Kompilasi - ICD MM Dan PM - Reference Guide

ICD-MM Refference Aid
ICD-MM Reference AID

Group of the underlying Cause of Deaths
during Pregnancy, Childbirth and
Puerperium
Definition of death
Pregnancy Related Deaths : Death during
Is the death occuring during pregnancy, childbirth and the puerperium is the pregnanc,
death of a woman while pregnant or within 45 dyas of termination of Chilbirt and
pregnancy, irrespective of the cause of deaths puerperium
Maternal death :
Is the deaths of woman while pregnant or within 42 days of termination of
pregnancy from any cause related to or aggravacted by the pregnancy or its
managment, but not frommaccidental or incidental causes (irrespective of the
duration and the site of pregnancy
Late Maternal Death : Is a woman from direct or indirect causes more than 42
days but less than one year after termination of pregnancy Maternal
death
Direct Indirect unspecified
Group 1
Group 2 Group 3 Group 7 Group 8
Pregnancy with Group 9
Hypertensive disorder Postpartum Non -obstetric Undelyying cause is
abortive Coincidental cause
of pregnancy haemorhage complication unknown
complication
ex 1 : Ectopic ex 7: Cardiac diseases,

ex 2 : Eclampsia, ex 3 : Post partum ex 8 : Underlying cause ex 9: Traffic accident,
pregnancy, respiratory condition,
Oedema, proteinuria haemorhage, placenta is unknown homocides
miscariege neoplasma, viral and
hypertesive disorder previea,abruptio placenta
parasit infection
Group 6
Group 4 Group 5
unanticipated
Pregnancy-related Other obstetric
complictaion of
infection complication
management
ex 5 : Retained placenta
ex 4 : Endometriosis ex 5 : Adverse effects
without haemorrhage,
sepsis from medical care
embolism, postpartum,
inversion of uterus
during pregnancy Underlying cause of deaths : is defined as the disease or condition that
initiates the morbid chain of events leading to death or the circumstances
of the accident or violence that procedure a fatal injury. The single
identified cause of death should be as specific as possible
The WHO Application of ICD-10 to deaths during pregnancy, childbirth and the puerperium: ICD-MM
Group 1: Pregnancy with abortive outcome
Excl.: continuing pregnancy in multiple gestation after abortion of one fetus or more (O31.1)
The following fourth-character subdivisions are for use with categories O03-O06:
Note: Incomplete abortion includes retained products of conception following abortion.
.0 Incomplete, complicated by genital tract and pelvic infection

With conditions in O08.0
.1 Incomplete, complicated by delayed or excessive haemorrhage
.2 Incomplete, complicated by embolism
.3 Incomplete, with other and unspecified complications
With conditions in O08.3-O08.9
.4 Incomplete, without complication
.5 Complete or unspecified, complicated by genital tract and pelvic infection
.6 Complete or unspecified, complicated by delayed or excessive haemorrhage
.7 Complete or unspecified, complicated by embolism
.8 Complete or unspecified, with other and unspecified complications
.9 Complete or unspecified, without complication
O00 Ectopic pregnancy

Incl.: ruptured ectopic pregnancy
Use additional code from category O08.-, if desired, to identify any associated complication.
O00.0 Abdominal pregnancy
Excl.: delivery of viable fetus in abdominal pregnancy (O83.3)
maternal care for viable fetus in abdominal pregnancy (O36.7)
O00.1 Tubal pregnancy
Fallopian pregnancy
Rupture of (fallopian) tube due to pregnancy
Tubal abortion
O00.2 Ovarian pregnancy
O00.8 Other ectopic pregnancy
Pregnancy:
• cervical
• cornual
• intraligamentous
• mural
O00.9 Ectopic pregnancy, unspecified
25
O01 Hydatidiform mole

Excl.: malignant hydatidiform mole (D39.2)
O01.0 Classical hydatidiform mole
Complete hydatidiform mole
O01.1 Incomplete and partial hydatidiform mole
O01.9 Hydatidiform mole, unspecified
Trophoblastic disease NOS
Vesicular mole NOS
O02 Other abnormal products of conception

Excl.: papyraceous fetus (O31.0)
O02.0 Blighted ovum and nonhydatidiform mole
Mole:
• carneous
• fleshy
• intrauterine NOS
Pathological ovum
O02.1 Missed abortion
Early fetal death with retention of dead fetus
Excl.: missed abortion with:
• blighted ovum (O02.0)
• mole:
• hydatidiform (O01.-)
• nonhydatidiform (O02.0)
O02.8 Other specified abnormal products of conception
Excl.: those with:
• blighted ovum (O02.0)
• mole:
• hydatidiform (O01.-)
• nonhydatidiform (O02.0)
O02.9 Abnormal product of conception, unspecified
O03 Spontaneous abortion

[See before O03 for subdivisions]
Incl.: miscarriage
26
O04 Medical abortion

Incl.: termination of pregnancy:
• legal
• therapeutic
therapeutic abortion
O05 Other abortion

O06 Unspecified abortion

Incl.: induced abortion NOS
O07 Failed attempted abortion

Incl.: failure of attempted induction of abortion
Excl.: incomplete abortion (O03-O06)
O07.0 Failed medical abortion, complicated by genital tract and pelvic infection
O07.1 Failed medical abortion, complicated by delayed or excessive haemorrhage
O07.2 Failed medical abortion, complicated by embolism
O07.3 Failed medical abortion, with other and unspecified complications
O07.4 Failed medical abortion, without complication
Failed medical abortion NOS
O07.5 Other and unspecified failed attempted abortion, complicated by genital tract and
pelvic infection

O07.6 Other and unspecified failed attempted abortion, complicated by delayed or excessive
haemorrhage

O07.7 Other and unspecified failed attempted abortion, complicated by embolism
O07.8 Other and unspecified failed attempted abortion, with other and unspecified
complications
O07.9 Other and unspecified failed attempted abortion, without complication
Failed attempted abortion NOS
27
Group 2: Hypertensive disorders in pregnancy, childbirth

and the puerperium
(note that O10, pre-existing hypertension is in Group 7)
O11 Pre-existing hypertensive disorder with superimposed proteinuria

Incl.: Conditions in O10.- complicated by increased proteinuria
Superimposed pre-eclampsia
O12 Gestational [pregnancy-induced] oedema and proteinuria

without hypertension
O12.0 Gestational oedema
O12.1 Gestational proteinuria
O12.2 Gestational oedema with proteinuria
O13 Gestational [pregnancy-induced] hypertension without significant proteinuria

Incl.: Gestational hypertension NOS
Mild pre-eclampsia
O14 Gestational [pregnancy-induced] hypertension with significant proteinuria

Excl.: superimposed pre-eclampsia (O11)
O14.0 Moderate pre-eclampsia
O14.1 Severe pre-eclampsia
O14.2 HELLP syndrome
Combination of hemolysis, elevated liver enzymes and low platelet count
O14.9 Pre-eclampsia, unspecified
O15 Eclampsia
Incl.: convulsions following conditions in O10-O14 and O16
eclampsia with pregnancy-induced or pre-existing hypertension
O15.0 Eclampsia in pregnancy
O15.1 Eclampsia in labour
O15.2 Eclampsia in the puerperium
O15.9 Eclampsia, unspecified as to time period
Eclampsia NOS
O16 Unspecified maternal hypertension
28
Group 3: Obstetric Haemorrhage
O20 Haemorrhage in early pregnancy

Excl.: pregnancy with abortive outcome (O00-O08)
O20.0 Threatened abortion
Haemorrhage specified as due to threatened abortion
O20.8 Other haemorrhage in early pregnancy
O20.9 Haemorrhage in early pregnancy, unspecified
O43 Placental disorders

Excl.: maternal care for poor fetal growth due to placental insufficiency (O36.5)
placenta praevia (O44.-)
premature separation of placenta [abruptio placentae] (O45.-)
O43.2 Morbidly adherent placenta
O44 Placenta praevia

O44.1 Placenta praevia with haemorrhage
Low implantation of placenta, NOS or with haemorrhage
Placenta praevia:
• marginal
• partial
• total
NOS or with haemorrhage
Excl.: labour and delivery complicated by haemorrhage from vasa praevia (O69.4)
O45 Premature separation of placenta [abruptio placentae]

O45.0 Premature separation of placenta with coagulation defect
Abruptio placentae with (excessive) haemorrhage associated with:
• afibrinogenaemia
• disseminated intravascular coagulation
• hyperfibrinolysis
• hypofibrinogenaemia
O45.8 Other premature separation of placenta
O45.9 Premature separation of placenta, unspecified
Abruptio placentae NOS
O46 Antepartum haemorrhage, not elsewhere classified

Excl.: haemorrhage in early pregnancy (O20.-)
intrapartum haemorrhage NEC (O67.-)
29
O46.0 Antepartum haemorrhage with coagulation defect

