CHAPTER P
LOWER FEMALE GENITAL TRACT
(CODES P01-P32)

Excludes:  GYNAECOLOGICAL OPERATIONS ON FEMALE URETHRA
AND BLADDER (Chapter M)
OBSTETRIC OPERATIONS (Chapter R)
OPERATIONS FOR FEMALE SEXUAL TRANSFORMATION (Chapter X)
OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)

Note:  Obstetric operations are normally carried out in relation to delivery at or near term or in pregnancy expected to go to term, they do not include abortion or termination of pregnancy
Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



P01 Operations on clitoris
 
P01.1 Clitoridectomy
P01.2 Reduction of clitoris
P01.8 Other specified
P01.9 Unspecified

P03 Operations on Bartholin gland
  Includes:  Bartholin duct (P03.5)



P03.1 Excision of Bartholin gland
P03.2 Marsupialisation of Bartholin gland
P03.3 Excision of lesion of Bartholin gland
P03.4 Drainage of Bartholin gland
P03.5 Operations on Bartholin duct
P03.8 Other specified
P03.9 Unspecified

P05 Excision of vulva
  Includes:  Skin of vulva

Note:  Codes from Chapter S may be used to enhance these codes



P05.1 Total excision of vulva
P05.2 Partial excision of vulva
P05.3 Marsupialisation of lesion of vulva
P05.4 Excision of lesion of vulva NEC
P05.5 Excision of excess labial tissue
P05.6 Reduction labia minor
P05.7 Reduction labia major
P05.8 Other specified
P05.9 Unspecified
  Includes:  Vulvectomy NEC



P06 Extirpation of lesion of vulva
  Note at  P05 applies

Includes:  Skin of vulva



P06.1 Laser destruction of lesion of vulva
P06.2 Cryosurgery to lesion of vulva
P06.3 Cauterisation of lesion of vulva
P06.4 Implantation of radioactive substance into vulva
  Note:  Use an additional code to specify radiotherapy delivery (X65)


P06.5 Excision of lesion of labia
P06.8 Other specified
P06.9 Unspecified

P07 Repair of vulva
  Note at  P05 applies

Includes:  Skin of vulva



P07.1 Plastic repair of vulva
P07.2 Deinfibulation of vulva
  Excludes:  Deinfibulation of vulva to facilitate delivery (R27.2)


P07.8 Other specified
P07.9 Unspecified

P09 Other operations on vulva
  Note at  P05 applies

Includes:  Skin of vulva



P09.1 Biopsy of lesion of vulva
  Includes:  Biopsy of vulva


P09.2 Drainage of lesion of vulva
P09.3 Evacuation of haematoma from vulva
P09.4 Biopsy of lesion of labia
  Includes:  Biopsy of labia


P09.8 Other specified
P09.9 Unspecified

P11 Extirpation of lesion of female perineum
  Includes:  Skin of female perineum

Note:  Codes from Chapter S may be used to enhance these codes



P11.1 Excision of lesion of female perineum
P11.2 Laser destruction of lesion of female perineum
P11.3 Cauterisation of lesion of female perineum
P11.4 Destruction of lesion of female perineum NEC
P11.8 Other specified
P11.9 Unspecified

P13 Other operations on female perineum
  Note at  P11 applies

Includes:  Skin of female perineum



P13.1 Drainage of female perineum
  Includes:  Drainage of lesion of female perineum


P13.2 Female perineorrhaphy
  Includes:  Immediate and non-immediate repair of laceration of perineum following termination of pregnancy

Note:  Use as a supplementary code for concurrent colporrhaphy (P23)


P13.3 Female perineoplasty
P13.4 Closure of fistula of female perineum
P13.5 Female perineotomy NEC
P13.6 Operations on female periurethral tissue NEC
P13.7 Excision of sweat gland bearing skin of female perineum
P13.8 Other specified
P13.9 Unspecified

P14 Incision of introitus of vagina
 
P14.1 Posterior episiotomy and division of levator ani muscle
P14.2 Posterior episiotomy NEC
P14.3 Anterior episiotomy
P14.8 Other specified
P14.9 Unspecified
  Includes:  Episiotomy NEC
Episiotomy to facilitate delivery of terminated fetus



P15 Other operations on introitus of vagina
 
P15.1 Hymenectomy
P15.2 Excision of hymenal tag
P15.3 Code retired - refer to introduction
P15.4 Incision of hymen
  Includes:  Hymenotomy


P15.5 Stretching of hymen
P15.8 Other specified
P15.9 Unspecified

P17 Excision of vagina
 
P17.1 Total colpectomy
P17.2 Partial colpectomy
P17.3 Marsupialisation of lesion of vagina
P17.8 Other specified
P17.9 Unspecified

P18 Other obliteration of vagina
 
P18.1 Complete colpocleisis
P18.2 Partial colpocleisis
P18.8 Other specified
P18.9 Unspecified

P19 Excision of band of vagina
 
P19.1 Laser excision of septum of vagina
P19.2 Excision of septum of vagina NEC
P19.3 Excision of transverse septum high
P19.4 Excision of transverse septum low
P19.5 Excision of transverse septum vertical
P19.8 Other specified
P19.9 Unspecified

P20 Extirpation of lesion of vagina
 
P20.1 Excision of lesion of vagina
P20.2 Laser destruction of lesion of vagina
P20.3 Cauterisation of lesion of vagina
P20.4 Cryotherapy to lesion of vagina
P20.5 Implantation of radioactive substance into vagina
  Note:  Use an additional code to specify radiotherapy delivery (X65)


P20.8 Other specified
P20.9 Unspecified

P21 Plastic operations on vagina
  Note:  Principal category, extended at P32



P21.1 Construction of vagina
P21.2 Reconstruction of vagina NEC
P21.3 Vaginoplasty NEC
P21.4 Vaginoplasty in presence of uterus for absent vagina
P21.5 Vaginoplasty using olive
P21.8 Other specified
P21.9 Unspecified

