Complications of labor and delivery (O60-O77)
O60Preterm labor
Includes: onset (spontaneous) of labor before 37 completed weeks of gestation
Excludes 1: false labor (O47.0-)
› threatened labor NOS (O47.0-)
O60.0Preterm labor without delivery
O60.00Preterm labor without delivery, unspecified trimester
O60.02Preterm labor without delivery, second trimester
O60.03Preterm labor without delivery, third trimester
O60.1Preterm labor with preterm delivery
One of the following 7th characters is to be assigned to each code under subcategory O60.1. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.1 that has a 7th character of 1 through 9.
7th Character: 0 :: not applicable or unspecified
› 1 :: fetus 1
› 2 :: fetus 2
› 3 :: fetus 3
› 4 :: fetus 4
› 5 :: fetus 5
› 9 :: other fetus
O60.10Preterm labor with preterm delivery, unspecified trimester
› Preterm labor with delivery NOS
O60.12Preterm labor second trimester with preterm delivery second trimester
O60.13Preterm labor second trimester with preterm delivery third trimester
O60.14Preterm labor third trimester with preterm delivery third trimester
O60.2Term delivery with preterm labor
One of the following 7th characters is to be assigned to each code under subcategory O60.2. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from subcategory O60.2 that has a 7th character of 1 through 9.
7th Character: 0 :: not applicable or unspecified
› 1 :: fetus 1
› 2 :: fetus 2
› 3 :: fetus 3
› 4 :: fetus 4
› 5 :: fetus 5
› 9 :: other fetus
O60.20Term delivery with preterm labor, unspecified trimester
O60.22Term delivery with preterm labor, second trimester
O60.23Term delivery with preterm labor, third trimester
O61Failed induction of labor
O61.0Failed medical induction of labor
› Failed induction (of labor) by oxytocin
› Failed induction (of labor) by prostaglandins
O61.1Failed instrumental induction of labor
› Failed mechanical induction (of labor)
› Failed surgical induction (of labor)
O61.8Other failed induction of labor
O61.9Failed induction of labor, unspecified
O62Abnormalities of forces of labor
O62.0Primary inadequate contractions
› Failure of cervical dilatation
› Primary hypotonic uterine dysfunction
› Uterine inertia during latent phase of labor
O62.1Secondary uterine inertia
› Arrested active phase of labor
› Secondary hypotonic uterine dysfunction
O62.2Other uterine inertia
› Atony of uterus without hemorrhage
› Atony of uterus NOS
› Desultory labor
› Hypotonic uterine dysfunction NOS
› Irregular labor
› Poor contractions
› Slow slope active phase of labor
› Uterine inertia NOS
Excludes 1: atony of uterus with hemorrhage (postpartum) (O72.1)
› postpartum atony of uterus without hemorrhage (O75.89)
O62.3Precipitate labor
O62.4Hypertonic, incoordinate, and prolonged uterine contractions
› Cervical spasm
› Contraction ring dystocia
› Dyscoordinate labor
› Hour-glass contraction of uterus
› Hypertonic uterine dysfunction
› Incoordinate uterine action
› Tetanic contractions
› Uterine dystocia NOS
› Uterine spasm
Excludes 1: dystocia (fetal) (maternal) NOS (O66.9)
O62.8Other abnormalities of forces of labor
O62.9Abnormality of forces of labor, unspecified
O63Long labor
O63.0Prolonged first stage (of labor)
O63.1Prolonged second stage (of labor)
O63.2Delayed delivery of second twin, triplet, etc.
O63.9Long labor, unspecified
› Prolonged labor NOS
O64Obstructed labor due to malposition and malpresentation of fetus
One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.
7th Character: 0 :: not applicable or unspecified
› 1 :: fetus 1
› 2 :: fetus 2
› 3 :: fetus 3
› 4 :: fetus 4
› 5 :: fetus 5
› 9 :: other fetus
O64.0Obstructed labor due to incomplete rotation of fetal head
› Deep transverse arrest
› Obstructed labor due to persistent occipitoiliac (position)
› Obstructed labor due to persistent occipitoposterior (position)
› Obstructed labor due to persistent occipitosacral (position)
› Obstructed labor due to persistent occipitotransverse (position)
O64.1Obstructed labor due to breech presentation
› Obstructed labor due to buttocks presentation
› Obstructed labor due to complete breech presentation
› Obstructed labor due to frank breech presentation
O64.2Obstructed labor due to face presentation
› Obstructed labor due to chin presentation
O64.3Obstructed labor due to brow presentation
O64.4Obstructed labor due to shoulder presentation
› Prolapsed arm
Excludes 1: impacted shoulders (O66.0)
› shoulder dystocia (O66.0)
O64.5Obstructed labor due to compound presentation
O64.8Obstructed labor due to other malposition and malpresentation
› Obstructed labor due to footling presentation
› Obstructed labor due to incomplete breech presentation
O64.9Obstructed labor due to malposition and malpresentation, unspecified
O65Obstructed labor due to maternal pelvic abnormality
O65.0Obstructed labor due to deformed pelvis
O65.1Obstructed labor due to generally contracted pelvis
O65.2Obstructed labor due to pelvic inlet contraction
O65.3Obstructed labor due to pelvic outlet and mid-cavity contraction
O65.4Obstructed labor due to fetopelvic disproportion, unspecified
Excludes 1: dystocia due to abnormality of fetus (O66.2-O66.3)
O65.5Obstructed labor due to abnormality of maternal pelvic organs
› Obstructed labor due to conditions listed in O34.-
Use Additional Code: code to identify abnormality of pelvic organs O34.-
O65.8Obstructed labor due to other maternal pelvic abnormalities
O65.9Obstructed labor due to maternal pelvic abnormality, unspecified
O66Other obstructed labor
O66.0Obstructed labor due to shoulder dystocia
› Impacted shoulders
O66.1Obstructed labor due to locked twins
O66.2Obstructed labor due to unusually large fetus
O66.3Obstructed labor due to other abnormalities of fetus
› Dystocia due to fetal ascites
› Dystocia due to fetal hydrops
› Dystocia due to fetal meningomyelocele
› Dystocia due to fetal sacral teratoma
› Dystocia due to fetal tumor
› Dystocia due to hydrocephalic fetus
Use Additional Code: code to identify cause of obstruction
O66.4Failed trial of labor
O66.40Failed trial of labor, unspecified
O66.41Failed attempted vaginal birth after previous cesarean delivery
Code First: rupture of uterus, if applicable (O71.0-, O71.1)
O66.5Attempted application of vacuum extractor and forceps
› Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
O66.6Obstructed labor due to other multiple fetuses
O66.8Other specified obstructed labor
Use Additional Code: code to identify cause of obstruction
O66.9Obstructed labor, unspecified
› Dystocia NOS
› Fetal dystocia NOS
› Maternal dystocia NOS
O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
Excludes 1: antepartum hemorrhage NEC (O46.-)
› placenta previa (O44.-)
› premature separation of placenta [abruptio placentae] (O45.-)
Excludes 2: postpartum hemorrhage (O72.-)
O67.0Intrapartum hemorrhage with coagulation defect
› Intrapartum hemorrhage (excessive) associated with afibrinogenemia
› Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
› Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
› Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
O67.8Other intrapartum hemorrhage
› Excessive intrapartum hemorrhage
O67.9Intrapartum hemorrhage, unspecified
O68Labor and delivery complicated by abnormality of fetal acid-base balance
› Fetal acidemia complicating labor and delivery
› Fetal acidosis complicating labor and delivery
› Fetal alkalosis complicating labor and delivery
› Fetal metabolic acidemia complicating labor and delivery
Excludes 1: fetal stress NOS (O77.9)
› labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
› labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes 2: abnormality in fetal heart rate or rhythm (O76)
› labor and delivery complicated by meconium in amniotic fluid (O77.0)
O69Labor and delivery complicated by umbilical cord complications
One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.
7th Character: 0 :: not applicable or unspecified
› 1 :: fetus 1
› 2 :: fetus 2
› 3 :: fetus 3
› 4 :: fetus 4
› 5 :: fetus 5
› 9 :: other fetus
O69.0Labor and delivery complicated by prolapse of cord
O69.1Labor and delivery complicated by cord around neck, with compression
Excludes 1: labor and delivery complicated by cord around neck, without compression (O69.81)
O69.2Labor and delivery complicated by other cord entanglement, with compression
› Labor and delivery complicated by compression of cord NOS
› Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
› Labor and delivery complicated by knot in cord
Excludes 1: labor and delivery complicated by other cord entanglement, without compression (O69.82)
O69.3Labor and delivery complicated by short cord
O69.4Labor and delivery complicated by vasa previa
› Labor and delivery complicated by hemorrhage from vasa previa
O69.5Labor and delivery complicated by vascular lesion of cord
› Labor and delivery complicated by cord bruising
› Labor and delivery complicated by cord hematoma
› Labor and delivery complicated by thrombosis of umbilical vessels
O69.8Labor and delivery complicated by other cord complications
O69.81Labor and delivery complicated by cord around neck, without compression
O69.82Labor and delivery complicated by other cord entanglement, without compression
O69.89Labor and delivery complicated by other cord complications
O69.9Labor and delivery complicated by cord complication, unspecified
O70Perineal laceration during delivery
Includes: episiotomy extended by laceration
Excludes 1: obstetric high vaginal laceration alone (O71.4)
O70.0First degree perineal laceration during delivery
› Perineal laceration, rupture or tear involving fourchette during delivery
› Perineal laceration, rupture or tear involving labia during delivery
› Perineal laceration, rupture or tear involving skin during delivery
› Perineal laceration, rupture or tear involving vagina during delivery
› Perineal laceration, rupture or tear involving vulva during delivery
› Slight perineal laceration, rupture or tear during delivery
O70.1Second degree perineal laceration during delivery
› Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
› Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
› Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Excludes 1: perineal laceration involving anal sphincter (O70.2)
O70.2Third degree perineal laceration during delivery
› Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
› Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
› Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
Excludes 1: anal sphincter tear during delivery without third degree perineal laceration (O70.4)
› perineal laceration involving anal or rectal mucosa (O70.3)
O70.20Third degree perineal laceration during delivery, unspecified
O70.21Third degree perineal laceration during delivery, IIIa
› Third degree perineal laceration during delivery with less than 50% of external anal sphincter (EAS) thickness torn
O70.22Third degree perineal laceration during delivery, IIIb
› Third degree perineal laceration during delivery with more than 50% external anal sphincter (EAS) thickness torn
O70.23Third degree perineal laceration during delivery, IIIc
› Third degree perineal laceration during delivery with both external anal sphincter (EAS) and internal anal sphincter (IAS) torn
O70.3Fourth degree perineal laceration during delivery
› Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
› Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa
O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration
Excludes 1: anal sphincter tear with third degree perineal laceration (O70.2)
O70.9Perineal laceration during delivery, unspecified
O71Other obstetric trauma
Includes: obstetric damage from instruments
O71.0Rupture of uterus (spontaneous) before onset of labor
Excludes 1: disruption of (current) cesarean delivery wound (O90.0)
› laceration of uterus, NEC (O71.81)
O71.00Rupture of uterus before onset of labor, unspecified trimester
O71.02Rupture of uterus before onset of labor, second trimester
O71.03Rupture of uterus before onset of labor, third trimester
O71.1Rupture of uterus during labor
› Rupture of uterus not stated as occurring before onset of labor
Excludes 1: disruption of cesarean delivery wound (O90.0)
› laceration of uterus, NEC (O71.81)
O71.2Postpartum inversion of uterus
O71.3Obstetric laceration of cervix
› Annular detachment of cervix
O71.4Obstetric high vaginal laceration alone
› Laceration of vaginal wall without perineal laceration
Excludes 1: obstetric high vaginal laceration with perineal laceration (O70.-)
O71.5Other obstetric injury to pelvic organs
› Obstetric injury to bladder
› Obstetric injury to urethra
Excludes 2: obstetric periurethral trauma (O71.82)
O71.6Obstetric damage to pelvic joints and ligaments
› Obstetric avulsion of inner symphyseal cartilage
› Obstetric damage to coccyx
› Obstetric traumatic separation of symphysis (pubis)
O71.7Obstetric hematoma of pelvis
› Obstetric hematoma of perineum
› Obstetric hematoma of vagina
› Obstetric hematoma of vulva
O71.8Other specified obstetric trauma
O71.81Laceration of uterus, not elsewhere classified
O71.82Other specified trauma to perineum and vulva
› Obstetric periurethral trauma
O71.89Other specified obstetric trauma
O71.9Obstetric trauma, unspecified
O72Postpartum hemorrhage
Includes: hemorrhage after delivery of fetus or infant
O72.0Third-stage hemorrhage
› Hemorrhage associated with retained, trapped or adherent placenta
› Retained placenta NOS
