LOWER FEMALE GENITAL TRACT (CODES P01-P33) 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 miscarriage or termination of pregnancy
P01Operations on clitoris Includes: Freeing of scar tissue of clitoris
P01.1 Clitoridectomy P01.2 Reduction of clitoris P01.3 Repair of clitoris P01.4 Freeing of adhesions 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
P09.5 Injection of therapeutic substance into vulva P09.6 Colposcopy of vulva Includes: Vulvoscopy
Excludes: Colposcopy of cervix (Q55.4) Colposcopy of vagina (P27.3)
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
P12Reconstruction of female perineum Excludes: Female perineoplasty (P13.3) Operations for pelvic organ prolapse (H35, H36, H42) Reconstruction of vagina (P21, P32)
Note: Use as a supplementary code when associated with concurrent excision of rectum (H33, H45)
P12.1 Reconstruction of female perineum using vertical rectus abdominis myocutaneous flap P12.2 Reconstruction of female perineum using gracilis flap P12.3 Reconstruction of female perineum using gluteal artery perforator flap P12.4 Reconstruction of female perineum using anterolateral thigh flap P12.5 Reconstruction of female perineum using flap NEC P12.6 Reconstruction of female perineum using mesh P12.8 Other specified P12.9 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 delivery of late miscarriage or termination of pregnancy
Note: Use as a supplementary code for concurrent colporrhaphy (P23)
P13.3 Female perineoplasty Excludes: Reconstruction of female perineum (P12)
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
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 P21.6 Reconstruction of vagina using rectus abdominis myocutaneous flap Includes: Reconstruction of vagina using rectus abdominis flap
P21.7 Reconstruction of vagina using gluteal flap P21.8 Other specified P21.9 Unspecified
P22Repair of prolapse of vagina and amputation of cervix uteri
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
P26.1 Insertion of Hodge pessary into vagina P26.2 Insertion of ring pessary into vagina Includes: Insertion of ring pessary with knob
P26.3 Removal of supporting pessary from vagina P26.4 Renewal of supporting pessary in vagina NEC P26.5 Insertion of shelf pessary into vagina P26.6 Insertion of space occupying pessary into vagina Includes: Insertion of cube pessary into vagina Insertion of donut pessary into vagina
P26.7 Renewal of Hodge 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) Colposcopy limited to vulva (P09.6)
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
P33Other introduction of supporting pessary into vagina
P33.1 Renewal of ring pessary in vagina Includes: Renewal of ring pessary with knob
P33.2 Renewal of shelf pessary in vagina P33.3 Renewal of space occupying pessary in vagina Includes: Renewal of cube pessary in vagina Renewal of donut pessary in vagina
UPPER FEMALE GENITAL TRACT (CODES Q01-Q63) Includes: UTERUS FALLOPIAN TUBE OVARY LIGAMENT OF UTERUS OPERATIONS ASSOCIATED WITH MISCARRIAGE AND TERMINATION OF PREGNANCY
Excludes: DESTRUCTION OF FETUS (R06) OBSTETRIC OPERATIONS (Chapter R) OBSTETRIC SCANS AND STUDIES (R36-R44) OPERATIONS ASSOCIATED WITH DELIVERY OF STILLBIRTH (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 miscarriage or termination of pregnancy
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 Q01.5 Needle excision of transformation zone Q01.6 Excision of cervical stump 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) Insertion of osmotic dilator into cervix for induction of labour for delivery of late miscarriage or terminated pregnancy (Q60.3) Insertion of osmotic dilator into cervix for augmentation of labour for delivery of late miscarriage or terminated pregnancy (Q61.3)
Note: Use a subsidiary code to identify gestational age (Y95)
Q05.4 Evacuation of products of conception from cervix uteri Excludes: Dilation of cervix uteri and evacuation of products of conception from uterus NEC (Q11.2)
Note: Use a subsidiary code to identify gestational age (Y95)
Q05.8 Other specified Q05.9 Unspecified
Q07Abdominal excision of uterus Excludes: Postpartum hysterectomy (R30.5)
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 late miscarriage or terminated pregnancy Open delivery of late miscarriage or terminated pregnancy
Note: Use a subsidiary code to identify gestational age (Y95)