Antepartum haemorrhage (excessive) associated with:
O46.8 Other antepartum haemorrhage
O46.9 Antepartum haemorrhage, unspecified
O67 Labour and delivery complicated by intrapartum haemorrhage, not

elsewhere classified
Excl.: antepartum haemorrhage NEC (O46.-)
postpartum haemorrhage (O72.-)
O67.0 Intrapartum haemorrhage with coagulation defect
Intrapartum haemorrhage (excessive) associated with:
O67.8 Other intrapartum haemorrhage
Excessive intrapartum haemorrhage
O67.9 Intrapartum haemorrhage, unspecified
Rupture of uterus not stated
O71 Other obstetric trauma
Incl.: damage from instruments
O71.0 Rupture of uterus before onset of labour
O71.1 Rupture of uterus during labour
as occurring before onset of labour
O71.3 Obstetric laceration of cervix
Annular detachment of cervix
O71.4 Obstetric high vaginal laceration alone
Laceration of vaginal wall without mention of perineal laceration
Excl.: with perineal laceration (O70.-)
O71.7 Obstetric haematoma of pelvis
Obstetric haematoma of:
• perineum
• vagina
• vulva
30
O72 Postpartum haemorrhage

Incl.: haemorrhage after delivery of fetus or infant
O72.0 Third-stage haemorrhage
Haemorrhage associated with retained, trapped or adherent placenta
Retained placenta NOS
Use additional code, if desired, to identify any morbidly adherent placenta (O43-O45)
O72.1 Other immediate postpartum haemorrhage
Haemorrhage following delivery of placenta
Postpartum haemorrhage (atonic) NOS
O72.2 Delayed and secondary postpartum haemorrhage
Haemorrhage associated with retained portions of placenta or membranes
Retained products of conception NOS, following delivery
O72.3 Postpartum coagulation defects
Postpartum:
• fibrinolysis
31
Group 4: Pregnancy-related infection

O23 Infections of genitourinary tract in pregnancy
O23.0 Infections of kidney in pregnancy
O23.1 Infections of bladder in pregnancy
O23.2 Infections of urethra in pregnancy
O23.3 Infections of other parts of urinary tract in pregnancy
O23.4 Unspecified infection of urinary tract in pregnancy
O23.5 Infections of the genital tract in pregnancy
O23.9 Other and unspecified genitourinary tract infection in pregnancy
Genitourinary tract infection in pregnancy NOS
O41.1 Infection of amniotic sac and membranes

Amnionitis
Chorioamnionitis
Membranitis
Placentitis
O75.3 Other infection during labour

Sepsis during labour
O85 Puerperal sepsis

Incl.: Puerperal:
• endometritis
• fever
• peritonitis
• sepsis
Use additional code (B95-B98) , if desired, to identify infectious agent.
Excl.: obstetric pyaemic and septic embolism (O88.3)
sepsis during labour (O75.3)
O86 Other puerperal infections

Use additional code (B95-B98) , if desired, to identify infectious agent.
Excl.: infection during labour (O75.3)
O86.0 Infection of obstetric surgical wound
Infected:
• caesarean section wound following delivery
• perineal repair following delivery
O86.1 Other infection of genital tract following delivery
Cervicitis
Vaginitis following delivery
32
O86.2 Urinary tract infection following delivery

Conditions in N10-N12, N15.-, N30.-, N34.-, N39.0 following delivery
O86.3 Other genitourinary tract infections following delivery
Puerperal genitourinary tract infection NOS
O86.4 Pyrexia of unknown origin following delivery
Puerperal:
• infection NOS
• pyrexia NOS
Excl.: puerperal fever (O85)
pyrexia during labour (O75.2)
O86.8 Other specified puerperal infections
O91 Infections of breast associated with childbirth

Incl.: the listed conditions during pregnancy, the puerperium or lactation
O91.0 Infection of nipple associated with childbirth
Abscess of nipple:
• gestational
• puerperal
O91.1 Abscess of breast associated with childbirth
Mammary abscess
Purulent mastitis
Subareolar abscess
gestational or puerperal
O91.2 Nonpurulent mastitis associated with childbirth
Lymphangitis of breast
Mastitis:
• NOS
• interstitial
• parenchymatous
gestational or puerperal
33
Group 5: Other obstetric complications

O21.1 Hyperemesis gravidarum with metabolic disturbance
Hyperemesis gravidarum, starting before the end of the 22nd week of gestation, with metabolic
disturbance such as:
• carbohydrate depletion
• dehydration
• electrolyte imbalance
O21.2 Late vomiting of pregnancy
Excessive vomiting starting after 22 completed weeks of gestation
O22 Venous complications in pregnancy

Excl.: obstetric pulmonary embolism (O88.-)
the listed conditions as complications of:
• abortion or ectopic or molar pregnancy (O00-O07 , O08.7)
• childbirth and the puerperium (O87.-)
O22.3 Deep phlebothrombosis in pregnancy
Deep-vein thrombosis, antepartum
O22.5 Cerebral venous thrombosis in pregnancy
Cerebrovenous sinus thrombosis in pregnancy
O22.8 Other venous complications in pregnancy
O22.9 Venous complication in pregnancy, unspecified
Gestational:
• phlebitis NOS
• phlebopathy NOS
• thrombosis NOS
O24 Diabetes mellitus in pregnancy
Incl.: in childbirth and the puerperium
O24.4 Diabetes mellitus arising in pregnancy
Gestational diabetes mellitus NOS
O26.6 Liver disorders in pregnancy, childbirth and the puerperium
Cholestasis (intrahepatic) in pregnancy
Obstetric cholestasis
Excl.: hepatorenal syndrome following labour and delivery (O90.4)
O26.9 Pregnancy-related condition, unspecified
O71 Other obstetric trauma

Incl.: damage from instruments
O71.2 Postpartum inversion of uterus
34
O71.5 Other obstetric injury to pelvic organs

Obstetric injury to:
• bladder
• urethra
O71.6 Obstetric damage to pelvic joints and ligaments
Avulsion of inner symphyseal cartilage
Damage to coccyx
Traumatic separation of symphysis (pubis)
Obstetric
O71.8 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified
O73 Retained placenta and membranes, without haemorrhage

O73.0 Retained placenta without haemorrhage
Use additional code, if desired, to identify any morbidly adherent placenta (O43-O45)
O73.1 Retained portions of placenta and membranes, without haemorrhage
Retained products of conception following delivery, without haemorrhage
O75.4 Other complications of obstetric surgery and procedures
Cardiac:
• arrest
• failure
Cerebral anoxia
following caesarean or other obstetric surgery or procedures, including delivery
NOS
Excl.: complications of anaesthesia during labour and delivery (O74.-)
obstetric (surgical) wound:
• disruption (O90.0-O90.1)
• haematoma (O90.2)
• infection (O86.0)
O75.8 Other specified complications of labour and delivery
O75.9 Complication of labour and delivery, unspecified
O87 Venous complications in the puerperium

Incl.: in labour, delivery and the puerperium
Excl.: obstetric embolism (O88.-)
venous complications in pregnancy (O22.-)
O87.1 Deep phlebothrombosis in the puerperium
Deep-vein thrombosis, postpartum
Pelvic thrombophlebitis, postpartum
O87.3 Cerebral venous thrombosis in the puerperium
Cerebrovenous sinus thrombosis in the puerperium
35
O87.9 Venous complication in the puerperium, unspecified

Puerperal:
• phlebitis NOS
• phlebopathy NOS
• thrombosis NOS
O88 Obstetric embolism

Incl.: pulmonary emboli in pregnancy, childbirth or the puerperium
Excl.: embolism complicating abortion or ectopic or molar pregnancy (O00-O07 , O08.2)
O88.0 Obstetric air embolism
O88.1 Amniotic fluid embolism
Anaphylactoid syndrome of pregnancy
O88.2 Obstetric blood-clot embolism
Obstetric (pulmonary) embolism NOS
Puerperal (pulmonary) embolism NOS
O88.3 Obstetric pyaemic and septic embolism
O88.8 Other obstetric embolism
O90 Complications of the puerperium, not elsewhere classified

O90.0 Disruption of caesarean section wound
O90.1 Disruption of perineal obstetric wound
Disruption of wound of:
• episiotomy
• perineal laceration
Secondary perineal tear
O90.2 Haematoma of obstetric wound
O90.3 Cardiomyopathy in the puerperium
Conditions in I42.-
O90.4 Postpartum acute renal failure
Hepatorenal syndrome following labour and delivery
O90.5 Postpartum thyroiditis
O90.8 Other complications of the puerperium, not elsewhere classified
Placental polyp
O90.9 Complication of the puerperium, unspecified
36
Direct deaths without an Obstetric code in ICD-10

Note: It is recognized that establishing a link between puerperal psychosis or depression may not be possible
however, when suicide occurs temporal to pregnancy, childbirth, and the puerperium, these deaths will be
considered as direct maternal deaths.
At present time, these underlying causes of death do not have an “O” code in ICD-10, It is advised that
certifiers indicate on the death certificate the pregnancy status in order to minimize underreporting of
suicide in pregnancy.
(X60-X84) Intentional self-harm

Incl.: purposely self-inflicted poisoning or injury
suicide (attempted)
X60 Intentional self-poisoning by and exposure to nonopioid analgesics,
antipyretics and antirheumatics
Incl.: 4-aminophenol derivatives
nonsteroidal anti-inflammatory drugs [NSAID]
pyrazolone derivatives
salicylates
691
International Classification of Diseases - ICD-11 2010
X61 Intentional self-poisoning by and exposure to antiepileptic, sedativehypnotic,
antiparkinsonism and psychotropic drugs, not elsewhere classified
Incl.: antidepressants
barbiturates
hydantoin derivatives
iminostilbenes
methaqualone compounds
neuroleptics
psychostimulants
succinimides and oxazolidinediones
tranquillizers
X62 Intentional self-poisoning by and exposure to narcotics and psychodysleptics
[hallucinogens], not elsewhere classified
Incl.: cannabis (derivatives)
cocaine
codeine
heroin
lysergide [LSD]
mescaline
methadone
morphine
opium (alkaloids)
37
Intentional self-poisoning by and exposure to other drugs acting on the autonomic

