_____________________________________________________________________________________________________________
Diagnosis category CCHPR code ICD-9-CM code
_____________________________________________________________________________________________________________
11 Complications of pregnancy, childbirth, and 176 177 178 -
the puerperium 179 180 181
182 183 184
185 186 187
188 189 190
191 192 193
194 195 196
11.1 Contraceptive and procreative 176 -
management
11.1.1 Sterilization - V252
11.1.2 Other contraceptive and procreation - V157 V2501 V2502 V2509 V251 V253
management V2540 V2541 V2542 V2543 V2549 V255
V258 V259 V260 V261 V262 V263
V264 V268 V269 V455 V4551 V4552
V4559
11.2 Abortion-related disorders 177 178 179 -
11.2.1 Spontaneous abortion 177 -
11.2.2 Induced abortion 178 -
11.2.3 Postabortion complications 179 -
11.3 Complications mainly related to 180 181 182 -
pregnancy 183 184 185
186
11.3.1 Ectopic pregnancy 180 -
11.3.2 Hemorrhage during pregnancy, 182 -
abruptio placenta, placenta previa
11.3.2.1 Placenta previa - 64100 64101 64103 64110 64111
11.3.2.2 Abruptio placenta - 64120 64121 64123
11.3.2.3 Other hemorrhage during - 64000 64001 64003 64080 64081 64083
pregnancy, childbirth and the 64090 64091 64093 64113 64130 64131
puerperium 64133 64180 64181 64183 64190 64191
64193
11.3.3 Hypertension complicating 183 -
pregnancy, childbirth and the
puerperium
11.3.3.1 Preeclampsia and eclampsia - 64240 64241 64242 64243 64244 64250
64251 64252 64253 64254 64260 64261
64262 64263 64264 64270 64271 64272
64273 64274
11.3.3.2 Other hypertension in - 64200 64201 64202 64203 64204 64210
pregnancy 64211 64212 64213 64214 64220 64221
64222 64223 64224 64230 64231 64232
64233 64234 64290 64291 64292 64293
64294
11.3.4 Early or threatened labor 184 -
11.3.4.1 Threatened premature labor - 64400 64403
11.3.4.2 Early onset of delivery - 64420 64421
11.3.4.3 Other early or threatened - 64410 64413
labor
11.3.5 Prolonged pregnancy 185 -
11.3.6 Diabetes or abnormal glucose 186 -
tolerance complicating pregnancy,
childbirth, or the puerperium
11.3.7 Other complications of pregnancy 181 -
11.3.7.1 Infections of genitourinary - 64660 64661 64662 64663 64664
tract during pregnancy
11.3.7.2 Anemia during pregnancy - 64820 64821 64822 64823 64824
11.3.7.3 Mental disorders during - 64840 64841 64842 64843 64844
pregnancy
11.3.7.4 Missed abortion - 632
11.3.7.5 Hyperemesis gravidarum - 64300 64301 64303 64310 64311 64313
11.3.7.6 Infectious and parasitic - 64700 64701 64702 64703 64704 64710
complications in mother 64711 64712 64713 64714 64720 64721
affecting pregnancy 64722 64723 64724 64730 64731 64732
64733 64734 64740 64741 64742 64743
64744 64750 64751 64752 64753 64754
64760 64761 64762 64763 64764 64780
64781 64782 64783 64784 64790 64791
64792 64793 64794
11.3.7.7 Other and unspecified - 630 631 64320 64321 64323 64380
complications of pregnancy 64381 64383 64390 64391 64393 64600
64601 64603 64610 64611 64612 64613
64614 64620 64621 64622 64623 64624
64630 64631 64633 64640 64641 64642
64643 64644 64650 64651 64652 64653
64654 64670 64671 64673 64680 64681
64682 64683 64684 64690 64691 64693