Q09.2 Open myomectomy Includes: Open excision of fibroid of uterus
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 Note: Use a subsidiary code to identify gestational age (Y95)
Q10.3 Dilation of cervix uteri and curettage of uterus NEC Includes: Therapeutic dilation of cervix uteri and curettage of uterus
Excludes: Unspecified dilation of cervix uteri and curettage of uterus with concurrent hysteroscopy (Q18.9)
Note: Use a supplementary code for concurrent diagnostic hysteroscopy (Q18)
Q10.8 Other specified Includes: Diagnostic dilation of cervix uteri and curettage of uterus
Excludes: Diagnostic dilation of cervix uteri and curettage of uterus with concurrent hysteroscopy (Q18.8)
Q10.9 Unspecified
Q11Other evacuation of contents of uterus Includes: Removal of products of conception from delivered uterus following termination of pregnancy
Excludes: Evacuation of products of conception from cervix uteri (Q05.4)
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 Q11.4 Extraction of menses Q11.5 Vacuum aspiration of products of conception from uterus using rigid cannula Includes: Dilation of cervix uteri and vacuum aspiration of products of conception from uterus using rigid cannula
Q11.6 Vacuum aspiration of products of conception from uterus using flexible cannula Includes: Dilation of cervix uteri and vacuum aspiration of products of conception from uterus using flexible cannula
Q11.8 Other specified Q11.9 Unspecified
Q12Intrauterine contraceptive device Note: Use as a supplementary code when associated with concurrent hysteroscopy (Q18)
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
Q13Introduction of gametes into uterine cavity Includes: Introduction of embryo into uterine cavity
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 Includes: Endocervix
Excludes: Therapeutic percutaneous endoscopic operations on uterus (Q62)
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 Includes: Endocervix
Excludes: Diagnostic percutaneous endoscopic operations on uterus (Q63)
Note: Use a supplementary code for concurrent intrauterine contraceptive device (Q12) Use as a supplementary code when associated with concurrent therapeutic dilation of cervix uteri and curettage of uterus (Q10.3)
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 Includes: Diagnostic dilation of cervix uteri and curettage of uterus with concurrent hysteroscopy
Q18.9 Unspecified Includes: Hysteroscopy NEC Unspecified dilation of cervix uteri and curettage of uterus with concurrent hysteroscopy
Q19Plastic operations on uterus Q19.1 Connection of uterus to vagina Includes: Uterovaginal anastomosis
Q19.8 Other specified Q19.9 Unspecified
Q20Other operations on uterus Note: Principal category, extended at Q33
Q20.1 Freeing of adhesions of uterus Q20.2 Biopsy of lesion of uterus NEC Includes: Biopsy of endometrium NEC Biopsy of uterus NEC
Q20.3 Manual manipulation of uterus Includes: Manual manipulation of uterus following late miscarriage or 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 late miscarriage or 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
Q21Other introduction of gametes into uterine cavity
Q21.1 Transmyometrial transfer of embryo to uterus Note: Use a subsidiary code(s) to identify the type(s) 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 stent into fallopian tube Q26.2 Revision of stent in fallopian tube Q26.3 Removal of stent 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
Q33.1 Balloon tamponade of delivered uterus following delivery of late miscarriage or terminated pregnancy Q33.2 Packing of delivered uterus following delivery of late miscarriage or terminated pregnancy Q33.8 Other specified Q33.9 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
Q35Percutaneous endoscopic bilateral occlusion of fallopian tubes Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of fallopian tube (Q39.9)
Q35.1 Percutaneous endoscopic bilateral cauterisation of fallopian tubes Q35.2 Percutaneous endoscopic bilateral clipping of fallopian tubes Q35.3 Percutaneous endoscopic bilateral ringing of fallopian tubes Q35.4 Code retired - refer to introduction Q35.8 Other specified Q35.9 Unspecified
Q36Other percutaneous endoscopic occlusion of fallopian tube Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of fallopian tube (Q39.9)
Q36.1 Percutaneous endoscopic occlusion of remaining solitary fallopian tube Q36.2 Code retired - refer to introduction Q36.8 Other specified Q36.9 Unspecified