P22 Repair of prolapse of vagina and amputation of cervix uteri
 
P22.1 Anterior and posterior colporrhaphy and amputation of cervix uteri
P22.2 Anterior colporrhaphy and amputation of cervix uteri NEC
P22.3 Posterior colporrhaphy and amputation of cervix uteri NEC
P22.8 Other specified
P22.9 Unspecified
  Includes:  Colporrhaphy and amputation of cervix uteri NEC



P23 Other repair of prolapse of vagina
  Note:  Principal category, extended at P28
Use a supplementary code for concurrent excision of uterus (Q08)
Use a supplementary code for concurrent perineorrhaphy (P13.2)



P23.1 Anterior and posterior colporrhaphy NEC
P23.2 Anterior colporrhaphy NEC
P23.3 Posterior colporrhaphy NEC
P23.4 Repair of enterocele NEC
P23.5 Paravaginal repair
P23.6 Anterior colporrhaphy with mesh reinforcement
P23.7 Posterior colporrhaphy with mesh reinforcement
P23.8 Other specified
P23.9 Unspecified
  Includes:  Colporrhaphy NEC



P24 Repair of vault of vagina
  Excludes:  Operations to support female bladder (M51-M55)

Note:  Principal category, extended at P30



P24.1 Repair of vault of vagina using combined abdominal and vaginal approach
P24.2 Sacrocolpopexy
P24.3 Repair of vault of vagina using abdominal approach NEC
P24.4 Repair of vault of vagina using vaginal approach NEC
P24.5 Repair of vault of vagina with mesh using abdominal approach
P24.6 Repair of vault of vagina with mesh using vaginal approach
P24.7 Sacrospinous fixation of vagina
P24.8 Other specified
P24.9 Unspecified
  Includes:  Suspension of vagina NEC



P25 Other repair of vagina
 
P25.1 Repair of vesicovaginal fistula
P25.2 Repair of urethrovaginal fistula
P25.3 Repair of rectovaginal fistula
P25.4 Repair of uterovaginal fistula
P25.5 Suture of vagina
  Includes:  Immediate and non-immediate suture of laceration of vagina following termination of pregnancy


P25.8 Other specified
P25.9 Unspecified

P26 Introduction of supporting pessary into vagina
  Excludes:  Insertion of abortifacient pessary (Q14)



P26.1 Insertion of Hodge pessary into vagina
P26.2 Insertion of ring pessary into vagina
P26.3 Removal of supporting pessary from vagina
P26.4 Renewal of supporting pessary in vagina
P26.8 Other specified
P26.9 Unspecified

P27 Exploration of vagina
 
P27.1 Evacuation of haematoma from vagina
P27.2 Toilet to vagina
P27.3 Colposcopy of vagina
  Excludes:  Colposcopy of cervix (Q55.4)


P27.4 Endoscopic examination of vagina
  Includes:  Vaginoscopy NEC


P27.8 Other specified
P27.9 Unspecified

P28 Repair of prolapse of vagina
  Note:  Principal P23
Use a supplementary code for concurrent excision of uterus (Q08)



P28.1 Total removal of prosthetic material from previous repair of vaginal prolapse
P28.2 Partial removal of prosthetic material from previous repair of vaginal prolapse
P28.8 Other specified
P28.9 Unspecified

P29 Other operations on vagina
 
P29.1 Freeing of adhesions of vagina
P29.2 Colpotomy NEC
P29.3 Biopsy of lesion of vagina
  Includes:  Biopsy of vagina


P29.4 Removal of foreign body from vagina
P29.5 Dilation of vagina
  Includes:  Dilator therapy of vagina


P29.6 Oversewing of mesh in vagina
  Includes:  Oversewing of eroded or exposed mesh in vagina
Oversewing of eroded or exposed tape in vagina


P29.8 Other specified
P29.9 Unspecified

P30 Other repair of vault of vagina
  Excludes:  Operations to support female bladder (M51-M55)

Note:  Principal P24



P30.1 Total removal of prosthetic material from previous repair of vaginal vault prolapse
P30.2 Partial removal of prosthetic material from previous repair of vaginal vault prolapse
P30.3 Plication of mesh previously inserted for suspension of vaginal vault
  Includes:  Plication of mesh previously inserted for suspension of vagina NEC


P30.8 Other specified
P30.9 Unspecified

P31 Operations on pouch of Douglas
 
P31.1 Culdoplasty
P31.2 Drainage of pouch of Douglas
P31.3 Aspiration of pouch of Douglas
P31.4 Culdotomy NEC
P31.5 Removal of intrauterine contraceptive device from pouch of Douglas
P31.6 Removal of foreign body from pouch of Douglas NEC
P31.7 Extirpation of lesion of pouch of Douglas
P31.8 Other specified
P31.9 Unspecified

P32 Other plastic operations on vagina
  Note:  Principal P21



P32.1 Reconstruction of vagina using bowel interposition
P32.2 Reconstruction of vagina using pelvic peritoneal graft
P32.3 Reconstruction of vagina with urethral dissection
P32.4 Vaginoplasty using rotational skin flaps
P32.5 Vaginoplasty using tissue expanders
P32.6 Vaginoplasty using a mould and skin graft
P32.7 Vaginoplasty using a mould NEC
P32.8 Other specified
P32.9 Unspecified


CHAPTER Q
UPPER FEMALE GENITAL TRACT
(CODES Q01-Q58)

Includes:  UTERUS
FALLOPIAN TUBE
OVARY
LIGAMENT OF UTERUS

Excludes:  OBSTETRIC OPERATIONS (Chapter R)
OPERATIONS FOR FEMALE SEXUAL TRANSFORMATION (Chapter X)
OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)

Note:  Obstetric operations are normally carried out in relation to delivery at or near or in pregnancy expected to go to term, they do not include abortion or termination of pregnancy
Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



