ICD-9 Notes - from Ronnie Falcão's Midwife Archives

The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA

List of ICD-9 Codes for a Midwife

After the Birth, what a family needs
Great tips for helping a family with a new baby.
Note that visiting time should be very limited - five minutes may be too long.
Focus your time on doing dishes and the laundry.

654.6? - Other congenital or acquired abnormality of cervix complicating pregnancy, childbirth, or the puerperium {Polyp,Previous surgery,Rigid cervix, Stenosis or Stenotic Cervix}
655.?? - Known or suspected fetal abnormality affecting management of mother (needs 4th and 5th digits) abnormal result on ultrasound
659.7? - Abnormality in fetal heart rate or rhythm related to labor and delivery - Depressed fetal heart tones, bradycardia, tachycardia, fetal heart rate decelerations, nonreassuring fetal heart rate or rhythm (arrhythmia) [0,1,3]
671.0? - Venous complications in pregnancy and the puerperium, varicose veins of legs, vulva and peineum, thrombophlebitis [671.8?]-hemorrhoids
674.?? - Other & unspecified complications of the puerperium, not elsewhere classified
692.? - Dermatitis
768.? Inrauterine hypoxia and birth asphyxia - Use only when associated with newborn morbidity classifiable elsewhere
771.? - Infections specific to the perinatal period
V16.6 - Family history of leukemia
V12.7 - Personal history of diseases of digestive system (0,1,2,9)
General Pregnancy
654.23 - Previous cesarean delivery, antepartum condition or complication (VBAC)
659.53 - Elderly primigravida, antepartum only
659.63 - Elderly Multigravida, antepartum only
V22.0 - Normal First Pregnancy - no complications
V22.1 - Other Normal Pregnancy - no complications
V23.0 - Pregnancy with history of infertility
V23.2 - Pregnancy with history of abortion
V23.3 - Pregnancy with grand multiparity
V23.41 - Supervision of pregnancy with history of pre-term labor
V23.49 - Supervision of pregnancy with other poor obstetric history
V23.5 - Pregnancy with other poor reproductive history (stillbirth or neonatal death)
V23.7 - Insufficient prenatal care
Pregnancy Labwork
V28.3 - Antenatal screening for malformation using ultrasonics - U/S
V28.5 - Antenatal screening for isoimmunization
V28.6 - Screening of Streptococcus B
V28.8 - Invalid in 2013 - needs additional digit
V28.8 - Other specified antenatal screening - Hgb or Gestational Diabetes Screen
V28.8 - Other specified antenatal screening - Hgb or Gestational Diabetes Screen
Pregnancy Complications
260-269 - Nutritional deficiencies (conditions classifiable to (260-269)
632 - Missed abortion
640.01 - Threatened abortion, delivered
640.03 - Threatened abortion, antepartum (suspected miscarriage)
642.3 Transient hypertension of pregnancy {0-4}
642.33 - Transient hypertension of pregnancy, antepartum (PIH)
643.03 - Mild hyperemesis gravidarum, antepartum
643.23 - Late vomiting of pregnancy, antepartum
644.03 - Threatened premature labor (22-37w)- antepartum
644.13 - Hypertonic, incoordinate, or prolonged uterine contractions - antepartum condition, not delivered (Date/Time Span - irregular contractions)
645.10 - Post term pregnancy (40-42w), unspecified as to episode of care or not applicable; (postdates)
645.11 - Post term pregnancy (40-42w), delivered, with or without mention of antepartum condition;
645.13 - Post term pregnancy (40-42w), antepartum condition or complication;
645.20 - Prolonged pregnancy (>42w), unspecified as to episode of care or not applicable;
645.21 - Prolonged pregnancy (>42w), delivered, with or without mention of antepartum condition;
645.23 - Prolonged pregnancy (>42w), antepartum condition or complication.
