Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
(P00-P04)

Incl.:
the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy

Excl.:
fetus and newborn affected by:
  • maternal complications of pregnancy (P01.-)
  • maternal endocrine and metabolic disorders (P70-P74)
  • noxious influences transmitted via placenta or breast milk (P04.-)
P00.0 Fetus and newborn affected by maternal hypertensive disorders
Incl.:
Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Incl.:
Fetus or newborn affected by maternal conditions classifiable to N00-N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Incl.:
Fetus or newborn affected by maternal infectious disease classifiable to A00-B99 and J09-J11, but not itself manifesting that disease
Excl.:
infections specific to the perinatal period ( P35-P39)
maternal genital tract and other localized infections ( P00.8)
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory diseases
Incl.:
Fetus or newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders
Incl.:
Fetus or newborn affected by maternal disorders classifiable to E40-E64
Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury
Incl.:
Fetus or newborn affected by maternal conditions classifiable to S00-T79
P00.6 Fetus and newborn affected by surgical procedure on mother
Excl.:
caesarean section for present delivery ( P03.4)
damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1)
previous surgery to uterus or pelvic organs ( P03.8)
termination of pregnancy, fetus ( P96.4)
P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified
Incl.:
Fetus or newborn affected by radiology on mother
Excl.:
damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1)
fetus or newborn affected by other complications of labour and delivery ( P03.-)
P00.8 Fetus and newborn affected by other maternal conditions
Incl.:
Fetus or newborn affected by:
  • conditions classifiable to T80-T88
  • maternal genital tract and other localized infections
  • maternal systemic lupus erythematosus
Excl.:
transitory neonatal endocrine and metabolic disorders ( P70-P74)
P00.9 Fetus and newborn affected by unspecified maternal condition

P01 Fetus and newborn affected by maternal complications of pregnancy

P01.0 Fetus and newborn affected by incompetent cervix
P01.1 Fetus and newborn affected by premature rupture of membranes
P01.2 Fetus and newborn affected by oligohydramnios
Excl.:
when due to premature rupture of membranes ( P01.1)
P01.3 Fetus and newborn affected by polyhydramnios
Incl.:
Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy
Incl.:
Abdominal pregnancy
P01.5 Fetus and newborn affected by multiple pregnancy
Incl.:
Triplet (pregnancy)
Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour
Incl.:
  • Breech presentation
  • External version
  • Face presentation
  • Transverse lie
  • Unstable lie
  • before labour
P01.8 Fetus and newborn affected by other maternal complications of pregnancy
Incl.:
Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified

P02 Fetus and newborn affected by complications of placenta, cord and membranes

P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage
Incl.:
Abruptio placentae
Accidental haemorrhage
Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta
Incl.:
Placental:
  • dysfunction
  • infarction
  • insufficiency
P02.3 Fetus and newborn affected by placental transfusion syndromes
Incl.:
Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
Coding-Hint
Use additional code, if desired, to indicate resultant condition in the fetus or newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord
Incl.:
Cord (tightly) around neck
Entanglement of cord
Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord
Incl.:
Short cord
Vasa praevia
Excl.:
single umbilical artery ( Q27.0)
P02.7 Fetus and newborn affected by chorioamnionitis
Incl.:
Amnionitis
Membranitis
Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes
P02.9 Fetus and newborn affected by abnormality of membranes, unspecified

P03 Fetus and newborn affected by other complications of labour and delivery

P03.0 Fetus and newborn affected by breech delivery and extraction
P03.1 Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery
Incl.:
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64-O66
Persistent occipitoposterior
Transverse lie
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery
P03.5 Fetus and newborn affected by precipitate delivery
Incl.:
Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions
Incl.:
Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour
Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and delivery
Incl.:
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures used in labour and delivery not included in P02.- and P03.0-P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified

P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk

Incl.:
nonteratogenic effects of substances transmitted via placenta
Excl.:
congenital malformations ( Q00-Q99)
neonatal jaundice due to drugs or toxins transmitted from mother ( P58.4)
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery
Incl.:
Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery
P04.1 Fetus and newborn affected by other maternal medication
Incl.:
Cancer chemotherapy
Cytotoxic drugs
Excl.:
dysmorphism due to warfarin ( Q86.2)
fetal hydantoin syndrome ( Q86.1)
maternal use of drugs of addiction ( P04.4)
P04.2 Fetus and newborn affected by maternal use of tobacco
P04.3 Fetus and newborn affected by maternal use of alcohol
Excl.:
fetal alcohol syndrome ( Q86.0)
P04.4 Fetus and newborn affected by maternal use of drugs of addiction
Excl.:
maternal anaesthesia and analgesia ( P04.0)
withdrawal symptoms from maternal use of drugs of addiction ( P96.1)
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified