STUDY - Technical - New Dacian's Medicine

Pregnancy, Birth and Childbed
Translation Draft
In this material you have
at your disposal only a simple list of diseases belonging to
this "group" of diseases (with minimum details necessary for
correct identification/catalogue), as it is present in the
"Table Lists of Diseases" published by accredited public
institutions.
In Romania this list is published by the "National Center for the Organization and Assurance of the Information and Information System in the Field of Health" being taken from the "International and Statistical Classification of Diseases and Related Health Problems"...
In Romania this list is published by the "National Center for the Organization and Assurance of the Information and Information System in the Field of Health" being taken from the "International and Statistical Classification of Diseases and Related Health Problems"...
PREGNANCY, CHILDBIRTH AND LUTE (OBSTETRICS - GYNECOLOGY) INCLUDING CONDITIONS WHOSE ORIGIN IS IN THE PERINATAL PERIOD.
excludes Human
Immunodeficiency Virus Disease (HIV), Traumatic Injuries,
Poisonings and Other Consequences of External Causes, Mental and
Behavioral Disorders Associated with Childbed, Obstetrical
Tetanus, Postpartum Necrosis of the Pituitary Gland, Puerperal
Osteomalacia, Surveillance: High-Risk Pregnancy, Normal
Pregnancy.
A. Pregnancy terminated by abortion excludes the continuation of pregnancy in multiple gestation after the abortion of one or more fetuses:
A. Pregnancy terminated by abortion excludes the continuation of pregnancy in multiple gestation after the abortion of one or more fetuses:
1. Ectopic pregnancy
(additional diagnosis is used to identify any associated
complications including to identify the duration of pregnancy) -
includes Ectopic pregnancy rupture - Abdominal pregnancy -
excludes care given to the mother for the viable fetus in
abdominal pregnancy; Tubular pregnancy: Fallopian pregnancy,
rupture of the tube (Fallopian) due to pregnancy, Tubular
abortion; Ovarian pregnancy; Other ectopic pregnancies:
Pregnancy: cervical, cornual, intraligamentary, mural;
Unspecified ectopic pregnancy;
2. Mola hydatiform
(additional diagnosis is used to identify any associated
complicationincluding to identify the duration of pregnancy) -
excludes malignant hydatiform mola - Classical hydatiform Mola:
Complete hydatiform Mola; Incomplete and partial hydatiform
mola; Unspecified hydatiform mola: TROPhoblastic disease NOS,
NOS vesicular mola;
3. Other abnormal products
of conception (additional diagnosis is used to identify any
associated complications including to identify the duration of
pregnancy) - excludes papillomau fetus - Clear egg and
nehidatiform mola: Mola: camoasa, intrauterine NOS, Pathological
egg; False abortion: Early fetal death with the retention of the
stilllife - excludes False abortion with: clear egg, Mola:
hydatiform, nehidatiform - Other products of specified abnormal
conception - excludes them with: clear egg, Mola: hydatiform,
nehidatiform; Abnormal product of unspecified conception (clear
distinctions reflected by: 1. incomplete, complicated by pelvic
and genital tract infection, 2. incomplete, complicated by
severe or delayed bleeding, 3. incomplete, complicated by
embolism, 4. incomplete, with other complications and
unspecified, 5. incomplete, without complications, 6. complete
or unspecified, complicated by pelvic infection and genital
tract, 7. complete or unspecified, complicated by severe or
delayed bleeding, 8. complete or unspecified, complicated by
embolism, 9. complete or unspecified, with other complications
and unspecified, 10. complete or unspecified, without
complications);
4. Spontaneous abortion
(additional diagnosis is used to identify the duration of
pregnancy) - includes spontaneous expulsion of the fetus
(unviable);
5. Medical abortion
(additional diagnosis is used to identify the duration of
pregnancy) - includes Termination of pregnancy: legal,
therapeutic, Therapeutic abortion;
6. Other forms of abortion
(additional diagnosis is used to identify the duration of
pregnancy);
7. Unspecified abortion
(additional diagnosis is used to identify the duration of
pregnancy) - includes NOS-induced abortion;
8. Failure of an abortion
attempt (additional diagnosis is used to identify the duration
of pregnancy) - includes the failure of an attempt caused by
abortion and excludes incomplete abortion - failure of a
medically complicated abortion attempt through pelvic and
genital tract infection; Failure of a medically challenged
abortion attempt complicated by severe or delayed bleeding;
Failure of a medically challenged abortion attempt complicated
by embolism; Failure of a medically challenged abortion attempt
with other and unspecified complications; Failure of a medically
challenged abortion attempt without complications: Failure of a
medically challenged NOS abortion attempt; Failure of an
attempted abortion caused, another and unspecified, complicated
by pelvic and genital tract infection; Failure of an attempted
abortion caused, another and unspecified, complicated by severe
or delayed hemorrhage; Failure of an attempted abortion caused,
another and unspecified, complicated by embolism; Failure of an
attempted abortion caused, another and unspecified, with other
complications and unspecified; Failure of an attempted abortion,
another and unspecified, without complications: Failure of an
attempted abortion NOS;
9. Complications following
abortion and ectopic pregnancy and molars – excludes retained
conception products – Pelvic and genital tract infection
following abortion and ectopic pregnancy and molars:
Endometriosis after pregnancy terminated by abortion, Oarteritis
after pregnancy terminated by abortion, Parametric after
pregnancy terminated by abortion, Peritonitis after pregnancy
terminated by abortion, Salpingitis after pregnancy terminated
by abortion, Salpingo-oarteritis after pregnancy terminated by
abortion, Sepsis after pregnancy terminated by abortion, Septic
shock after pregnancy terminated by abortion, Septicemia after
pregnancy terminated by abortion – excludes septic or
septico-pioemic embolism, urinary tract infection; Severe or
delayed bleeding following abortion and ectopic pregnancy and
molars: Afibrinogenemia after pregnancy terminated by abortion,
Defibrination syndrome after pregnancy terminated by abortion,
Intravascular coagulation after pregnancy terminated by
abortion; Embolia following abortion or ectopic pregnancy and
molar: Embolia: gaseous after pregnancy terminated by abortion,
with amniotic fluid after pregnancy terminated by abortion, with
blood clot (pulmonary) after pregnancy terminated by abortion,
NOS after pregnancy terminated by abortion, septic or
septico-pioemic after pregnancy terminated by abortion, with
fatty acids after pregnancy terminated by abortion; Shock
following abortion and ectopic pregnancy and molar: Vascular
collapse after pregnancy terminated by abortion, Shock
(postprocedural) after pregnancy terminated by abortion –
excludes septic shock; Renal failure following abortion and
ectopic pregnancy and molar: Oliguria after pregnancy terminated
by abortion, Renal: (acute) insufficiency after pregnancy
terminated by abortion, anuria after pregnancy terminated by
abortion, tubular necrosis after pregnancy terminated by
abortion, uremia after pregnancy terminated by abortion,;
Metabolism disorders following abortion and ectopic pregnancy
and molaring: Electrolyte imbalance after pregnancy terminated
by abortion; Injuries to pelvic organs and tissues following
abortion and ectopic pregnancy and molars: Laceration,
perforation, rupture or lesions of chemical origin of: bladder
after pregnancy terminated by abortion, intestine after
pregnancy terminated by abortion, broad ligament after pregnancy
terminated by abortion, cervix after pregnancy terminated by
abortion, periurethral tissue after pregnancy terminated by
abortion, uterus after pregnancy terminated by abortion; Other
venous complications following abortion and ectopic pregnancy
and molar; Other complications following abortion and ectopic
pregnancy and molar: Cardiac arrest after pregnancy terminated
by abortion, Urinary tract infection after pregnancy terminated
by abortion; Complications following abortion and ectopic
pregnancy and unspecified molars;
B. Duration of pregnancy
B. Duration of pregnancy
1. Duration of pregnancy –
Duration of pregnancy less than 5 full weeks; Duration of
pregnancy 5 – 13 full weeks; Duration of pregnancy 14 – 19 full
weeks; Duration of pregnancy 20 – 25 full weeks; Duration of
pregnancy 26 – 33 full weeks; Duration of pregnancy 34 – 36 full
weeks; Duration of unspecified pregnancy;
C. Edema, proteinuria and hypertension during pregnancy, childbirth and lute include conditions with pre-existing proteinuria and exclude increased or over-added proteinuria:
C. Edema, proteinuria and hypertension during pregnancy, childbirth and lute include conditions with pre-existing proteinuria and exclude increased or over-added proteinuria:
1. Pre-existing essential
hypertension, complicating pregnancy, childbirth and lute (any
condition specified as a reason for obstetric care during
pregnancy, childbirth and lute) – Pre-existing hypertensive
cardiopathy complicating pregnancy, childbirth and lute (any
condition specified as a reason for obstetric care during
pregnancy, childbirth and lute); Pre-existing hypertensive
nephropathy complicating pregnancy, childbirth and lute (any
condition specified as a reason for obstetric care during
pregnancy, childbirth and lute); Pre-existing cardio-nephropathy
complicating pregnancy, childbirth and lute (any condition
specified as a reason for obstetric care during pregnancy,
childbirth and lute); Pre-existing secondary hypertension
complicating pregnancy, childbirth and lute (any condition
specified as a reason for obstetric care during pregnancy,
childbirth and lute); Unspecified pre-existing hypertension
complicating pregnancy, childbirth and lute;
2. Pre-existing
hypertensive disorder with over-added pre-existing proteinuria
complicating pregnancy, childbirth and lute (any condition
specified as a reason for obstetric care during pregnancy,
childbirth and lute complicated by increased proteinuria):
over-added pre-eclampsia;
3. Gestational edema and
proteinuria (induced by pregnancy) without hypertension –
gestational edema; Gestational proteinuria; Gestational edema
with proteinuria;
4. Gestational
(pregnancy-induced) hypertension without proteinuria: NoS
gestational hypertension, mild pre-eclampsia;
5. Gestational
(pregnancy-induced) hypertension with significant proteinuria –
excludes over-added pre-eclampsia – moderate pre-eclampsia;
Severe pre-eclampsia; Unspecified pre-eclampsia;
6. Eclampsia – includes
seizures following hypertensive conditions, eclampsia with
pre-existing or pregnancy-induced hypertension – Eclampsia in
pregnancy; Eclampsia in labor; Eclampsia in praise; Eclampsia
without specifying the period: Eclampsia NOS;
7. Hypertension of the
unspecified mother;
D. Other maternal
disorders predominantly related to pregnancy
Note: diseases are included even if they occurred during childbirth or lute – Exclude Slavery: care related to the fetus and amniotic cavity and possible problems related to birth, diseases that can be classified elsewhere but complicating pregnancy, labor, childbirth and childbed.
1. Hemorrhage at the onset of pregnancy – excludes pregnancy terminated with abortion – Imminence of abortion: Hemorrhage specified as due to imminence of abortion (additional diagnosis is used to identify the duration of pregnancy); Other bleeding at the onset of pregnancy; Hemorrhage at the onset of unspecified pregnancy;
Note: diseases are included even if they occurred during childbirth or lute – Exclude Slavery: care related to the fetus and amniotic cavity and possible problems related to birth, diseases that can be classified elsewhere but complicating pregnancy, labor, childbirth and childbed.
1. Hemorrhage at the onset of pregnancy – excludes pregnancy terminated with abortion – Imminence of abortion: Hemorrhage specified as due to imminence of abortion (additional diagnosis is used to identify the duration of pregnancy); Other bleeding at the onset of pregnancy; Hemorrhage at the onset of unspecified pregnancy;
2. Excessive vomiting in
pregnancy – Mild pregnant hyperemesis: Mild or unspecified
pregnant hyperemesis, starting before the end of the 20th week
of gestation; Gravid hyperemesis with metabolic disorders:
Gravid hyperemesis, starting before the end of the 20th week of
gestation, with metabolic disorders such as: loss of
carbohydrates, dehydration, electrolyte imbalance; Late vomiting
of pregnancy: Excessive vomiting starting after 20 full weeks of
gestation; Other vomiting complicating pregnancy: Vomiting due
to diseases that can be classified elsewhere, complicating
pregnancy (additional diagnosis is used to identify the cause,
if known); Vomiting in unspecified pregnancy;
3. Venous complications in
pregnancy – excludes: Obstetrical pulmonary embolism, Diseases
mentioned as complications of: abortion or ectopic pregnancy or
molar, birth and lute – Varicose veins of the lower extremities
in pregnancy; Varicose genitalia in pregnancy: Varicose perineum
in pregnancy, Varicose vaginal varicose in pregnancy, Varicose
vulvar in pregnancy; Superficial thrombophlebitis during
pregnancy: Thrombophlebitis of the legs in pregnancy; Deep
flebotrombosis in pregnancy: Deep venous thrombosis anterpartum;
Hemorrhoids in pregnancy; Cerebral venous thrombosis in
pregnancy: Cerebrovenous sinus thrombosis in pregnancy; Other
venous complications in pregnancy; Venous complication in
unspecified pregnancy: Gestation: NOS phlebitis, NOS
phlebopathy, NOS thrombosis;
4. Infections of the
genitourinary tract in pregnancy – Kidney infections in
pregnancy; Bladder infections in pregnancy; Infections of the
urethra in pregnancy; Infections of other parts of the urinary
tract in pregnancy; Unspecified urinary tract infections in
pregnancy; Infections of the genital tract in pregnancy; Other
infections of the genitourinary tract in pregnancy and
unspecified: infection of the genitourinary tract in noS
pregnancy;
5. Diabetes mellitus in
pregnancy – includes during childbirth and lute – Pre-existing
diabetes mellitus type 1 in pregnancy (with or without insulin)
– Pre-existing diabetes mellitus type 2 in pregnancy; Diabetes
mellitus pre-existing other type specified in pregnancy;
Diabetes mellitus pre-existing unspecified in pregnancy;
Diabetes mellitus during pregnancy: Gestational mellitus
diabetes (Note: WHO criteria for gestational diabetes are based
on the correct conduct of the oral glucose tolerance test,
uneaten venous plasma glucose = 6.1 mmol/ L or venous plasma
glucose 2 hours after glucose ingestion = 7.8 mmol/ L); Diabetes
mellitus in pregnancy with unspecified onset;
6. Malnutrition in
pregnancy: Malnutrition during childbirth and lute;
7. Care given to the
mother for other predominant pregnancy-related conditions -
Excessive weight gain gain gained in pregnancy - excludes
gestational edema; Low weight gain gain gain gained in
pregnancy; Care during pregnancy given to a person who normally
practices abortion - excludes: Person who usually practices
abortion: With the usual clinical forms of abortion, No
pregnancy; Retention of an intrauterine contraceptive device in
pregnancy; Gestational herpes; Maternal hypotension syndrome:
Hypotensive syndrome in clino-statism; Liver disorders in
pregnancy, childbirth and lute - excludes: hepato-renal syndrome
following labor and childbirth; Subluxation of symphysis (pubic)
in pregnancy, childbirth and lute - excludes the traumatic
separation of symphysis (pubic) during childbirth; Other
specified pregnancy-related conditions; Pregnancy-related kidney
disease; Carpal tunnel syndrome in pregnancy; Neuralgia in
pregnancy; Other specified pregnancy-related conditions:
Exhaustion and fatigue; Unspecified pregnancy-related
conditions;
8. Abnormal results of
prenatal screening of the mother - excludes the results of the
diagnosis classified elsewhere, care given to the mother related
to the fetus and amniotic cavity and possible birth problems -
Abnormal haematological results of prenatal screening of the
mother; Abnormal biochemical results of prenatal screening of
the mother; Abnormal cytological results of prenatal screening
of the mother; Abnormal ultrasound results of prenatal screening
of the mother; Abnormal radiological results of prenatal
screening of the mother; Abnormal chromosomal and genetic
results of prenatal screening of the mother; Other abnormal
results of prenatal screening of the mother; Abnormal result
found at prenatal screening of unspecified mother;
9. Complications of
anesthesia during pregnancy - includes maternal complications
aoccurring from the administration of a local or general
anesthetic, an analgesic or other sedatives during pregnancy and
excludes complications of anesthesia during: abortion or ectopic
pregnancy or molar, labor and childbirth, puerperium - Pulmonary
complications of an anesthesia during pregnancy: Pneumonia by
aspiration due to anesthesia during pregnancy, Inhalation of noS
content or gastric secretion due to an anesthesia during
pregnancy, Mendelson syndrome due to an anesthesia during
pregnancy; Cardiac complications of an anesthetise during
pregnancy: Cardiac: stop due to an anesthesis during pregnancy,
failure due to an anesthesis during pregnancy; Complications of
the central nervous system due to anesthesia during pregnancy:
Cerebral anoxia due to anesthesia during pregnancy; Toxic
reaction to local anesthesia during pregnancy; Headache caused
by rahianesthesia and epidural anesthesia during pregnancy;
Other complications of rahianesthesia and epidural anesthesia
during pregnancy; Failure or difficulty in intubation during
pregnancy; Other complications of anesthesia during pregnancy;
Complications of anesthesia during unspecified pregnancy;
E. Care for the mother
related to the fetus, amniotic cavity and possible dystocia.
1. Multiple pregnancy - excludes specific complications of multiple pregnancy - Gemellar pregnancy; Pregnancy with triplets; The quadroplet load; Other forms of multiple pregnancy; Unspecified multiple pregnancy: NoS multiple pregnancy;
1. Multiple pregnancy - excludes specific complications of multiple pregnancy - Gemellar pregnancy; Pregnancy with triplets; The quadroplet load; Other forms of multiple pregnancy; Unspecified multiple pregnancy: NoS multiple pregnancy;
2. Complications specific
to multiple pregnancy - excludes: Twins glued causing
disproportion, Delayed birth of the second twin, triplet,
abnormal presentation of one or more fetuses; With obstacle
dystocia - Fetus papiraceu: Pressed fetus; Continuation of
pregnancy after abortion of one or more fetuses; Continued
pregnancy after intrauterine death of one or more fetuses; Other
complications specific to a multiple pregnancy;
3. Care given to the
mother for an abnormal presentation of the foetus, known or
suspected - includes the conditions mentioned as a reason for
observation, hospitalization or other forms of obstetric care of
the mother, or for caesarean surgery before the onset of labour
and excludes the conditions mentioned with obstacle dystocia -
Care given to the mother for an unstable position; Care given to
the mother for a pelvic presentation; Care given to the mother
for a transverse and oblique position: Presentation: oblique,
transverse; Care for the mother for a facial, forehead or chin
presentation; Care given to the mother for a high term head:
Non-employment of the head; Care given to the mother for a
multiple pregnancy with abnormal presentation of one or more
fetuses; Care for the mother for a complex presentation; Care
given to the mother for another abnormal presentation of the
fetus; Care given to the mother for an abnormal presentation of
the unspecified foetus;
4. Care given to the
mother for known or suspected fetal-pelvic disproportion -
includes the conditions mentioned as a reason for observation,
hospitalization or other forms of obstetric care of the mother,
or for caesarean surgery before the onset of labour and excludes
the conditions mentioned with obstacle dystocia - Care given to
the mother for a disproportion due to a malformation of the
mother's pelvis: Pelvic deformity causing nos disproportion;
Care given to the mother for a disproportion due to the narrow
maternal pelvis in general: Narrow NOS basin causing
disproportion; Care given to the mother for a disproportion due
to the narrowing of the upper strait of the maternal pelvis:
Narrowing of the upper strait (of the maternal pelvis) causing
disproportion; Care given to the mother for a disproportion due
to a narrowing of the lower strait: Narrowing of the median
cavity (of the pelvis) causing disproportions, Narrowing of the
lower strait (of the basin) causing disproportions; Care given
to the mother for a fetal-pelvic disproportion of mixed maternal
and fetal origin; Care given to the mother for disproportion due
to abnormally large foetus: Fetal disproportion with normal
foetus, Fetal disproportion NOS; Care given to the mother for
disproportion due to the hydrocephalus fetus; Care given to the
mother for disproportion due to other foetal abnormalities:
Glued twins causing disproportion, Fetal(a): ascites causing
disproportion, hydrops causing disproportion, meningo-myelocele
causing disproportion, sacral teratoma causing disproportion,
tumor causing disproportion; Care for the mother for a
disproportion of other origins; Care given to the mother for
unspecified disproportion: Cephalo-Pelvian NoS Disproportion,
Feto-Pelveian NoS Disproportion;
5. Care given to the
mother for a known or suspected abnormality of the pelvic organs
- includes the conditions mentioned as a reason for observation,
hospitalization or other forms of obstetric care of the mother,
or for caesarean surgery before the onset of labour and excludes
the conditions mentioned with obstacle dystocia - Care given to
the mother for congenital malformation of the uterus: Care given
to the mother for: double uterus, bicorn uterus; Care given to
the mother for the tumor of the uterine body: Care given to the
mother for: polyp of the uterine body, uterine fibroids -
excludes Care given to the mother for the tumor of the cervix;
Care given to the mother for uterine scarring due to previous
surgery: care given to the mother for the scar of a previous
caesarean - excludes vaginal birth after a previous NOS
caesarean section; Care given to the mother for the neck beant:
Care given to the mother for: serclaage with or without mention
of the neck beante, Shirodkar suture with or without mention of
the neck beant; Care given to the mother for other abnormalities
of the cervix: Care given to the mother for: polyp of the
cervix, anterior surgery on the cervix, narrowing or stenosis of
the cervix, tumor of the cervix; Care given to the mother for
other abnormalities of the pregnant uterus: Care given to the
mother for: incarceration of the pregnant uterus, prolapse of
the pregnant uterus, retroversion of the pregnant uterus; Care
given to the mother for abnormalities of the vagina: Care given
to the mother for: previous surgery on the vagina, cloason of
the vagina, stenosis of the vagina (acquired) (congenital),
narrowing of the vagina, tumor of the vagina - excludes Care
given to the mother for vaginal varicose veins in pregnancy;
Care given to the mother for vulva and perineum abnormalities:
Care for the mother for: perineum fibrosis, anterior surgery on