646.13 - Edema or excessive weight gain, antepartum
646.43 - Peripheral neuritis antepartum (eg. Carpal tunnel syndrome)
646.50 UTI- Asymptomatic bacteriuria in pregnancy, unspecified as to episode of care
646.51 UTI- Asymptomatic bacteriuria in pregnancy, with delivery
646.52 UTI- Asymptomatic bacteriuria in pregnancy, with delivery, with current postpartum complication
646.53 UTI- Asymptomatic bacteriuria antepartum
646.54 UTI- Asymptomatic bacteriuria, previous postpartum condition
646.61 UTI -Infections of genitourinary tract in pregnancy, with delivery
646.62 UTI -Infections of genitourinary tract in pregnancy, with delivery, with current postpartum complication
646.63 UTI -Infections of genitourinary tract antepartum - vaginal infection?
646.64 UTI -Infections of genitourinary tract, previous postpartum condition
646.8(0-4) - Other specified complications of pregnancy - {fatigue during pregnancy, herpes gestationis, insufficient gestational weight gain} (0-4)
646.83 Other specified complications of pregnancy, antepartum -
647.80 Other specified maternal infectious and parasitic disease complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care -
647.81 Other specified maternal infectious and parasitic disease with delivery -
647.82 Other specified maternal infectious and parasitic disease with delivery, with current postpartum complication -
647.83 Other specified maternal infectious and parasitic disease, antepartum -
647.83[/V02.51] - GBS - 647.83 - Other specified maternal infectious and parasitic disease complicating pregnancy, childbirth, or the puerperium [V02.51 - Carrier or suspected carrier of Group B streptococcus]
647.84 Other specified maternal infectious and parasitic disease, previous postpartum condition -
648.2(0-4) Anemia complicating pregnancy, childbirth, or the puerperium
648.4(0-4) - Maternal mental disorders complicating pregnancy, childbirth, or the puerperium
648.7(0-4) - Bone and joint disorders of maternal back, pelvis, and lower limbs, complicating pregnancy, childbirth, or the puerperium - appropriate Dx for tub rental??
648.8(0-4) - Abnormal maternal glucose tolerance, complicating pregnancy, childbirth, or the puerperium - gestational diabetes
648.9? - Other current maternal conditions complicating pregnancy, childbirth, or the puerperium - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269) (0-4)
648.90 Other current maternal conditions classifiable elsewhere, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269)
648.91 Other current maternal conditions classifiable elsewhere, with delivery - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269)
648.92 Other current maternal conditions classifiable elsewhere, with delivery, with current postpartum complication - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269)
648.93 Other current maternal conditions classifiable elsewhere, antepartum - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269)
648.94 Other current maternal conditions classifiable elsewhere, previous postpartum condition - Conditions classifiable to (440-459) or Nutritional deficiencies classifiable to (260-269)
652.0(0,1,3) - Unstable lie of fetus
652.1(0,1,3) - Breech or other malpresentation successfully converted to cephalic presentation
652.2(0,1,3) - Breech presentation without mention of version
652.3 (0,1,3)- Transverse or oblique presentation of fetus
652.8(0,1,3) - Other specified malposition or malpresentation of fetus: {Compound presentation,baby held in posterior position by cord. Used maternal position changes to convert fetal position to anterior} -
654.13 - Tumors of body of uterus/uterine fibroids - antepartum condition or complication
656.30 - Fetal Distress (pre-labor?), Affecting Management of Mother, Abnormal fetal: acid-base balance
656.31 -Fetal distress (pre-labor?) affecting management of mother, delivered
656.33 - Fetal distress (pre-labor?) affecting management of mother, antepartum
657.03 - Polyhydramnios, antepartum complication
658.13 Premature rupture of membranes ( < 24 hours to the onset of labor ) - antepartum condition or complication