Q01 Excision of cervix uteri
 
Q01.1 Amputation of cervix uteri
  Excludes:  When associated with repair of prolapse of vagina (P22)


Q01.2 Wedge excision of cervix uteri and suture HFQ
Q01.3 Excision of lesion of cervix uteri
Q01.4 Large loop excision of transformation zone
Q01.8 Other specified
Q01.9 Unspecified

Q02 Destruction of lesion of cervix uteri
 
Q02.1 Avulsion of lesion of cervix uteri
Q02.2 Laser destruction of lesion of cervix uteri
Q02.3 Cauterisation of lesion of cervix uteri
Q02.4 Cryotherapy to lesion of cervix uteri
Q02.8 Other specified
Q02.9 Unspecified

Q03 Biopsy of cervix uteri
  Includes:  Biopsy of lesion of cervix uteri



Q03.1 Knife cone biopsy of cervix uteri
Q03.2 Laser cone biopsy of cervix uteri
Q03.3 Cone biopsy of cervix uteri NEC
Q03.4 Punch biopsy of cervix uteri
Q03.5 Ring biopsy of cervix uteri
Q03.8 Other specified
Q03.9 Unspecified

Q05 Other operations on cervix uteri
 
Q05.1 Repair of cervix uteri NEC
  Includes:  Cerclage of cervix of non-gravid uterus

Excludes:  Cerclage of cervix of gravid uterus (R12.1)


Q05.2 Dilation of cervix uteri NEC
  Excludes:  When associated with curettage of uterus (Q10.1) or other evacuation of uterus (Q11.1, Q11.2)


Q05.3 Insertion of osmotic dilator into cervix
  Excludes:  Insertion of osmotic dilator into cervix for induction of labour (R15.2)

Note:  Use a subsidiary code to identify gestational age (Y95)


Q05.8 Other specified
Q05.9 Unspecified

Q07 Abdominal excision of uterus
  Note:  Use a supplementary code for concurrent excision of ovary and/or fallopian tube (Q22-Q24)



Q07.1 Abdominal hysterocolpectomy and excision of periuterine tissue
Q07.2 Abdominal hysterectomy and excision of periuterine tissue NEC
Q07.3 Abdominal hysterocolpectomy NEC
Q07.4 Total abdominal hysterectomy NEC
  Includes:  Hysterectomy NEC


Q07.5 Subtotal abdominal hysterectomy
Q07.6 Excision of accessory uterus
  Excludes:  Excision of Mullerian duct remnant (X16.1)
Excision of uterine horn (X16.1)
Excision of rudimentary uterus (X16.1)


Q07.8 Other specified
Q07.9 Unspecified

Q08 Vaginal excision of uterus
  Note:  Use as a supplementary code when associated with concurrent repair of prolapse of vagina (P23)
Use a supplementary code for concurrent excision of ovary and/or fallopian tube (Q22-Q24)



Q08.1 Vaginal hysterocolpectomy and excision of periuterine tissue
Q08.2 Vaginal hysterectomy and excision of periuterine tissue NEC
Q08.3 Vaginal hysterocolpectomy NEC
Q08.8 Other specified
Q08.9 Unspecified
  Includes:  Vaginal hysterectomy NEC



Q09 Other open operations on uterus
 
Q09.1 Open removal of products of conception from uterus
  Includes:  Caesarean delivery of terminated fetus
Open delivery of terminated fetus

Note:  Use a subsidiary code to identify gestational age (Y95)


Q09.2 Open myomectomy
Q09.3 Open excision of lesion of uterus NEC
  Includes:  Excision of lesion of uterus NEC


Q09.4 Open biopsy of lesion of uterus
  Includes:  Open biopsy of uterus


Q09.5 Metroplasty
Q09.6 Incision of uterus NEC
  Includes:  Hysterotomy NEC


Q09.8 Other specified
Q09.9 Unspecified

Q10 Curettage of uterus
 
Q10.1 Dilation of cervix uteri and curettage of products of conception from uterus
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q10.2 Curettage of products of conception from uterus NEC
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q10.3 Dilation of cervix uteri and curettage of uterus NEC
Q10.8 Other specified
Q10.9 Unspecified

Q11 Other evacuation of contents of uterus
  Note:  Use a subsidiary code to identify gestational age (Y95)



Q11.1 Vacuum aspiration of products of conception from uterus NEC
  Includes:  Dilation of cervix uteri and vacuum aspiration of products of conception from uterus NEC


Q11.2 Dilation of cervix uteri and evacuation of products of conception from uterus NEC
Q11.3 Evacuation of products of conception from uterus NEC
  Includes:  Removal of products of conception from delivered uterus following termination of pregnancy


Q11.4 Extraction of menses
Q11.5 Vacuum aspiration of products of conception from uterus using rigid cannula
Q11.6 Vacuum aspiration of products of conception from uterus using flexible cannula
Q11.8 Other specified
Q11.9 Unspecified

Q12 Intrauterine contraceptive device
 
Q12.1 Introduction of intrauterine contraceptive device
Q12.2 Replacement of intrauterine contraceptive device
Q12.3 Removal of displaced intrauterine contraceptive device NEC
  Excludes:  Removal of displaced intrauterine contraceptive device from pouch of Douglas (P31.5)


Q12.4 Removal of intrauterine contraceptive device NEC
Q12.8 Other specified
Q12.9 Unspecified

Q13 Introduction of gametes into uterine cavity
  Includes:  Introduction of embryo into uterine cavity

Note:  Principal category, extended at Q21



Q13.1 Transfer of embryo to uterus NEC
  Includes:  In vitro fertilisation
Implantation of fertilised egg into uterus

Note:  Use a subsidiary code to identify method of in vitro fertilisation (Y96)


Q13.2 Intracervical artificial insemination
Q13.3 Intrauterine artificial insemination
  Includes:  Artificial insemination NEC