64810 64811 64812 64813 64814 64830
64831 64832 64833 64834 64850 64851
64852 64853 64854 64860 64861 64862
64863 64864 64870 64871 64872 64873
64874 64890 64891 64892 64893 64894
11.4 Indications for care in pregnancy, 187 188 189 -
labor, and delivery 190 191
11.4.1 Malposition, malpresentation 187 -
11.4.1.1 Breech presentation - 65220 65221 65223
11.4.1.2 Other malposition, - 65200 65201 65203 65210 65211 65213
malpresentation 65230 65231 65233 65240 65241 65243
65250 65251 65253 65260 65261 65263
65270 65271 65273 65280 65281 65283
65290 65291 65293 66000 66001 66003
11.4.2 Fetopelvic disproportion, obstruction 188 -
11.4.2.1 Fetopelvic disproportion - 65340 65341 65343
11.4.2.2 Other disproportion or - 65300 65301 65303 65310 65311 65313
obstruction 65320 65321 65323 65330 65331 65333
65350 65351 65353 65360 65361 65363
65370 65371 65373 65380 65381 65383
65390 65391 65393 66010 66011 66013
66020 66021 66023 66030 66031 66033
66040 66041 66043 66050 66051 66053
66060 66061 66063 66070 66071 66073
66080 66081 66083 66090 66091 66093
11.4.3 Previous C-section 189 -
11.4.4 Fetal distress and abnormal forces 190 -
of labor
11.4.4.1 Fetal distress - 65630 65631 65633
11.4.4.2 Uterine inertia - 66100 66101 66103 66110 66111 66113
66120 66121 66123
11.4.4.3 Precipitate labor - 66130 66131 66133
11.4.4.4 Other abnormal forces of labor - 66140 66141 66143 66190 66191 66193
66200 66201 66203 66210 66211 66213
66220 66221 66223 66230 66231 66233
11.4.5 Polyhydramnios and other problems 191 -
of amniotic cavity
11.4.5.1 Premature rupture of - 65810 65811 65813
membranes
11.4.5.2 Infection of amniotic cavity - 65840 65841 65843
11.4.5.3 Other problems of amniotic - 65700 65701 65703 65800 65801 65803
cavity 65820 65821 65823 65830 65831 65833
65880 65881 65883 65890 65891 65893
7923
11.5 Complications during labor 192 193 194 -
11.5.1 Umbilical cord complication 192 -
11.5.1.1 Cord around neck with - 66310 66311 66313
compression
11.5.1.2 Other and unspecified cord - 66320 66321 66323 66330 66331 66333
entanglement with or without
compression
11.5.1.3 Other umbilical cord - 66300 66301 66303 66340 66341 66343
complications 66350 66351 66353 66360 66361 66363
66380 66381 66383 66390 66391 66393
11.5.2 Trauma to perineum and vulva 193 -
11.5.2.1 First degree perineal - 66400 66401 66404
laceration
11.5.2.2 Second degree perineal - 66410 66411 66414
laceration
11.5.2.3 Third degree perineal - 66420 66421 66424
laceration
11.5.2.4 Fourth degree perineal - 66430 66431 66434
laceration
11.5.2.5 Other perineal laceration and - 66440 66441 66444 66450 66451 66454
trauma 66480 66481 66484 66490 66491 66494
11.5.3 Forceps delivery 194 -
11.6 Other complications of birth, 195 -
puerperium affecting management of
mother
11.6.1 Postpartum hemorrhage - 66600 66602 66604 66610 66612 66614
66620 66622 66624 66630 66632 66634
11.6.2 Complications of the puerperium - 67000 67002 67004 67100 67101 67102
67103 67104 67110 67111 67112 67113
67114 67120 67121 67122 67123 67124
67130 67131 67133 67140 67142 67144
67150 67151 67152 67153 67154 67180
67181 67182 67183 67184 67190 67191
67192 67193 67194 67200 67202 67204
67300 67301 67302 67303 67304 67310
67311 67312 67313 67314 67320 67321
67322 67323 67324 67330 67331 67332
67333 67334 67380 67381 67382 67383
67384 67400 67401 67402 67403 67404
67410 67412 67414 67420 67422 67424
67430 67432 67434 67440 67442 67444
67480 67482 67484 67490 67492 67494
67500 67501 67502 67503 67504 67510
67511 67512 67513 67514 67520 67521
67522 67523 67524 67580 67581 67582
67583 67584 67590 67591 67592 67593
67594 67600 67601 67602 67603 67604
67610 67611 67612 67613 67614 67620
67621 67622 67623 67624 67630 67631
67632 67633 67634 67640 67641 67642
67643 67644 67650 67651 67652 67653
67654 67660 67661 67662 67663 67664
67680 67681 67682 67683 67684 67690
67691 67692 67693 67694
11.6.3 Cervical incompetence - 65450 65451 65452 65453 65454
11.6.4 Rhesus isoimmunization - 65610 65611 65613
11.6.5 Intrauterine death - 65640 65641 65643
11.6.6 Failed induction - 65900 65901 65903 65910 65911 65913
11.6.7 Other obstetrical trauma - 66500 66501 66503 66510 66511 66512
66514 66520 66522 66524 66530 66531
66534 66540 66541 66544 66550 66551
66554 66560 66561 66564 66570 66571
66572 66574 66580 66581 66582 66583
66584 66590 66591 66592 66593 66594
11.6.8 Other and unspecified complications - 65103 65113 65123 65130 65131 65133
of birth, puerperium affecting 65140 65141 65143 65150 65151 65153
management of mother 65160 65161 65163 65183 65193 65400
65401 65402 65403 65404 65410 65411
65412 65413 65414 65430 65431 65432
65433 65434 65440 65441 65442 65443
65444 65460 65461 65462 65463 65464
65470 65471 65472 65473 65474 65480
65481 65482 65483 65484 65490 65491
65492 65493 65494 65500 65501 65503
65510 65511 65513 65520 65521 65523
65530 65531 65533 65540 65541 65543
65550 65551 65553 65560 65561 65563
65570 65571 65573 65580 65581 65583
65590 65591 65593 65600 65601 65603
65620 65621 65623 65650 65651 65653
65660 65661 65663 65670 65671 65673
65680 65681 65683 65690 65691 65693
65920 65921 65923 65930 65931 65933
65940 65941 65943 65950 65951 65953
65960 65961 65963 65980 65981 65983
65990 65991 65993 66700 66702 66704
66710 66712 66714 66800 66801 66802
66803 66804 66810 66811 66812 66813
66814 66820 66821 66822 66823 66824
66880 66881 66882 66883 66884 66890
66891 66892 66893 66894 66900 66901
66902 66903 66904 66910 66911 66912
66913 66914 66920 66921 66922 66923
66924 66930 66932 66934 66940 66941
66942 66943 66944 66960 66961 66970
66971 66980 66981 66982 66983 66984
66990 66991 66992 66993 66994 677
V230 V231 V232 V233 V234 V235
V237 V238 V239
11.7 Normal pregnancy and/or delivery 196 -
11.7.1 Normal delivery - 650
11.7.2 Multiple gestation - 65100 65101 65110 65111 65120 65121
65180 65181 65190 65191
11.7.3 Outcome of delivery (V codes) - V220 V221 V222 V240 V241 V242
V270 V271 V272 V273 V274 V275
V276 V277 V279 V724
12 Diseases of the skin and subcutaneous 197 198 199 -
tissue 200
12.1 Skin and subcutaneous tissue 197 -
infections
12.1.1 Cellulitis and abscess - 68100 68101 68102 68110 68111 6819
6820 6821 6822 6823 6824 6825
6826 6827 6828 6829
12.1.1.1 Cellulitis and abscess of - 68100 68101 68102 68110 68111 6819
fingers and toes
12.1.1.2 Cellulitis and abscess of face - 6820