the perineum or vulva, stiff perineum, vulva tumor - excludes
Care for the mother for perineal varicose veins and vulvar in
pregnancy; Other abnormalities of the pelvic organs: Care given
to the mother for: cystocele, repair of the pelvic floor
(previous), pendulum abdomen (in desage), rectocele, rigid
pelvic floor; Care given to the mother for unspecified pelvic
organ anomaly;
6. Care given to the
mother for a known or suspected foetal abnormality or lesion -
includes the conditions referred to in the foetus as a reason
for observation, hospitalisation or other forms of obstetric
care of the mother, or for the termination of pregnancy and
excludes care given to the mother for known or suspected
disproportion - Care given to the mother for a malformation
(suspected) of the central nervous system of the fetus: Care
given to the mother for (suspected) fetal: anencephaly, spina
bifida - excludes chromosomal abnormalities of the fetus; Care
given to the mother for chromosomal (suspected) abnormalities of
the fetus; Care given to the mother for hereditary (suspected)
diseases of the fetus - excludes chromosomal abnormalities of
the fetus; Mother's care for fetal (suspected) lesions resulting
from a viral disease of the mother: Care given to the mother for
lesions (suspected) resulting from: maternal infection with
cytomegalovirus, maternal rubella; Care given to the mother for
fetal (suspected) lesions due to maternal alcoholism; Care given
to the mother for fetal (suspected) lesions resulting from
drugs: Care given to the mother for (suspected) lesions of the
fetus resulting from drug dependence - excludes fetal suffering
during labour and childbirth due to the administration of drugs;
Care given to the mother for fetal (suspected) lesions due to
irradiation; Care given to the mother for fetal (suspected)
lesions resulting from other medical procedures: Care given to
the mother for fetal (suspected) lesions resulting from:
amniocentesis, biopsy, haematological examinations, intrauterine
contraceptive device, intrauterine surgery; Care given to the
mother for other abnormalities and fetal (suspected) lesions:
Care given to the mother for fetal (suspected) abnormalities
resulting from: mother's listeriosis, maternal toxoplasmosis;
Care for abnormalities and unspecified foetal (suspected)
abnormalities and lesions;
7. Care for the mother for
other known or suspected fetal conditions - includes the
conditions referred to in the fetus as a reason for observation,
hospitalization or other forms of obstetric care of the mother,
or for the termination of pregnancy and excludes complicated
labour and birth with fetal suffering (distress), placental
transfusion syndrome - Care given to the mother for anti-Rh
isoimmunization: Anti-D anti-D antibodies (Rh), Incompatibility
Rh (with fetal-placental anasarca); Care for the mother for
other isoimmunizations: ABO isoimmunization, NOS isoimmunization
(with fetal-placental anasarca); Care given to the mother for
fetal-placental anasarca: Fetoplacental Anasarca: NOS, not
associated with isoimmunization; Care given to the mother for
signs of fetal hypoxia; Care given to the mother for
intrauterine death of the fetus - excludes false abortion; Care
given to the mother for insufficient growth of the fetus: Care
given to the mother for a known or presumed cause: mild fetus
for gestational age, placental insufficiency, small fetus for
gestational age; Care given to the mother for excessive growth
of the fetus: Care given to the mother for a known or presumed
cause: large fetus for gestational age; Care given to the mother
for an abdominal pregnancy with a viable fetus; Care for the
mother for other specified foetal conditions; Care given to the
mother for an unspecified foetal condition;
8. Hydramnios: Hydramnios;
9. Other disorders of
amniotic fluid and membranes - excludes premature rupture of
membranes - Oligohydramnios: Oligohydramnios without mention of
rupture of membranes; Infection of the amniotic sac and
membranes: Amniocenitis, Chorioamniotitis, Membranite,
Plaentita; Other specified disorders of amniotic fluid and
membranes; Disorders of amniotic fluid and unspecified
membranes;
10. Premature rupture of
membranes (additional diagnosis is used to identify the duration
of pregnancy, when there are less than 37 full weeks of
gestation) - Premature rupture of membranes with the onset of
labor within 24 hours; Premature rupture of membranes with the
onset of labor after 24 hours - excludes with delayed labor by
therapy; Premature rupture of membranes with the onset of labor
between 1 - 7 days later; Premature rupture of membranes with
the onset of labor after more than 7 days; Premature rupture of
membranes with delayed labor by treatment; Premature rupture of
unspecified membranes;
11. Placental
abnormalities - excludes care given to the mother for
insufficient growth of the fetus due to placental insufficiency,
placenta praevia, premature detachment of the placenta (abruptio
placentae) - Placental transfusion syndrome: Transfusion:
feto-maternal, maternal-fetal, from twin to twin; Placental
malformation: Abnormal placenta NOS, Circumvalence placenta;
Abnormal adhesion of the placenta: Placenta: accreta, increta,
percreta (additional diagnosis is required for associated
postpartum haemorrhage or placenta withheld without hemorrhage);
Other abnormalities of the placenta: Placental: dysfunction,
infarction; Anomaly of the placenta unspecified;
12. Placenta praevia -
Placenta praevia specified as no hemorrhage: Low implantation of
the placenta specified as no hemorrhage; Placenta praevia with
hemorrhage: Low implantation of the nos placenta or with
hemorrhage, Placenta praevia: marginal NOS or haemorrhage,
partial NOS or haemorrhage, total NOS or hemorrhage - excludes
complicated labor and birth of hemorrhage due to cord vessels;
13. Premature detachment
of the placenta (retro-placental hematoma) - Premature
detachment of the placenta with clotting abnormalities:
Premature detachment of the placenta with haemorrhage
(excessive) associated with: afibrinogenemia, disseminated
intravascular coagulation, hyperfibrinolysis,
hypofibrinogenemia; Other premature detachments of the placenta;
Premature detachment of the unspecified placenta: Early
detachment of the placenta (abruptio placentae) NOS;
14. Antepartum haemorrhage
not elsewhere - excludes hemorrhage at the beginning of
pregnancy, intrapartum NEC haemorrhage, placenta praevia,
premature detachment of the placenta (abruptio placentae) -
Antepartum haemorrhage with clotting abnormality: Antepartum
haemorrhage (excessive) associated with: afibrinogenemia,
disseminated intravascular coagulation, hyperfibrinolysis,
hypofibrinogenemia; Other antepartum haemorrhages; Unspecified
antepartum haemorrhage;
15. False labor - False
labor before the 37th complete week of gestation (additional
diagnosis is used to identify the duration of pregnancy); False
labor after the 37th full week of gestation; Unspecified fake
labor;
16. Prolonged pregnancy:
by date, by deadline;
F. Complications of labour and childbirth
1. Pre-term birth: onset (spontaneous) of childbirth before 37 full weeks of gestation (additional diagnosis is used to identify the duration of pregnancy);
F. Complications of labour and childbirth
1. Pre-term birth: onset (spontaneous) of childbirth before 37 full weeks of gestation (additional diagnosis is used to identify the duration of pregnancy);
2. Failure to trigger
labor - Failure of medical trigger ing of labor: Failure of
trigger (of labor) by: oxytocin, prostaglandins; Instrumental
trigger failure of labor: Trigger failure (of labor): by
mechanical, surgical means; Other failures to trigger labor;
Failure to trigger unspecified labour;
3. Abnormalities of
uterine contraction and dilation of the cervix - Insufficient
initial contraction: Insufficient dilation of the cervix,
primary hypotonic dysfunction of the uterus; Secondary uterine
inertia: Stopping the active phase of labor, secondary uterine
hypotonic dysfunction; Other forms of uterine inertia: Atonia of
the uterus, Sporadic labor, hypotonic uterine dysfunction NOS,
Irregular labor, Weak contractions, NOS uterine inertia;
Precipitated labor; Untuned and prolonged hypertonic uterine
contractions: Dissection of the contraction ring, Uncoordinated
labor, Contractions of the uterus in the hourglass, Hypertonic
uterine dysfunction, Uncoordinated uterine activity, Tetanus
contractions, NoS uterus dystocia - dystocia (fetal) (maternal)
NOS; Other abnormalities of uterine contraction and dilation of
the cervix; Anomaly of uterine contraction and unspecified
cervical dilation;
4. Prolonged labour -
Extension of the first period (dilation); Extension of the
second period (expulsion); Delayed birth of the second, third
gemen, etc.; Prolonged labor unspecified: Prolonged labor NOS;
5. Obstacle dystocia due
to an abnormal position and presentation of the foetus -
Obstacle dystocia due to incomplete rotation of the head of the
fetus: Stopping in the transverse position, Obstacle dystocia
due to persistence (in position): occipito-iliac,
occipito-posterior, occipito-sacral, occipito-transverse;
Obstacle dystocia due to a pelvic presentation; Obstacle
dystocia due to a facial presentation: Obstacle dystocia due to
chin presentation; Obstacle distortion due to a frontal
presentation; Obstacle dystocia due to hanger presentation:
Prolabated arm - excludes employee shoulder, shoulder dystocia;
Obstacle distortion due to a complex presentation; Obstacle
dysocia due to an unspecified abnormal position and
presentation;
6. Obstacle dystocia due
to a pelvic abnormality of the mother - Obstacle dystocia due to
pelvic deformity; Obstacle dystocia due to a narrow basin in
general; Obstacle distortion due to a narrowing of the upper
strait; Obstacle distocia due to a narrowing of the lower strait
and the middle cavity; Obstacle dystocia due to an unspecified
fetal-pelvic disproportion - excludes dystocia due to fetal
abnormality; Obstacle dystocia due to an abnormality of the
pelvic organs of the mother: Obstacle dystocia due to disorders;
Obstacle dystocia due to other pelvic abnormalities of the
mother; Obstacle dystocia due to an unspecified pelvic
abnormality of the mother;
7. Other obstacle
distortions - Obstacle dystocia due to a shoulder dystocia:
Employed shoulder; Gemelar obstacle distocia; Obstacle dystocia
due to an abnormally large fetus; Obstacle dystocia due to fetal
abnormalities: Dystocia due to: Paste Gemini, Fetal(a): ascites,
hydrops, meningomyelocele, sacral teratom, tumor, hydrocephalus
fetus; Failure of the sample to unspecified labour: Failure of
the sample to labour with subsequent birth by caesarean section;
Failure to apply an unspecified suction cup and forceps: Failure
to apply a suction cup and forceps with subsequent forceps or
caesarean birth; Other specified obstacle distortions;
Unspecified obstacle dystocia: Dystocia: fetal NOS, maternal
NOS, NOS;
8. Complicated labor and
childbirth by intrapartum haemorrhage not elsewhere classified -
excludes antepartum NEC haemorrhage, placenta praevia,
postpartum haemorrhage, premature detachment of the placenta
(abruptio placentae) - Intrapartum haemorrhage with clotting
abnormality: Intrapartum (excessive) haemorrhage associated
with: Intrapartum (excessive) haemorrhage associated with:
afibrinogenemia, disseminated intravascular coagulation,
hyperfibrinolysis, hypofibrinogenemia; Other intrapartum
haemorrhages: Excessive intrapartum haemorrhage; Unspecified
excessive intrapartum haemorrhage;
9. Labor and birth
complicated by fetal suffering (detresa) - includes fetal
suffering in labor and childbirth due to the administration of
