30.801 Other specified multiple gestation, without mention of antepartum condition unspecified number of placenta and unspecified number of amniotic sacs, first trimester 651.81Other specified multiple gestation, delivered, with or O30.802 Other specified multiple gestation, without mention of antepartum condition unspecified number of placenta and unspecified number of amniotic sacs, second trimester 651.81Other specified multiple gestation, delivered, with or O30.803 Other specified multiple gestation, without mention of antepartum condition unspecified number of placenta and unspecified number of amniotic sacs, third trimester 651.81Other specified multiple gestation, delivered, with or O30.811 Other specified multiple gestation with two or without mention of antepartum condition more monochorionic fetuses, first trimester 651.81Other specified multiple gestation, delivered, with or O30.812 Other specified multiple gestation with two or without mention of antepartum condition more monochorionic fetuses, second trimester 651.81Other specified multiple gestation, delivered, with or O30.813 Other specified multiple gestation with two or without mention of antepartum condition more monochorionic fetuses, third trimester PC v2014A 439 651.81Other specified multiple gestation, delivered, with or O30.821 without mention of antepartum condition 651.81Other specified multiple gestation, delivered, with or O30.822 without mention of antepartum condition Other specified multiple gestation with two or more monoamniotic fetuses, first trimester Other specified multiple gestation with two or more monoamniotic fetuses, second trimester 651.81Other specified multiple gestation, delivered, with or O30.823 Other specified multiple gestation with two or without mention of antepartum condition more monoamniotic fetuses, third trimester 651.81Other specified multiple gestation, delivered, with or O30.891 Other specified multiple gestation, unable to without mention of antepartum condition determine number of placenta and number of amniotic sacs, first trimester 651.81Other specified multiple gestation, delivered, with or O30.892 Other specified multiple gestation, unable to without mention of antepartum condition determine number of placenta and number of amniotic sacs, second trimester 651.81Other specified multiple gestation, delivered, with or O30.893 Other specified multiple gestation, unable to without mention of antepartum condition determine number of placenta and number of amniotic sacs, third trimester 651.81Other specified multiple gestation, delivered, with or O31.8X10 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, not applicable or unspecified 651.81Other specified multiple gestation, delivered, with or O31.8X11 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, fetus 1 651.81Other specified multiple gestation, delivered, with or O31.8X12 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, fetus 2 651.81Other specified multiple gestation, delivered, with or O31.8X13 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, fetus 3 651.81Other specified multiple gestation, delivered, with or O31.8X14 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, fetus 4 651.81Other specified multiple gestation, delivered, with or O31.8X15 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, fetus 5 651.81Other specified multiple gestation, delivered, with or O31.8X19 Other complications specific to multiple without mention of antepartum condition gestation, first trimester, other fetus 651.81Other specified multiple gestation, delivered, with or O31.8X20 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, not applicable or unspecified 651.81Other specified multiple gestation, delivered, with or O31.8X21 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, fetus 1 651.81Other specified multiple gestation, delivered, with or O31.8X22 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, fetus 2 651.81Other specified multiple gestation, delivered, with or O31.8X23 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, fetus 3 651.81Other specified multiple gestation, delivered, with or O31.8X24 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, fetus 4 651.81Other specified multiple gestation, delivered, with or O31.8X25 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, fetus 5 651.81Other specified multiple gestation, delivered, with or O31.8X29 Other complications specific to multiple without mention of antepartum condition gestation, second trimester, other fetus 651.81Other specified multiple gestation, delivered, with or O31.8X30 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, not applicable or unspecified 651.81Other specified multiple gestation, delivered, with or O31.8X31 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, fetus 1 651.81Other specified multiple gestation, delivered, with or O31.8X32 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, fetus 2 651.81Other specified multiple gestation, delivered, with or O31.8X33 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, fetus 3 PC v2014A 440 651.81Other specified multiple gestation, delivered, with or O31.8X34 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, fetus 4 651.81Other specified multiple gestation, delivered, with