X63
nervous system
Incl.: parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics
parasympathomimetics [cholinergics]
sympatholytics [antiadrenergics]
sympathomimetics [adrenergics]
Intentional self-poisoning by and exposure to other and unspecified drugs,
X64
medicaments and biological substances
Incl.: agents primarily acting on smooth and skeletal muscles and the respiratory system
anaesthetics (general)(local)
drugs affecting the:
• cardiovascular system
• gastrointestinal system
hormones and synthetic substitutes
systemic and haematological agents
systemic antibiotics and other anti-infectives
therapeutic gases
topical preparations
vaccines
water-balance agents and drugs affecting mineral and uric acid metabolism
X65 Intentional self-poisoning by and exposure to alcohol
Incl.: alcohol:
• NOS
• butyl [1-butanol]
• ethyl [ethanol]
• isopropyl [2-propanol]
• methyl [methanol]
• propyl [1-propanol]
fusel oil
692
Chapter XX
Intentional self-poisoning by and exposure to organic solvents and halogenated
X66
hydrocarbons and their vapours
Incl.: benzene and homologues
carbon tetrachloride [tetrachloromethane]
chlorofluorocarbons
petroleum (derivatives)
X67 Intentional self-poisoning by and exposure to other gases and vapours
Incl.: carbon monoxide
lacrimogenic gas [tear gas]
motor (vehicle) exhaust gas
nitrogen oxides
sulfur dioxide
utility gas
Excl.: metal fumes and vapours (X69)
38
X68 Intentional self-poisoning by and exposure to pesticides

Incl.: fumigants
fungicides
herbicides
insecticides
rodenticides
wood preservatives
Excl.: plant foods and fertilizers (X69)
Intentional self-poisoning by and exposure to other and unspecified chemicals and
X69
noxious substances
Incl.: corrosive aromatics, acids and caustic alkalis
glues and adhesives
metals including fumes and vapours
paints and dyes
plant foods and fertilizers
poisonous foodstuffs and poisonous plants
soaps and detergents
X70 Intentional self-harm by hanging, strangulation and suffocation
X71 Intentional self-harm by drowning and submersion
X72 Intentional self-harm by handgun discharge
X73 Intentional self-harm by rifle, shotgun and larger firearm discharge
X74 Intentional self-harm by other and unspecified firearm discharge
X75 Intentional self-harm by explosive material
X76 Intentional self-harm by smoke, fire and flames
X77 Intentional self-harm by steam, hot vapours and hot objects
X78 Intentional self-harm by sharp object
X79 Intentional self-harm by blunt object
693
International Classification of Diseases - ICD-11 2010
X80 Intentional self-harm by jumping from a high place
Incl.: intentional fall from one level to another
X81 Intentional self-harm by jumping or lying before moving object
X82 Intentional self-harm by crashing of motor vehicle
Incl.: intentional collision with:
• motor vehicle
• train
• tram (streetcar)
Excl.: crashing of aircraft (X83)
X83 Intentional self-harm by other specified means
Incl.: intentional self-harm by:
• caustic substances, except poisoning
• crashing of aircraft
• electrocution
X84 Intentional self-harm by unspecified means
39
Group 6 : Unanticipated complications of management

Category: Anaesthesia
O29 Complications of anaesthesia during pregnancy

Incl.: maternal complications arising from the administration of a general or local anaesthetic,
analgesic or other sedation during pregnancy
Excl.: complications of anaesthesia during:
• abortion or ectopic or molar pregnancy (O00-O08)
• labour and delivery (O74.-)
• puerperium (O89.-)
O29.0 Pulmonary complications of anaesthesia during pregnancy
Aspiration pneumonitis
Inhalation of stomach contents or secretions NOS
Mendelson’s syndrome
Pressure collapse of lung
due to anaesthesia during pregnancy
O29.1 Cardiac complications of anaesthesia during pregnancy
Cardiac:
• arrest
• failure
due to anaesthesia during pregnancy
O29.2 Central nervous system complications of anaesthesia during pregnancy
Cerebral anoxia due to anaesthesia during pregnancy
O29.3 Toxic reaction to local anaesthesia during pregnancy
O29.5 Other complications of spinal and epidural anaesthesia during pregnancy
O29.6 Failed or difficult intubation during pregnancy
O29.8 Other complications of anaesthesia during pregnancy
O29.9 Complication of anaesthesia during pregnancy, unspecified
O74 Complications of anaesthesia during labour and delivery

analgesic or other sedation during labour and delivery
O74.0 Aspiration pneumonitis due to anaesthesia during labour and delivery
Mendelson’s syndrome due to anaesthesia during labour and delivery
O74.1 Other pulmonary complications of anaesthesia during labour and delivery
Pressure collapse of lung due to anaesthesia during labour and delivery
40
O74.2 Cardiac complications of anaesthesia during labour and delivery

Cardiac:
• arrest
• failure
due to anaesthesia during labour and delivery
O74.3 Central nervous system complications of anaesthesia during labour and delivery
Cerebral anoxia due to anaesthesia during labour and delivery
O74.4 Toxic reaction to local anaesthesia during labour and delivery
O74.6 Other complications of spinal and epidural anaesthesia during labour and delivery
O74.7 Failed or difficult intubation during labour and delivery
O74.8 Other complications of anaesthesia during labour and delivery
O74.9 Complication of anaesthesia during labour and delivery, unspecified
O89 Complications of anaesthesia during the puerperium

analgesic or other sedation during the puerperium
O89.0 Pulmonary complications of anaesthesia during the puerperium
Aspiration pneumonitis
Mendelson’s syndrome
Pressure collapse of lung
due to anaesthesia during the puerperium
O89.1 Cardiac complications of anaesthesia during the puerperium
Cardiac:
• arrest
• failure
due to anaesthesia during the puerperium
O89.2 Central nervous system complications of anaesthesia during the puerperium
Cerebral anoxia due to anaesthesia during the puerperium
O89.3 Toxic reaction to local anaesthesia during the puerperium
O89.5 Other complications of spinal and epidural anaesthesia during the puerperium
O89.6 Failed or difficult intubation during the puerperium
O89.8 Other complications of anaesthesia during the puerperium
O89.9 Complication of anaesthesia during the puerperium, unspecified
Category: Other obstetric surgery and procedures
41
Group 7: Non-obstetric complications

O10 Pre-existing hypertension complicating pregnancy, childbirth and the
puerperium
Incl.: the listed conditions with pre-existing proteinuria
Excl.: that with increased or superimposed proteinuria (O11)
Pre-existing essential hypertension complicating pregnancy, childbirth and the
O10.0
puerperium
Any condition in I10 specified as a reason for obstetric care during pregnancy, childbirth or the
puerperium
Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the
O10.1
puerperium
Any condition in I11.- specified as a reason for obstetric care during pregnancy, childbirth or the
puerperium
Pre-existing hypertensive renal disease complicating pregnancy, childbirth and the
O10.2
puerperium
puerperium
Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth
O10.3
and the puerperium
puerperium
Pre-existing secondary hypertension complicating pregnancy, childbirth and the
O10.4
puerperium
puerperium
Unspecified pre-existing hypertension complicating pregnancy, childbirth and the
O10.9
Puerperium
O24 Diabetes mellitus in pregnancy

Incl.: in childbirth and the puerperium
O24.0 Pre-existing diabetes mellitus, insulin-dependent
O24.1 Pre-existing diabetes mellitus, non-insulin-dependent
O24.2 Pre-existing malnutrition-related diabetes mellitus
O24.3 Pre-existing diabetes mellitus, unspecified
O24.9 Diabetes mellitus in pregnancy, unspecified
42
O98 Maternal infectious and parasitic diseases classifiable elsewhere but

complicating pregnancy, childbirth and the puerperium
Incl.: the listed conditions when complicating the pregnant state, when aggravated by the
pregnancy, or as a reason for obstetric care
Use additional code (Chapter I), if desired, to identify specific condition.
Excl.: asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
laboratory evidence of human immunodeficiency virus [HIV] (R75)
obstetrical tetanus (A34)
puerperal:
• infection (O86.-)
• sepsis (O85)
when the reason for maternal care is that the disease is known or suspected to have affected the
fetus (O35-O36)
O98.0 Tuberculosis complicating pregnancy, childbirth and the puerperium
Conditions in A15-A19
O98.1 Syphilis complicating pregnancy, childbirth and the puerperium
O98.2 Gonorrhoea complicating pregnancy, childbirth and the puerperium
Conditions in A54.-
O98.3 Other infections with a predominantly sexual mode of transmission complicating
pregnancy, childbirth and the puerperium
O98.4 Viral hepatitis complicating pregnancy, childbirth and the puerperium
Conditions in B15-B19
O98.5 Other viral diseases complicating pregnancy, childbirth and the puerperium
Conditions in A80-B09, B25-B34
O98.6 Protozoal diseases complicating pregnancy, childbirth and the puerperium
Conditions in B50-B64
O98.7 Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the
puerperium
Conditions in (B20-B24)
O98.8 Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and
the puerperium
O98.9 Unspecified maternal infectious or parasitic disease complicating pregnancy, childbirth
and the puerperium
In all cases O98 must be included in the coding (O98 – Maternal infectious and parasitic diseases
classifiable elsewhere but complicating pregnancy, childbirth and the puerperium).
43
O99 Other maternal diseases classifiable elsewhere but complicating pregnancy,