drugs - Labor and complicated birth with an abnormality of the
heart rhythm of the fetus: Fetal: bradycardia, cardiac
arrhythmia, tachycardia - excludes with meconium in amniotic
fluid; Labor and birth complicated by the presence of meconium
in the amniotic fluid - excludes fetal cardiac arrhythmia; Labor
and birth complicated by an abnormality of the heart rhythm of
the fetus with the presence of meconium in the amniotic fluid;
Labor and birth complicated by biochemical signs of fetal
suffering: Fetal anomaly: acid-base balance, acidemia; Labour
and birth complicated by other signs of fetal suffering: Signs
of fetal suffering: electrocardiographic, ultrasound; Labor and
birth complicated by unspecified fetal suffering;
10. Labor and complicated
birth through umbilical cord abnormalities - Labor and
complicated birth of a cord prolapse; Labor and the complicated
birth of a circular cord around the neck with compression; Labor
and birth complicated by another form of cord knotting: Knotting
the twins' cords in a unique amniotic sac, Cord Node; Labor and
the complicated birth of a short cord; Labor and complicated
birth of vasa praevia: Hemorrhage due to vasa praevia; Labor and
birth complicated by vascular lesions of the cord: umbilical
cord: contusion, hematoma, thrombosis of umbilical vessels;
Labor and birth complicated by other abnormalities of the
umbilical cord; Labor and birth complicated by an abnormality of
unspecified umbilical cord;
11. Perineal laceration
during childbirth - includes episiotomy extended by laceration
and excludes only high obstetric vaginal laceration - first
degree perineal laceration during childbirth: Laceration,
perineal tear and tear (involving): fork during childbirth, lips
during childbirth, skin during childbirth, superficial during
childbirth, vagina during childbirth, vulva during childbirth;
Second degree perineal laceration during childbirth: Laceration,
rupture and perineal tear involving also: pelvic floor during
childbirth, the muscles of the perineum during childbirth, the
muscles of the vagina during childbirth - excludes the one
involving the anal sphincter: Third degree perineal laceration
during childbirth: Laceration, rupture and perineal tear
involving also: anal sphincter during childbirth, recto-vaginal
cloason during childbirth, NOS sphincter during childbirth -
excludes that involving anal or rectal mucosa; Fourth degree
perineal laceration during childbirth: Laceration, rupture and
perineal tear also involving: mucosa during childbirth, rectal
mucosa during childbirth; Perineal laceration during unspecified
birth;
12. Other obstetrical
trauma - includes injuries due to the medical instrument -
Rupture of the uterus before the onset of labor; Rupture of the
uterus during labor: Rupture of the uterus not specified as
occurring before the onset of labor; Postpartum inversion of the
uterus; Laceration of the cervix of obstetric origin: Ring
detachment of the cervix; Only high vaginal laceration of
obstetrical origin: laceration of the vaginal wall without
mention of perineal rupture - excludes with perineal laceration;
Other lesions of obstetrical origin of the pelvic organs:
Obstetrical lesions of: bladder, urethra; Obstetriclesional
lesion of pelvic joints and ligaments: Removal of ring cartilage
of obstetrical symphysis, lesion of the coccyx of obstetrical
origin, Traumatic removal of symphysis (pubic) of obstetrical
origin; Pelvic hematoma of obstetrical origin of: perineum,
vagina, vulva; Other specified obstetric albeit; unspecified
obstetrical trauma;
13. Postpartum haemorrhage
- includes haemorrhage after the birth of the fetus or child -
Hemorrhage after birth (third period): Hemorrhage associated
with the retention of the placenta, Retention of the noS
placenta (also diagnosed the placenta morbid adhesion); Other
bleeding immediately postpartum: Hemorrhage following expulsion
of the placenta, Postpartum haemorrhage (atonic) NOS; Postpartum
haemorrhage (atonic) NOS; Late and secondary postpartum
haemorrhage: Hemorrhage associated with partial retention of
placenta or membranes, Retention of NOS products following
birth; Postpartum coagulation anomaly: Postpartum:
afibrinogenemia, fibrinolysis;
14. Retention of placenta
and membranes without hemorrhage - Retention of the placenta
without hemorrhage (also diagnosed placenta morbid adhesion);
Partial retention of the placenta and membranes without
hemorrhage: Retention of conception products following birth
without hemorrhage;
15. The following shall
be Complications of anesthesia during labour and childbirth -
includes maternal complications arising from the administration
of a general or local anesthetic, analgesic or other sedative
during labour and childbirth - Aspiration pneumopathy due to an
anesthesia during labor and childbirth: Inhalation of NOS
gastric contents or secretions due to an anesthesia during
labour and childbirth, Mendelson syndrome due to anesthesia
during Other pulmonary complications due to an anesthesis during
labor and childbirth: Pulmonary collapse by compression due to
an anesthesis during labor and childbirth; Cardiac complications
due to an anesthesis during labor and childbirth: Cardiac(a):
stop due to an anesthesis during labor and childbirth, failure
due to an anesthesis during labor and childbirth; Complications
of the central nervous system due to an anesthesis during labor
and childbirth: Cerebral anoxia due to an anesthesis during
labor and childbirth; Toxic reaction of a local anesthesis
during labour and childbirth; Headache caused by rahianesthesia
and epidural anesthesia during labor and childbirth; Other
complications of rahianesthesia and epidural anesthesia during
labor and childbirth; Failure or difficulty of intubation during
labour and childbirth; Other complications of an anesthesis
during labor and childbirth; Complications of an anesthesis
during unspecified labour and childbirth;
16. Other complications of
labour and childbirth not elsewhere - excludes: Puerperal(a):
infection, sepsis - Exhaustion of the mother during labour and
childbirth; Shock during or after labor and childbirth:
Obstetrical shock; Pyrexia during labor not elsewhere
classified; Other infections during labor: Sepsis during labor;
Other complications of surgery and obstetric procedures:
Cardiac: Stop following after a caesarean section or after
surgery or obstetric procedures, including the birth of NOS,
Insufficiency following after a caesarean section or after
surgery or obstetric procedures including the birth of NOS;
Cerebral anoxia following after a caesarean section or after
surgery or obstetric procedures including the birth of NOS -
excludes: Complications of anesthesia during labor and
childbirth, Plague (surgical) of obstetric origin: rupture,
hematoma, infection; Delayed birth after superficial rupture of
membranes; Delayed birth after spontaneous or unspecified
rupture of membranes - excludes spontaneous premature rupture of
membranes; Vaginal birth after a previous caesarean section;
Other specified complications of labour and childbirth;
Complications of unspecified labour and childbirth;
G. Birth
1. Spontaneous single birth: Cases of minimal or unassisted assistance, Birth in a completely normal case, Single spontaneous vaginal birth, Spontaneous cranial presentation;
2. Single birth by
forceps and suction cup (used in cases where no medical
condition, which can be classified elsewhere, cannot be
designated to indicate the reason for the forceps intervention)
- excludes the failure to apply the suction cup or forceps;
3. Single birth by
caesarean section (used in cases where no condition, which can
be classified elsewhere, can be designated to indicate the
reason for forceps intervention);
H. Complications mainly
related to childbed
Include the conditions mentioned even if they occur during pregnancy and childbirth - excludes mental and behavioral disorders associated with lulazia, tetanus obstetrical, puerperal osteomalacia
Include the conditions mentioned even if they occur during pregnancy and childbirth - excludes mental and behavioral disorders associated with lulazia, tetanus obstetrical, puerperal osteomalacia
1. Puerperal sepsis:
Puerperal: endometriosis, fever, peritonitis, septicaemia
(additional diagnosis is used to identify the infectious agent)
- excludes septic and pyoemic embolism of obstetrical origin,
sepsis during labor;
2. Other puerperal
infections - excludes infection during labor - Infection of
surgical wound of obstetrical origin: Infected: the wound of the
caesarean section after birth, perineal suture after birth;
Other infections of the genital tract after birth: cervicitis
after birth, vaginitis after birth; Urinary tract infection
occurring after birth; Other infections of the genitourinary
pathways occurring after birth: Puerperal infection of the
genitourinary tract NOS; Pyrexia of unknown origin occurring
after birth: Puerperal: NOS infection, NOS pyrexia - excludes
puerperal fever, pyrexia during labor; Other specified puerperal
infections;
3. Venous complications
during the lute - includes In labor, childbirth and lute and
excludes Obstetric Embolia, Venous Complications in Pregnancy -
Superficial Thromboflebitis during the praise; Deep
phlebotrombosis during the lute: postpartum deep vein
thrombosis, postpartum pelvic thromboflebitis; Hemorrhoids
during the lute; Cerebral venous thrombosis during the lute:
Stromovenos sinus thrombosis during the lute; Other venous
complications during the lute: Genital varicose veins during the
lute; Venous complication during unspecified lute: Puerperal:
NOS phlebitis, NOS phlebopathy, NOS thrombosis;
4. Obstetric embolism -
includes: Pulmonary embolism in pregnancy, childbirth and lute
and excludes embolism complicating abortion or ectopic or molar
pregnancy - Obstetrical gas embolism; Amniotic embolism;
Obstetrical embolism by blood clot: Embolia (pulmonary) of
obstetrical origin NOS, Embolia (pulmonary) puerperal NOS;
Pyoemic and septic embolism of obstetrical origin; Other
obstetric embolisms: Gas embolism of obstetrical origin;
5. Complications of
anesthesia during lute - includes maternal complications after
administration of a local or general anesthetic, an analgesic or
other sedative during the lute - Pulmonary complications of
anesthesia during luse: Pneumopathy by aspiration due to an
anesthesia during the lute, Inhalation of stomach contents or
nos gastric secretions due to an anesthesia during the lute,
Mendelson syndrome due to an anesthesia during the lute,
Pulmonary collapse by compression due to an anesthesia during
the Cardiac complications due to an anesthesis during the lute:
Cardiac: stop due to an anesthesis during the lute, failure due
to an anesthesis during the lute; Complications of the central
nervous system due to an anesthesis during the lute: Cerebral
anoxia due to an anesthesis during the lute; Toxic reaction to a
local anesthesia during the lute; Headache caused by
rahianesthesia and epidural anesthesia during lute; Other
complications of rahianesthesia and epidural anesthesia during
lute; Failure or difficulty of intubation during the lute; Other
complications of anesthesia during the lute; Complications of an
anesthesis during unspecified lute;
6. Complications of the
unclassified lute elsewhere - Detachment of a caesarean suture;
Detachment of an obstetric suture in the perineum: Detachment of
a suture from: episiotomy, perineal laceration, secondary
perineal tearing; Hematoma in an obstetric wound; Myocardiopathy
during the lute; Acute renal failure postpartum: Hepato-renal
syndrome following labor and childbirth; Postpartum thyroiditis;