658.23 - Delayed delivery ( > 24 hours to the onset of labor) after spontaneous or unspecified rupture of membranes- antepartum condition or complication
659.13 - Failed medical or unspecified induction of labor, antepartum
659.23 - Unspecified maternal pyrexia, antepartum (fever)
659.83 w/"PH" - Other specified indication for care or intervention related to labor and delivery, antepartum, w/"Planning Homebirth - Assessment of Home and Family Preparedness" in Box 19
661.43 - Hypertonic, incoordinate, or prolonged uterine contractions, antepartum
671.83 - Other venous complication - hemorrhoids, antepartum
780.52 - Other insomnia (Maternal)
782.0 Disturbance of skin sensation (incl. Numbness, Tingling)
791.5 Glycosuria (or glucosuria or glucose in urine for better searching)
791.6 Acetonuria (Ketonuria)
791.9 - Other nonspecific finding on examination of urine - leukocytes
724.3 - Sciatica
724.4 - Thoracic or lumbosacral neuritis or radiculitis, unspecified
724.5 - Unspecified backache
724.6 - Disorders of sacrum - Instability lumbosacral or sacroiliac [joint]
Labor/Birth
653.4(0,1,3) - Fetopelvic disproportion - Cephalopelvic disproportion - Disproportion of mixed maternal and fetal origin, with normally formed fetus
653.40 - Fetopelvic disproportion, unspecified as to episode of care
653.41 - Fetopelvic disproportion, delivered
653.43 - Fetopelvic disproportion, antepartum
653.5? - Unusually large fetus causing disproportion - Disproportion of fetal origin with normally formed fetus
653.51 - Unusually large fetus causing disproportion, delivered
653.53 - Unusually large fetus causing disproportion, antepartum
653.8?- Disproportion of other origin in pregnancy, labor, & delivery - asynclitic head (0,1,3)
654.11 - Tumors of body of uterus/uterine fibroids - delivered, with or without mention of antepartum condition
654.12 - Tumors of body of uterus/uterine fibroids - delivered, with mention of postpartum complication
654.21 - Previous cesarean delivery, delivered, with or without mention of antepartum condition (VBAC)
657.01- Polyhydramnios, with delivery
658.11 Premature rupture of membranes ( < 24 hours to the onset of labor ) - delivered, with or without mention of antepartum condition
658.21 Delayed delivery ( > 24 hours to the onset of labor) after spontaneous or unspecified rupture of membranes- delivered, with or without mention of antepartum condition
659.21 - Unspecified maternal pyrexia during labor, delivered (fever)
659.51 - Elderly primigravida, delivered
659.61 - Elderly Multigravida, delivered
659.81 w/"IHPR" - Other specified indication for care or intervention related to labor and delivery, delivered, w/"In-home Postpartum Recovery, Coverage Mandated by State Law" in Box 19
660.?? - Obstructed labor
660.41 - Shoulder (girdle) dystocia during labor & delivery
661.?? - Abnormality of forces of labor
661.41 - Hypertonic, incoordinate, or prolonged uterine contractions, with delivery
661.43 - Hypertonic, incoordinate, or prolonged uterine contractions, antepartum
661.0? - Primary uterine inertia - Failure of cervical dilation - Hypotonic uterine dysfunction, primary - Prolonged latent phase of labor
661.01 - Primary uterine inertia, with delivery
661.03 - Primary uterine inertia, antepartum
661.1? - Secondary uterine inertia - Arrested active phase of labor - Hypotonic uterine dysfunction, secondary
661.11 - Secondary uterine inertia, with delivery
661.13 - Secondary uterine inertia, antepartum
661.2? - Other and unspecified uterine inertia - Desultory labor, Irregular labor, Poor contractions, Slow slope active phase of labor
661.21 - Other and unspecified uterine inertia, with delivery
661.23 - Other and unspecified uterine inertia, antepartum
661.3? - Precipitate labor
661.31 - Precipitate labor, with delivery
661.33 - Precipitate labor, antepartum
661.4? - Hypertonic, incoordinate, or prolonged uterine contractions-Cervical spasm, Contraction ring (dystocia), Dyscoordinate labor, Hourglass contraction of uterus, Hypertonic uterine dysfunction, Incoordinate uterine action, cont. . . .
