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.
APPLICATION
Delivery Codes
1. Use subcategory 669.5 with mid or high forceps only if the complication
necessitating the mid or high forceps is not stated.
EXAMPLE:
DIAGNOSIS: Delivery, full -term: Live-born infant:
669.51 V27.
Vertex presentation: Low forceps.
2. Use as many codes as necessary to completely describe a complicated delivery.
Record the outcome of delivery.
EXAMPLE:
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.
EXAMPLE:
DIAGNOSIS: Intrauterine pregnancy, full -term
651.1 671.42 V27.2
delivered twins, live -born male
infants, postpartum
phlebothrombosis, deep
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.
MD0753
A-34