Other puerperal complications not elsewhere classified:
Placental polyp; Unspecified puerperal complication;
7. Breast infections
associated with childbirth (to be used as an additional
diagnosis: 1. without mention of the difficulty of
breastfeeding, 2. with mention of the difficulty of
breastfeeding) - includes the conditions mentioned during
pregnancy, lute or lactation - Infection of the nipple
associated with birth: Abscess of the nipple: gestational,
puerperal; Breast abscess associated with birth: Gestational or
puerperal breast abscess, gestational or puerperal purulent
mastitis, gestational or puerperal subaureolal abscess;
Birth-associated non-purulent mastitis: Gestational or puerperal
breast lymphangitis, Mastitis: gestational or puerperal
interstitial, gestational NOS, gestational or puerperal
parenchyma;
8. Other breast and
lactation disorders associated with childbirth (to be used as an
additional diagnosis: 1. without mention ing the difficulty of
breastfeeding, 2. with mention of the difficulty of
breastfeeding) - includes the conditions mentioned during
pregnancy, lute or lactation - Invasion of the nipple associated
with childbirth; Birth-related nipple fissure: Nipple,
gestational or puerperal fissure; Other breast disorders
associated with birth and unspecified; Agalactation: Failure of
breastfeeding, Primary Agalactation; Hypogalactation:
Insufficiency of milk production; Suppression of lactation:
Agalactia: secondary, therapeutic; Galactorea - excludes
galactorea not associated with birth; Other lactation disorders
and unspecified: Puerperal galactocel;
I. Other obstetric
disorders not elsewhere classified
1. The sequelae of the complications of pregnancy, childbirth and lute (this category is used to indicate the conditions as the cause of the sechelles, which are themselves classified elsewhere - the sechelles include the conditions specified as such, which can occur in any period after the lute - mention first any sechela) - excludes which result in death;
1. The sequelae of the complications of pregnancy, childbirth and lute (this category is used to indicate the conditions as the cause of the sechelles, which are themselves classified elsewhere - the sechelles include the conditions specified as such, which can occur in any period after the lute - mention first any sechela) - excludes which result in death;
2. Obstetrical death due
to an unspecified cause: Maternal death from unspecified causes
that occurred during pregnancy, labour and childbirth or lute;
Death of obstetrical origin, occurring more than 42 days but less than one year after birth (additional diagnosis is used to identify the obstetric cause of death);
Death of obstetrical origin, occurring more than 42 days but less than one year after birth (additional diagnosis is used to identify the obstetric cause of death);
3. Death by sequelae
occurring from a direct obstetric cause: Death occurring from a
direct obstetric cause occurring one year or more after birth;
4. Infectious and
parasitic diseases that can be classified elsewhere but
complicating pregnancy, childbirth and lute (additional
diagnosis is used to identify the specific condition) - includes
the conditions mentioned when complicating the gestational
state, when aggravated by pregnancy or as a reason for obstetric
assistance and excludes: Viral Immunodeficiency (HIV) clinically
asymptomatic status, Human immunodeficiency virus (HIV) disease,
Laboratory evidence of human immunodeficiency virus (HIV),
Tetanos obstetrical, Puerperal(a): infection, sepsis, When the
reason for the care given to the mother is a disease known or
suspected to have affected the fetus - Tuberculosis complicating
pregnancy, childbirth and lute; Syphilis complicating pregnancy,
childbirth and praise; Gonococic infection complicating
pregnancy, childbirth or praise; Other infections with
predominantly sexual transmission, complicating pregnancy,
childbirth and praise; Viral hepatitis complicating pregnancy,
childbirth and praise; Other viral diseases complicating
pregnancy, childbirth and praise; Diseases due to protozoa,
complicating pregnancy, birth and praise; Other infectious and
parasitic diseases of the mother complicating pregnancy,
childbirth and praise; Infectious and parasitic disease of the
mother complicating pregnancy, birth and praise; Infectious and
parasitic disease of the mother complicating pregnancy, birth
and unspecified praise;
5. Other maternal diseases
that can be classified elsewhere but complicating pregnancy,
birth and unspecified praise (includes conditions that
complicate pregnancy, are aggravated by pregnancy or are the
main reason for obstetric care - additional diagnosis is used to
identify the specific condition) - excludes: Infectious and
parasitic diseases, Traumatic injuries, poisonings and other
consequences of external causes, When the reason for the care
given to the mother is a disease known or suspected to have
affected the fetus - Anemia complicating pregnancy, birth and
other praise; Other diseases of the blood and hematopoietic
organs and certain disorders of the immune system complicating
pregnancy, childbirth and lust - exclude bleeding with clotting
abnormalities; Endocrine diseases, nutrition and metabolism
complicating pregnancy, childbirth and lute - exclude diabetes
mellitus, malnutrition, postpartum thyroiditis; Mental disorders
and diseases of the nervous system complicating pregnancy,
childbirth and praise - excludes postnatal depression,
peripheral neuritis related to pregnancy, puerperal psychosis;
Diseases of the circulatory system complicating pregnancy, birth
and praise - excludes Cardiomyopainto in praise, Hypertensive
disorders, obstetric embolism, Venous complications and
thrombosis of the cerebrovenous sinus in: labor, birth and lute,
pregnancy; Diseases of the respiratory system complicating
pregnancy, birth and praise; Diseases of the digestive system
complicating pregnancy, birth and praise - excludes liver
diseases in pregnancy, childbirth and praise; Diseases of the
skin and subcutaneous cell tissue complicating pregnancy, birth
and lute - excludes gestational herpes; Other specified diseases
and conditions complicating pregnancy, childbirth and praise -
excludes genitourinary infections in pregnancy, Infections of
the genitourinary tract after birth, Care given to the mother
for a suspected or known abnormality of maternal pelvic organs;
J. Fetus and newborn son
affected by maternal factors and complications of pregnancy,
childbirth and lute (diseases originating in the perinatal
period)
include the maternal
conditions mentioned only when specified as the cause of
mortality and morbidity in the fetus or newborn.
1. Fetus and newborn affected by maternal disorders which may not be related to present pregnancy - excludes Fetus and newborns affected by: maternal complications of pregnancy, endocrine and maternal metabolism disorders, harmful influences transmitted through the placenta or through breast milk - Fetus and newborn affected by hypertensive disorders of the mother: Fetus and newborn affected by maternal disorders (pre-existing hypertension, pre-existing hypertensive disorder with over-added proteinuria, gestational hypertension induced by pregnancy without proteinuria, with significant proteinuria, eclampsia); Fetus and newborn affected by kidney disease and urinary tract of the mother; Fetus and newborn affected by infectious and parasitic diseases of the mother (but not manifesting themselves as a disease) - excludes infections specific to the perinatal period, infection of the maternal genital tract and other localized infections; Fetus and newborn affected by other diseases of the mother's circulatory and respiratory system; Fetus and newborn affected by the mother's nutrition disorders; Fetus and newborn affected by a trauma of the mother; Fetus and newborn affected by surgery of the mother - excludes caesarean surgery for present birth, lesion of the placenta by amniocentesis, caesarean section or surgical trigger, anterior surgery on the uterus or pelvic organs, termination of the fetus pregnancy; Fetus and newborn affected by other medical procedures of the mother not elsewhere classified: Fetus and newborn affected by radiological examinations of the mother - excludes the lesion of the placenta by amniocentesis, caesarean section or surgical trigger, Prince and newborn affected by other complications of labor and childbirth; Fetus and newborn affected by other maternal disorders: Fetus and newborn affected by: complications of surgical and medical care not elsewhere classified, genital tract infection and other localized infections, systemic lupus erythematosus of the mother - excludes endocrine disorders and neonatal transient metabolism; Fetus and newborn affected by an unspecified maternal disorder;
1. Fetus and newborn affected by maternal disorders which may not be related to present pregnancy - excludes Fetus and newborns affected by: maternal complications of pregnancy, endocrine and maternal metabolism disorders, harmful influences transmitted through the placenta or through breast milk - Fetus and newborn affected by hypertensive disorders of the mother: Fetus and newborn affected by maternal disorders (pre-existing hypertension, pre-existing hypertensive disorder with over-added proteinuria, gestational hypertension induced by pregnancy without proteinuria, with significant proteinuria, eclampsia); Fetus and newborn affected by kidney disease and urinary tract of the mother; Fetus and newborn affected by infectious and parasitic diseases of the mother (but not manifesting themselves as a disease) - excludes infections specific to the perinatal period, infection of the maternal genital tract and other localized infections; Fetus and newborn affected by other diseases of the mother's circulatory and respiratory system; Fetus and newborn affected by the mother's nutrition disorders; Fetus and newborn affected by a trauma of the mother; Fetus and newborn affected by surgery of the mother - excludes caesarean surgery for present birth, lesion of the placenta by amniocentesis, caesarean section or surgical trigger, anterior surgery on the uterus or pelvic organs, termination of the fetus pregnancy; Fetus and newborn affected by other medical procedures of the mother not elsewhere classified: Fetus and newborn affected by radiological examinations of the mother - excludes the lesion of the placenta by amniocentesis, caesarean section or surgical trigger, Prince and newborn affected by other complications of labor and childbirth; Fetus and newborn affected by other maternal disorders: Fetus and newborn affected by: complications of surgical and medical care not elsewhere classified, genital tract infection and other localized infections, systemic lupus erythematosus of the mother - excludes endocrine disorders and neonatal transient metabolism; Fetus and newborn affected by an unspecified maternal disorder;
2. Fetus and newborn
affected by maternal complications of pregnancy - Fetus and
newborn affected by the neck beant; Fetus and newborn affected
by premature rupture of membranes; Fetus and newborn affected by
oligohydramnios - excludes when it is due to premature rupture
of membranes; Fetus and newborn affected by polyhydramnios:
Hydramnios; Fetus and newborn affected by ectopic pregnancy:
Abdominal pregnancy; Fetus and newborn affected by multiple
pregnancy: Triplets (pregnancy), Gemini (pregnancy); Fetus and
newborn affected by mother's death; Fetus and newborn affected
by abnormal presentation before labour: Pelvic presentation
before labour, External version before labour, Presentation of