or O31.8X35 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, fetus 5 651.81Other specified multiple gestation, delivered, with or O31.8X39 Other complications specific to multiple without mention of antepartum condition gestation, third trimester, other fetus 651.91Unspecified multiple gestation, delivered, with or O30.91 Multiple gestation, unspecified, first trimester without mention of antepartum condition 651.91Unspecified multiple gestation, delivered, with or O30.92 Multiple gestation, unspecified, second without mention of antepartum condition trimester 651.91Unspecified multiple gestation, delivered, with or O30.93 Multiple gestation, unspecified, third without mention of antepartum condition trimester 652.01Unstable lie, delivered, with or without mention of O32.0XX0Maternal care for unstable lie, not applicable antepartum condition or unspecified 652.01Unstable lie, delivered, with or without mention of O32.0XX1Maternal care for unstable lie, fetus 1 antepartum condition 652.01Unstable lie, delivered, with or without mention of O32.0XX2Maternal care for unstable lie, fetus 2 antepartum condition 652.01Unstable lie, delivered, with or without mention of O32.0XX3Maternal care for unstable lie, fetus 3 antepartum condition 652.01Unstable lie, delivered, with or without mention of O32.0XX4Maternal care for unstable lie, fetus 4 antepartum condition 652.01Unstable lie, delivered, with or without mention of O32.0XX5Maternal care for unstable lie, fetus 5 antepartum condition 652.01Unstable lie, delivered, with or without mention of O32.0XX9Maternal care for unstable lie, other fetus antepartum condition 652.61Multiple gestation with malpresentation of one fetus O32.9XX0Maternal care for malpresentation of fetus, or more, delivered, unspecified, not applicable or unspecified 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 652.61Multiple gestation with malpresentation of one fetus or more, delivered, 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition PC v2014A O32.9XX1Maternal care for malpresentation of fetus, unspecified, fetus 1 O32.9XX2Maternal care for malpresentation of fetus, unspecified, fetus 2 O32.9XX3Maternal care for malpresentation of fetus, unspecified, fetus 3 O32.9XX4Maternal care for malpresentation of fetus, unspecified, fetus 4 O32.9XX5Maternal care for malpresentation of fetus, unspecified, fetus 5 O32.9XX9Maternal care for malpresentation of fetus, unspecified, other fetus O66.6 Obstructed labor due to other multiple fetuses O35.0XX0Maternal care for (suspected) central nervous system malformation in fetus, not applicable or unspecified O35.0XX1Maternal care for (suspected) central nervous system malformation in fetus, fetus 1 O35.0XX2Maternal care for (suspected) central nervous system malformation in fetus, fetus 2 O35.0XX3Maternal care for (suspected) central nervous system malformation in fetus, fetus 3 441 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.01Central nervous system malformation in fetus, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition 655.11Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition O35.0XX4Maternal care for (suspected) central nervous system malformation in fetus, fetus 4 O35.0XX5Maternal care for (suspected) central nervous system malformation in fetus, fetus 5 O35.0XX9Maternal care for (suspected) central nervous system malformation in fetus, other fetus O35.1XX0Maternal care for (suspected) chromosomal abnormality in fetus, not applicable or unspecified O35.1XX1Maternal care for (suspected) chromosomal abnormality in fetus, fetus 1 O35.1XX2Maternal care for (suspected) chromosomal abnormality in fetus, fetus 2 O35.1XX3Maternal care for (suspected) chromosomal abnormality in fetus, fetus 3 O35.1XX4Maternal care for (suspected) chromosomal abnormality in fetus, fetus 4 O35.1XX5Maternal care for (suspected) chromosomal abnormality in fetus, fetus 5 655.11Chromosomal abnormality in fetus, affecting O35.1XX9Maternal care for (suspected) chromosomal management of mother, delivered, with or without abnormality in fetus, other fetus mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX0Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, not with or without mention of antepartum condition applicable or unspecified 655.31Suspected damage to fetus from viral disease in theO35.3XX1Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, fetus 1 with or without mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX2Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, fetus 2 with or without mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX3Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, fetus 3 with or without mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX4Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, fetus 4 with or without mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX5Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, fetus 5 with or without mention of antepartum condition 655.31Suspected damage to fetus from viral disease in theO35.3XX9Maternal care for (suspected) damage to mother, affecting management of mother, delivered, fetus from viral disease in mother, other fetus with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX0Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, not