Q37Percutaneous endoscopic reversal of female sterilisation Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of fallopian tube (Q39.9)
Q37.1 Percutaneous endoscopic removal of clip from fallopian tube Q37.8 Other specified Q37.9 Unspecified
Q38Other therapeutic percutaneous endoscopic operations on fallopian tube Note: It is not necessary to code additionally any mention of percutaneous endoscopic examination of fallopian tube (Q39.9)
Q38.1 Percutaneous endoscopic freeing of adhesions of fallopian tube Q38.2 Percutaneous endoscopic injection into fallopian tube Q38.3 Percutaneous endoscopic intrafallopian transfer of gametes Note: Use a subsidiary code(s) to identify the type(s) of in vitro fertilisation (Y96)
Q38.8 Other specified Q38.9 Unspecified
Q39Diagnostic percutaneous endoscopic examination of fallopian tube Q39.1 Diagnostic percutaneous endoscopic examination of fallopian tube and biopsy of lesion of fallopian tube Includes: Diagnostic percutaneous endoscopic examination of fallopian tube and biopsy of fallopian tube Percutaneous endoscopic biopsy of lesion of fallopian tube Percutaneous 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
Q40Therapeutic endoscopic operations on fallopian tube Q40.1 Endoscopic intrafallopian transfer of gametes Note: Use a subsidiary code to identify method of in vitro fertilisation (Y96)
Q40.8 Other specified Q40.9 Unspecified
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
Q42Diagnostic endoscopic examination of fallopian tube Q42.1 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
Q42.8 Other specified Q42.9 Unspecified Includes: Falloposcopy NEC
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 percutaneous endoscopic operations on ovary Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of ovary (Q50.9)
Q49.1 Percutaneous endoscopic extirpation of lesion of ovary NEC Q49.2 Percutaneous endoscopic freeing of adhesions of ovary Q49.3 Percutaneous endoscopic drainage of cyst of ovary Q49.4 Percutaneous endoscopic drilling of ovary Q49.8 Other specified Q49.9 Unspecified
Q50Diagnostic percutaneous endoscopic examination of ovary Q50.1 Diagnostic percutaneous endoscopic examination of ovary and biopsy of lesion of ovary Includes: Diagnostic percutaneous endoscopic examination of ovary and biopsy of ovary Percutaneous endoscopic biopsy of lesion of ovary Percutaneous 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 Q52.4 Biopsy of lesion 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
Q55.4 Colposcopy of cervix Includes: Colposcopy NEC
Excludes: Colposcopy limited to vagina (P27.3) Colposcopy limited to vulva (P09.6)
Q55.5 Transvaginal ultrasound examination of female genital tract NEC Includes: Ultrasound examination of vagina
Excludes: Delivery of late miscarriage (Q59) 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 pregnancy Q58.2 Breech delivery of terminated pregnancy Includes: Assisted breech delivery of terminated pregnancy NEC
Includes: Delivery of pregnancy following late miscarriage
Excludes: Delivery of terminated pregnancy (Q58) 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)
Q59.1 Cephalic delivery of late miscarriage Q59.2 Breech delivery of late miscarriage Includes: Assisted breech delivery of late miscarriage NEC
Q59.8 Other specified Q59.9 Unspecified
Q60Induction of labour for delivery of late miscarriage or terminated pregnancy Excludes: Introduction of abortifacient into uterine cavity (Q14)
Note: Use a subsidiary code to identify gestational age (Y95)
Q60.1 Surgical induction of labour for delivery of late miscarriage or terminated pregnancy Includes: Artificial rupture of membranes for delivery of late miscarriage or terminated pregnancy
Q60.2 Medical induction of labour for delivery of late miscarriage or terminated pregnancy Includes: Induction of labour for delivery of late miscarriage or terminated pregnancy using prostaglandins, oxytocin or misoprostol | Intravenous induction of labour for the delivery of late miscarriage or terminated pregnancy
Q60.3 Mechanical induction of labour for delivery of late miscarriage or terminated pregnancy Includes: Induction of labour for the delivery of late miscarriage or terminated pregnancy using osmotic or balloon dilator
Q60.8 Other specified Q60.9 Unspecified