the face before labour, Transverse position before labour,
Unstable position before labour; Fetus and newborn affected by
other maternal complications of pregnancy: Spontaneous abortion
fetus; Fetus and newborn affected by maternal complications of
unspecified pregnancy;
3. Fetus and newborn
affected by complications regarding placenta, umbilical cord and
membranes - Fetus and newborn affected by placenta praevia;
Fetus and newborn affected by other forms of detachment and
placental hemorrhage (abruptio placentae): Retroplacental
hematoma, Accidental haemorrhage, antepartum haemorrhage,
placental lesion by amniocentesis, cesarean or surgically caused
surgery, Maternal blood loss, premature detachment of the
placenta; Fetus and newborn affected by other morphological and
functional abnormalities of the placenta and unspecified:
Placental: dysfunction, infarction, insufficiency; Fetus and
newborn affected by placental transfusion syndromes: Placental
and umbilical cord abnormalities resulting from transfusion
between twins or other forms of placental transfusion
(additional diagnosis, if known, is used to indicate the
resulting condition in the fetus or newborn); Fetus and newborn
affected by umbilical cord procidence; Fetus and newborn
affected by other specified complications of labour and
childbirth: Maternal soft tissue anomaly, Destructive operation
to facilitate birth, fetus and newborn affected by complications
during labour and childbirth and any procedures used in labor
and childbirth, Caused labor; Fetus and newborn affected by a
complication of unspecified labour and birth;
4. Fetus and newborn
affected by harmful effects transmitted by placenta or through
breast milk – includes non-teratogenic effects of placentally
transmitted substances and excludes birth defects, neonatal
jaundice caused by another excessive hemolysis due to medicines
or toxins transmitted from the mother – Fetus and newborn
affected by anaesthesia and maternal analgesia during pregnancy,
labour and childbirth: Reactions and poisoning due to opioids
and tranquilizers administered to the mother during labour and
childbirth; Fetus and newborn affected by other medicines
absorbed by the mother. Cancer chemotherapy, Cytotoxic drugs –
excludes dysmorphism due to warfarin, fetal syndrome due to
hydantoin, maternal drug addiction; Prince and newborn affected
by mother's smoking; Fetus and newborn affected by mother's
alcoholism – excludes fetal alcoholism syndrome; Fetus and
newborn affected by maternal drug addiction – excludes
anesthesia and maternal analgesia, symptoms of deprivation due
to maternal drug addiction; Fetus and newborns affected by the
mother's use of nutritional chemicals; Fetus and newborn
affected by mother's exposure to environmental chemicals; Fetus
and newborn affected by other harmful maternal influences; Fetus
and newborn affected by unspecified maternal harmful influences;
K. Disorders related to the duration of gestation and the growth of the foetus
1. Fetal slow growth and foetal malnutrition – Low weight for gestational age: Asymmetric growth delay (usually refers to a lower weight but with a length greater than the 10th percentile to gestational age), Easy for gestational age; Small waist for gestational age: Small and easy for gestational age, Small for gestational age, Symmetrical growth delay (usually refers to a weight and length lower than the 10th percentile to gestational age); Fetal malnutrition without mention of light or small age for gestational age: Newborn without weight or small waist for gestational age showing signs of fetal malnutrition such as dry skin, skin exfoliation and loss of subcutaneous tissue – excludes fetal malnutrition with the mention of: low weight for gestational age, small waist for gestational age; Slow growth of the unspecified fetus: Restriction of fetal growth NOS, NOS growth retardation, Intrauterine growth delay (IUGR) NOS;
K. Disorders related to the duration of gestation and the growth of the foetus
1. Fetal slow growth and foetal malnutrition – Low weight for gestational age: Asymmetric growth delay (usually refers to a lower weight but with a length greater than the 10th percentile to gestational age), Easy for gestational age; Small waist for gestational age: Small and easy for gestational age, Small for gestational age, Symmetrical growth delay (usually refers to a weight and length lower than the 10th percentile to gestational age); Fetal malnutrition without mention of light or small age for gestational age: Newborn without weight or small waist for gestational age showing signs of fetal malnutrition such as dry skin, skin exfoliation and loss of subcutaneous tissue – excludes fetal malnutrition with the mention of: low weight for gestational age, small waist for gestational age; Slow growth of the unspecified fetus: Restriction of fetal growth NOS, NOS growth retardation, Intrauterine growth delay (IUGR) NOS;
2. Disorders related to
the period of short gestation and low birth weight not elsewhere
classified – includes the said conditions without further
specifications, as a cause of mortality, morbidity or additional
care of the newborn (note: when birth weight and gestational age
are known, priority for the allocation of diagnosis should be
given to gestational age) and excludes low birth weight due to
fetal slow growth and fetal malnutrition – Very low birth
weight; Very low birth weight of 499 g or less; Very low birth
weight of 500 – 749 g; Very low birth weight 750 – 999 g; Other
small weights at birth; Other small birth weights 1,000 – 1,249
g; Other small birth weights 1,250 – 1,499 g; Other small birth
weights 1,500 – 2,499 g; Extreme immaturity; Extreme immaturity
less than 24 full weeks: Extreme immaturity less than 168 full
days; Extreme immaturity, 24 or more full weeks but less than 28
full weeks: Extreme immaturity, 168 days or more complete but
less than 196 full days; Other children born before term;
Unspecified prematurity; Other children born before term, 28 or
more full weeks but less than 32 full weeks: Other children born
before term, 196 or more full days but less than 224 full days;
Other children born before term, 32 or fewer full weeks but less
than 37 full weeks: Other children born before term, 224 or more
full days but less than 259 full days;
3. Disorders related to
prolonged gestation and increased birth weight – include the
conditions mentioned, without further specifications, as a cause
of mortality, morbidity or additional care of the newborn (note:
when birth weight and gestational weight are known, priority for
the diagnosis should be given to gestational age) –
Exceptionally large child: Usually involves a birth weight of
4,500 g or more – excludes Syndrome of: child with diabetic
mother, child with mother with gestational diabetes; Other older
children for gestational age: Other fetuses or children heavy or
large for gestational age: Fetus or child with gestation period
of 42 full weeks or more (294 full days or more), which is not
heavy or large for gestational age, NoS postmaturity;
L. Trauma at birth
1. Laceration and intracranial hemorrhage due to birth trauma – excludes intracranial haemorrhage of the fetus or newborn: due to anoxia or hypoxia, NOS – Subdural haemorrhage due to birth trauma: Subdural hematoma (localized) due to birth trauma – excludes subdural hemorrhage with small brain tent rupture; Brain haemorrhage due to birth trauma; Intraventricular haemorrhage due to birth trauma; Subarachnoid haemorrhage due to birth trauma; Tearing of the small brain tent due to trauma at birth; Other laceration and intracranial bleeding due to birth trauma; Unspecified laceration and intracranial hemorrhage due to birth trauma;
1. Laceration and intracranial hemorrhage due to birth trauma – excludes intracranial haemorrhage of the fetus or newborn: due to anoxia or hypoxia, NOS – Subdural haemorrhage due to birth trauma: Subdural hematoma (localized) due to birth trauma – excludes subdural hemorrhage with small brain tent rupture; Brain haemorrhage due to birth trauma; Intraventricular haemorrhage due to birth trauma; Subarachnoid haemorrhage due to birth trauma; Tearing of the small brain tent due to trauma at birth; Other laceration and intracranial bleeding due to birth trauma; Unspecified laceration and intracranial hemorrhage due to birth trauma;
2. Other lesions of the
central nervous system due to birth trauma – cerebral edema due
to birth trauma; Other specified brain injuries due to birth
trauma; Unspecified brain injury due to birth trauma; Facial
nerve injury due to birth trauma: Facial paralysis due to birth
trauma; Injury to other cranial nerves due to birth trauma;
Spinal and spinal cord injury due to birth trauma: Fracture of
the spine due to birth trauma; Injury of the central nervous
system due to unspecified birth trauma;
3. Scalp injuries due to
birth trauma – Cephalohematoma due to birth trauma; Hematoma in
the bun due to birth trauma; Subaponevrotic epicranial
haemorrhage due to birth trauma; Destruction of the scalp due to
birth trauma; Monitoring of scalp trauma in newborns: Incision
for sampling, Scalp trauma due to the terminal of an electrode;
Other scalp injuries due to birth trauma; Scalp injury due to
unspecified birth trauma;
4. Skeletal injuries due
to birth trauma – spinal injury due to birth trauma – Fracture
of the skull due to birth trauma; Other lesions of the skull due
to birth trauma – excludes cephalohematoma; Femur injury due to
birth trauma; Injury of other long bones due to birth trauma;
Fracture of the clavicle due to trauma at birth; Injury to other
parts of the skeleton due to birth trauma; Skeletal injury due
to unspecified birth trauma;
5. Peripheral nervous
system injury due to birth trauma – Duchenne-Erb paralysis due
to birth trauma; Dejerine-Klumpke paralysis due to birth trauma;
Frenic nerve paralysis due to birth trauma; Other lesions of the
brachial plexus due to birth trauma; Injury to other parts of
the peripheral nervous system due to trauma at birth; Peripheral
nervous system injury due to unspecified birth trauma;
6. Other trauma at birth –
Trauma at birth of the liver; Liver rupture due to obstetric
albeit trauma; Birth trauma of the spleen: Rupture of the spleen
due to obstetrical trauma; The lesion of the
sterno-cleido-mastoid due to trauma at birth; Injury of the eye
due to trauma at birth: Subconjunctival haemorrhage due to birth
trauma, Traumatic glaucoma due to birth trauma; Facial injury
due to birth trauma: Facial congestion due to birth trauma;
Injury of external genitalia due to trauma at birth;
Subcutaneous adipo-necrosis due to birth trauma; Other specified
birth trauma; Unspecified obstetrical trauma;
M. Specified respiratory
and cardiovascular disorders of the perinatal period
1. Intrauterine hypoxia – includes Fetal fetal or intrauterine rhythm anomaly: acidosis, anoxia, asphyxia, suffering, hypoxia, liquid meconium, Passage of meconium into amniotic fluid – Intrauterine hypoxia first found before the onset of labor; Intrauterine hypoxia first observed during labour and childbirth; Unspecified intrauterine hypoxia;
1. Intrauterine hypoxia – includes Fetal fetal or intrauterine rhythm anomaly: acidosis, anoxia, asphyxia, suffering, hypoxia, liquid meconium, Passage of meconium into amniotic fluid – Intrauterine hypoxia first found before the onset of labor; Intrauterine hypoxia first observed during labour and childbirth; Unspecified intrauterine hypoxia;
2. Asphyxia at birth
(note: this category cannot be used as a low Apgar index without
mentioning asphyxia or other respiratory problems) – excludes