applicable or delivered, with or without mention of antepartum unspecified PC v2014A 442 condition 655.41Suspected damage to fetus from other disease in O35.4XX1Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, fetus 1 delivered, with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX2Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, fetus 2 delivered, with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX3Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, fetus 3 delivered, with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX4Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, fetus 4 delivered, with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX5Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, fetus 5 delivered, with or without mention of antepartum condition 655.41Suspected damage to fetus from other disease in O35.4XX9Maternal care for (suspected) damage to the mother, affecting management of mother, fetus from alcohol, other fetus delivered, with or without mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX0Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, not applicable or unspecified mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX1Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, fetus 1 mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX2Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, fetus 2 mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX3Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, fetus 3 mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX4Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, fetus 4 mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX5Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, fetus 5 mention of antepartum condition 655.51Suspected damage to fetus from drugs, affecting O35.5XX9Maternal care for (suspected) damage to management of mother, delivered, with or without fetus by drugs, other fetus mention of antepartum condition 655.61Suspected damage to fetus from radiation, affecting O35.6XX0Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, not applicable or unspecified 655.61Suspected damage to fetus from radiation, affecting O35.6XX1Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, fetus 1 655.61Suspected damage to fetus from radiation, affecting O35.6XX2Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, fetus 2 655.61Suspected damage to fetus from radiation, affecting O35.6XX3Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, fetus 3 PC v2014A 443 655.61Suspected damage to fetus from radiation, affecting O35.6XX4Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, fetus 4 655.61Suspected damage to fetus from radiation, affecting O35.6XX5Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, fetus 5 655.61Suspected damage to fetus from radiation, affecting O35.6XX9Maternal care for (suspected) damage to management of mother, delivered, fetus by radiation, other fetus 655.81Other known or suspected fetal abnormality, not O35.8XX0Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, not applicable or mother, delivered, with or without mention of unspecified antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX1Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, fetus 1 mother, delivered, with or without mention of antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX2Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, fetus 2 mother, delivered, with or without mention of antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX3Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, fetus 3 mother, delivered, with or without mention of antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX4Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, fetus 4 mother, delivered, with or without mention of antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX5Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, fetus 5 mother, delivered, with or without mention of antepartum condition 655.81Other known or suspected fetal abnormality, not O35.8XX9Maternal care for other (suspected) fetal elsewhere classified, affecting management of abnormality and damage, other fetus mother, delivered, with or without mention of antepartum condition 656.01Fetal-maternal hemorrhage, delivered, with or O43.011 Fetomaternal placental transfusion without mention of antepartum condition syndrome, first trimester 656.01Fetal-maternal hemorrhage, delivered, with or O43.012 Fetomaternal placental transfusion without mention of antepartum condition syndrome, second trimester 656.01Fetal-maternal hemorrhage, delivered, with or O43.013 Fetomaternal placental transfusion without mention of antepartum condition syndrome, third trimester 656.01Fetal-maternal hemorrhage, delivered, with or O43.021 Fetus-to-fetus placental transfusion without mention of antepartum condition syndrome, first trimester 656.01Fetal-maternal hemorrhage, delivered, with or O43.022 Fetus-to-fetus placental transfusion without mention of antepartum condition syndrome, second trimester 656.01Fetal-maternal hemorrhage, delivered, with or O43.023 Fetus-to-fetus placental transfusion without mention of antepartum condition syndrome, third trimester 656.11Rhesus isoimmunization, delivered, with