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Pregnancy, childbirth and the puerperium (O00-O9A)

Note:: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery

Use additional: code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes 1:: supervision of normal pregnancy (Z34.-)
Excludes 2:: mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

Other obstetric conditions, not elsewhere classified (O94-O9A)

O94

Sequelae of complication of pregnancy, childbirth, and the puerperium

Note:

This category is to be used to indicate conditions in O00-O77.-, O85-O94 and O98-O9A.- as the cause of late effects. The sequelae include conditions specified as such, or as late effects, which may occur at any time after the puerperium

Code first

condition resulting from (sequela) of complication of pregnancy, childbirth, and the puerperium

O98

Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [+]

Includes:	the listed conditions when complicating the pregnant state, when aggravated by the pregnancy, or as a reason for obstetric care
Use additional	code (Chapter 1), to identify specific infectious or parasitic disease
Excludes 2:	herpes gestationis (O26.4-) infectious carrier state (O99.82-, O99.83-) obstetrical tetanus (A34) puerperal infection (O86.-) puerperal sepsis (O85) when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)

O98.0

Tuberculosis complicating pregnancy, childbirth and the puerperium [+]
Conditions in A15-A19

O98.1

Syphilis complicating pregnancy, childbirth and the puerperium [+]
Conditions in A50-A53

O98.2

Gonorrhea complicating pregnancy, childbirth and the puerperium [+]
Conditions in A54.-

O98.3

Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium [+]
Conditions in A55-A64

O98.4

Viral hepatitis complicating pregnancy, childbirth and the puerperium [+]
Conditions in B15-B19

O98.5

Other viral diseases complicating pregnancy, childbirth and the puerperium [+]
Conditions in A80-B09, B25-B34, R87.81-, R87.82-

Excludes 1:

human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium (O98.7-)

O98.6

Protozoal diseases complicating pregnancy, childbirth and the puerperium [+]
Conditions in B50-B64

O98.7

Human immunodeficiency virus [HIV] disease complicating pregnancy, childbirth and the puerperium [+]

Use additional	code to identify the type of HIV disease:
Use additional	Acquired immune deficiency syndrome (AIDS) (B20)
Use additional	Asymptomatic HIV status (Z21)
Use additional	HIV positive NOS (Z21)
Use additional	Symptomatic HIV disease (B20)

O98.8

Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium [+]

O98.9

Unspecified maternal infectious and parasitic disease complicating pregnancy, childbirth and the puerperium [+]

O99

Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [+]

Includes:	conditions which complicate the pregnant state, are aggravated by the pregnancy or are a main reason for obstetric care
Use additional	code to identify specific condition
Excludes 2:	when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)

O99.0

Anemia complicating pregnancy, childbirth and the puerperium [+]
Conditions in D50-D64

Excludes 1:

anemia arising in the puerperium (O90.81)
postpartum anemia NOS (O90.81)

O99.1

Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium [+]
Conditions in D65-D89

Excludes 1:

hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)

O99.2

Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium [+]
Conditions in E00-E89

Excludes 2:

diabetes mellitus (O24.-)
malnutrition (O25.-)
postpartum thyroiditis (O90.5)

O99.21

Obesity complicating pregnancy, childbirth, and the puerperium [+]

Use additional

code to identify the type of obesity (E66.-)

O99.28

Other endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and the puerperium [+]

O99.3

Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium [+]

O99.31

Alcohol use complicating pregnancy, childbirth, and the puerperium [+]

Use additional

code(s) from F10 to identify manifestations of the alcohol use

O99.32

Drug use complicating pregnancy, childbirth, and the puerperium [+]

Use additional

code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use

O99.33

Tobacco use disorder complicating pregnancy, childbirth, and the puerperium [+]
Smoking complicating pregnancy, childbirth, and the puerperium

Use additional

code from category F17 to identify type of tobacco nicotine dependence

O99.34

Other mental disorders complicating pregnancy, childbirth, and the puerperium [+]
Conditions in F01-F09, F20-F52 and F54-F99

Excludes 2:

postpartum mood disturbance (O90.6)
postnatal psychosis (F53.1)
puerperal psychosis (F53.1)