661.4? -(cont.) Retraction ring (Band'ls), Tetanic contractions, Uterine dystocia NOS, Uterine spasm
661.41 - Hypertonic, incoordinate, or prolonged uterine contractions, with delivery
661.43 - Hypertonic, incoordinate, or prolonged uterine contractions, antepartum
661.9? - Unspecified abnormality of labor
661.91 - Unspecified abnormality of labor, with delivery
661.93 - Unspecified abnormality of labor, antepartum
662.0? - Prolonged first stage of labor
662.01 - Prolonged first stage of labor, delivered
662.03 - Prolonged first stage of labor, antepartum
662.1? - Prolonged labor, unspecified
662.11 - Prolonged labor, unspecified, delivered
662.13 - Prolonged labor, unspecified, antepartum
662.2? - Prolonged second stage of labor
662.21 - Prolonged second stage of labor, delivered
662.23 - Prolonged second stage of labor, antepartum
663.11 - Cord around neck, with compression, delivered
663.21 - Other and unspecified cord entanglement, with compression, complicating labor and delivery, delivered
663.31 - Other and unspecified cord entanglement, without mention of compression, complicating labor and delivery, delivered
663.41 - Short cord complicating labor and delivery, delivered
663.81 - Other umbilical cord complications during labor and delivery, delivered
664.01 - First-degree perineal laceration during delivery
664.11 - Second-degree perineal laceration during delivery
665.60 - Obstetrical Damage to pelvic joints and ligaments, unspecified as to episode of care in pregnancy (use for pelvic sprains and strains during birth or postpartum or symphysis separation)
665.61 Damage to pelvic joints and ligaments, with delivery
665.64 - Damage to pelvic joints and ligaments, postpartum - tailbone/coccyx, separation of symphysis (pubis)
666.02 - Third-stage hemorrhage - Hemorrhage associated with retained, trapped, or adherent placenta - 2 delivered, with mention of postpartum complication
666.04 - Third-stage hemorrhage - Hemorrhage associated with retained, trapped, or adherent placenta - 4 postpartum condition or complication
666.12 - Other immediate postpartum hemorrhage - 2 delivered, with mention of postpartum complication
666.14 - Other immediate postpartum hemorrhage - 4 postpartum condition or complication
666.22 - Delayed and secondary postpartum hemorrhage, with delivery
667.02 - Retained placenta without hemorrhage - delivered, with mention of postpartum complication
667.12 - Retained portions of placenta or membranes, without hemorrhage, delivered, with mention of postpartum complication
672.02 - Puerperal pyrexia of unknown origin, delivered, with mention of postpartum complication
669.71 - Cesarean delivery, without mention of indication, delivered, with or without mention of antepartum condition
V27.0 - Single liveborn - used for hospital birth only according to one web page, but Jeff and other docs say use for homebirth, too. Many say not to use it at all! It seems to be assumed if not stated otherwise.
Immediate Postpartum
Immediate Newborn
769 - Respiratory distress syndrome in newborn, Hyaline membrane disease and others, excludes TTN
770.8? - Other newborn Respiratory Problems after birth - Apneic spells, Cyanotic attacks, Respiratory distress, Respiratory failure
770.81 - Primary apnea of newborn
V30.00 - Baby born in hospital
V30.1 - Single liveborn, born before admission to hospital
V30.2, Single liveborn, born outside hospital & not hospitalized - Principal Diagnosis if the birth occurred during this "admission" - used only ONCE at the place where born or initial "admission" - NOT for followup!
V59.02 - Stem cell donor
770.82 - Other apnea of newborn
770.83 - Cyanotic attacks of newborn
770.84 - Respiratory failure of newborn
770.89 - Other respiratory problems of newborn after birth
774.0 Perinatal jaundice from hereditary hemolytic anemias (code first underlying disease)
774.2 Neonatal jaundice associated with preterm delivery
774.31 Neonatal jaundice due to delayed conjugation from other causes (rare disorders)
774.4 Perinatal jaundice due to hepatocellular damage
774.5 Perinatal jaundice from other causes
774.7 Kernicterus of fetus or newborn not due to isoimmunization
775.6 - Neonatal hypoglycemia
776.4 - Polycythemia neonatorum (plethora)
779.3 - Newborn Feeding Problem (Breast Refusal, Latch-on Difficulties, Regurgitation of food, Slow feeding, Vomiting, Mismanagement, Other)
For 2010, 779.3 is expanded with a fifth digit
779.31 - Feeding problems in newborn
779.32 - Bilious vomiting in newborn
779.33 - Other vomiting in newborn
779.34 - Failure to thrive in newborn
796.1 - Abnormal reflex (Suck Reflex)
V29.? - Observation and evaluation of newborns and infants for suspected condition not found - Fourth Digit Code Required
V29 can be used following V30 codes but is used ONLY for healthy newborns and infants w/no other diagnoses
V29.0 - Observation and evaluation of newborns and infants for suspected infectious condition not found
V29.1 - Observation and evaluation of newborns and infants for suspected neurological condition not found
V29.2 - Observation and evaluation of newborns and infants for suspected respiratory condition not found
V29.3 - Observation for suspected genetic or metabolic condition [Used to use for ABO incompatibility if mom O+ or history???]
