11. Categories V3-V37 (Live-Born Infants According to Type of Birth) will be used for
coding of live -born infants. The appropriate fourth digit " ." (Born in Hospital) and ".1"
(Born Before Admission to Hospital) will separate hospital births from those born en
route or shortly before admission. For inpatient care " .2" (Born Outside Hospital and
Not Hospitalized) will not be used on inpatient records. V39 (Unspecified Live Birth) will
not be used for inpatient care. (For further details and application of the V30 -V37
categories, see Principle X ( Perinatal Morbidity and Mortality.)
12. Category V42 (Organ or Tissue Replaced by Transplant) may be used, as
appropriate, for inpatient care. The subcategory codes are status codes to indicate the
presence of a transplanted organ/tissue. These codes will never be used as the cause
of admission or principal diagnosis. (For further details and application of this category,
see Principle XVI.)
13. Category V44 (Artificial Opening Status) and V45 (Other Post -Surgical Status) are
appropriate for inpatient coding to describe a post -surgical status that affects patien t
care management, for example, V45.1 (Renal dialysis status). These codes will never
be used as the cause of admission.
14. Categories V5-V59 (Persons Encountering Health Service for Specific
Procedures and Aftercare) will have inpatient utilization as follows:
a. Subcategory V5.1 (Other Plastic Surgery for Unacceptable Cosmetic
Appearance) will be used as the diagnostic code to support surgery done for purely
cosmetic reasons as distinguished from therapeutic indications. A few surgical
procedures that can be done for therapeutic reasons but are often done for purely
cosmetic purposes are mammary augmentation, facial rhytidectomy (face lift),
blepharoplasty, rhinoplasty, and otoplasty. Use of this diagnostic code excludes plastic
surgery following healed injury or operation. Category code V51 will be used to support
plastic surgery done following previous surgery or injury.
b. Categories V51-V58 are for use in indicating a reason for care of patients who
have already been treated for some disease or injury not now present.
c. Subcategories V54. and V54.8 (Other Orthopedic Aftercare) would be used
when a patient is admitted for routine removal of device following "healed fracture" or
similar condition. Either code can be a sole diagnostic code used as the cause of
d. Subcategories V55.-V55.3 (Attention to Artificial Openings) may be used to
classify admission without mention of complication but for the purpose of closing or
revising the ostomy site.
e. Category V59 (Donors) provides a classification for donor of tissues or organs.
(For further details and application of this category, see Principle XVI.)
15. Subcategory V63.2 (Person Awaiting Admission to Adequate Facility Elsewhere) is
a possible code for use in those instances where the patient is being held in the hospital
pending transfer to another institution. It is to be used as an additional code only.