Code Also: type of adherent placenta (O43.2-)
O72.1Other immediate postpartum hemorrhage
› Hemorrhage following delivery of placenta
› Postpartum hemorrhage (atonic) NOS
› Uterine atony with hemorrhage
Excludes 1: uterine atony NOS (O62.2)
› uterine atony without hemorrhage (O62.2)
› postpartum atony of uterus without hemorrhage (O75.89)
O72.2Delayed and secondary postpartum hemorrhage
› Hemorrhage associated with retained portions of placenta or membranes after the first 24 hours following delivery of placenta
› Retained products of conception NOS, following delivery
O72.3Postpartum coagulation defects
› Postpartum afibrinogenemia
› Postpartum fibrinolysis
O73Retained placenta and membranes, without hemorrhage
Excludes 1: placenta accreta (O43.21-)
› placenta increta (O43.22-)
› placenta percreta (O43.23-)
O73.0Retained placenta without hemorrhage
› Adherent placenta, without hemorrhage
› Trapped placenta without hemorrhage
O73.1Retained portions of placenta and membranes, without hemorrhage
› Retained products of conception following delivery, without hemorrhage
O74Complications of anesthesia during labor and delivery
Includes: maternal complications arising from the administration of a general, regional or local anesthetic, analgesic or other sedation during labor and delivery
Use Additional Code: code, if applicable, to identify specific complication
O74.0Aspiration pneumonitis due to anesthesia during labor and delivery
› Inhalation of stomach contents or secretions NOS due to anesthesia during labor and delivery
› Mendelson's syndrome due to anesthesia during labor and delivery
O74.1Other pulmonary complications of anesthesia during labor and delivery
O74.2Cardiac complications of anesthesia during labor and delivery
O74.3Central nervous system complications of anesthesia during labor and delivery
O74.4Toxic reaction to local anesthesia during labor and delivery
O74.5Spinal and epidural anesthesia-induced headache during labor and delivery
O74.6Other complications of spinal and epidural anesthesia during labor and delivery
O74.7Failed or difficult intubation for anesthesia during labor and delivery
O74.8Other complications of anesthesia during labor and delivery
O74.9Complication of anesthesia during labor and delivery, unspecified
O75Other complications of labor and delivery, not elsewhere classified
Excludes 2: puerperal (postpartum) infection (O86.-)
› puerperal (postpartum) sepsis (O85)
O75.0Maternal distress during labor and delivery
O75.1Shock during or following labor and delivery
› Obstetric shock following labor and delivery
O75.2Pyrexia during labor, not elsewhere classified
O75.3Other infection during labor
› Sepsis during labor
Use Additional Code: code (B95-B97), to identify infectious agent
O75.4Other complications of obstetric surgery and procedures
› Cardiac arrest following obstetric surgery or procedures
› Cardiac failure following obstetric surgery or procedures
› Cerebral anoxia following obstetric surgery or procedures
› Pulmonary edema following obstetric surgery or procedures
Use Additional Code: code to identify specific complication
Excludes 2: complications of anesthesia during labor and delivery (O74.-)
› disruption of obstetrical (surgical) wound (O90.0-O90.1)
› hematoma of obstetrical (surgical) wound (O90.2)
› infection of obstetrical (surgical) wound (O86.0-)
O75.5Delayed delivery after artificial rupture of membranes
O75.8Other specified complications of labor and delivery
O75.81Maternal exhaustion complicating labor and delivery
O75.82Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
› Delivery by (planned) cesarean section occurring after 37 completed weeks of gestation but before 39 completed weeks gestation due to (spontaneous) onset of labor
Code First: to specify reason for planned cesarean section such as:
› cephalopelvic disproportion (normally formed fetus) (O33.9)
› previous cesarean delivery (O34.21-)
O75.89Other specified complications of labor and delivery
O75.9Complication of labor and delivery, unspecified
O76Abnormality in fetal heart rate and rhythm complicating labor and delivery
› Depressed fetal heart rate tones complicating labor and delivery
› Fetal bradycardia complicating labor and delivery
› Fetal heart rate decelerations complicating labor and delivery
› Fetal heart rate irregularity complicating labor and delivery
› Fetal heart rate abnormal variability complicating labor and delivery
› Fetal tachycardia complicating labor and delivery
› Non-reassuring fetal heart rate or rhythm complicating labor and delivery
Excludes 1: fetal stress NOS (O77.9)
› labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
› labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
Excludes 2: fetal metabolic acidemia (O68)
› other fetal stress (O77.0-O77.1)
O77Other fetal stress complicating labor and delivery
O77.0Labor and delivery complicated by meconium in amniotic fluid
O77.1Fetal stress in labor or delivery due to drug administration
O77.8Labor and delivery complicated by other evidence of fetal stress
› Labor and delivery complicated by electrocardiographic evidence of fetal stress
› Labor and delivery complicated by ultrasonic evidence of fetal stress
Excludes 1: abnormality of fetal acid-base balance (O68)
› abnormality in fetal heart rate or rhythm (O76)
› fetal metabolic acidemia (O68)
O77.9Labor and delivery complicated by fetal stress, unspecified
Excludes 1: abnormality of fetal acid-base balance (O68)
› abnormality in fetal heart rate or rhythm (O76)
› fetal metabolic acidemia (O68)