Q13.4 Intrauterine insemination with superovulation using partner sperm
Q13.5 Intrauterine insemination with superovulation using donor sperm
Q13.6 Intrauterine insemination without superovulation using partner sperm
Q13.7 Intrauterine insemination without superovulation using donor sperm
Q13.8 Other specified
Q13.9 Unspecified

Q14 Introduction of abortifacient into uterine cavity
  Note:  Use a subsidiary code to identify gestational age (Y95)



Q14.1 Intra-amniotic injection of prostaglandin
Q14.2 Intra-amniotic injection of abortifacient NEC
Q14.3 Extra-amniotic injection of prostaglandin
Q14.4 Extra-amniotic injection of abortifacient NEC
Q14.5 Insertion of prostaglandin pessary
Q14.6 Insertion of abortifacient pessary NEC
Q14.8 Other specified
Q14.9 Unspecified

Q15 Introduction of other substance into uterine cavity
 
Q15.1 Introduction of radioactive substance into uterine cavity
  Note:  Use an additional code to specify radiotherapy delivery (X65)


Q15.2 Introduction of therapeutic substance into uterine cavity NEC
Q15.3 Injection into uterine cavity NEC
Q15.4 Removal of therapeutic substance from uterine cavity
Q15.8 Other specified
Q15.9 Unspecified

Q16 Other vaginal operations on uterus
 
Q16.1 Vaginal excision of lesion of uterus
Q16.2 Balloon ablation of endometrium
Q16.3 Microwave ablation of endometrium NEC
  Excludes:  Endoscopic microwave ablation of endometrium (Q17.6)


Q16.4 Free circulating saline ablation of endometrium
Q16.5 Radiofrequency ablation of endometrium
Q16.6 Photodynamic ablation of endometrium
Q16.7 Radiofrequency ablation of lesion of uterus
Q16.8 Other specified
Q16.9 Unspecified

Q17 Therapeutic endoscopic operations on uterus
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of uterus (Q18.9)



Q17.1 Endoscopic resection of lesion of uterus
  Includes:  Endoscopic resection of uterus


Q17.2 Endoscopic cauterisation of lesion of uterus
  Includes:  Endoscopic cauterisation of uterus


Q17.3 Endoscopic cryotherapy to lesion of uterus
  Includes:  Endoscopic cryotherapy of uterus


Q17.4 Endoscopic destruction of lesion of uterus NEC
  Includes:  Endoscopic destruction of uterus NEC


Q17.5 Endoscopic metroplasty
Q17.6 Endoscopic microwave ablation of endometrium
  Excludes:  Microwave ablation of endometrium NEC (Q16.3)


Q17.7 Endoscopic balloon ablation of endometrium
Q17.8 Other specified
Q17.9 Unspecified

Q18 Diagnostic endoscopic examination of uterus
 
Q18.1 Diagnostic endoscopic examination of uterus and biopsy of lesion of uterus
  Includes:  Diagnostic endoscopic examination of uterus and biopsy of uterus
Endoscopic biopsy of lesion of uterus
Endoscopic biopsy of uterus


Q18.8 Other specified
Q18.9 Unspecified
  Includes:  Hysteroscopy NEC



Q19 Plastic operations on uterus
 
Q19.1 Connection of uterus to vagina
  Includes:  Uterovaginal anastomosis


Q19.8 Other specified
Q19.9 Unspecified

Q20 Other operations on uterus
 
Q20.1 Freeing of adhesions of uterus
Q20.2 Biopsy of lesion of uterus NEC
  Includes:  Biopsy of uterus NEC


Q20.3 Manual manipulation of uterus
  Includes:  Manual manipulation of uterus following termination of pregnancy

Excludes:  Manual manipulation of gravid uterus (R12.3) or delivered uterus (R30)


Q20.4 Vaginofixation of uterus
Q20.5 Exploration of uterus NEC
  Includes:  Exploration of delivered uterus following termination of pregnancy


Q20.6 Focused ultrasound to lesion of uterus
Q20.7 Destruction of lesion of uterus NEC
Q20.8 Other specified
Q20.9 Unspecified

Q21 Other introduction of gametes into uterine cavity
  Includes:  Introduction of embryo into uterine cavity

Note:  Principal Q13



Q21.1 Transmyometrial transfer of embryo to uterus
  Note:  Use a subsidiary code to identify method of in vitro fertilisation (Y96)
It is not necessary to code additionally any mention of transvaginal ultrasound scan (Q55.5)


Q21.8 Other specified
Q21.9 Unspecified

Q22 Bilateral excision of adnexa of uterus
  Note:  Use as a supplementary code when associated with concurrent excision of uterus (Q07, Q08)



Q22.1 Bilateral salpingoophorectomy
Q22.2 Bilateral salpingectomy NEC
Q22.3 Bilateral oophorectomy NEC
Q22.8 Other specified
Q22.9 Unspecified

Q23 Unilateral excision of adnexa of uterus
  Note:  Use as a supplementary code when associated with concurrent excision of uterus (Q07, Q08)



Q23.1 Unilateral salpingoophorectomy NEC
Q23.2 Salpingoophorectomy of remaining solitary fallopian tube and ovary
Q23.3 Unilateral salpingectomy NEC
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q23.4 Salpingectomy of remaining solitary fallopian tube NEC
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q23.5 Unilateral oophorectomy NEC
Q23.6 Oophorectomy of remaining solitary ovary NEC
Q23.8 Other specified
Q23.9 Unspecified

Q24 Other excision of adnexa of uterus
  Note:  Use as a supplementary code when associated with concurrent excision of uterus (Q07, Q08)



Q24.1 Salpingoophorectomy NEC
Q24.2 Salpingectomy NEC
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q24.3 Oophorectomy NEC
Q24.8 Other specified
Q24.9 Unspecified

Q25 Partial excision of fallopian tube
  Excludes:  When associated with sterilisation (Q27, Q28)

Note:  Use a subsidiary code to identify gestational age (Y95)



