j. When a delivery is complicated, use as many codes as is necessary to
completely describe the complications.
k. For a spontaneous delivery occurring in the hospital, in addition t o the diagnostic
code(s), a procedure (delivery) code will be used. Procedure code 73.59 (other
manually assisted delivery) will only be assigned if no other delivery code from category
73-74 is used.
1. Use subcategory 669.5 with mid or high forceps only if the complication
necessitating the mid or high forceps is not stated.
DIAGNOSIS: Delivery, full -term: Live-born infant:
Vertex presentation: Low forceps.
2. Use as many codes as necessary to completely describe a complicated delivery.
Record the outcome of delivery.
DIAGNOSIS: Pregnancy, uterine, delivered,male
652.21 664.1 664.51 V27.
infant, frank breech presentation:
first degree perineal laceration (with
hematoma of vulva).
3. Category 651 will be used with deliveries of multiple births. If, during the same
episode of care, a complication of delivery or an antepartum condition occurs in addition
to a postpartum complication, assign fifth digits 1 and 2 respectively, to the codes
identifying the complications.
DIAGNOSIS: Intrauterine pregnancy, full -term
651.1 671.42 V27.2
delivered twins, live -born male
PRINCIPLE X. PERINATAL MORBIDITY AND MORTALITY
1. The perinatal period is defined as that period occurring before, during, and up to 28
days following birth.