12.1.1.3 Cellulitis and abscess of arm - 6823
12.1.1.4 Cellulitis and abscess of hand - 6824
12.1.1.5 Cellulitis and abscess of leg - 6826
12.1.1.6 Cellulitis and abscess of foot - 6827
12.1.1.7 Other cellulitis and abscess - 6821 6822 6825 6828 6829
12.1.2 Other skin and subcutaneous - 0201 0210 0220 0311 03285 035
infections 0390 6800 6801 6802 6803 6804
6805 6806 6807 6808 6809 684
6850 6851 6860 68600 68601 68609
6861 6868 6869
12.2 Other inflammatory condition of skin 198 -
12.3 Chronic ulcer of skin 199 -
12.3.1 Decubitus ulcer - 7070
12.3.2 Chronic ulcer of leg - 7071
12.3.3 Other chronic skin ulcer - 7078 7079
12.4 Other skin disorders 200 -
13 Diseases of the musculoskeletal system 201 202 203 -
and connective tissue 204 205 206
207 208 209
210 211 212
13.1 Infective arthritis and osteomyelitis 201 -
(except that caused by TB or STD)
13.2 Non-traumatic joint disorders 202 203 204 -
13.2.1 Rheumatoid arthritis and related 202 -
disease
13.2.2 Osteoarthritis 203 -
13.2.2.1 Osteoarthritis, localized - 71510 71511 71512 71513 71514 71515
71516 71517 71518 71520 71521 71522
71523 71524 71525 71526 71527 71528
71530 71531 71532 71533 71534 71535
71536 71537 71538
13.2.2.2 Osteoarthritis, generalized - 71500 71504 71509 71580 71589 71590
and unspecified 71591 71592 71593 71594 71595 71596
71597 71598 V134
13.2.3 Other non-traumatic joint disorders 204 -
13.3 Spondylosis, intervertebral disc 205 -
disorders, other back problems
13.3.1 Spondylosis and allied disorders - 7210 7211 7212 7213 72141 72142
7215 7216 7217 7218 72190 72191
13.3.2 Intervertebral disc disorders - 7220 72210 72211 7222 72230 72231
72232 72239 7224 72251 72252 7226
72270 72271 72272 72273 72280 72281
72282 72283 72290 72291 72292 72293
13.3.3 Other back problems - 7201 7202 72081 72089 7209 7230
7231 7232 7233 7234 7235 7236
7237 7238 7239 72400 72401 72402
72409 7241 7242 7243 7244 7245
7246 72470 72471 72479 7248 7249
13.3.3.1 Cervical radiculitis - 7234
13.3.3.2 Spinal stenosis, lumbar region - 72402
13.3.3.3 Lumbago - 7242
13.3.3.4 Sciatica - 7243
13.3.3.5 Thoracic or lumbosacral - 7244
neuritis or radiculitis,
unspecified
13.3.3.6 Backache, unspecified - 7245
13.3.3.7 Other back pain and disorders - 7201 7202 72081 72089 7209 7230
7231 7232 7233 7235 7236 7237
7238 7239 72400 72401 72409 7241
7246 72470 72471 72479 7248 7249
13.4 Osteoporosis 206 -
13.5 Pathological fracture 207 -
13.6 Acquired deformities 208 209 -
13.6.1 Acquired foot deformities 208 -
13.6.2 Other acquired deformities 209 -
13.7 Systemic lupus erythematosus and 210 -
connective tissue disorders
13.8 Other connective tissue disease 211 -
13.9 Other bone disease and 212 -
musculoskeletal deformities
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(1) Expanded diagnosis categories can consist of groups of Clinical Classifications for Health Policy
Research (CCHPR) categories, individual CCHPR categories, or individual ICD-9-CM codes. For information on
constituent ICD-9-CM codes for CCHPR categories listed here, refer to Appendix A.
Source: AHCPR, Center for Organization and Delivery Studies,
Healthcare Cost and Utilization Project (HCUP-3).