Q25.1 Excision of lesion of fallopian tube
Q25.8 Other specified
Q25.9 Unspecified
  Includes:  Partial salpingectomy NEC



Q26 Placement of prosthesis in fallopian tube
 
Q26.1 Insertion of tubal prosthesis into fallopian tube
Q26.2 Revision of tubal prosthesis in fallopian tube
Q26.3 Removal of tubal prosthesis from fallopian tube
Q26.8 Other specified
Q26.9 Unspecified

Q27 Open bilateral occlusion of fallopian tubes
 
Q27.1 Open bilateral ligation of fallopian tubes
Q27.2 Open bilateral clipping of fallopian tubes
  Includes:  Open bilateral ringing of fallopian tubes


Q27.8 Other specified
Q27.9 Unspecified

Q28 Other open occlusion of fallopian tube
 
Q28.1 Open ligation of remaining solitary fallopian tube
Q28.2 Open ligation of fallopian tube NEC
Q28.3 Open clipping of remaining solitary fallopian tube
  Includes:  Open ringing of remaining solitary fallopian tube


Q28.4 Open clipping of fallopian tube NEC
  Includes:  Open ringing of fallopian tube NEC


Q28.8 Other specified
Q28.9 Unspecified

Q29 Open reversal of female sterilisation
 
Q29.1 Reanastomosis of fallopian tube NEC
Q29.2 Open removal of clip from fallopian tube NEC
  Includes:  Open removal of ring from fallopian tube NEC


Q29.8 Other specified
Q29.9 Unspecified

Q30 Other repair of fallopian tube
 
Q30.1 Reconstruction of fallopian tube
Q30.2 Replantation of fallopian tube
Q30.3 Anastomosis of fallopian tube NEC
Q30.4 Salpingostomy
Q30.5 Suture of fallopian tube
Q30.8 Other specified
Q30.9 Unspecified

Q31 Incision of fallopian tube
 
Q31.1 Removal of products of conception from fallopian tube
  Note:  Use a subsidiary code to identify gestational age (Y95)


Q31.2 Drainage of fallopian tube
Q31.8 Other specified
Q31.9 Unspecified
  Includes:  Salpingotomy NEC



Q32 Operations on fimbria
 
Q32.1 Excision of fimbria
Q32.2 Burying of fimbria in wall of uterus
Q32.3 Excision of hydatid of Morgagni
Q32.8 Other specified
Q32.9 Unspecified

Q34 Other open operations on fallopian tube
 
Q34.1 Open freeing of adhesions of fallopian tube
Q34.2 Open biopsy of fallopian tube
  Includes:  Open biopsy of lesion of fallopian tube


Q34.3 Open dilation of fallopian tube
Q34.4 Exploration of fallopian tube
Q34.8 Other specified
Q34.9 Unspecified

Q35 Endoscopic bilateral occlusion of fallopian tubes
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of fallopian tube (Q39.9)



Q35.1 Endoscopic bilateral cauterisation of fallopian tubes
Q35.2 Endoscopic bilateral clipping of fallopian tubes
Q35.3 Endoscopic bilateral ringing of fallopian tubes
Q35.4 Endoscopic bilateral placement of intrafallopian implants
  Includes:  Hysteroscopic placement of intrafallopian implants


Q35.8 Other specified
Q35.9 Unspecified

Q36 Other endoscopic occlusion of fallopian tube
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of fallopian tube (Q39.9)



Q36.1 Endoscopic occlusion of remaining solitary fallopian tube
Q36.2 Endoscopic placement of intrafallopian implant into remaining solitary fallopian tube
  Includes:  Hysteroscopic placement of intrafallopian implant into remaining solitary fallopian tube


Q36.8 Other specified
Q36.9 Unspecified

Q37 Endoscopic reversal of female sterilisation
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of fallopian tube (Q39.9)



Q37.1 Endoscopic removal of clip from fallopian tube
Q37.8 Other specified
Q37.9 Unspecified

Q38 Other therapeutic endoscopic operations on fallopian tube
  Note:  It is not necessary to code additionally any mention of endoscopic examination of fallopian tube (Q39.9)



Q38.1 Endoscopic freeing of adhesions of fallopian tube
Q38.2 Endoscopic injection into fallopian tube
Q38.3 Endoscopic intrafallopian transfer of gametes
  Note:  Use a subsidiary code to identify method of in vitro fertilisation (Y96)


Q38.8 Other specified
Q38.9 Unspecified

Q39 Diagnostic endoscopic examination of fallopian tube
 
Q39.1 Diagnostic endoscopic examination of fallopian tube and biopsy of lesion of fallopian tube
  Includes:  Diagnostic endoscopic examination of fallopian tube and biopsy of fallopian tube
Endoscopic biopsy of lesion of fallopian tube
Endoscopic biopsy of fallopian tube
Biopsy of lesion of fallopian tube NEC
Biopsy of fallopian tube NEC


Q39.8 Other specified
Q39.9 Unspecified
  Includes:  Laparoscopy of fallopian tube NEC
Falloposcopy NEC



Q41 Other operations on fallopian tube
 
Q41.1 Salpingography
  Includes:  Hysterosalpingography


Q41.2 Hydrotubation of fallopian tube
Q41.3 Dye test of fallopian tube
  Note:  Use an additional code to identify laparoscopy of fallopian tube (Q39.9) or gynaecological laparoscopy (T43.9)


Q41.4 Insufflation of fallopian tube
Q41.5 Operations to ensure patency of fallopian tube NEC
  Includes:  Dilation of fallopian tube NEC


Q41.6 Recanalisation of fallopian tube
Q41.7 Aspiration of fallopian tube
Q41.8 Other specified
Q41.9 Unspecified

Q43 Partial excision of ovary
 
Q43.1 Excision of wedge of ovary
Q43.2 Excision of lesion of ovary
Q43.3 Marsupialisation of lesion of ovary
Q43.8 Other specified
Q43.9 Unspecified