or without O36.0110 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without O36.0111 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, fetus 1 656.11Rhesus isoimmunization, delivered, with or without O36.0112 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, fetus 2 656.11Rhesus isoimmunization, delivered, with or without O36.0113 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, fetus 3 656.11Rhesus isoimmunization, delivered, with or without O36.0114 Maternal care for anti-D [Rh] antibodies, first PC v2014A 444 mention of antepartum condition trimester, fetus 4 656.11Rhesus isoimmunization, delivered, with or without O36.0115 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, fetus 5 656.11Rhesus isoimmunization, delivered, with or without O36.0119 Maternal care for anti-D [Rh] antibodies, first mention of antepartum condition trimester, other fetus 656.11Rhesus isoimmunization, delivered, with or without O36.0120 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without O36.0121 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, fetus 1 656.11Rhesus isoimmunization, delivered, with or without O36.0122 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, fetus 2 656.11Rhesus isoimmunization, delivered, with or without O36.0123 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, fetus 3 656.11Rhesus isoimmunization, delivered, with or without O36.0124 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, fetus 4 656.11Rhesus isoimmunization, delivered, with or without O36.0125 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, fetus 5 656.11Rhesus isoimmunization, delivered, with or without O36.0129 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition second trimester, other fetus 656.11Rhesus isoimmunization, delivered, with or without O36.0130 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without O36.0131 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, fetus 1 656.11Rhesus isoimmunization, delivered, with or without O36.0132 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, fetus 2 656.11Rhesus isoimmunization, delivered, with or without O36.0133 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, fetus 3 656.11Rhesus isoimmunization, delivered, with or without O36.0134 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, fetus 4 656.11Rhesus isoimmunization, delivered, with or without O36.0135 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, fetus 5 656.11Rhesus isoimmunization, delivered, with or without O36.0139 Maternal care for anti-D [Rh] antibodies, mention of antepartum condition third trimester, other fetus 656.11Rhesus isoimmunization, delivered, with or without O36.0910 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without O36.0911 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, fetus 1 656.11Rhesus isoimmunization, delivered, with or without O36.0912 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, fetus 2 656.11Rhesus isoimmunization, delivered, with or without O36.0913 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, fetus 3 656.11Rhesus isoimmunization, delivered, with or without O36.0914 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, fetus 4 656.11Rhesus isoimmunization, delivered, with or without O36.0915 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, fetus 5 656.11Rhesus isoimmunization, delivered, with or without O36.0919 Maternal care for other rhesus mention of antepartum condition isoimmunization, first trimester, other fetus 656.11Rhesus isoimmunization, delivered, with or without O36.0920 Maternal care for other rhesus mention of antepartum condition isoimmunization, second trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without O36.0921 Maternal care for other rhesus mention of antepartum condition isoimmunization, second trimester, fetus 1 PC v2014A 445 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition O36.0922 Maternal care for other rhesus isoimmunization, second trimester, fetus 2 O36.0923 Maternal care for other rhesus isoimmunization, second trimester, fetus 3 O36.0924 Maternal care for other rhesus isoimmunization, second trimester, fetus 4 O36.0925 Maternal care for other rhesus isoimmunization, second trimester, fetus 5 O36.0929 Maternal care for other rhesus isoimmunization, second trimester, other fetus O36.0930 Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified O36.0931 Maternal care for other rhesus isoimmunization, third trimester, fetus 1 O36.0932 Maternal care for other rhesus isoimmunization, third trimester, fetus 2 O36.0933 Maternal care for other rhesus isoimmunization, third trimester, fetus 3 O36.0934 Maternal care for other rhesus isoimmunization, third trimester, fetus 4 O36.0935 Maternal care for other rhesus isoimmunization, third trimester, fetus 5 O36.0939 Maternal care for other rhesus isoimmunization, third trimester, other fetus O36.1110 Maternal care for Anti-A sensitization, first trimester, not applicable or unspecified 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.11Rhesus isoimmunization, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified blood- O36.1111 Maternal care for Anti-A sensitization, first group incompatibility, delivered, with or without trimester, fetus 1 mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodPC v2014A O36.1112 Maternal care for Anti-A sensitization, first trimester, fetus 2 O36.1113 Maternal care for Anti-A sensitization, first trimester, fetus 3 O36.1114 Maternal care for Anti-A sensitization, first trimester, fetus 4 O36.1115 Maternal care for Anti-A sensitization, first trimester, fetus 5 O36.1119 Maternal care for Anti-A sensitization, first trimester, other fetus O36.1120 Maternal care for Anti-A sensitization, second trimester, not applicable or unspecified O36.1121 Maternal care for Anti-A sensitization, second trimester, fetus 1 O36.1122 Maternal care for Anti-A sensitization, 446 group incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without PC v2014A second trimester, fetus 2 O36.1123 Maternal care for Anti-A sensitization, second trimester, fetus 3 O36.1124 Maternal care for Anti-A sensitization, second trimester, fetus 4 O36.1125 Maternal care for Anti-A sensitization, second trimester, fetus 5 O36.1129 Maternal care for Anti-A sensitization, second trimester, other fetus O36.1130 Maternal care for Anti-A sensitization, third trimester, not applicable or unspecified O36.1131 Maternal care for Anti-A sensitization, third trimester, fetus 2 O36.1132 Maternal care for Anti-A sensitization, third trimester, fetus 3 O36.1133 Maternal care for Anti-A sensitization, third trimester, fetus 4 O36.1134 Maternal care for Anti-A sensitization, third trimester, fetus 5 O36.1139 Maternal care for Anti-A sensitization, third trimester, other fetus O36.1910 Maternal care for other isoimmunization, first trimester, not applicable or unspecified O36.1911 Maternal care for other isoimmunization, first trimester, fetus 1 O36.1912 Maternal care for other isoimmunization, first trimester, fetus 2 O36.1913 Maternal care for other isoimmunization, first trimester, fetus 3 O36.1914 Maternal care for other isoimmunization, first trimester, fetus 4 O36.1915 Maternal care for other isoimmunization, first trimester, fetus 5 O36.1919 Maternal care for other isoimmunization, first trimester, other fetus O36.1920 Maternal care for other isoimmunization, second trimester, not applicable or 447 mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition 656.21Isoimmunization from other and unspecified bloodgroup incompatibility, delivered, with or without mention of antepartum condition unspecified O36.1921 Maternal care for other isoimmunization, second trimester, fetus 1 O36.1922 Maternal care for other isoimmunization, second trimester, fetus 2 O36.1923 Maternal care for other isoimmunization, second trimester, fetus 3 O36.1924 Maternal care for other isoimmunization, second trimester, fetus 4 O36.1925 Maternal care for other isoimmunization, second trimester, fetus 5 O36.1929 Maternal care for other isoimmunization, second trimester, other fetus O36.1930 Maternal care for other isoimmunization, third trimester, not applicable or unspecified O36.1931 Maternal care for other isoimmunization, third trimester, fetus 1 O36.1932 Maternal care for other isoimmunization, third trimester, fetus 2 O36.1933 Maternal care for other isoimmunization, third trimester, fetus 3 656.21Isoimmunization from other and unspecified blood- O36.1934 Maternal care for other isoimmunization, group incompatibility, delivered, with or without third trimester, fetus 4 mention of antepartum condition 656.21Isoimmunization from other and unspecified blood- O36.1935 Maternal care for other isoimmunization, group incompatibility, delivered, with or without third trimester, fetus 5 mention of antepartum condition 656.21Isoimmunization from other and unspecified blood- O36.1939 Maternal care for other isoimmunization, group incompatibility, delivered, with or without third trimester, other fetus mention of antepartum condition 656.31Fetal distress, affecting management of mother, O68 Labor and delivery complicated by delivered, with or without mention of antepartum abnormality of fetal acid-base balance condition 656.41Intrauterine death, affecting management of mother, O36.1940 Maternal care for intrauterine death, not delivered, with or without mention of antepartum applicable or unspecified condition 656.41Intrauterine death, affecting management of mother, O36.1941 Maternal care for intrauterine death, fetus 1 delivered, with or without mention of antepartum condition 656.41Intrauterine death, affecting management of mother, O36.1942 Maternal care for intrauterine death, fetus 2 delivered, with or without mention of antepartum condition 656.41Intrauterine death, affecting management of mother, O36.1943 Maternal care for intrauterine death, fetus 3 delivered, with or without mention of antepartum PC v2014A 448 condition 656.41Intrauterine death, affecting management of mother, O36.1944 Maternal care for intrauterine death, fetus 4 delivered, with or without mention of antepartum condition 656.41Intrauterine death, affecting management of mother, O36.1945 Maternal care for intrauterine death, fetus 5 delivered, with or without mention of antepartum condition 656.41Intrauterine death, affecting management of mother, O36.4XX9Maternal care for intrauterine death, other delivered, with or without mention of antepartum fetus condition 656.51Poor fetal growth, affecting management of mother, O36.5110 