childbirth and the puerperium
Note: This category includes conditions which complicate the pregnant state, are aggravated by the
pregnancy or are a main reason for obstetric care and for which the Alphabetical Index does not indicate
a specific rubric in .
Use additional code, if desired, to identify specific condition. See below for common codes.
Excl.: infectious and parasitic diseases (O98.-)
injury, poisoning and certain other consequences of external causes (S00-T98)
when the reason for maternal care is that the condition is known or suspected to have affected
the fetus (O35-O36)
O99.0 Anaemia complicating pregnancy, childbirth and the puerperium
Conditions in D50-D64
Other diseases of the blood and blood-forming organs and certain disorders involving
O99.1
the immune mechanism complicating pregnancy, childbirth and the puerperium
Conditions in D65-D89
Excl.: haemorrhage with coagulation defects (O46.0 , O67.0 , O72.3)
Endocrine, nutritional and metabolic diseases complicating pregnancy, childbirth and
O99.2
the puerperium
Conditions in E00-E90
Excl.: diabetes mellitus (O24.-)
malnutrition (O25)
postpartum thyroiditis (O90.5)
O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth
and the puerperium
Conditions in F00-F99 and G00-G99
Excl.: postnatal depression (F53.0)
pregnancy-related peripheral neuritis (O26.8)
puerperal psychosis (F53.1)
O99.4 Diseases of the circulatory system complicating pregnancy, childbirth and the
puerperium
Conditions in I00-I99
Excl.: cardiomyopathy in the puerperium (O90.3)
hypertensive disorders (O10-O16)
obstetric embolism (O88.-)
venous complications and cerebrovenous sinus thrombosis in:
• labour, childbirth and the puerperium (O87.-)
• pregnancy (O22.-)
O99.5 Diseases of the respiratory system complicating pregnancy, childbirth and the
puerperium
Conditions in J00-J99
44
O99.6 Diseases of the digestive system complicating pregnancy, childbirth and the
puerperium
Conditions in K00-K93
Excl.: liver disorders in pregnancy, childbirth and the puerperium (O26.6)
O99.7 Diseases of the skin and subcutaneous tissue complicating pregnancy, childbirth and
the puerperium
Conditions in L00-L99
Excl.: herpes gestationis (O26.4)
O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the
puerperium
Combination of conditions classifiable to O99.0-O99.7
Conditions in C00-D48, H00-H95, M00-M99, N00-N99, and Q00-Q99 not elsewhere classified
Excl.: genitourinary infections in pregnancy (O23.-)
infection of genitourinary tract following delivery (O86.0-O86.3)
maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)
postpartum acute renal failure (O90.4)
postpartum nephritis (O90.8)
45
Codes for common indirect causes of maternal death

Indirect deaths may also be coded using codes in other chapters of the ICD. However, for correct coding it is
essential that reporting on the death certificate mentions clearly in Part 1 that there was mutual aggravation
between the condition and the pregnancy. The list below includes common indirect causes of maternal
death. Rare diseases are covered by the “Other – specify” label. There is an ICD code for most medical and
surgical conditions and coders will follow rules as described in Volume 2 of ICD-10. Countries may wish to
expand this list to include disease common to the country or region (e.g. melanoma in Australia, cancer of
the cervix in South Africa). :
Diseases of the nervous system (G00- G99)

Epilepsy G40
Diseases of the circulatory system (I00–I99)
Rheumatic heart disease I09
Bacterial endocarditis I33
Artificial valve complications T82
Congenital heart disease (Q20–28)
Acute myocardial infarction I21
Cardiomyopathy I42
Cerebrovascular accidenta I61
Stroke I64
Other – specify
Undiagnosed I51
Diseases of the respiratory system (J00–J99)
Asthma J45
Other – specify
Diseases of the digestive system (K00–K93)
Appendicitis K35
Pancreatitis K85
Liver disease – specify
a
Intestine – specify
Other – specify
Diseases of the musculoskeletal system (M00–M99)
and connective tissue
Systemic lupus erythematosus M32

Kyphoscoliosis M40
Other – specify
Diseases of the genitourinary system (N00–N99)
Renal – specify
Genital – specify
a
Excluding liver disease and cerebral haemorrhage due to pre-eclampsia.
a
Non-pregnancy-related infection is so named to differentiate this category from infections specific to pregnancy, e.g. puerperal sepsis,
septic miscarriage.
46
Group 8: Unknown/undetermined
O95 Obstetric death of unspecified cause

Incl.: Maternal death from unspecified cause occurring during pregnancy, labour and delivery,
or the puerperium
Group 9: Coincidental causes

These deaths occur in pregnancy, childbirth, or the puerperium but are not by
definition are considered maternal deaths
Coincidental category Disease entity ICD-10

Motor vehicle accident Y85
V01–V99
External causes of accidental injury W00–Y04
Y06–Y09
Y98
Assault X85–Y04+
Y06–Y09
Y87
Rape Y05
Event of undetermined intent Y10–Y34
Other accidents Y86
Herbal medication T65
Other – specify
47
Annex B2: Tabular List of Chapter 15 codes that describe

conditions which are unlikely to cause death but may have
contributed to the death (contributory condition)
Codes from Annex B1 are preferred. Codes from this block should not be selected as the underlying cause of
death if any condition in Annex B1 is present.
When the cause is unspecified, code to “Unknown, Group 8” according to MRG 1244: It is often difficult to
identify a maternal death, particularly in cases of indirect obstetric causes. If there is any doubt that the
cause of death is obstetrical, for example if the conditions entered in Part 1 are not obstetrical but there is a
mention of pregnancy or delivery in Part 2, additional information should be sought from the certifier. This is
particularly important in countries where maternal mortality rate is high. If no additional information can be
found, deaths with a mention of pregnancy and delivery in Part 1 should be considered obstetrical, but not
deaths where pregnancy or delivery is mentioned in Part 2 only.
Further modifications as published in the 11th revision of the ICD may result in changes.
O08 Complications following abortion and ectopic and molar pregnancy

Note: This code is provided primarily for morbidity coding. For use of this category reference
should be made to the morbidity coding rules and guidelines in Volume 2.
O08.0 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
Endometritis
Oophoritis
Parametritis
Pelvic peritonitis
Salpingitis
Salpingo-oophoritis
Sepsis
following conditions classifiable to O00-O07
Use additional code (R57.2) , if desired, to identify septic shock.
Excl.: septic or septicopyaemic embolism (O08.2)
urinary tract infection (O08.8)
O08.1 Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy
Afibrinogenaemia
Defibrination syndrome
Intravascular coagulation
48
O08.2 Embolism following abortion and ectopic and molar pregnancy

Embolism:
• NOS
• air
• amniotic fluid
• blood-clot
• pulmonary
• pyaemic
• septic or septicopyaemic
• soap
O08.3 Shock following abortion and ectopic and molar pregnancy
Circulatory collapse
Shock (postoperative) following conditions classifiable to O00-O07
Excl.: septic shock (R57.2)
O08.4 Renal failure following abortion and ectopic and molar pregnancy
Oliguria
Renal:
• failure (acute)
• shutdown
• tubular necrosis
Uraemia
O08.5 Metabolic disorders following abortion and ectopic and molar pregnancy
Electrolyte imbalance following conditions classifiable to O00-O07
Damage to pelvic organs and tissues following abortion and ectopic and molar
O08.6
pregnancy
Laceration, perforation, tear or chemical damage of:
• bladder
• bowel
• broad ligament
• cervix
• periurethral tissue
• uterus
following conditions classifiable to O00-
O07
O08.7 Other venous complications following abortion and ectopic and molar pregnancy
O08.8 Other complications following abortion and ectopic and molar pregnancy
Cardiac arrest
Urinary tract infection following conditions classifiable to O00-O07
49
O08.9 Complication following abortion and ectopic and molar pregnancy, unspecified
Unspecified complication following conditions classifiable to O00-O07
O21.0 Mild hyperemesis gravidarum
Hyperemesis gravidarum, mild or unspecified, starting before the end of the 22nd week of
gestation
O21.8 Other vomiting complicating pregnancy
Vomiting due to diseases classified elsewhere, complicating pregnancy
Use additional code, if desired, to identify cause.
O21.9 Vomiting of pregnancy, unspecified
O22.0 Varicose veins of lower extremity in pregnancy
Varicose veins NOS in pregnancy
O22.1 Genital varices in pregnancy
Perineal
Vaginal
Vulval
varices in pregnancy
O22.2 Superficial thrombophlebitis in pregnancy
Thrombophlebitis of legs in pregnancy
O22.4 Haemorrhoids in pregnancy
O25 Malnutrition in pregnancy

Incl.: Malnutrition in childbirth and the puerperium
O26 Maternal care for other conditions predominantly related to pregnancy