Q44 Open destruction of lesion of ovary
 
Q44.1 Open cauterisation of lesion of ovary
Q44.8 Other specified
Q44.9 Unspecified

Q45 Repair of ovary
 
Q45.1 Replantation of ovary
Q45.2 Fixation of ovary NEC
Q45.3 Suture of ovary
Q45.4 Suture of rupture of corpus luteum
Q45.8 Other specified
Q45.9 Unspecified

Q47 Other open operations on ovary
 
Q47.1 Transposition of ovary
Q47.2 Open freeing of adhesions of ovary
Q47.3 Open biopsy of lesion of ovary
  Includes:  Open biopsy of ovary


Q47.4 Open drainage of cyst of ovary
Q47.8 Other specified
Q47.9 Unspecified

Q48 Oocyte recovery
 
Q48.1 Endoscopic transurethral ultrasound directed oocyte recovery
Q48.2 Endoscopic transvesical oocyte recovery
Q48.3 Laparoscopic oocyte recovery
  Includes:  Endoscopic oocyte recovery NEC


Q48.4 Transvaginal oocyte recovery
Q48.8 Other specified
Q48.9 Unspecified

Q49 Therapeutic endoscopic operations on ovary
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ovary (Q50.9)



Q49.1 Endoscopic extirpation of lesion of ovary NEC
Q49.2 Endoscopic freeing of adhesions of ovary
Q49.3 Endoscopic drainage of cyst of ovary
Q49.4 Endoscopic drilling of ovary
Q49.8 Other specified
Q49.9 Unspecified

Q50 Diagnostic endoscopic examination of ovary
 
Q50.1 Diagnostic endoscopic examination of ovary and biopsy of lesion of ovary
  Includes:  Diagnostic endoscopic examination of ovary and biopsy of ovary
Endoscopic biopsy of lesion of ovary
Endoscopic biopsy of ovary
Biopsy of lesion of ovary NEC
Biopsy of ovary NEC


Q50.8 Other specified
Q50.9 Unspecified
  Includes:  Laparoscopy of ovary NEC



Q51 Other operations on ovary
 
Q51.1 Transvaginal ultrasound guided aspiration of ovarian cyst
Q51.8 Other specified
Q51.9 Unspecified

Q52 Operations on broad ligament of uterus
 
Q52.1 Excision of lesion of broad ligament of uterus
Q52.2 Destruction of lesion of broad ligament of uterus
Q52.3 Shortening of broad ligament of uterus
Q52.8 Other specified
Q52.9 Unspecified

Q54 Operations on other ligament of uterus
  Note:  Principal category, extended at Q57



Q54.1 Suspension of uterus NEC
Q54.2 Plication of round ligament of uterus
Q54.3 Division of uteropelvic ligament
Q54.4 Suspension of uterus using mesh NEC
Q54.5 Sacrohysteropexy
Q54.6 Infracoccygeal hysteropexy
Q54.7 Total removal of prosthetic material from previous suspension of uterus
Q54.8 Other specified
Q54.9 Unspecified

Q55 Other examination of female genital tract
 
Q55.1 Examination of female genital tract under anaesthetic and Papanicolau smear
  Includes:  Examination of female genital tract under anaesthetic and cervical smear


Q55.2 Examination of female genital tract under anaesthetic NEC
Q55.3 Papanicolau smear NEC
  Includes:  Cervical smear NEC


Q55.4 Colposcopy of cervix
  Includes:  Colposcopy NEC

Excludes:  Colposcopy limited to vagina (P27.3)


Q55.5 Transvaginal ultrasound examination of female genital tract
  Includes:  Examination vagina ultrasound


Q55.6 Genital swab
  Includes:  High vaginal swab


Q55.8 Other specified
Q55.9 Unspecified
  Includes:  Gynaecological examination under anaesthetic



Q56 Other operations on female genital tract
 
Q56.1 Fertility investigation of female NEC
  Excludes:  Patency operations on fallopian tube (Q41)


Q56.2 Fertiloscopy
Q56.8 Other specified
Q56.9 Unspecified

Q57 Other operations on other ligament of uterus
  Note:  Principal Q54



Q57.1 Partial removal of prosthetic material from previous suspension of uterus
Q57.2 Sacrospinous fixation of uterus
  Includes:  Sacrospinous fixation of cervix uteri


Q57.3 Plication of mesh previously inserted for suspension of uterus
  Includes:  Plication of mesh previously inserted for suspension of cervix uteri


Q57.4 Plication of uterosacral ligament
Q57.8 Other specified
Q57.9 Unspecified

Q58 Delivery of terminated fetus
  Excludes:  Open removal of products of conception from uterus (Q09.1)
Other evacuation of contents of uterus (Q11)

Note:  Use a subsidiary code to identify gestational age (Y95)



Q58.1 Cephalic delivery of terminated fetus
Q58.2 Breech delivery of terminated fetus
  Includes:  Assisted breech delivery of terminated fetus NEC


Q58.8 Other specified
Q58.9 Unspecified


CHAPTER R
FEMALE GENITAL TRACT ASSOCIATED WITH PREGNANCY, CHILDBIRTH AND PUERPERIUM
(CODES R01-R43)

Excludes:  OPERATIONS ASSOCIATED WITH PREGNANCY
WITH ABORTIVE OUTCOME (Chapter Q)

Note:  Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



R01 Therapeutic endoscopic operations on fetus
  Note:  Use a subsidiary code to identify gestational age (Y95)
It is not necessary to code additionally any mention of diagnostic endoscopic examination of fetus (R02.9)



R01.1 Fetoscopic blood transfusion of fetus
R01.2 Fetoscopic insertion of tracheal plug
R01.3 Fetoscopic removal of tracheal plug
R01.8 Other specified
R01.9 Unspecified

R02 Diagnostic endoscopic examination of fetus
  Note:  Use a subsidiary code to identify gestational age (Y95)



