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)
P01Operations on clitoris P01.1 Clitoridectomy P01.2 Reduction of clitoris P01.8 Other specified P01.9 Unspecified
P03Operations 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
P05Excision 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
P06Extirpation 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
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
P11Extirpation 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
P13Other 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
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
P14Incision 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
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
P17Excision of vagina P17.1 Total colpectomy P17.2 Partial colpectomy P17.3 Marsupialisation of lesion of vagina P17.8 Other specified P17.9 Unspecified
P18Other obliteration of vagina P18.1 Complete colpocleisis P18.2 Partial colpocleisis P18.8 Other specified P18.9 Unspecified
P19Excision 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
P20Extirpation 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
P21Plastic 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
P22Repair of prolapse of vagina and amputation of cervix uteri
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
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)
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
P24.9 Unspecified Includes: Suspension of vagina NEC
P25Other 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
P26Introduction 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
P27Exploration 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
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
P32.1 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
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)
Q01Excision 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
Q02Destruction 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
Q03Biopsy 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
Q05Other 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
Q07Abdominal 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
Q08Vaginal 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
Q09Other 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
Q10Curettage 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
Q11Other 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
Q12.1 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
Q13.4 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
Q14Introduction 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
Q15Introduction 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
Q16Other 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
Q17Therapeutic 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
Q18Diagnostic endoscopic examination of uterus Q18.1 Diagnostic endoscopic examination of uterus and biopsy of lesion of uterus
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
Q22Bilateral 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
Q23Unilateral 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
Q24Other 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
Q25Partial 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
Q26Placement 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
Q27Open 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
Q28Other 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
Q29Open 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
Q30Other 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
Q31Incision 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
Q32Operations 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
Q34Other 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
Q35Endoscopic 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
Q36Other 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
Q37Endoscopic 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
Q38Other 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
Q39Diagnostic 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
Q41Other 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
Q43Partial 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
Q44Open destruction of lesion of ovary Q44.1 Open cauterisation of lesion of ovary Q44.8 Other specified Q44.9 Unspecified
Q45Repair 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
Q47Other 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
Q48.4 Transvaginal oocyte recovery Q48.8 Other specified Q48.9 Unspecified
Q49Therapeutic 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
Q50Diagnostic 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
Q51Other operations on ovary Q51.1 Transvaginal ultrasound guided aspiration of ovarian cyst Q51.8 Other specified Q51.9 Unspecified
Q52Operations 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
Q54Operations on other ligament of uterus Note: Principal category, extended at Q57
Q55Other 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
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)
R01Therapeutic 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
R02Diagnostic 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
R03Category retired - refer to introduction
R04Therapeutic 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
R05Diagnostic 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
R06Destruction 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
R07Therapeutic 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
R08Therapeutic 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
R09Open 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
R10Other 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
R11Other 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
R12Operations 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
R13Other 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
R14Surgical induction of labour Includes: Surgical augmentation of labour
Note: Use as a supplementary code when associated with delivery (R17-R25)
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
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
R24Normal delivery Excludes: Delivery of terminated fetus (Q58)
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
R30Other 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)
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
R34Other obstetric operations R34.8 Other specified R34.9 Unspecified