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, not condition applicable or unspecified 656.51Poor fetal growth, affecting management of mother, O36.5111 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, fetus 1 condition 656.51Poor fetal growth, affecting management of mother, O36.5112 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, fetus 2 condition 656.51Poor fetal growth, affecting management of mother, O36.5113 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, fetus 3 condition 656.51Poor fetal growth, affecting management of mother, O36.5114 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, fetus 4 condition 656.51Poor fetal growth, affecting management of mother, O36.5115 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, fetus 5 condition 656.51Poor fetal growth, affecting management of mother, O36.5119 Maternal care for known or suspected delivered, with or without mention of antepartum placental insufficiency, first trimester, other condition fetus 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum PC v2014A O36.5120 Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified O36.5121 Maternal care for known or suspected placental insufficiency, second trimester, fetus 1 O36.5122 Maternal care for known or suspected placental insufficiency, second trimester, fetus 2 O36.5123 Maternal care for known or suspected placental insufficiency, second trimester, fetus 3 O36.5124 Maternal care for known or suspected placental insufficiency, second trimester, fetus 4 O36.5125 Maternal care for known or suspected placental insufficiency, second trimester, fetus 5 O36.5129 Maternal care for known or suspected placental insufficiency, second trimester, other fetus O36.5130 Maternal care for known or suspected placental insufficiency, third trimester, not 449 condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition applicable or unspecified O36.5131 Maternal care for known or suspected placental insufficiency, third trimester, fetus 1 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition O36.5913 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 3 PC v2014A O36.5132 Maternal care for known or suspected placental insufficiency, third trimester, fetus 2 O36.5133 Maternal care for known or suspected placental insufficiency, third trimester, fetus 3 O36.5134 Maternal care for known or suspected placental insufficiency, third trimester, fetus 4 O36.5135 Maternal care for known or suspected placental insufficiency, third trimester, fetus 5 O36.5139 Maternal care for known or suspected placental insufficiency, third trimester, other fetus O36.5910 Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified O36.5911 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1 O36.5912 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2 O36.5914 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 4 O36.5915 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 5 O36.5919 Maternal care for other known or suspected poor fetal growth, first trimester, other fetus O36.5920 Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified O36.5921 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 1 O36.5922 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 2 O36.5923 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 3 O36.5924 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 4 450 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition O36.5925 Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5 656.51Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention O36.5939 Maternal care for other known or suspected poor fetal growth, third trimester, other fetus PC v2014A O36.5929 Maternal care for other known or suspected poor fetal growth, second trimester, other fetus O36.5930 Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified O36.5931 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 1 O36.5932 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 2 O36.5933 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 3 O36.5934 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4 O36.5935 Maternal care for other known or suspected poor fetal growth, third trimester, fetus 5 O40.1XX0Polyhydramnios, first trimester, not applicable or unspecified O40.1XX1Polyhydramnios, first trimester, fetus 1 O40.1XX2Polyhydramnios, first trimester, fetus 2 O40.1XX3Polyhydramnios, first trimester, fetus 3 O40.1XX4Polyhydramnios, first trimester, fetus 4 O40.1XX5Polyhydramnios, first trimester, fetus 5 O40.1XX9Polyhydramnios, first trimester, other fetus O40.2XX0Polyhydramnios, second trimester, not applicable or unspecified O40.2XX1Polyhydramnios, second trimester, fetus 1 O40.2XX2Polyhydramnios, second trimester, fetus 2 O40.2XX3Polyhydramnios, second trimester, fetus 3 O40.2XX4Polyhydramnios, second trimester, fetus 4 O40.2XX5Polyhydramnios, second trimester, fetus 5 O40.2XX9Polyhydramnios, second trimester, other 451 of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 657.01Polyhydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition fetus O40.3XX0Polyhydramnios, third trimester, not applicable or unspecified O40.3XX1Polyhydramnios, third trimester, fetus 1 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Oligohydramnios, delivered, with or without mention of antepartum condition 658.01Ol