R02.1 Fetoscopic examination of fetus and fetoscopic biopsy of fetus
  Includes:  Fetoscopic biopsy of fetus NEC


R02.2 Fetoscopic examination of fetus and fetoscopic sampling of fetal blood
  Includes:  Fetoscopic sampling of fetal blood NEC

Excludes:  Sampling of fetal blood NEC (R13.1)
Amnioscopic sampling of fetal blood (R13.1)
Sampling of fetal blood using vaginal approach (R13.1)


R02.8 Other specified
R02.9 Unspecified
  Includes:  Fetoscopy NEC



R03 Category retired - refer to introduction
 

R04 Therapeutic percutaneous operations on fetus
  Note:  Principal category, extended at R11
Use a subsidiary code to identify gestational age (Y95)



R04.1 Percutaneous insertion of fetal vesicoamniotic shunt
R04.2 Percutaneous insertion of fetal pleuroamniotic shunt
R04.3 Percutaneous blood transfusion of fetus
R04.4 Percutaneous insertion of fetal pleural drain
R04.5 Percutaneous insertion of fetal bladder drain
R04.6 Percutaneous insertion of fetal tracheal plug
R04.7 Percutaneous laser ablation of lesion of fetus
R04.8 Other specified
R04.9 Unspecified

R05 Diagnostic percutaneous examination of fetus
  Includes:  Placenta

Note:  Use a subsidiary code to identify gestational age (Y95)



R05.1 Percutaneous biopsy of fetus
R05.2 Percutaneous sampling of fetal blood
  Excludes:  Sampling of fetal blood NEC (R13.1)
Amnioscopic sampling of fetal blood (R13.1)
Sampling of fetal blood using vaginal approach (R13.1)


R05.3 Percutaneous sampling of chorionic villus
R05.8 Other specified
R05.9 Unspecified

R06 Destruction of fetus
  Note:  Use a subsidiary code to identify gestational age (Y95)



R06.1 Selective feticide NEC
R06.2 Feticide NEC
R06.3 Percutaneous selective feticide by vascular occlusion of umbilical cord
R06.8 Other specified
R06.9 Unspecified

R07 Therapeutic endoscopic operations for twin to twin transfusion syndrome
  Note:  Use a subsidiary code to identify gestational age (Y95)



R07.1 Endoscopic laser ablation of placental arteriovenous anastomosis
R07.2 Endoscopic serial drainage of amniotic fluid for twin to twin transfusion syndrome
R07.8 Other specified
R07.9 Unspecified

R08 Therapeutic percutaneous operations for twin to twin transfusion syndrome
  Note:  Use a subsidiary code to identify gestational age (Y95)



R08.1 Percutaneous laser ablation of placental arteriovenous anastomosis
R08.2 Percutaneous serial drainage of amniotic fluid for twin to twin transfusion syndrome
R08.8 Other specified
R08.9 Unspecified

R09 Open operations on fetus
  Note:  Use a subsidiary code to identify gestational age (Y95)



R09.1 Open repair of meningomyelocele of fetus
R09.8 Other specified
R09.9 Unspecified

R10 Other operations on amniotic cavity
  Note:  Use a subsidiary code to identify gestational age (Y95)



R10.1 Drainage of amniotic cavity
R10.2 Diagnostic amniocentesis
  Includes:  Amniocentesis NEC


R10.3 Amnioscopy
R10.4 Sampling of chorionic villus NEC
  Includes:  Sampling of chorionic villus using vaginal approach


R10.5 Biopsy of placenta NEC
R10.8 Other specified
R10.9 Unspecified

R11 Other therapeutic percutaneous operations on fetus
  Note:  Principal R04
Use a subsidiary code to identify gestational age (Y95)



R11.1 Percutaneous removal of fetal tracheal plug
R11.8 Other specified
R11.9 Unspecified

R12 Operations on gravid uterus
  Excludes:  Other operations on uterus (Q20)

Note:  Use a subsidiary code to identify gestational age (Y95)



R12.1 Cerclage of cervix of gravid uterus
R12.2 Removal of cerclage from cervix of gravid uterus
R12.3 Repositioning of retroverted gravid uterus
R12.4 External cephalic version
R12.8 Other specified
R12.9 Unspecified

R13 Other operations on fetus
  Note:  Use a subsidiary code to identify gestational age (Y95)



R13.1 Sampling of fetal blood NEC
  Includes:  Amnioscopic sampling of fetal blood
Sampling of fetal blood using vaginal approach


R13.8 Other specified
R13.9 Unspecified

R14 Surgical induction of labour
  Includes:  Surgical augmentation of labour

Note:  Use as a supplementary code when associated with delivery (R17-R25)



R14.1 Forewater rupture of amniotic membrane
R14.2 Hindwater rupture of amniotic membrane
R14.8 Other specified
R14.9 Unspecified

R15 Other induction of labour
  Includes:  Other augmentation of labour

Note:  Use as a supplementary code when associated with delivery (R17-R25)



R15.1 Medical induction of labour
  Includes:  Induction of labour using prostaglandins
Induction of labour using oxytocin
Induction of labour using misoprostol


R15.2 Mechanical induction of labour
  Includes:  Induction of labour using osmotic dilator
Induction of labour using balloon dilator


R15.8 Other specified
R15.9 Unspecified

R17 Elective caesarean delivery
  Excludes:  Open delivery of terminated fetus (Q09.1) or Caesarean delivery of terminated fetus (Q09.1)



R17.1 Elective upper uterine segment caesarean delivery
R17.2 Elective lower uterine segment caesarean delivery
R17.8 Other specified
R17.9 Unspecified

R18 Other caesarean delivery
  Includes:  Emergency caesarean delivery

Excludes:  Caesarean hysterectomy (R25.1)
Open delivery of terminated fetus (Q09.1) or Caesarean delivery of terminated fetus (Q09.1)