O99.35

Diseases of the nervous system complicating pregnancy, childbirth, and the puerperium [+]
Conditions in G00-G99

Excludes 2:

pregnancy related peripheral neuritis (O26.8-)

O99.4

Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium [+]
Conditions in I00-I99

Excludes 1:	peripartum cardiomyopathy (O90.3)
Excludes 2:	hypertensive disorders (O10-O16) obstetric embolism (O88.-) venous complications and cerebrovenous sinus thrombosis in labor, childbirth and the puerperium (O87.-) venous complications and cerebrovenous sinus thrombosis in pregnancy (O22.-)

O99.5

Diseases of the respiratory system complicating pregnancy, childbirth and the puerperium [+]
Conditions in J00-J99

O99.6

Diseases of the digestive system complicating pregnancy, childbirth and the puerperium [+]
Conditions in K00-K93

Excludes 2:

hemorrhoids in pregnancy (O22.4-)
liver and biliary tract disorders in pregnancy, childbirth and the puerperium (O26.6-)

O99.7

Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and the puerperium [+]
Conditions in L00-L99

Excludes 2:

herpes gestationis (O26.4)
pruritic urticarial papules and plaques of pregnancy (PUPPP) (O26.86)

O99.8

Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium [+]
Conditions in D00-D48, H00-H95, M00-N99, and Q00-Q99

Use additional	code to identify condition
Excludes 2:	genitourinary infections in pregnancy (O23.-) infection of genitourinary tract following delivery (O86.1-O86.4) malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-) maternal care for known or suspected abnormality of maternal pelvic organs (O34.-) postpartum acute kidney failure (O90.49) traumatic injuries in pregnancy (O9A.2-)

O99.81

Abnormal glucose complicating pregnancy, childbirth and the puerperium [+]

Excludes 1:

gestational diabetes (O24.4-)

O99.82

Streptococcus B carrier state complicating pregnancy, childbirth and the puerperium [+]

Excludes 1:

Carrier of streptococcus group B (GBS) in a nonpregnant woman (Z22.330)

O99.83

Other infection carrier state complicating pregnancy, childbirth and the puerperium [+]

Use additional

code to identify the carrier state (Z22.-)

O99.84

Bariatric surgery status complicating pregnancy, childbirth and the puerperium [+]
Gastric banding status complicating pregnancy, childbirth and the puerperium
Gastric bypass status for obesity complicating pregnancy, childbirth and the puerperium
Obesity surgery status complicating pregnancy, childbirth and the puerperium

O99.89

Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium [+]

O9A

Maternal malignant neoplasms, traumatic injuries and abuse classifiable elsewhere but complicating pregnancy, childbirth and the puerperium [+]

O9A.1

Malignant neoplasm complicating pregnancy, childbirth and the puerperium [+]
Conditions in C00-C96

Use additional	code to identify neoplasm
Excludes 2:	maternal care for benign tumor of corpus uteri (O34.1-) maternal care for benign tumor of cervix (O34.4-)

O9A.2

Injury, poisoning and certain other consequences of external causes complicating pregnancy, childbirth and the puerperium [+]
Conditions in S00-T88, except T74 and T76

Use additional	code(s) to identify the injury or poisoning
Excludes 2:	physical, sexual and psychological abuse complicating pregnancy, childbirth and the puerperium (O9A.3-, O9A.4-, O9A.5-)

O9A.3

Physical abuse complicating pregnancy, childbirth and the puerperium [+]
Conditions in T74.11 or T76.11

Use additional	code (if applicable):
Use additional	to identify any associated current injury due to physical abuse
Use additional	to identify the perpetrator of abuse (Y07.-)
Excludes 2:	sexual abuse complicating pregnancy, childbirth and the puerperium (O9A.4)

O9A.4

Sexual abuse complicating pregnancy, childbirth and the puerperium [+]
Conditions in T74.21 or T76.21

Use additional	code (if applicable):
Use additional	to identify any associated current injury due to sexual abuse
Use additional	to identify the perpetrator of abuse (Y07.-)

O9A.5

Psychological abuse complicating pregnancy, childbirth and the puerperium [+]
Conditions in T74.31 or T76.31

Use additional

code to identify the perpetrator of abuse (Y07.-)