O26.0 Excessive weight gain in pregnancy
Excl.: gestational oedema (O12.0 , O12.2)
O26.1 Low weight gain in pregnancy
O26.2 Pregnancy care of habitual aborter
Excl.: habitual aborter:
• with current abortion (O03-O06)
• without current pregnancy (N96)
O26.3 Retained intrauterine contraceptive device in pregnancy
O26.4 Herpes gestationis
O26.5 Maternal hypotension syndrome
Supine hypotensive syndrome
50
O26.7 Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

Excl.: traumatic separation of symphysis (pubis) during childbirth (O71.6)
O26.8 Other specified pregnancy-related conditions
Exhaustion and fatigue
Peripheral neuritis
Renal disease pregnancy-related
O26.9 Pregnancy-related condition, unspecified
O28 Abnormal findings on antenatal screening of mother

Excl.: diagnostic findings classified elsewhere - see Alphabetical Index maternal care related to
the fetus and amniotic cavity and possible delivery problems (O30-O48)
O28.0 Abnormal haematological finding on antenatal screening of mother
O28.1 Abnormal biochemical finding on antenatal screening of mother
O28.2 Abnormal cytological finding on antenatal screening of mother
O28.3 Abnormal ultrasonic finding on antenatal screening of mother
O28.4 Abnormal radiological finding on antenatal screening of mother
O28.5 Abnormal chromosomal and genetic finding on antenatal screening of mother
O28.8 Other abnormal findings on antenatal screening of mother
O28.9 Abnormal finding on antenatal screening of mother, unspecified
O29
O29.4 Spinal and epidural anaesthesia-induced headache during pregnancy
Maternal care related to the fetus and amniotic cavity and possible delivery problems
O30 Multiple gestation

Excl.: complications specific to multiple gestation (O31.-)
O30.0 Twin pregnancy
O30.1 Triplet pregnancy
O30.2 Quadruplet pregnancy
O30.8 Other multiple gestation
O30.9 Multiple gestation, unspecified
Multiple pregnancy NOS
O31 Complications specific to multiple gestation
Excl.: conjoined twins causing disproportion (O33.7) delayed delivery of second twin, triplet, etc.
(O63.2)
malpresentation of one fetus or more (O32.5)

with obstructed labour (O64-O66)
51
O31.0 Papyraceous fetus

Fetus compressus
O31.1 Continuing pregnancy after abortion of one fetus or more
O31.2 Continuing pregnancy after intrauterine death of one fetus or more
O31.8 Other complications specific to multiple gestation
O32 Maternal care for known or suspected malpresentation of fetus

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of
the mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O64.-)

O32.0 Maternal care for unstable lie
O32.1 Maternal care for breech presentation
O32.2 Maternal care for transverse and oblique lie
Presentation:
• oblique
• transverse
O32.3 Maternal care for face, brow and chin presentation
O32.4 Maternal care for high head at term
Failure of head to enter pelvic brim
O32.5 Maternal care for multiple gestation with malpresentation of one fetus or more
O32.6 Maternal care for compound presentation
O32.8 Maternal care for other malpresentation of fetus
O32.9 Maternal care for malpresentation of fetus, unspecified
O33 Maternal care for known or suspected disproportion

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of
the mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O65-O66)
O33.0 Maternal care for disproportion due to deformity of maternal pelvic bones
Pelvic deformity causing disproportion NOS
O33.1 Maternal care for disproportion due to generally contracted pelvis
Contracted pelvis NOS causing disproportion
O33.2 Maternal care for disproportion due to inlet contraction of pelvis
Inlet contraction (pelvis) causing disproportion
O33.3 Maternal care for disproportion due to outlet contraction of pelvis
Mid-cavity contraction (pelvis)
Outlet contraction (pelvis) causing disproportion
O33.4 Maternal care for disproportion of mixed maternal and fetal origin
O33.5 Maternal care for disproportion due to unusually large fetus
Disproportion of fetal origin with normally formed fetus
Fetal disproportion NOS
52
O33.6 Maternal care for disproportion due to hydrocephalic fetus

O33.7 Maternal care for disproportion due to other fetal deformities
Conjoined twins
Fetal:
• ascites
• hydrops
• meningomyelocele
• sacral teratoma
• tumour
causing disproportion
O33.8 Maternal care for disproportion of other origin
O33.9 Maternal care for disproportion, unspecified
Cephalopelvic disproportion NOS
Fetopelvic disproportion NOS
O34 Maternal care for known or suspected abnormality of pelvic organs

Incl.: the listed conditions as a reason for observation, hospitalization or other obstetric care of the
mother, or for caesarean section before onset of labour
Excl.: the listed conditions with obstructed labour (O65.5)
O34.0 Maternal care for congenital malformation of uterus
Maternal care for:
• double uterus
• uterus bicornis
O34.1 Maternal care for tumour of corpus uteri
Maternal care for:
• polyp of corpus uteri
• uterine fibroid
Excl.: maternal care for tumour of cervix (O34.4)
O34.2 Maternal care due to uterine scar from previous surgery
Maternal care for scar from previous caesarean section
Excl.: vaginal delivery following previous caesarean section NOS (O75.7)
O34.3 Maternal care for cervical incompetence
Maternal care for:
• cerclage
• Shirodkar suture
with or without mention of cervical incompetence
O34.4 Maternal care for other abnormalities of cervix
Maternal care for:
• polyp of cervix
• previous surgery to cervix
• stricture or stenosis of cervix
• tumour of cervix
53
O34.5 Maternal care for other abnormalities of gravid uterus

Maternal care for:
• incarceration
• prolapse
• retroversion
of gravid uterus
O34.6 Maternal care for abnormality of vagina
Maternal care for:
• previous surgery to vagina
• septate vagina
• stenosis of vagina (acquired)(congenital)
• stricture of vagina
• tumour of vagina
Excl.: maternal care for vaginal varices in pregnancy (O22.1)
O34.7 Maternal care for abnormality of vulva and perineum
Maternal care for:
• fibrosis of perineum
• previous surgery to perineum or vulva
• rigid perineum
• tumour of vulva
Excl.: maternal care for perineal and vulval varices in pregnancy (O22.1)
O34.8 Maternal care for other abnormalities of pelvic organs
Maternal care for:
• cystocele
• pelvic floor repair (previous)
• pendulous abdomen
• rectocele
• rigid pelvic floor
O34.9 Maternal care for abnormality of pelvic organ, unspecified
O35 Maternal care for known or suspected fetal abnormality and damage
Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric
care of the mother, or for termination of pregnancy
Excl.: maternal care for known or suspected disproportion (O33.-)

O35.0 Maternal care for (suspected) central nervous system malformation in fetus
Maternal care for (suspected) fetal:
• anencephaly
• spina bifida
Excl.: chromosomal abnormality in fetus (O35.1)
O35.1 Maternal care for (suspected) chromosomal abnormality in fetus
O35.2 Maternal care for (suspected) hereditary disease in fetus
Excl.: chromosomal abnormality in fetus (O35.1)
54
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
Maternal care for (suspected) damage to fetus from maternal:
• cytomegalovirus infection
• rubella
O35.4 Maternal care for (suspected) damage to fetus from alcohol
O35.5 Maternal care for (suspected) damage to fetus by drugs
Maternal care for (suspected) damage to fetus from drug addiction
Excl.: fetal distress in labour and delivery due to drug administration (O68.-)
O35.6 Maternal care for (suspected) damage to fetus by radiation
O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
Maternal care for (suspected) damage to fetus by:
• amniocentesis
• biopsy procedures
• haematological investigation
• intrauterine contraceptive device
• intrauterine surgery
O35.8 Maternal care for other (suspected) fetal abnormality and damage
Maternal care for (suspected) damage to fetus from maternal:
• listeriosis
• toxoplasmosis
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified
O36 Maternal care for other known or suspected fetal problems

Incl.: the listed conditions in the fetus as a reason for observation, hospitalization or other obstetric
care of the mother, or for termination of pregnancy
Excl.: labour and delivery complicated by fetal stress [distress] (O68.-)
placental transfusion syndromes (O43.0)
O36.0 Maternal care for rhesus isoimmunization
Anti-D [Rh] antibodies
Rh incompatibility (with hydrops fetalis)
O36.1 Maternal care for other isoimmunization
ABO isoimmunization
Isoimmunization NOS (with hydrops fetalis)
O36.2 Maternal care for hydrops fetalis
Hydrops fetalis:
• NOS
• not associated with isoimmunization
O36.3 Maternal care for signs of fetal hypoxia
O36.4 Maternal care for intrauterine death
Excl.: missed abortion (O02.1)
55
O36.5 Maternal care for poor fetal growth

Maternal care for known or suspected:
• light-for-dates
• placental insufficiency
• small-for-dates
O36.6 Maternal care for excessive fetal growth
Maternal care for known or suspected large-for-dates
O36.7 Maternal care for viable fetus in abdominal pregnancy
O36.8 Maternal care for other specified fetal problems
O36.9 Maternal care for fetal problem, unspecified
O40 Polyhydramnios
Incl.: Hydramnios
O41 Other disorders of amniotic fluid and membranes

Excl.: premature rupture of membranes (O42.-)
O41.0 Oligohydramnios
Oligohydramnios without mention of rupture of membranes
O41.8 Other specified disorders of amniotic fluid and membranes
O41.9 Disorder of amniotic fluid and membranes, unspecified
O42 Premature rupture of membranes