hypoxia or intrauterine asphyxia – Severe birth asphyxia: Pulse
less than 100 beats per minute at birth and decreasing or
remaining stable, absent or difficult breathing, discoloration
of the skin, absence of tonicity, Asphyxia with 1 minute Apgar
score 0 – 3; Asphyxia at mild or moderate birth: DO NOT
establish normal breathing in one minute, but the heart rate is
100 beats or more, the presence of some muscle tonicity, the
existence of a response to stimulation, Asphyxia with 1 minute
Apgar score 4 – 7; Asphyxia at birth unspecified: Anoxia NOS;
Asphyxia NOS, Hypoxia NOS;
3. Respiratory suffering
of the newborn – excludes respiratory failure of the newborn –
Respiratory suffering syndrome of the newborn: Hyaline membrane
disease; Transient tachypnea of the newborn; Other respiratory
distress of the newborn; Respiratory suffering of the
unspecified newborn;
4. Congenital pneumonia –
includes infectious pneumonia acquired in the uterus or during
childbirth and excludes neonatal pneumonia resulting from
aspiration – congenital pneumonia due to a viral agent –
excludes congenital rubella pneumopathy; Congenital pneumonia
with Chlamydia; Congenital pneumonia with staphylococci;
Congenital pneumonia with group B streptococci; Congenital
pneumonia with Escherichia coli; Congenital pneumonia with
Pseudomonas; Congenital pneumonia due to other bacterial agents:
Haemophilus influenzae, Klebsiella pneumonia, Mycoplasma,
Streptococcus except group B; Congenital pneumonia due to other
microorganisms; Unspecified congenital pneumonia;
5. Neonatal suction
syndrome – includes neonatal pneumonia resulting from aspiration
– meconium aspiration in the neonatal period: meconium suction
syndrome, Pneumopathy due to meconium; Aspiration of amniotic
fluid and mucus in the neonatal period: Aspiration of amniotic
fluid; Blood aspiration in the neonatal period; Aspiration of
milk and regurgitation foods in the neonatal period; Other
aspiration syndromes in the neonatal period; Unspecified
neonatal aspiration syndrome: Neonatal aspiration pneumonia NOS;
6. Air infiltration
syndrome occurring in the perinatal period – interstitial
emphysema occurring in the perinatal period; Pneumothorax
occurring in the perinatal period; Pneumo-mediastin occurring in
the perinatal period; Pneumo-pericardium occurring in the
perinatal period; Other conditions related to air infiltration
syndrome occur during the perinatal period;
7. Pulmonary haemorrhage
occurring in the perinatal period – Tracheo-bronchial
haemorrhage occurring in the perinatal period; Massive pulmonary
haemorrhage occurring in the perinatal period; Other pulmonary
haemorrhages occurring in the perinatal period; Unspecified
pulmonary haemorrhage occurring in the perinatal period;
8. Chronic respiratory
disease occurring in the perinatal period – Wilson-Mikity
syndrome: Pulmonary dysmaturity; Chronic lung disease occurring
in the perinatal period: Broncho-pulmonary dysplasia occurring
in the perinatal period; Other chronic respiratory diseases
occurring in the perinatal period: Congenital pulmonary
fibrosis, Lung ventilation pulmon of the newborn; Unspecified
chronic respiratory disease occurring in the perinatal period;
9. Other respiratory
diseases occurring in the perinatal period – excludes congenital
malformations of the respiratory system – Primary atelectasis of
the newborn: Primary failure for dilation of terminal
respiratory units, Pulmonary: hypoplasia associated with
short-term gestation, NOS immaturity; Other atelectasis of the
newborn and unspecified: Atelectasis: NOS, partial, secondary,
Atelectasis of resorption without respiratory suffering
syndrome; Newborn cyanosis attacks – excludes newborn apnea; The
newborn's primitive sleep apnea: Congenital central
hypoventilation, noS newborn sleep apnea; Other apnea of the
newborn; The apnea of the unspecified newborn; The apnea of
prematurity; Obstructive apnea of the newborn; The apnea of the
newborn; Respiratory failure of the newborn: Hypoventilation of
the newborn – excludes congenital central hypoventilation; Other
respiratory disorders specified in the newborn – excludes
congenital syphilitic rhinitis; Drilling in the newborn;
Subglotic stenosis acquired in the newborn: Postintubation
subglotic stenosis in the newborn; The gobth to the newborn;
Other respiratory conditions specified in the newborn;
Respiratory diseases in newborns not specified;
10. Cardiovascular
disorders occurring in the perinatal period – excludes
congenital malformations of the respiratory system – Neonatal
heart failure; Neonatal heart rhythm disorders – excludes
congenital block of the heart; Neonatal hypertension;
Persistence of fetal circulation: Persistent pulmonary
hypertension of the newborn, Delayed obstruction of the arterial
canal – excludes the permeability of the arterial canal;
Transitional ischemia of the myocardium in the newborn; Other
cardio-vascular disorders occurring in the perinatal period;
Perinatal hypotension; Benign and non-pathological cardiac
murmur in the newborn: Functional cardiac murmur in the newborn;
other cardiovascular disorders occurring in the perinatal
period; Cardiovascular disorder occurring in the unspecified
perinatal period;
N. Perinatal-specific
infections
Includes infections acquired in the womb or during childbirth and excludes asymptomatic infection by human immunodeficiency virus (HIV) infectious status, Congenital: gonococcal infection, pneumonia, syphilis, Human immunodeficiency virus disease (HIV), Infectious diseases acquired after birth, Infectious intestinal diseases, Evidence by laboratory examinations of human immunodeficiency virus (HIV), Infectious disease of the mother as a cause of mortality or morbidity in the fetus or newborn, not manifesting itself as a disease, tetanus neonatal
Includes infections acquired in the womb or during childbirth and excludes asymptomatic infection by human immunodeficiency virus (HIV) infectious status, Congenital: gonococcal infection, pneumonia, syphilis, Human immunodeficiency virus disease (HIV), Infectious diseases acquired after birth, Infectious intestinal diseases, Evidence by laboratory examinations of human immunodeficiency virus (HIV), Infectious disease of the mother as a cause of mortality or morbidity in the fetus or newborn, not manifesting itself as a disease, tetanus neonatal
1. Congenital viral
diseases – Congenital rubella syndrome: Congenital rubella
pneumopathy; Congenital cytomegalovirus infection; Congenital
herpetic viral infection (herpes simplex); Congenital viral
hepatitis: Congenital varicose veins (varicella); Unspecified
congenital viral disease;
2. Bacterial sepsis in
newborn - includes congenital septicaemia - Sepsis in newborn
strep group B; Sepsis in newborn with other streptococci and
unspecified; Sepsis in newborns with Staphylococcus aureus;
Sepsis in newborns with other staphylococci and unspecified;
Sepsis in newborn with Escherichia coli; Sepsis in newborn due
to anaerobics; Another bacterial sepsis in the newborn;
Bacterial sepsis in unspecified newborn;
3. Other congenital
infectious and parasitic diseases - excludes congenital
syphilis, necrotizing enterocolitis of the fetus and newborn,
Neonatal diarrhea: infectious, non-infectious, Neonatal
Ophthalmia due to gonococci, Neonatal Tetanus - Congenital
Tuberculosis; Congenital toxoplasmosis: Hydrocephalus due to
congenital toxoplasmosis; Neonatal listeriosis (disseminated);
Congenital paludism with Plasmodium falciparum; Other forms of
congenital paludism; Neonatal candidiasis; Unspecified neonatal
candidiasis; Gastrointestinal or current neonatal candidiasis:
Neonatal candidiasis: muco-cutaneous, perineal; Invasive
neonatal candidiasis: Generalized neonatal candidiasis, neonatal
pulmonary candidiasis, systemic neonatal candidiasis; Other
forms of neonatal candidiasis; Other specified congenital
infectious and parasitic diseases; Unspecified congenital
infectious and parasitic diseases;
4. Newborn omphalitis with
or without mild bleeding;
5. Other
perinatal-specific infections - neonatal infectious mastitis -
excludes breast congestion in the newborn, non-infectious
mastitis in the newborn; Neonatal conjunctivitis and
dacriocystitis: Neonatal conjunctivitis with Chlamydia, Neonatal
Ophthalmia NOS - excludes gonococcal conjunctivitis;
Intra-amniotic infection of the fetus not elsewhere classified;
Neonatal urinary tract infection; Neonatal skin infection:
Neonatal pyoderma - excludes neonatal pemfigus, staphylococcal
syndrome of toxic epidermal necrosis; Other specified
perinatal-specific infections; Infection specified for
unspecified perinatal period;
O. Hemorrhagic and
haematological disorders of the fetus and newborn
excludes: Stenosis and congenital sclerosis of the bile ducts, Crigler-Najjar syndrome, Dubin-Johnson syndrome, Gilbert syndrome, hereditary hemolytic anemia;
1. Fetal blood loss - excludes congenital anaemia due to fetal blood - Fetal blood loss through the procidence of cord vessels; Loss of fetal blood through umbilical cord rupture; Loss of fetal blood of placental origin; Hemorrhage between twins; Hemorrhage in maternal blood circulation; Loss of fetal blood from the cut end of the cord of the twin fetus; Other blood loss to the fetus; Unspecified fetal blood loss: NoS fetal haemorrhage;
excludes: Stenosis and congenital sclerosis of the bile ducts, Crigler-Najjar syndrome, Dubin-Johnson syndrome, Gilbert syndrome, hereditary hemolytic anemia;
1. Fetal blood loss - excludes congenital anaemia due to fetal blood - Fetal blood loss through the procidence of cord vessels; Loss of fetal blood through umbilical cord rupture; Loss of fetal blood of placental origin; Hemorrhage between twins; Hemorrhage in maternal blood circulation; Loss of fetal blood from the cut end of the cord of the twin fetus; Other blood loss to the fetus; Unspecified fetal blood loss: NoS fetal haemorrhage;
2. Umbilical haemorrhage
of the newborn - excludes omphalitis with mild hemorrhage -
Massive umbilical haemorrhage of the newborn; Other umbilical
bleeding of the newborn: Slipping of the nos umbilical ligature;
Umbilical haemorrhage of the unspecified newborn;
3. Non-traumatic
intracranial haemorrhage of the fetus and newborn - includes
intracranial haemorrhage due to anoxia or hypoxia and excludes
intracranial haemorrhage due to: obstetrical trauma, maternal
injury, other lesions - Intraventricular (non-traumatic)
haemorrhage grade 1 of the fetus and newborn: Subependimal
haemorrhage (without intraventricular enlargement);
Intraventricular (non-traumatic) haemorrhage grade 2 of the
fetus and newborn: Subependimal haemorrhage with
intraventricular enlargement; Intraventricular (non-traumatic)
haemorrhage grade 3 of the fetus and newborn: Subependimal
haemorrhage with both intraventricular enlargement and
intracerebral enlargement; Intraventricular (non-traumatic)
haemorrhage of the unspecified fetus and newborn; Intracerebral
(non-traumatic) haemorrhage of the fetus and newborn;
Subarachnoid (non-traumatic) haemorrhage of the fetus and
newborn; Hemorrhage of the cerebellum and posterior
(non-traumatic) fossa of the fetus and newborn; Other
intracranial (non-traumatic) haemorrhages of the fetus and
newborn; Intracranial (non-traumatic) haemorrhage of the
unspecified fetus and newborn;
4. Hemorrhagic disease of
the fetus and newborn: Deficiency in vitamin K in the newborn;
5. Other neonatal
hemorrhages - excludes fetal blood loss, pulmonary hemorrhage
occurring in the perinatal period - Neonatal hematemesis -
excludes that due to maternal blood swallowing; Neonatal Melena
- excludes that due to maternal blood swallowing; Neonatal
rectal haemorrhage; Other neonatal gastrointestinal
