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NORMAL DELIVERY, AND OTHER INDICATIONS FOR CARE IN PREGNANCY, LABOR, AND DELIVERY (650-659)
The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
 eicd10
650 Normal delivery
Delivery requiring minimal or no assistance, with or without episiotomy, without fetal manipulation [e.g., rotation version] or instrumentation [forceps] of a spontaneous, cephalic, vaginal, full-term, single, live-born infant. This code is for use as a single diagnosis code and is not to be used with any other code in the range 630-676.
Use additional code to indicate outcome of delivery (V27.0)
Excludes:
breech delivery (assisted) (spontaneous) NOS (652.2)
delivery by vacuum extractor, forceps, cesarean section, or breech extraction, without specified complication (669.5-669.7)
651 Multiple gestation
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Excludes:
fetal conjoined twins (678.1)
652 Malposition and malpresentation of fetus
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Code first any associated obstructed labor (660.0)
653 Disproportion
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Code first any associated obstructed labor (660.1)
654 Abnormality of organs and soft tissues of pelvis
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Includes:
the listed conditions during pregnancy, childbirth, or the puerperium
Code first any associated obstructed labor (660.2)
Excludes:
trauma to perineum and vulva complicating current delivery (664.0-664.9)
655 Known or suspected fetal abnormality affecting management of mother
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Includes:
the listed conditions in the fetus as a reason for observation or obstetrical care of the mother, or for termination of pregnancy
656 Other known or suspected fetal and placental problems affecting management of mother
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Excludes:
fetal hematologic conditions (678.0)
suspected placental problems not found (V89.02)
657 Polyhydramnios
[0,1,3]
Hydramnios
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Use 0 as fourth digit for category 657
Excludes:
suspected polyhydramnios not found (V89.01)
658 Other problems associated with amniotic cavity and membranes
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
Excludes:
amniotic fluid embolism (673.1)
suspected problems with amniotic cavity and membranes not found (V89.01)
659 Other indications for care or intervention related to labor and delivery, not elsewhere classified
Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 650-659 for definitions.
 
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