V29.8 - Observation and evaluation of newborns and infants for other specified suspected condition not found - specify in Box 19, e.g. "blood type incompatibility". [Used to also use 773.1 (ABO isoimmunization) or 773.0 (Rh) isoimmunization] -
Postpartum Followup
654.14 - Tumors of body of uterus/uterine fibroids - postpartum condition or complication
666.24 - Delayed and secondary postpartum hemorrhage, postpartum
667.04 - Retained placenta without hemorrhage, postpartum condition or complication
667.14 -Retained portions of placenta or membranes, without hemorrhage, postpartum condition or complication
671.84 - Other venous complication - hemorrhoids, postpartum
672.04 - Puerperal pyrexia of unknown origin, postpartum (fever)
674.24 - Disruption of perineal wound, postpartum
674.34 - Other complications of obstetrical surgical wounds, Infection of cesarean section or perineal wound, postpartum condition or complication
674.84 - Other- postpartum condition or complication - subinvolution of the uterus or severe afterpains, w/ 564.09 - Other constipation
674.84 - Other complication of puerperium w/"Recently delivered mother at home less than 48 hours after delivery"
675.04 Infections/Abscess of nipple , postpartum
675.14 Abscess of breast or Purulent Mastitis, postpartum
675.24 Plugged duct or Nonpurulent mastitis/Lymphangitis of breast, postpartum
675.84 Other specified infections of the breast and nipple - , postpartum
675.84 Other specified infections of the breast and nipple w/112.89 - Other candidiasis of other specified sites (thrush, yeast), postpartum
676.04 - Inverted/Retracted nipple, Dimpled/Folded/Creviced, postpartum
676.14 - Cracked/fissured nipple, postpartum
676.24 - Engorgement of breasts, postpartum
676.34 - Other and unspecified disorder of breast associated with childbirth - Trauma or Ulceration (other than 676.14), Breast pain, Sore nipples, Flat nipples, Unusual breast shape, Spastic Letdown, postpartum
676.44 - Failure of lactation/Agalactia, postpartum
676.54 - Suppressed/Reduced lactation or Relactation, postpartum
676.64 - Galactorrhea, postpartum
676.84 - Galactocele - Polygalactia (Oversupply / Over Supply) - Other disorders of lactation, postpartum
728.84 Diastasis of muscle (diastasis recti) post-Cesarean - w/665.84-Other specified obstetrical trauma, postpartum
728.84 Diastasis of muscle (diastasis recti) vaginal birth - w/674.84 Other- postpartum condition or complication
757.6 - Specified congenital anomalies of breast - Hypoplasia of breast
788.21 - Incomplete bladder emptying
788.29 - Other specified retention of urine -
V07.2, Need for prophylactic immunotherapy - RhoGAM
V24.1 - Postpartum Care and Examination of Lactating Mother, supervision of laceration - followup care not provided during the "birth episode".