haemorrhages; Neonatal adrenal haemorrhage; Neonatal skin
haemorrhage: Concussions to the fetus or newborn, Echimosis to
the fetus and newborn, Petesi to the fetus or newborn,
Superficial hematoma in the fetus or newborn - excludes scalp
contusion due to trauma at birth, cephalohematoma due to trauma
at birth; Neonatal vaginal haemorrhage: Pseudomenstruationia;
Other specified neonatal haemorrhages; Unspecified neonatal
haemorrhage;
6. Hemolytic disease
immune to the fetus and newborn - Rh isoimmunization of the
fetus and newborn; ABO isoimmunization of the fetus and newborn;
Other immune hemolytic diseases of the fetus and newborn;
Hemolytic disease of the fetus and newborn unspecified;
7. Feto-placental anasarca
due to hemolytic disease - excludes feto-placental Anasarca:
NOS, not due to hemolytic disease - Fetoplacental anasarca due
to isoimmunization; Feto-placental anasarca due to other
unspecified hemolytic diseases;
8. Nuclear jaundice
(kernicterus) - Nuclear jaundice due to isoimmunization; other
specified forms of nuclear jaundice - excludes Crogler-Najjar
syndrome; Unspecified nuclear jaundice;
9. Neonatal jaundice due
to other excessive hemolysis - excludes jaundice due to
isoimmunization - Neonatal jaundice due to concussions; Neonatal
jaundice due to bleeding; Neonatal jaundice due to an infection;
Neonatal jaundice due to a polycytemia; Neonatal jaundice due to
drugs or toxins transmitted by the mother or administered to the
newborn (additional diagnosis is used for external cause to
identify the drug, if caused by medication); Neonatal jaundice
due to the swallowing of maternal blood; Neonatal jaundice due
to other specified excessive hemolysis; Neonatal jaundice due to
unspecified excessive hemolysis;
10. Neonatal jaundice from
other and unspecified causes - excludes due to intrinsic errors
of metabolism - Neonatal jaundice associated with preterm birth:
Hyperbilirubinemia of prematurity, Jaundice due to delayed
conjugation associated with preterm birth; "thickened ball"
syndrome; Neonatal jaundice due to other hepato-cellular and
unspecified lesions - excludes congenital viral hepatitis;
Neonatal jaundice due to lactation inhibitors; Neonatal jaundice
due to other specified causes; Unspecified neonatal jaundice:
Physiological jaundice (intense) (extended) NOS;
11. Disseminated
intravascular coagulation in the fetus and newborn:
Defibrination syndrome in the fetus and newborn;
12. Other haematological
disorders of the perinatal period - excludes transient
hypergammaglobulinemia of the first childhood - transient
neonatal thrombocytopenia: Neonatal thrombocytopenia due to:
transfusion, maternal idiopathic thrombocytopenia,
isoimmunization; Newborn polycytemia; Anemia of prematurity;
Congenital anemia through fetal blood loss; Other congenital
anemias not elsewhere classified: NoS congenital anemia;
Transient neonatal neutropenia; Other transient coagulation
disorders in the neonatal period; Other specified haematological
disorders of the perinatal period; Unspecified haematological
disorders of the perinatal period;
P. Transient endocrine and
metabolic disorders specific to the fetus and newborn
includes transient
metabolic and endocrine disturbances caused by the response to
endocrine factors and maternal metabolism, or its adaptation to
the existence of ectopic
1. Transient disorders of
metabolism of carbohydrates specific to the fetus and newborn -
Syndrome of the child whose mother has gestational diabetes;
Diabetic mother syndrome: Maternal mellitus diabetes
(pre-existing) affecting the fetus or newborn (with
hypoglycaemia); Neonatal diabetes mellitus; Iatrogenic neonatal
hypoglycaemia; Other neonatal hypoglycaemia: transient neonatal
hypoglycaemia; Other transient disorders of carbohydrate
metabolism in the fetus and newborn; Transient disorders of
metabolism of carbohydrates in the fetus and newborn
unspecified;
2. Neonatal transient
disorders of calcium and magnesium metabolism - Newborn
hypocalcemia due to cow's milk; Other hypocalcemias of the
newborn - excludes neonatal hypoparathyroidism; Neonatal
hypomagnesemia; Neonatal tetanus without deficiency in calcium
and magnesium: Neonatal tetanus NOS; Transient neonatal
hypoparathyroidism; Other transient neonatal disorders of
calcium and magnesium metabolism; Unspecified neonatal transient
metabolism disorders of calcium and magnesium;
3. Other transient
neonatal endocrine disorders - excludes congenital
hypothyroidism with or without goiter, dyshormogenetic goiter,
Pendred syndrome - Neonatal goiter not elsewhere classified:
Transient congenital goiter with normal functioning; Transient
neonatal hyperthyroidism: Neonatal thyrotoxicosis; Other
transient neonatal disorders of thyroid function not elsewhere
classified: transient neonatal hypothyroidism; other specified
transient neonatal endocrine disorders; Unspecified transient
neonatal endocrine disorders;
4. Other transient
neonatal electrolyte and metabolic disturbances - Metabolic
acidosis of the newborn: Late metabolic acidosis of the newborn;
Dehydration of the newborn; Disruption of sodium balance in
newborns; Disruption of sodium balance in unspecified newborn;
Hypernatremia in the newborn; Hyponatremia in the newborn; Other
disturbances in sodium balance in newborns; Disruption of
potassium balance in newborns; Disruption of potassium balance
in unspecified newborn; Newborn hyperkalemia; Newborn
hypokalemia; Other disturbances in the balance of potassium in
the newborn; Other transient electrolyte disturbances in the
newborn; Transitional tyrosine mia in newborns; Other transient
metabolic disturbances of the newborn: Transient renal
dysfunction in the newborn; Transient metabolic disturbances of
the unspecified newborn;
Q. Disorders of the
digestive system of the fetus and newborn
1. Meconial iles in cystic fibrosis;
1. Meconial iles in cystic fibrosis;
2. Other intestinal
obstructions in the newborn - excludes intestinal obstruction
classified elsewhere - Meconial stopper syndrome: Meconial Iles;
Transitional island of the newborn - excludes Hirschprung
disease; Intestinal obstruction due to thickened milk; Other
specified intestinal obstructions of the newborn; Intestinal
obstruction of the unspecified newborn;
3. Necrotizing
enterocolitis of the fetus and newborn;
4. Other perinatal
disorders of the digestive system - excludes neonatal
gastrointestinal hemorrhage - Perinatal intestinal perforation:
Meconial peritonitis; Other neonatal peritonitis: Neonatal
peritonitis NOS; Hematemesis and neonatal melena due to maternal
blood swallowing; Neonatal non-infectious diarrhea: Neonatal
diarrhea NOS in places where the condition may be presumed to
have an infectious origin; Other specified perinatal disorders
of the digestive system: Congenital cirrhosis (of the liver),
Peptic ulcer in the newborn; Unspecified perinatal disorder of
the digestive system;
R. Diseases involving the
skin and thermal regulation of the fetus and newborn
1. Newborn hypothermia -
Newborn hypothermia syndrome: Severe and usually chronic
hypothermia associated with a pink coloration, edema and
neurological and biochemical abnormalities - excludes mild
hypothermia in the newborn; Other forms of hypothermia in the
newborn: Mild hypothermia in the newborn; Hypothermia of the
unspecified newborn;
2. Other disorders of
thermal regulation in the newborn - Hyperthermia of the newborn
due to the environment; Other specified disorders of thermal
regulation in the newborn; Thermal adjustment disorders in
unspecified newborns: NOS newborn fever;
3. Other skin disorders
specific to the fetus and newborn - excludes congenital
malformations of the skin and skin, scaly crusts of the scalp,
dermatitis (nappy irritation), fetal-placental anasarca due to
hemolytic disease, skin infection in the perinatal period,
staphylococcal syndrome of toxic epidermal necrosis - newborn
sclerosis; Toxic erythema of the newborn; Feto-placental
anasarca not due to a hemolytic disease: Feto-placental anasarca
NOS; Edema, other and unspecified, specific to the fetus and
newborn; Breast congestion in newborn: Non-infectious mastitis
of the newborn; Congenital hydrocel; Umbilical polyp of the
newborn; Other specified conditions of the skins specific to the
fetus and newborn: "tanned baby" syndrome, Neonatal Scleroderma,
Neonatal Urticaria; Skin disease specific to the unspecified
fetus;
S. Other conditions
originating in the perinatal period
1. Convulsions of the
newborn - excludes benign (familial) neonatal seizures;
2. Other brain disorders
of the newborn - neonatal cerebral ischemia; Acquired
periventricular cyst of the newborn: acquired poroencephalic
cyst of the newborn; Neonatal cerebral leukomalacia:
Periventricular leukomalacia (PVL), subcortical leukomalacia;
Brain irritability of the newborn; Newborn coma; other specified
brain disorders of the newborn; Neonatal encephalopathy: hypoxic
ischemic encephalopathy (HIE); Other specified brain disorders
of the newborn; Brain disorder of the unspecified newborn;
3. Feeding disorders of
the newborn - Vomiting in the newborn; Regurgitation and
rumination in the newborn; Slow feeding of the newborn;
Undereating the newborn; Overeating the newborn; Difficulties in
feeding the newborn; Other eating disorders of the newborn;
Unspecified newborn feeding disorders;
4. In the first place, the
Reactions and poisoningdue due to the administration of
medicines in the fetus and newborn (Grey syndrome due to
chloramphenicol administered to the newborn) - excludes neonatal
jaundice due to medicines or toxins transmitted by the mother or
administered to the newborn, Reactions and poisoning due to
opiates, tranquilizers and other medication administered to the
mother, Withdrawal syndrome due to: mother drug addict,
therapeutic use of medicines in newborns;
5. Muscle tone disorders
in the newborn - neonatal transient myasthenia gravis - exclude
myasthenia gravis; Congenital hypertonia; Congenital hypotonia:
Soft baby NOS, Nonspecific soft baby syndrome; Other muscle tone
disorders in the newborn; Muscle tone disorder in unspecified
newborn;
6. Fetal death of
unspecified cause: Dead born NOS, Born dead NOS;
7. Other conditions whose
origin is in the perinatal period - Congenital renal failure:
Uremia in the newborn; Neonatal symptoms of deprivation due to
mother's addiction: Symptom of withdrawal in the child due to
mother's dependence - excludes reactions and poisonings due to
opioids and tranquilizers administered to the mother during
labour and childbirth - Symptoms of deprivation due to
therapeutic use of some drugs in the newborn; Delay of closure
of the cranial suture: Neonatal craniotabes; End of pregnancy,
fetus and newborn - excludes termination of pregnancy (mother);
Complications of intrauterine procedures not elsewhere
classified - excludes the fetus and newborn affected by the
detachment of the placenta and hemorrhage due to intrauterine
procedures; Fetus and newborn affected by unspecified
intrauterine procedures; Fetus and newborn affected by
amniocentesis; Prince and newborn affected by the harvesting of
chorionic villosities; Fetus and newborn affected by fetal blood
collection: Fetus and newborn affected by cordocentesis; Fetus
and newborn affected by complications of intrauterine fetal
surgery; Fetus and newborn affected by other intrauterine
procedures; Other specified conditions occurring in the
perinatal period; Nervous baby - excludes when due to
neurological or biochemical abnormalities; Other specified
conditions occurring in the perinatal period; Disease occurring
in the unspecified perinatal period: Congenital debility NOS;
Dorin, Merticaru