Chapter XV
Pregnancy, childbirth and the puerperium
(O00-O99)

Rules Conventions GCS DChS.XV.1 Guidance

Complications of labour and delivery
(O60-O75)

O60 Preterm labour and delivery
DCS.XV.21

Incl.:
Onset (spontaneous) of labour before 37 completed weeks of gestation
O60.0 Preterm labour without delivery
DCS.XV.34
Incl.:
Preterm labour:
  • induced
  • spontaneous
O60.1 Preterm spontaneous labour with preterm delivery
Incl.:
Preterm labour with delivery NOS
Preterm spontaneous labour with preterm delivery by caesarean section
O60.2 Preterm spontaneous labour with term delivery
Incl.:
Preterm spontaneous labour with term delivery by caesarean section
O60.3 Preterm delivery without spontaneous labour
Incl.:
Preterm delivery by:
  • caesarean section, without spontaneous labour
  • induction

O61 Failed induction of labour

O61.0 Failed medical induction of labour
Incl.:
Failed induction (of labour) by:
  • oxytocin
  • prostaglandins
O61.1 Failed instrumental induction of labour
Incl.:
Failed induction (of labour):
  • mechanical
  • surgical
O61.8 Other failed induction of labour
O61.9 Failed induction of labour, unspecified

O62 Abnormalities of forces of labour

O62.0 Primary inadequate contractions
Incl.:
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labour
O62.1 Secondary uterine inertia
Incl.:
Arrested active phase of labour
Secondary hypotonic uterine dysfunction
O62.2 Other uterine inertia
Incl.:
Atony of uterus
Desultory labour
Hypotonic uterine dysfunction NOS
Irregular labour
Poor contractions
Uterine inertia NOS
O62.3 Precipitate labour
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Incl.:
Contraction ring dystocia
Dyscoordinate labour
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Excl.:
dystocia (fetal)(maternal) NOS ( O66.9)
O62.8 Other abnormalities of forces of labour
O62.9 Abnormality of forces of labour, unspecified

O63 Long labour
DCS.XV.22

O63.0 Prolonged first stage (of labour)
O63.1 Prolonged second stage (of labour)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labour, unspecified
Incl.:
Prolonged labour NOS

O64 Obstructed labour due to malposition and malpresentation of fetus
DCS.XV.15

O64.0 Obstructed labour due to incomplete rotation of fetal head
Incl.:
Deep transverse arrest
Obstructed labour due to persistent (position):
  • occipitoiliac
  • occipitoposterior
  • occipitosacral
  • occipitotransverse
O64.1 Obstructed labour due to breech presentation
O64.2 Obstructed labour due to face presentation
Incl.:
Obstructed labour due to chin presentation
O64.3 Obstructed labour due to brow presentation
O64.4 Obstructed labour due to shoulder presentation
Incl.:
Prolapsed arm
Excl.:
impacted shoulders ( O66.0)
shoulder dystocia ( O66.0)
O64.5 Obstructed labour due to compound presentation
O64.8 Obstructed labour due to other malposition and malpresentation
O64.9 Obstructed labour due to malposition and malpresentation, unspecified

O65 Obstructed labour due to maternal pelvic abnormality
DCS.XV.15

O65.0 Obstructed labour due to deformed pelvis
O65.1 Obstructed labour due to generally contracted pelvis
O65.2 Obstructed labour due to pelvic inlet contraction
O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labour due to fetopelvic disproportion, unspecified
Excl.:
dystocia due to abnormality of fetus ( O66.2-O66.3)
O65.5 Obstructed labour due to abnormality of maternal pelvic organs
Incl.:
Obstructed labour due to conditions listed in O34.-
O65.8 Obstructed labour due to other maternal pelvic abnormalities
O65.9 Obstructed labour due to maternal pelvic abnormality, unspecified

O66 Other obstructed labour
DCS.XV.15

O66.0 Obstructed labour due to shoulder dystocia
Incl.:
Impacted shoulders
O66.1 Obstructed labour due to locked twins
O66.2 Obstructed labour due to unusually large fetus
O66.3 Obstructed labour due to other abnormalities of fetus
Incl.:
Dystocia due to:
  • conjoined twins
  • fetal:
    • —  ascites
    • —  hydrops
    • —  meningomyelocele
    • —  sacral teratoma
    • —  tumour
  • hydrocephalic fetus
O66.4 Failed trial of labour, unspecified
DCS.XV.24
Incl.:
Failed trial of labour with subsequent delivery by caesarean section
O66.5 Failed application of vacuum extractor and forceps, unspecified
DCS.XV.24
Incl.:
Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean section respectively
O66.8 Other specified obstructed labour
O66.9 Obstructed labour, unspecified
Incl.:
Dystocia:
  • NOS
  • fetal NOS
  • maternal NOS