O42.0 Premature rupture of membranes, onset of labour within 24 hours
O42.1 Premature rupture of membranes, onset of labour after 24 hours
Excl.: with labour delayed by therapy (O42.2)
O42.2 Premature rupture of membranes, labour delayed by therapy
O42.9 Premature rupture of membranes, unspecified
O43 Placental disorders

Excl.: maternal care for poor fetal growth due to placental insufficiency (O36.5)
O43.0 Placental transfusion syndromes
Transfusion:
• fetomaternal
• maternofetal
• twin-to-twin
O43.1 Malformation of placenta
Abnormal placenta NOS
Circumvallate placenta
56
O43.8 Other placental disorders

Placental:
• dysfunction
• infarction
O43.9 Placental disorder, unspecified
O47 False labour

O47.0 False labour before 37 completed weeks of gestation
O47.1 False labour at or after 37 completed weeks of gestation
O47.9 False labour, unspecified
O48 Prolonged pregnancy

Incl.: Post-dates
Post-term
O60 Preterm labour and delivery

Incl.: Onset (spontaneous) of labour before 37 completed weeks of gestation
O60.0 Preterm labour without delivery
Preterm labour:
• induced
• spontaneous
O60.1 Preterm spontaneous labour with preterm delivery
Preterm labour with delivery NOS
Preterm spontaneous labour with preterm delivery by caesarean section
O60.2 Preterm labour with term delivery
Preterm spontaneous labour with term delivery by caesarean section
O60.3 Preterm delivery without spontaneous labour
Preterm delivery by:
• caesarean section, without spontaneous labour
• induction
O61 Failed induction of labour

O61.0 Failed medical induction of labour
Failed induction (of labour) by:
• oxytocin
• prostaglandins
O61.1 Failed instrumental induction of labour
Failed induction (of labour):
• mechanical
• surgical
57
O61.8 Other failed induction of labour

O61.9 Failed induction of labour, unspecified
O62 Abnormalities of forces of labour

O62.0 Primary inadequate contractions
Failure of cervical dilatation
Primary hypotonic uterine dysfunction
Uterine inertia during latent phase of labour
O62.1 Secondary uterine inertia
Arrested active phase of labour
Secondary hypotonic uterine dysfunction
O62.2 Other uterine inertia
Atony of uterus
Desultory labour
Hypotonic uterine dysfunction NOS
Irregular labour
Poor contractions
Uterine inertia NOS
O62.3 Precipitate labour
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
Contraction ring dystocia
Dyscoordinate labour
Hour-glass contraction of uterus
Hypertonic uterine dysfunction
Incoordinate uterine action
Tetanic contractions
Uterine dystocia NOS
Excl.: dystocia (fetal)(maternal) NOS (O66.9)
O62.8 Other abnormalities of forces of labour
O62.9 Abnormality of forces of labour, unspecified
O63 Long labour

O63.0 Prolonged first stage (of labour)
O63.1 Prolonged second stage (of labour)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labour, unspecified
Prolonged labour NOS
NOTE: codes O64 to O66, are contributory conditions and alone do not provide insufficient detail
on the cause of death. In cases where O64 - O66 are indicated as cause of death, these will be
tabulated under “other obstetric causes” and considered a direct maternal death.
58
O64 Obstructed labour due to malposition and malpresentation of fetus

O64.0 Obstructed labour due to incomplete rotation of fetal head
Deep transverse arrest
Obstructed labour due to persistent (position):
• occipitoiliac
• occipitoposterior
• occipitosacral
• occipitotransverse
O64.1 Obstructed labour due to breech presentation
O64.2 Obstructed labour due to face presentation
Obstructed labour due to chin presentation
O64.3 Obstructed labour due to brow presentation
O64.4 Obstructed labour due to shoulder presentation
Excl.: impacted shoulders (O66.0)
shoulder dystocia (O66.0)
O64.5 Obstructed labour due to compound presentation
O64.8 Obstructed labour due to other malposition and malpresentation
O64.9 Obstructed labour due to malposition and malpresentation, unspecified
O65 Obstructed labour due to maternal pelvic abnormality

O65.0 Obstructed labour due to deformed pelvis
O65.1 Obstructed labour due to generally contracted pelvis
O65.2 Obstructed labour due to pelvic inlet contraction
O65.3 Obstructed labour due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labour due to fetopelvic disproportion, unspecified
Excl.: dystocia due to abnormality of fetus (O66.2-O66.3)
O65.5 Obstructed labour due to abnormality of maternal pelvic organs
Obstructed labour due to conditions listed in O34.-
O65.8 Obstructed labour due to other maternal pelvic abnormalities
O65.9 Obstructed labour due to maternal pelvic abnormality, unspecified
O66 Other obstructed labour

O66.0 Obstructed labour due to shoulder dystocia
Impacted shoulders
O66.1 Obstructed labour due to locked twins
O66.2 Obstructed labour due to unusually large fetus
O66.3 Obstructed labour due to other abnormalities of fetus
Dystocia due to:
• conjoined twins
• fetal
59
• ascites
• hydrops
• meningomyelocele
• sacral teratoma
• tumour
• hydrocephalic fetus
O66.4 Failed trial of labour, unspecified
Failed trial of labour with subsequent delivery by caesarean section
O66.5 Failed application of vacuum extractor and forceps, unspecified
Failed application of ventouse or forceps, with subsequent delivery by forceps or caesarean
section
Respectively
O66.8 Other specified obstructed labour
O66.9 Obstructed labour, unspecified
Dystocia:
• NOS
• fetal NOS
• maternal NOS
O68 Labour and delivery complicated by fetal stress [distress]

Incl.: fetal distress in labour or delivery due to drug administration
O68.0 Labour and delivery complicated by fetal heart rate anomaly
Fetal:
• bradycardia
• heart rate irregularity
• tachycardia
Excl.: with meconium in amniotic fluid (O68.2)
O68.1 Labour and delivery complicated by meconium in amniotic fluid
Excl.: with fetal heart rate anomaly (O68.2)
O68.2 Labour and delivery complicated by fetal heart rate anomaly with meconium in amniotic
fluid
O68.3 Labour and delivery complicated by biochemical evidence of fetal stress
Abnormal fetal:
• acidaemia
• acid-base balance
O68.8 Labour and delivery complicated by other evidence of fetal stress
Evidence of fetal distress:
• electrocardiographic
• ultrasonic
O68.9 Labour and delivery complicated by fetal stress, unspecified
60
O69 Labour and delivery complicated by umbilical cord complications

O69.0 Labour and delivery complicated by prolapse of cord
O69.1 Labour and delivery complicated by cord around neck, with compression
O69.2 Labour and delivery complicated by other cord entanglement, with compression
Compression of cord NOS
Entanglement of cords of twins in monoamniotic sac
Knot in cord
O69.3 Labour and delivery complicated by short cord
O69.4 Labour and delivery complicated by vasa praevia
Haemorrhage from vasa praevia
O69.5 Labour and delivery complicated by vascular lesion of cord
Cord:
• bruising
• haematoma
Thrombosis of umbilical vessels
O69.8 Labour and delivery complicated by other cord complications
Cord around neck without compression
O69.9 Labour and delivery complicated by cord complication, unspecified
O70 Perineal laceration during delivery

Incl.: episiotomy extended by laceration
Excl.: obstetric high vaginal laceration alone (O71.4)
O70.0 First degree perineal laceration during delivery
Perineal laceration, rupture or tear (involving):
• fourchette
• labia
• skin
• slight
• vagina
• vulva
during delivery
O70.1 Second degree perineal laceration during delivery
Perineal laceration, rupture or tear as in O70.0, also involving:
• pelvic floor
• perineal muscles
• vaginal muscles
during delivery
Excl.: that involving anal sphincter (O70.2)
61
O70.2 Third degree perineal laceration during delivery

• anal sphincter
• rectovaginal septum
• sphincter NOS
during delivery
Excl.: that involving anal or rectal mucosa (O70.3)
O70.3 Fourth degree perineal laceration during delivery
• anal mucosa
• rectal mucosa
during delivery
O70.9 Perineal laceration during delivery, unspecified
O74.5 Spinal and epidural anaesthesia-induced headache during labour and delivery
O75 Other complications of labour and delivery, not elsewhere classified

Excl.: puerperal:
• infection (O86.-)
• sepsis (O85)
O75.0 Maternal distress during labour and delivery
O75.1 Shock during or following labour and delivery
Obstetric shock
O75.2 Pyrexia during labour, not elsewhere classified
O75.5 Delayed delivery after artificial rupture of membranes
O75.6 Delayed delivery after spontaneous or unspecified rupture of membranes
Excl.: spontaneous premature rupture of membranes (O42.-)
O75.7 Vaginal delivery following previous caesarean section
62
Delivery (O80-O84)
Note: For use of these categories reference should be made to the mortality and morbidity coding rules and
guidelines in Volume 2.
O80 Single spontaneous delivery

Incl.: cases with minimal or no assistance, with or without episiotomy delivery in a completely
normal case
O80.0 Spontaneous vertex delivery
O80.1 Spontaneous breech delivery
O80.8 Other single spontaneous delivery
O80.9 Single spontaneous delivery, unspecified
Spontaneous delivery NOS
O81 Single delivery by forceps and vacuum extractor