R18.1 Upper uterine segment caesarean delivery NEC
R18.2 Lower uterine segment caesarean delivery NEC
R18.8 Other specified
R18.9 Unspecified

R19 Breech extraction delivery
  Excludes:  Delivery of terminated fetus (Q58)



R19.1 Breech extraction delivery with version
R19.8 Other specified
R19.9 Unspecified

R20 Other breech delivery
  Excludes:  Delivery of terminated fetus (Q58)



R20.1 Spontaneous breech delivery
R20.2 Assisted breech delivery
R20.8 Other specified
R20.9 Unspecified

R21 Forceps cephalic delivery
  Excludes:  Delivery of terminated fetus (Q58)



R21.1 High forceps cephalic delivery with rotation
R21.2 High forceps cephalic delivery NEC
R21.3 Mid forceps cephalic delivery with rotation
R21.4 Mid forceps cephalic delivery NEC
R21.5 Low forceps cephalic delivery
R21.8 Other specified
R21.9 Unspecified

R22 Vacuum delivery
  Excludes:  Delivery of terminated fetus (Q58)



R22.1 High vacuum delivery
R22.2 Low vacuum delivery
R22.3 Vacuum delivery before full dilation of cervix
R22.8 Other specified
R22.9 Unspecified

R23 Cephalic vaginal delivery with abnormal presentation of head at delivery without instrument
  Excludes:  Delivery of terminated fetus (Q58)



R23.1 Manipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument
R23.2 Non-manipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument
R23.8 Other specified
R23.9 Unspecified

R24 Normal delivery
  Excludes:  Delivery of terminated fetus (Q58)



R24.9 All

R25 Other methods of delivery
  Excludes:  Delivery of terminated fetus (Q58)



R25.1 Caesarean hysterectomy
R25.2 Destructive operation to facilitate delivery
R25.8 Other specified
R25.9 Unspecified

R27 Other operations to facilitate delivery
  Excludes:  Operations to facilitate delivery of terminated fetus (P14)



R27.1 Episiotomy to facilitate delivery
R27.2 Deinfibulation of vulva to facilitate delivery
R27.8 Other specified
R27.9 Unspecified

R28 Instrumental removal of products of conception from delivered uterus
  Excludes:  After termination of pregnancy (Q10, Q11)



R28.1 Curettage of delivered uterus
R28.8 Other specified
R28.9 Unspecified

R29 Manual removal of products of conception from delivered uterus
  Excludes:  Expression of placenta (R30.2)
Operations performed following termination of pregnancy (Q10, Q11)



R29.1 Manual removal of placenta from delivered uterus
R29.8 Other specified
R29.9 Unspecified

R30 Other operations on delivered uterus
  Excludes:  Operations performed for termination of pregnancy (Q09, Q20)



R30.1 Repositioning of inverted delivered uterus
R30.2 Expression of placenta
R30.3 Instrumental exploration of delivered uterus NEC
R30.4 Manual exploration of delivered uterus NEC
  Includes:  Exploration of delivered uterus NEC

Excludes:  Exploration of delivered uterus following termination of pregnancy (Q20.5)


R30.8 Other specified
R30.9 Unspecified

R32 Repair of obstetric laceration
  Includes:  Immediate and non-immediate repair of obstetric laceration



R32.1 Repair of obstetric laceration of uterus or cervix uteri
R32.2 Repair of obstetric laceration of perineum and sphincter of anus
  Includes:  Repair of third degree obstetric tear


R32.3 Repair of obstetric laceration of vagina and floor of pelvis
  Includes:  Repair of second degree obstetric tear


R32.4 Repair of minor obstetric laceration
  Includes:  Repair of first degree obstetric tear


R32.5 Repair of obstetric laceration of perineum and sphincter and mucosa of anus
  Includes:  Repair of fourth degree obstetric tear


R32.8 Other specified
R32.9 Unspecified

R34 Other obstetric operations
 
R34.8 Other specified
R34.9 Unspecified

R36 Routine obstetric scan
  Note:  Use a subsidiary code to identify gestational age (Y95)



R36.1 Dating scan
R36.2 Viability scan
R36.3 Mid trimester scan
R36.8 Other specified
R36.9 Unspecified

R37 Non-routine obstetric scan for fetal observations
  Note:  Use a subsidiary code to identify gestational age (Y95)



R37.1 Biophysical profile
R37.2 Detailed structural scan
  Excludes:  Nuchal translucency scan NEC (R37.4)


R37.3 Fetal biometry
  Includes:  Growth scan NEC


R37.4 Nuchal translucency scan
  Excludes:  Nuchal translucency scan performed as part of a detailed structural scan (R37.2)


R37.5 Fetal ascites scan
R37.6 Rhesus detailed scan
R37.8 Other specified
R37.9 Unspecified

R38 Other non-routine obstetric scan
  Note:  Use a subsidiary code to identify gestational age (Y95)



R38.1 Placental localisation scan
R38.2 Liquor volume scan
R38.3 Chorionicity scan
R38.8 Other specified
R38.9 Unspecified

R40 Other maternal physiological assessments
  Note:  Use a subsidiary code to identify gestational age (Y95)



R40.1 Maternal cervical assessment
R40.2 Cervical length scanning at 24 weeks
R40.8 Other specified
R40.9 Unspecified

R42 Obstetric Doppler ultrasound
  Note:  Use a subsidiary code to identify gestational age (Y95)



R42.1 Doppler ultrasound scan of umbilical artery
R42.2 Doppler ultrasound scan of uterine artery
R42.3 Doppler ultrasound scan of middle cerebral artery of fetus
R42.4 Doppler ultrasound scan of ductus venosus
R42.8 Other specified
R42.9 Unspecified

R43 Ultrasound monitoring
  Note:  Use a subsidiary code to identify gestational age (Y95)



R43.1 Ultrasound monitoring of luteal phase
R43.2 Ultrasound monitoring of early pregnancy
R43.8 Other specified
R43.9 Unspecified