V24.2 - Routine postpartum follow-up
V25.09 - Other general counseling and advice for contraceptive management
Newborn Followup
112.89 - Other candidiasis of other specified sites - yeast in neckfold
530.11 - GERD/Reflux-Inflam(V12.70)
530.81 - GERD/Reflux-NoInflam(V12.70)
690.11 - Seborrhea capitis - Cradle cap
690.12 - Seborrheic infantile dermatitis (newborn acne)
691.0 - Diaper Rash
691.8 - Eczema
692.0 Contact dermatitis Due to detergents
693.1 - Dermatitis/Diaper Rash Due to Food
750.0 - Ankyloglossia - Tongue Tie
750.15 - Macroglossia (V12.40)
750.16 - Microglossia (V12.40)
767.19 Other injuries to scalp (caput, cephalhematoma, chignon)
770.6 - Transitory tachypnea of newborn
771.4 Omphalitis of the newborn
771.7 - Thrush - Newborn - Neonatal Candida infection yeast
773.0 - Hemolytic disease due to Rh isoimmunization of fetus or newborn
773.1 - Hemolytic disease due to abo isoimmunization of fetus or newborn (Jaundice due to ABO: antibodies, isoimmunization, maternal/fetal incompatibility)
774.1 Perinatal jaundice from other excessive hemolysis (bruising, infection, polycythemia)
774.39 - Breastmilk Jaundice
774.6 Unspecified fetal & neonatal jaundice, Transient neonatal hyperbilirubinemia, physiologic jaundice NOS in newborn
775.5 - Dehydration Newborn
777.8 - Other specified perinatal disorder of digestive system, Newborn colic w/ - 789.07 - Abdominal pain, generalized (Infantile colic) or w/789.47 Abdominal rigidity, generalized
777.8 - Other specified perinatal disorder of digestive system w/ 792.1 - Nonspecific abnormal finding in stool contents - neon green poop
778.8 - Other specified condition involving the integument of fetus and newborn - Erythema (Toxicum) Neonatorum
780.59 - Sleep Disturbances Infant
780.91 Fussy infant (baby) (not colic)
780.92 Excessive crying of infant (baby) (not colic)
783.21 - Abnormal Weight Loss
783.3 - Infant Feeding Problem (Breast Refusal, Latch-on Difficulties, Regurgitation of food, Slow feeding, Vomiting, Mismanagement, Other)
783.41 - Failure to Gain Weight
783.6 - Polyphagia - Overeating
787.1 - Heartburn
789.07 - Abdominal pain, generalized, Infant Colic
789.47 - Abdominal rigidity, generalized, Infant Colic
V20.2 Routine Infant Or Child Health Check - Developmental testing of infant (> 28 days) or child
V77.3 - Screening for phenylketonuria (PKU) - The State of California's NBS program recommends the use of diagnosis code V77.3 for the entire screening panel.
V77.4 Screening for galactosemia
V77.7 Screening for other inborn errors of metabolism
V78.2 Screening for sickle-cell disease or trait
V78.3 Screening for other hemoglobinopathies
Well-Woman/Gynecological
112.1 - Candidiasis of vulva and vagina - yeast
597.8 Other urethritis - rule/out UTI (0,1,9)
597.80 Urethritis, unspecified
597.80 Unspecified urethritis - rule/out UTI
599.8 Other specified disorders of urethra & urinary tract -
611.72 - Lump or mass in breast (not plugged duct)
616.0 Cervicitis and endocervicitis
618.1 Uterine prolapse without mention of vaginal wall prolapse
625.6 Female stress incontinence
626.0 Absence of menstruation
629.8 Other specified disorder of female genital organs - {Edema}
788.1 Dysuria (Painful urination)
V72.31 - Routine gynecological examination - General gynecological examination with or without Papanicolaou cervical smear, Pelvic examination (annual) (periodic) (new in 2005)
V72.32 - Encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear (new in 2005)
V72.40 - Pregnancy examination or test, pregnancy unconfirmed (new in 2005)
V72.41 - Pregnancy examination or test, negative result (new in 2005)
V77.0 Screening for thyroid disorders
Use V29.8 w/either 773.1 or 773.0 as appropriate for bloodwork???