Excl.: failed application of vacuum extractor or forceps (O66.5)
O81.0 Low forceps delivery
O81.1 Mid-cavity forceps delivery
O81.2 Mid-cavity forceps with rotation
O81.3 Other and unspecified forceps delivery
O81.4 Vacuum extractor delivery
Ventouse delivery
O81.5 Delivery by combination of forceps and vacuum extractor
Forceps and ventouse delivery
O82 Single delivery by caesarean section

O82.0 Delivery by elective caesarean section
Repeat caesarean section NOS
O82.1 Delivery by emergency caesarean section
O82.2 Delivery by caesarean hysterectomy
O82.8 Other single delivery by caesarean section
O82.9 Delivery by caesarean section, unspecified
O83 Other assisted single delivery

O83.0 Breech extraction
O83.1 Other assisted breech delivery
Breech delivery NOS
O83.2 Other manipulation-assisted delivery
Version with extraction
O83.3 Delivery of viable fetus in abdominal pregnancy
63
O83.4 Destructive operation for delivery

Cleidotomy
Craniotomy
Embryotomy
to facilitate delivery
O83.8 Other specified assisted single delivery
O83.9 Assisted single delivery, unspecified
Assisted delivery NOS
O84 Multiple delivery

Use additional code (O80-O83), if desired, to indicate the method of delivery of each fetus or
infant.
O84.0 Multiple delivery, all spontaneous
O84.1 Multiple delivery, all by forceps and vacuum extractor
O84.2 Multiple delivery, all by caesarean section
O84.8 Other multiple delivery
Multiple delivery by combination of methods
O84.9 Multiple delivery, unspecified
O87.0 Superficial thrombophlebitis in the puerperium

O87.2 Haemorrhoids in the puerperium
O87.8 Other venous complications in the puerperium
Genital varices in the puerperium
O89.4 Spinal and epidural anaesthesia-induced headache during the puerperium
O92 Other disorders of breast and lactation associated with childbirth

Incl.: the listed conditions during pregnancy, the puerperium or lactation
O92.0 Retracted nipple associated with childbirth
O92.1 Cracked nipple associated with childbirth
Fissure of nipple, gestational or puerperal
O92.2 Other and unspecified disorders of breast associated with childbirth
O92.3 Agalactia
Primary agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
Agalactia:
• elective
• secondary
• therapeutic
O92.6 Galactorrhoea
Excl.: galactorrhoea not associated with childbirth (N64.3)
O92.7 Other and unspecified disorders of lactation
Puerperal galactocele
64
Other obstetric conditions, not elsewhere classified (O94-O99)

Note: For use of categories O95-O97 reference should be made to the mortality coding rules and
guidelines in Volume 2.
O94 Sequelae of complication of pregnancy, childbirth and the puerperium

Note: This category is to be used for morbidity coding only to indicate conditions in categories
O00-O75 and O85-O92 as the cause of sequelae, which are themselves classified elsewhere.
The ‘sequelae’ include conditions specified as such or as late effects, or those present one year or more
after the onset of the causal condition.
Not to be used for chronic complications of pregnancy, childbirth and the puerperium. Code these to
O00-O75 and O85-O92 .
Excl.: that resulting in death (O96.- , O97.-)
Annex B3: Tabular List of Other codes of interest
O96 Death from any obstetric cause occurring more than 42 days but less than one
year after delivery
Use additional code, if desired, to identify obstetric cause (direct or indirect) of death.
O96.0 Death from direct obstetric cause
O96.1 Death from indirect obstetric cause
O96.9 Death from unspecified obstetric cause
O97 Death from sequelae of obstetric causes

Incl.: Death from any obstetric cause (direct or indirect) occurring one year or more after delivery.
Use additional code, if desired, to identify the obstetric cause (direct or indirect) (O43-O45)
O97.0 Death from sequelae of direct obstetric cause

O97.1 Death from sequelae of indirect obstetric cause
O97.9 Death from sequelae of obstetric cause, unspecified
65
ICD - PM Reference Aid
ICD - PM Reference Aid Death
perinatal causes of death separated by timing of
death, and maternal condition at the time of
during the
perinatal death* perinatal
period
- The neonatal period is the first 28 days of life?
- Neonatal death (1-28 days)?
- Day 1 (first 24 hours of life)?
- Early (1-7 days of life)?
- Late (8-28 days of life)?
- Perinatal Period ? 22 weeks to 28 days after birth?
- In the field, perinatal period = neonatal deaths + stillbirths?
- Stillbirth ? antepartum or intrapartum deaths? Neonatal
- In the field, stillbirths are classified as ?being born dead?? Stillbirth
deaths
N1
Congenital
Antepartum Intrapartum malformations, N2
N3
deformations and Disorders related to
Birth trauma
chromosomal fetal growth
abnormalities
A1 : I1: N5
N4
Congenital Congenital Convulsions and N6
I3: Complications of
malformations, A2 : A3 : malformations, I2 : disorders of cerebral Infection
Acute intrapartum intrapartum events
deformations and Infection Antepartum Hypoxia deformations and Birth trauma status
event
chromosomal chromosomal
abnormalities abnormalities N7 N8
Respiratory and Other neonatal conditions N9
Process including haemorrhagic and Low birth weight and
A4: I5 : cardiovascular
Other specified Other specified disorders haematological, prematurity
antepartum disorder A5 : A6 : antepartum disorder I6 : I7 : endolrin,digestive system
I4 :
(including codes specific to Disorders related to Antepartum death of (including codes specific to Disorders related to Intrapartum death of
the antepartum infection the antepartum
fetal growth unspecified cause fetal growth unspecified cause
period from haemorrhagic period from haemorrhagic
and haematological and haematological N11
disorders of fetus and disorders of fetus and N10 Neonatal death of
newborn) newborn)
Miscellaneous unspecified cause
Maternal complication
M1 M3
M2 M4
Complications of Other complications of M5 M6
Maternal complications Medical and surgical
placenta, cord and labour and No maternal condition Other
of pregnancy condition
membranes delivery
1. placenta praevia 1. incompetent cervix 1. breech delivery and extraction 10. other medical procedures
2. other forms of placental 1. pre-eclampsia, eclampsia
2. preterm rupture of 2. other malpresentation, 11. maternal diabetes,
separation and haemorrhage malposition and disproportion 2. gestational hypertension 1. no maternal
membranes including gestational diabetes
3. placental dysfunction, during labour and delivery 3. other hypertensive condition identified
infarction, insufficiency 3. oligohydramnios 12. maternal anaesthesia and
3. forceps delivery/vacuum disorders (healthy mother)
4. fetal-placental transfusion /polyhydramnios extraction analgesia
4. renal and urinary tract
syndromes 4. ectopic pregnancy 4. caesarean delivery 13. maternal medication
5. prolapsed cord, other diseases
5. multiple pregnancy 5. precipitate delivery 14. tobacco/alcohol/drugs of
compression of umbilical cord 6. preterm labour and delivery 5. infectious and parasitic
6. maternal death addiction
6. chorioamnionitis 7. other complications of labour disease
7. other complications of 7. malpresentation before 15. nutritional chemical
and delivery, including 6. circulatory and
membranes labour termination of pregnancy substances
respiratory disease
8. other complications of M4: Maternal medical and 16. environmental chemical
7. nutritional disorders
pregnancy surgical conditions substances
8. injury
17. unspecified maternal
9. surgical procedure
condition
Annex A: ICD-PM groups and
ICD-10 codes for antepartum
deaths
In order to group and tabulate a perinatal death, the user needs information on the timing
of the perinatal death (antenatal/intrapartum/neonatal) as well as the ICD-10 cause of
death code. The information provided about the cause of death and the maternal condition
should meet the ICD-10 coding rules for assigning a specific code before any tabulation
can be undertaken. The codes included below are indicative for tabulation of data; for
coding deaths, ICD-10 version:2016 and ICD-10 volume 2: instruction manual (2010)
should be utilized.4
A1 Congenital malformations, deformations and