O67 Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified

Excl.:
antepartum haemorrhage NEC ( O46.-)
placenta praevia ( O44.-)
postpartum haemorrhage ( O72.-)
premature separation of placenta [abruptio placentae] ( O45.-)
O67.0 Intrapartum haemorrhage with coagulation defect
Incl.:
Intrapartum haemorrhage (excessive) associated with:
  • afibrinogenaemia
  • disseminated intravascular coagulation
  • hyperfibrinolysis
  • hypofibrinogenaemia
O67.8 Other intrapartum haemorrhage
Incl.:
Excessive intrapartum haemorrhage
O67.9 Intrapartum haemorrhage, unspecified

O68 Labour and delivery complicated by fetal stress [distress]

Incl.:
fetal distress in labour or delivery due to drug administration
O68.0 Labour and delivery complicated by fetal heart rate anomaly
Incl.:
Fetal:
  • bradycardia
  • heart rate irregularity
  • tachycardia
Excl.:
with meconium in amniotic fluid ( O68.2)
O68.1 Labour and delivery complicated by meconium in amniotic fluid
Excl.:
with fetal heart rate anomaly ( O68.2)
O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic fluid
O68.3 Labour and delivery complicated by biochemical evidence of fetal stress
Incl.:
Abnormal fetal:
  • acidaemia
  • acid-base balance
O68.8 Labour and delivery complicated by other evidence of fetal stress
Incl.:
Evidence of fetal distress:
  • electrocardiographic
  • ultrasonic
O68.9 Labour and delivery complicated by fetal stress, unspecified

O69 Labour and delivery complicated by umbilical cord complications

O69.0 Labour and delivery complicated by prolapse of cord
O69.1 Labour and delivery complicated by cord around neck, with compression
O69.2 Labour and delivery complicated by other cord entanglement, with compression
Incl.:
Compression of cord NOS
Entanglement of cords of twins in monoamniotic sac
Knot in cord
O69.3 Labour and delivery complicated by short cord
O69.4 Labour and delivery complicated by vasa praevia
Incl.:
Haemorrhage from vasa praevia
O69.5 Labour and delivery complicated by vascular lesion of cord
Incl.:
Cord:
  • bruising
  • haematoma
Thrombosis of umbilical vessels
O69.8 Labour and delivery complicated by other cord complications
Incl.:
Cord around neck without compression
O69.9 Labour and delivery complicated by cord complication, unspecified

O70 Perineal laceration during delivery

Incl.:
episiotomy extended by laceration
Excl.:
obstetric high vaginal laceration ( O71.4)
vaginal sulcus laceration ( O71.4)
O70.0 First degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear (involving):
    • fourchette
    • labia
    • periurethral tissue
    • skin
    • slight
    • vagina, low
    • vulva
  • during delivery
Excl.:
periurethral laceration involving urethra ( O71.5)
that with laceration of:
  • high vaginal wall (middle)(upper third of vaginal wall) (O71.4)
  • vaginal sulcus (O71.4)
O70.1 Second degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.0, also involving:
    • pelvic floor
    • perineal muscles
    • vaginal muscles
  • during delivery
Excl.:
that involving anal sphincter ( O70.2)
O70.2 Third degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.1, also involving:
    • anal sphincter
    • rectovaginal septum
    • sphincter NOS
  • during delivery
Excl.:
that involving anal or rectal mucosa ( O70.3)
O70.3 Fourth degree perineal laceration during delivery
Incl.:
  • Perineal laceration, rupture or tear as in O70.2, also involving:
    • anal mucosa
    • rectal mucosa
  • during delivery
O70.9 Perineal laceration during delivery, unspecified

