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)

Complications predominantly related to the puerperium (O85-O92)

Excludes 2:
mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)
O85 Puerperal sepsis
Postpartum sepsis
Puerperal peritonitis
Puerperal pyemia
Use additional code (B95-B97), to identify infectious agent
Use additional code (R65.2-) to identify severe sepsis, if applicable
Excludes 1: fever of unknown origin following delivery (O86.4)
genital tract infection following delivery (O86.1-)
obstetric pyemic and septic embolism (O88.3-)
puerperal septic thrombophlebitis (O86.81)
urinary tract infection following delivery (O86.2-)
Excludes 2: sepsis during labor (O75.3)
O86 Other puerperal infections [+]
Use additional code (B95-B97), to identify infectious agent
Excludes 2: infection during labor (O75.3)
obstetrical tetanus (A34)
O87 Venous complications and hemorrhoids in the puerperium [+]
Includes: venous complications in labor, delivery and the puerperium
Excludes 2: obstetric embolism (O88.-)
puerperal septic thrombophlebitis (O86.81)
venous complications in pregnancy (O22.-)
O88 Obstetric embolism [+]
Excludes 1: embolism complicating abortion NOS (O03.2)
embolism complicating ectopic or molar pregnancy (O08.2)
embolism complicating failed attempted abortion (O07.2)
embolism complicating induced abortion (O04.7)
embolism complicating spontaneous abortion (O03.2, O03.7)
O89 Complications of anesthesia during the puerperium [+]
Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during the puerperium
Use additional code, if applicable, to identify specific complication
O90 Complications of the puerperium, not elsewhere classified [+]
O91 Infections of breast associated with pregnancy, the puerperium and lactation [+]
Use additional code to identify infection
O92 Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium [+]

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