Q61Augmentation of labour for delivery of late miscarriage or terminated pregnancy Excludes: Induction of labour for delivery of late miscarriage or terminated pregnancy (Q60)
Note: Use as a supplementary code when associated with delivery of late miscarriage (Q59) or delivery of a terminated pregnancy (Q58) Use a subsidiary code to identify gestational age (Y95)
Q61.1 Surgical augmentation of labour for delivery of late miscarriage or terminated pregnancy Includes: Artificial rupture of membranes for augmentation of labour for delivery of late miscarriage or terminated pregnancy
Q61.2 Medical augmentation of labour for delivery of late miscarriage or terminated pregnancy NEC Includes: Augmentation of labour for delivery of late miscarriage or terminated pregnancy using prostaglandins, oxytocin or misoprostol Intravenous augmentation of labour for delivery of late miscarriage or terminated pregnancy
Q61.3 Mechanical augmentation of labour for delivery of late miscarriage or terminated pregnancy Includes: Augmentation of labour for delivery of late miscarriage or terminated pregnancy using osmotic or balloon dilator
Q61.4 Medical augmentation of third stage of labour for delivery of late miscarriage or terminated pregnancy Includes: Active management of third stage of labour for delivery of late miscarriage or terminated pregnancy using medication Injection of uterotonic drug for active management of third stage of labour during the delivery of late miscarriage or terminated pregnancy
Q61.8 Other specified Q61.9 Unspecified
Q62Therapeutic percutaneous endoscopic operations on uterus Excludes: Therapeutic endoscopic operations on uterus (Q17)
Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of uterus (Q63.9)
Q62.1 Percutaneous endoscopic resection of lesion of uterus Q62.2 Percutaneous endoscopic cauterisation of lesion of uterus Q62.3 Percutaneous endoscopic cryotherapy to lesion of uterus Q62.4 Percutaneous endoscopic destruction of lesion of uterus NEC Q62.5 Percutaneous endoscopic metroplasty Q62.8 Other specified Q62.9 Unspecified
Q63Diagnostic percutaneous endoscopic operations on uterus Excludes: Diagnostic endoscopic operations on uterus (Q18)
Q63.1 Diagnostic percutaneous endoscopic examination of uterus and biopsy of lesion of uterus Note: Diagnostic percutaneous endoscopic examination of uterus and biopsy of uterus Percutaneous endoscopic biopsy of lesion of uterus Percutaneous endoscopic biopsy of uterus
Q63.8 Other specified Q63.9 Unspecified Includes: Laparoscopy of uterus
FEMALE GENITAL TRACT ASSOCIATED WITH PREGNANCY, CHILDBIRTH AND PUERPERIUM (CODES R01-R44) Includes: OPERATIONS ASSOCIATED WITH DELIVERY OF STILLBIRTH
Excludes: OPERATIONS ASSOCIATED WITH MISCARRIAGE OR TERMINATION OF PREGNANCY (Chapter Q)
R01Therapeutic percutaneous 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 percutaneous endoscopic examination of fetus (R02.9)
R01.1 Percutaneous endoscopic blood transfusion of fetus R01.2 Percutaneous endoscopic insertion of tracheal plug R01.3 Percutaneous endoscopic removal of tracheal plug R01.8 Other specified R01.9 Unspecified
R02Diagnostic percutaneous endoscopic examination of fetus Note: Use a subsidiary code to identify gestational age (Y95)
R02.1 Percutaneous endoscopic examination of fetus and biopsy of fetus Includes: Fetoscopic biopsy of fetus NEC
R02.2 Percutaneous endoscopic examination of fetus and 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 percutaneous endoscopic operations for twin to twin transfusion syndrome Note: Use a subsidiary code to identify gestational age (Y95)
R07.1 Percutaneous endoscopic laser ablation of placental arteriovenous anastomosis R07.2 Percutaneous 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 Excludes: Augmentation of labour (R16) Surgical induction of labour for delivery of late miscarriage or terminated pregnancy (Q60.1) Surgical augmentation of labour for delivery of late miscarriage or terminated pregnancy (Q61.1)
Note: Use as a supplementary code when associated with delivery (R17-R25)
R14.1 Forewater rupture of amniotic membrane Includes: Artificial rupture of membranes for induction of labour
R15Other induction of labour Excludes: Augmentation of labour (R16) Induction of labour for delivery of late miscarriage or terminated pregnancy (Q60) Augmentation of labour for delivery of late miscarriage or terminated pregnancy (Q61)
Note: Use as a supplementary code when associated with delivery (R17-R25)