654.21 - Previous cesarean delivery, delivered, with or without mention of antepartum condition (VBAC)
669.71 - Cesarean delivery, without mention of indication, delivered, with or without mention of antepartum condition
654.23 - Previous cesarean delivery, antepartum condition or complication (VBAC)
ans
Ultrasound diagnoses for Lance:
88.78 - Diagnostic ultrasound of gravid uterus (Placental localization by ultrasound)
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; single or first gestation
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses
76816 - Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus
Ultrasound, pregnant uterus, real time with image documentation, transvaginal
Fetal biophysical profile; with non-stress testing
Fetal biophysical profile; without non-stress testing
Doppler velocimetry, fetal; umbilical artery
Doppler velocimetry, fetal; middle cerebral artery
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording;
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study
Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete
Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study
76801 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; single or first gestation
76802 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
76805 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation
76810 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
76811 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation
76812 - Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)
76815 - Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses
###############################################################################################################################################################################################################################################################
76817 - Ultrasound, pregnant uterus, real time with image documentation, transvaginal
76818 - Fetal biophysical profile; with non-stress testing
76819 - Fetal biophysical profile; without non-stress testing
76820 - Doppler velocimetry, fetal; umbilical artery
76821 - Doppler velocimetry, fetal; middle cerebral artery
76825 - Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording;
76826 - Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study
76827 - Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete
76828 - Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study
RELEVANT NEW DIAGNOSIS CODES Effective Oct. 1, 2006
629.29 - Other female genital mutilation status
629.81 - Habitual aborter without current pregnancy
629.89 - Other specified disorders of female genital organs
649.0? - Tobacco use disorder complicating pregnancy, childbirth, or the puerperium, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
649.1? - Obesity complicating pregnancy, childbirth, or the puerperium, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
649.20 - Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
649.30 - Coagulation defects complicating pregnancy, childbirth, or the puerperium, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
649.40 - Epilepsy complicating pregnancy, childbirth, or the puerperium, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
649.50 - Spotting complicating pregnancy, ?==0==unspecified / ?==1==delivered / ?==3==antepartum
649.60 - Uterine size date discrepancy, ?==0==unspecified / ?==1==delivered / ?==2==delivered w/immed. postpartum / ?==3==antepartum / ?==0==followup postpartum
770.87 - Respiratory arrest of newborn
770.88 - Hypoxemia of newborn
775.81 - Other acidosis of newborn
775.89 - Other neonatal endocrine and metabolic disturbances
788.64 - Urinary hesitancy
788.65 - Straining on urination
787.1 - Heartburn
793.99 - Other nonspecific abnormal findings on radiological and other examinations of body structure
795.06 - Papanicolaou smear of cervix with cytologic evidence of malignancy
V26.31 - Testing of female for genetic disease carrier status
V26.32 - Other genetic testing of female
V26.33 - Genetic counseling
V26.34 - Testing of male for genetic disease carrier status
V26.35 - Encounter for testing of male partner of habitual aborter
V26.39 - Other genetic testing of male
V58.30 - Encounter for change or removal of nonsurgical wound dressing
V58.31 - Encounter for change or removal of surgical wound dressing
V58.32 - Encounter for removal of sutures
784.0 - Headache
848.5 - Pelvic sprain and strains - Symphysis Pubis
333.99 - Other extrapyramidal disease and abnormal movement disorder - Restless Legs
564.01 - Slow transit constipation
535.00 - Acute gastritis without mention of hemorrhage
787.91 - Diarrhea NOS
V23.41 - Supervision of pregnancy with history of pre-term (preterm) labor
V23.7 - Insufficient (inadequate) prenatal care
536.8 - Dyspepsia and other specified disorders of function of stomach
784.7 - Epistaxis (nosebleed)
INVALID CODES
V82.71
V82.79
766.1 - Other "heavy-for-dates" infants not related to gestation period (LGA)
766.0 - Exceptionally large baby relating to long gestation (LGA)
656.63 - Excessive fetal growth affecting management of mother, antepartum (LGA) - big baby