O71 Other obstetric trauma

Incl.:
damage from instruments
O71.0 Rupture of uterus before onset of labour
O71.1 Rupture of uterus during labour
Incl.:
Rupture of uterus not stated as occurring before onset of labour
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix
Incl.:
Annular detachment of cervix
O71.4 Obstetric high vaginal laceration
Incl.:
Laceration of:
  • middle or upper third of vaginal wall
  • vaginal sulcus
Excl.:
that of the lower vagina ( O70.-)
O71.5 Other obstetric injury to pelvic organs
Incl.:
Obstetric injury to:
  • bladder
  • urethra
Excl.:
(minor) laceration involving periurethral tissue only ( O70.0)
O71.6 Obstetric damage to pelvic joints and ligaments
Incl.:
  • Avulsion of inner symphyseal cartilage
  • Damage to coccyx
  • Traumatic separation of symphysis (pubis)
  • obstetric
O71.7 Obstetric haematoma of pelvis
Incl.:
Obstetric haematoma of:
  • perineum
  • vagina
  • vulva
O71.8 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified

O72 Postpartum haemorrhage
DCS.XV.25

Incl.:
haemorrhage after delivery of fetus or infant
O72.0 Third-stage haemorrhage
DCS.XV.19
Incl.:
Haemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
Coding-Hint
Use additional code, if desired, to identify any morbidly adherent placenta ( O43.2)
O72.1 Other immediate postpartum haemorrhage
Incl.:
Haemorrhage following delivery of placenta
Postpartum haemorrhage (atonic) NOS
O72.2 Delayed and secondary postpartum haemorrhage
Incl.:
Haemorrhage associated with retained portions of placenta or membranes
Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects
Incl.:
Postpartum:
  • afibrinogenaemia
  • fibrinolysis

O73 Retained placenta and membranes, without haemorrhage

O73.0 Retained placenta without haemorrhage
DCS.XV.19
Coding-Hint
Use additional code, if desired, to identify any morbidly adherent placenta ( O43.2)
O73.1 Retained portions of placenta and membranes, without haemorrhage
Incl.:
Retained products of conception following delivery, without haemorrhage

O74 Complications of anaesthesia during labour and delivery
DCS.XV.13 DCS.XIX.7 DFigure.XIX.1

Incl.:
maternal complications arising from the administration of a general or local anaesthetic, analgesic or other sedation during labour and delivery
O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery
Incl.:
  • Chemical pneumonitis due to aspiration
  • Inhalation of stomach contents or secretions NOS
  • Mendelson syndrome
  • due to anaesthesia during labour and delivery
O74.1 Other pulmonary complications of anaesthesia during labour and delivery
Incl.:
Pressure collapse of lung due to anaesthesia during labour and delivery
O74.2 Cardiac complications of anaesthesia during labour and delivery
Incl.:
  • Cardiac:
    • arrest
    • failure
  • due to anaesthesia during labour and delivery
O74.3 Central nervous system complications of anaesthesia during labour and delivery
Incl.:
Cerebral anoxia due to anaesthesia during labour and delivery
O74.4 Toxic reaction to local anaesthesia during labour and delivery
O74.5 Spinal and epidural anaesthesia-induced headache during labour and delivery
O74.6 Other complications of spinal and epidural anaesthesia during labour and delivery
O74.7 Failed or difficult intubation during labour and delivery
O74.8 Other complications of anaesthesia during labour and delivery
DCS.XIX.9
O74.9 Complication of anaesthesia during labour and delivery, unspecified

O75 Other complications of labour and delivery, not elsewhere classified

Excl.:
puerperal:
O75.0 Maternal distress during labour and delivery
O75.1 Shock during or following labour and delivery
Incl.:
Obstetric shock
O75.2 Pyrexia during labour, not elsewhere classified
O75.3 Other infection during labour
Incl.:
Sepsis during labour
O75.4 Other complications of obstetric surgery and procedures
Incl.:
  • Cardiac:
    • arrest
    • failure
  • Cerebral anoxia
  • following caesarean or other obstetric surgery or procedures, including delivery NOS
Excl.:
complications of anaesthesia during labour and delivery ( O74.-)
obstetric (surgical) wound:
O75.5 Delayed delivery after artificial rupture of membranes
DCS.XV.26
O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes
DCS.XV.26
Excl.:
spontaneous premature rupture of membranes ( O42.-)
O75.7 Vaginal delivery following previous caesarean section
DCS.XV.27
O75.8 Other specified complications of labour and delivery
O75.9 Complication of labour and delivery, unspecified