R15.1 Medical induction of labour Includes: Induction of labour using prostaglandins, oxytocin or misoprostol Intravenous induction of labour
R15.2 Mechanical induction of labour Includes: Induction of labour using osmotic or balloon dilator
R15.8 Other specified R15.9 Unspecified
R16Augmentation of labour Excludes: Induction of labour (R14, R15) Augmentation of labour for delivery of late miscarriage or terminated pregnancy (Q61)
Note: Use as a supplementary code when associated with delivery (R17-R25)
R16.1 Forewater rupture of amniotic membrane for augmentation of labour Includes: Artificial rupture of membranes for augmentation of labour
R16.2 Medical augmentation of labour NEC Includes: Augmentation of labour using misoprostol, oxytocin or prostaglandins Intravenous augmentation of labour
R16.3 Mechanical augmentation of labour NEC Includes: Augmentation of labour using balloon or osmotic dilator
R16.4 Medical augmentation of third stage of labour Includes: Active management of third stage of labour using medication Injection of uterotonic drug for active management
Excludes: Caesarean delivery of late miscarriage or terminated pregnancy (Q09.1) Open delivery of late miscarriage or terminated pregnancy (Q09.1) Caesarean hysterectomy (R25.1)
R18.1 Upper uterine segment caesarean delivery NEC R18.2 Lower uterine segment caesarean delivery NEC R18.8 Other specified R18.9 Unspecified
Excludes: Delivery of terminated pregnancy (Q58) Delivery of late miscarriage (Q59)
Note: Use an additional code to identify manual rotation of fetal head to facilitate delivery (R27.4)
R21.1 High forceps cephalic delivery with rotation Includes: High forceps cephalic delivery with instrumental rotation
R21.2 High forceps cephalic delivery NEC R21.3 Mid forceps cephalic delivery with rotation Includes: Mid forceps cephalic delivery with instrumental rotation
R21.4 Mid forceps cephalic delivery NEC R21.5 Low forceps cephalic delivery R21.8 Other specified R21.9 Unspecified
R22Vacuum delivery Excludes: Delivery of terminated pregnancy (Q58) Delivery of late miscarriage (Q59)
R22.1 High vacuum delivery R22.2 Low vacuum delivery R22.3 Vacuum delivery before full dilation of cervix R22.4 Mid vacuum delivery R22.8 Other specified R22.9 Unspecified
R23Cephalic vaginal delivery with abnormal presentation of head at delivery without instrument
Excludes: Delivery of terminated pregnancy (Q58) Delivery of late miscarriage (Q59)
R23.1 Manipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument Note: Use an additional code to identify external cephalic version (R12.4) Use an additional code to identify manual rotation of fetal head to facilitate delivery (R27.4)
R23.2 Non-manipulative cephalic vaginal delivery with abnormal presentation of head at delivery without instrument R23.8 Other specified R23.9 Unspecified
R27.2 Deinfibulation of vulva to facilitate delivery R27.3 Forceps assistance to facilitate caesarean delivery Excludes: Forceps cephalic delivery (R21)
R27.4 Manual rotation of fetal head to facilitate delivery Includes: Rotation of fetal head using hand or fingers
R27.5 Insertion of fetal head disimpaction device into vagina to facilitate caesarean delivery Includes: Insertion of fetal head disimpaction balloon into vagina to facilitate caesarean delivery
R27.8 Other specified R27.9 Unspecified
R28Instrumental removal of products of conception from delivered uterus Excludes: After delivery of late miscarriage or termination of pregnancy (Q10, Q11)
R28.1 Curettage of delivered uterus R28.8 Other specified R28.9 Unspecified
R29Manual removal of products of conception from delivered uterus
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 late miscarriage or termination of pregnancy (Q20.5)
R30.5 Postpartum hysterectomy of delivered uterus Includes: Peripartum hysterectomy of delivered uterus
R30.6 Balloon tamponade of delivered uterus R30.7 Packing of delivered uterus R30.8 Other specified R30.9 Unspecified
Includes: Immediate and non-immediate repair of obstetric laceration
Excludes: Immediate and non-immediate suture of laceration of vagina following delivery of late miscarriage or terminated pregnancy (P25.5) Immediate and non-immediate repair of laceration of perineum following delivery of late miscarriage or terminated pregnancy (P13.2)
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