65573 - Decreased fetal movements, affecting management of mother, antepartum condition or complication - reduced fetal movement
6250 - Dyspareunia (painful sexual intercourse)
4565 - Pelvic varices (not during pregnancy or the puerperium) vaginal varicosities
4566 - Vulval varices / vulvar varicosities
671.8? - Other venous complications in pregnancy and the puerperium
626.0 - Absence of menstruation - amenorrhea, primary or secondary
786.05 - Shortness of breath (dyspnea)
327.52 - Sleep related leg cramps
646.8{1,2,3,4} - Other specified complications of pregnancy
Fatigue during pregnancy
Insufficient weight gain of pregnancy
789.01 - Abdominal pain, right upper quadrant
789.02 - Abdominal pain, left upper quadrant
789.03 - Abdominal pain, right lower quadrant
789.04 - Abdominal pain, left lower quadrant
618.2 - Uterovaginal prolapse, incomplete
New in 2010: 779.3 replaced by 779.3{1,2,3,4}
779.31 - Feeding problems in newborn
779.32 - Bilious vomiting in newborn
779.33 - Other vomiting in newborn
779.34 - Failure to thrive in newborn
779.84 - Meconium staining (baby)
770.6 - Transitory tachypnea of newborn (Transient - TTN)
616.10 - Unspecified vulvovaginitis or vaginitis
564.01 - Slow transit constipation
648.83 - Abnormal maternal glucose tolerance, antepartum (gestational diabetes)
669.23 - Maternal hypotension syndrome, antepartum
648.13 - Maternal thyroid dysfunction, antepartum condition or complication
786.05 - Shortness of breath
771.6 - Neonatal conjunctivitis (sticky eye) and dacryocystitis (blocked tear duct)
V14.0 - Personal history of allergy to penicillin
641.03 - Placenta previa without hemorrhage, antepartum
757.8 - Other specified congenital anomalies of the integument
646.23 - Unspecified antepartum renal disease - gestational proteinuria
626.4 - Irregular menstrual cycle
618.01 - Cystocele without mention of uterine prolapse, midline
643.13 - Hyperemesis gravidarum with metabolic disturbance, antepartum
654.6? -0 Other congenital or acquired abnormality of cervix complicating pregnancy, childbirth, or the puerperium - Polyp, Previous surgery, Rigid
791.2 - hemoglobinuria
656.8{0,1,3} - Other specified fetal and placental problems affecting management of mother - meconium in liquor
763.84 - Other specified complications of labor and delivery affecting fetus or newborn, Meconium passage during delivery
778.7 - Breast engorgement in newborn
530.81 - Esophageal reflux
251.2 - Hypoglycemia unspecified
780.4 - Dizziness and giddiness
786.2 - Cough
4611 - Acute sinusitis (frontal)
705.1 - Prickly heat (heat rash)
648.44 - Postpartum depression
767.8 - Other specified birth trauma (eye damage)
041.89 - Gardnerella vaginalis - bacterial vaginosis (BV)
536.8 - Dyspepsia and other specified disorders of function of stomach
848.5 - Pelvic sprain and strains (during pregnancy) - symphysis pubis
244.9 - Unspecified acquired hypothyroidism: deficiency of thyroid gland activity, Too little thyroid hormone. A condition in which the production of thyroid hormone by the thyroid gland is diminished
268.9 - Unspecified vitamin D deficiency
623.6 - Vaginal hematoma
460 - Acute nasopharyngitis [common cold]
655.83 - Other known or suspected fetal abnormality, not elsewhere classified, affecting management of mother, antepartum condition or complication
V26.49 - Other procreative management counseling and advice
779.9 Unspecified condition originating in the perinatal period
786.05 - Shortness of breath
287.5 - Thrombocytopenia, unspecified (low platelets)
472.0 - Chronic rhinitis
V20.31 - Health supervision (child) (infant) (under 8 days old)
V20.32 - Health supervision (child) (infant) (8 to 28 days old)
V20.2 - Health supervision (child) (infant) (over 28 days old)
782.1 Rash and other nonspecific skin eruption
V77.1 - Special screening for endocrine ... disorders - Diabetes mellitus (gestational diabetes)
648.5 Congenital cardiovascular disorders [0-4] (corrected atrial septal defect)
799.82 - Apparent life threatening event in infant (qualified Anthem Dx for 99354/99355)
663.8 - Other umbilical cord complications[0,1,3]:Velamentous insertion of umbilical cord
656.7 - Other placental conditions[0,1,3]: Abnormal placenta, Placental infarct
762.6 Other and unspecified conditions of umbilical cord: Short cord, Thrombosis of umbilical cord, Varices of umbilical cord, Velamentous insertion of umbilical cord, Vasa previa
655.?? - Known or suspected fetal abnormality affecting management of mother (needs 4th and 5th digits) abnormal result on ultrasound
659.7? - Abnormality in fetal heart rate or rhythm related to labor and delivery - Depressed fetal heart tones, bradycardia, tachycardia, fetal heart rate decelerations, nonreassuring fetal heart rate or rhythm (arrhythmia) [0,1,3]
767.19 Other injuries to scalp (caput, cephalhematoma, chignon)
112.3 - Candidiasis of skin and nails - yeast rash
V14.0 - Personal history of allergy to penicillin
560.39 - Impaction of intestine - Other, incl. Fecal Impaction
651.0 Twin pregnancy [0,1,3]
576.8 Other specified disorders of biliary tract - cholestasis

List of ICD-9 Codes for a Midwife

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