chromosomal abnormalities
Q00 Anencephaly and similar malformations
Q01 Encephalocele
Q02 Microcephaly
Q03 Congenital hydrocephalus
Q04 Other congenital malformations of brain
Q05 Spina bifida
Q06 Other congenital malformations of spinal cord
Q07 Other congenital malformations of nervous system
Q10 Congenital malformations of eyelid, lacrimal apparatus and orbit
Q11 Anophthalmos, microphthalmos and macrophthalmos
Q12 Congenital lens malformations
Q13 Congenital malformations of anterior segment of eye
Q14 Congenital malformations of posterior segment of eye
Q15 Other congenital malformations of eye
Q16 Congenital malformations of ear causing impairment of hearing
Q17 Other congenital malformations of ear
30 THE WHO APPLICATION OF ICD-10 TO DEATHS DURING THE PERINATAL PERIOD: ICD-PM
Q18 Other congenital malformations of face and neck
Q20 Congenital malformations of cardiac chambers and connections
Q21 Congenital malformations of cardiac septa
Q22 Congenital malformations of pulmonary and tricuspid valves
Q23 Congenital malformations of aortic and mitral valves
Q24 Other congenital malformations of heart
Q25 Congenital malformations of great arteries
Q26 Congenital malformations of great veins
Q27 Other congenital malformations of peripheral vascular system
Q28 Other congenital malformations of circulatory system
Q30 Congenital malformations of nose
Q31 Congenital malformations of larynx
Q32 Congenital malformations of trachea and bronchus
Q33 Congenital malformations of lung
Q34 Other congenital malformations of respiratory system
Q36 Cleft lip
Q37 Cleft palate with cleft lip
Q38 Other congenital malformations of tongue, mouth and pharynx
Q39 Congenital malformations of oesophagus
Q40 Other congenital malformations of upper alimentary tract
Q41 Congenital absence, atresia and stenosis of small intestine
Q42 Congenital absence, atresia and stenosis of large intestine
Q43 Other congenital malformations of intestine
Q44 Congenital malformations of gallbladder, bile ducts and liver
Q45 Other congenital malformations of digestive system
Q50 Congenital malformations of ovaries, fallopian tubes and broad ligaments
Q51 Congenital malformations of uterus and cervix
Q52 Other congenital malformations of female genitalia
Q53 Undescended testicle
Q54 Hypospadias
THE WHO APPLICATION OF ICD-10 TO DEATHS DURING THE PERINATAL PERIOD: ICD-PM 31
Q55 Other congenital malformations of male genital organs
Q56 Indeterminate sex and pseudohermaphroditism
Q60 Renal agenesis and other reduction defects of kidney
Q61 Cystic kidney disease
Q62 Congenital obstructive defects of renal pelvis and congenital malformations of ureter
Q63 Other congenital malformations of kidney
Q64 Other congenital malformations of urinary system
Q65 Congenital deformities of hip
Q66 Congenital deformities of feet
Q67 Congenital musculoskeletal deformities of head, face, spine and chest
Q68 Other congenital musculoskeletal deformities
Q69 Polydactyly
Q70 Syndactyly
Q71 Reduction defects of upper limb
Q72 Reduction defects of lower limb
Q73 Reduction defects of unspecified limb
Q74 Other congenital malformations of limb(s)
Q75 Other congenital malformations of skull and face bones
Q76 Congenital malformations of spine and bony thorax
Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine
Q78 Other osteochondrodysplasias
Q79 Congenital malformations of the musculoskeletal system, not elsewhere classified
Q80 Congenital ichthyosis
Q81 Epidermolysis bullosa
Q82 Other congenital malformations of skin
Q83 Congenital malformations of breast
Q84 Other congenital malformations of integument
Q85 Phakomatoses, not elsewhere classified
Q86 Congenital malformation syndromes due to known exogenous causes, not else
where classified
4 Available at: http://www.who.int/classifications/icd/icdonlineversions/en/
Q87 Other specified congenital malformation syndromes affecting multiple systems
Q89 Other congenital malformations, not elsewhere classified
Q90 Down syndrome
Q91 Edwards syndrome and Patau syndrome
Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified
Q93 Monosomies and deletions from the autosomes, not elsewhere classified
Q95 Balanced rearrangements and structural markers, not elsewhere classified
Q96 Turner syndrome
Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere classified
Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified
Q99 Other chromosome abnormalities, not elsewhere classified
A2 Infection
A50 Congenital syphilis
A50.0 Early congenital syphilis, symptomatic
A50.1 Early congenital syphilis, latent
A50.2 Early congenital syphilis, unspecified
A50.9 Congenital syphilis, unspecified
P35 Congenital viral diseases

P35.0 Congenital rubella syndrome
Congenital rubella pneumonitis
P35.1 Congenital cytomegalovirus infection
P35.2 Congenital herpesviral [herpes simplex] infection
P35.3 Congenital viral hepatitis
P35.8 Other congenital viral diseases
Congenital varicella [chickenpox]
P35.9 Congenital viral disease, unspecified
Annex A: ICD-PM groups and
ICD-10 codes for antepartum
deaths
of the perinatal death (antenatal/intrapartum/neonatal) as well as the ICD-10 cause of
A1 Congenital malformations, deformations and

Q01 Encephalocele
Q02 Microcephaly
Q05 Spina bifida
Q36 Cleft lip
Q54 Hypospadias
Q69 Polydactyly
Q70 Syndactyly
where classified
Q90 Down syndrome
Q91 Edwards syndrome and Patau syndrome
Q92 Other trisomies and partial trisomies of the autosomes, not elsewhere classified
Q93 Monosomies and deletions from the autosomes, not elsewhere classified
Q95 Balanced rearrangements and structural markers, not elsewhere classified
Q96 Turner syndrome
Q97 Other sex chromosome abnormalities, female phenotype, not elsewhere classified
Q98 Other sex chromosome abnormalities, male phenotype, not elsewhere classified
Q99 Other chromosome abnormalities, not elsewhere classified
A2 Infection

P37 Other congenital infectious and parasitic diseases
P37.0 Congenital tuberculosis
P37.1 Congenital toxoplasmosis
Hydrocephalus due to congenital toxoplasmosis
P37.3 Congenital falciparum malaria
P37.4 Other congenital malaria
P37.8 Other specified congenital infectious and parasitic diseases
P37.9 Congenital infectious and parasitic disease, unspecified
P39 Other infections specific to the perinatal period

P39.2 Intra-amniotic infection of fetus, not elsewhere classified
P39.8 Other specified infections specific to the perinatal period
P39.9 Infection specific to the perinatal period, unspecified
A3 Acute antepartum event

P20 Intrauterine hypoxia
P20.0 Intrauterine hypoxia first noted before onset of labour
P20.9 Intrauterine hypoxia, unspecified
A4 Other specified antepartum disorder

P50 Fetal blood loss
P50.0 Fetal blood loss from vasa praevia
P50.1 Fetal blood loss from ruptured cord
P50.2 Fetal blood loss from placenta
P50.3 Haemorrhage into co-twin
P50.4 Haemorrhage into maternal circulation
P50.5 Fetal blood loss from cut end of co-twin’s cord
P50.8 Other fetal blood loss
P50.9 Fetal blood loss, unspecified
Fetal haemorrhage NOS
P52 Intracranial nontraumatic haemorrhage of fetus and newborn
P52.0 Intraventricular (nontraumatic) haemorrhage, grade 1, of fetus and newborn
Subependymal haemorrhage (without intraventricular extension)
Subependymal haemorrhage with intraventricular extension
P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3 and grade 4, of fetus and

newborn
Subependymal haemorrhage with both intraventricular and intracerebral extension
P52.3 Unspecified intraventricular (nontraumatic) haemorrhage of fetus and newborn
P52.4 Intracerebral (nontraumatic) haemorrhage of fetus and newborn
P52.5 Subarachnoid (nontraumatic) haemorrhage of fetus and newborn
P52.6 Cerebellar (nontraumatic) and posterior fossa haemorrhage of fetus and newborn
P52.8 Other intracranial (nontraumatic) haemorrhages of fetus and newborn
P52.9 Intracranial (nontraumatic) haemorrhage of fetus and newborn, unspecified
P55 Haemolytic disease of fetus and newborn

P55.0 Rhesus isoimmunization of fetus and newborn
P55.1 ABO isoimmunization of fetus and newborn
P55.8 Other haemolytic diseases of fetus and newborn

P55.9 Haemolytic disease of fetus and newborn, unspecified
P56 Hydrops fetalis due to haemolytic disease

P56.0 Hydrops fetalis due to isoimmunization
P56.9 Hydrops fetalis due to other and unspecified haemolytic disease
P60 Disseminated intravascular coagulation of fetus and newborn
P61 Other perinatal haematological disorders

P61.3 Congenital anaemia from fetal blood loss
P61.4 Other congenital anaemias, not elsewhere classified
Congenital anaemia NOS
P61.8 Other specified perinatal haematological disorders
P61.9 Perinatal haematological disorder, unspecified
P75 Meconium ileus in cystic fibrosis
P77 Necrotizing enterocolitis of fetus and newborn
P83 Other conditions of integument specific to fetus and newborn

P83.2 Hydrops fetalis not due to haemolytic disease
Hydrops fetalis NOS
P83.3 Other and unspecified oedema specific to fetus and newborn
P83.8 Other specified conditions of integument specific to fetus and newborn
Bronze baby syndrome
Neonatal scleroderma
Urticaria neonatorum
P83.9 Condition of integument specific to fetus and newborn, unspecified
P96 Other conditions originating in the perinatal period

P96.0 Congenital renal failure
Uraemia of newborn
P96.4 Termination of pregnancy, affecting fetus and newborn
P96.5 Complications of intrauterine procedures, not elsewhere classified
P96.8 Other specified conditions originating in the perinatal period
P96.9 Condition originating in the perinatal period, unspecified
Congenital debility NOS
A5 Disorders related to length of gestation and fetal growth
P05 Slow fetal growth and fetal malnutrition
P05.0 Light for gestational age
Usually referred to as weight below but length above 10th centile for gestational age
Light-for-dates
P05.1 Small for gestational age
Usually referred to as weight and length below 10th centile for gestational age
Small-for-dates
Small-and-light-for-dates
P05.2 Fetal malnutrition without mention of light or small for gestational age
Infant, not light or small for gestational age, showing signs of fetal malnutrition,
such as dry, peeling skin and loss of subcutaneous tissue
P05.9 Slow fetal growth, unspecified
Fetal growth retardation NOS
P08 Disorders related to long gestation and high birth weight

Note: When both birth weight and gestational age are available, priority of assignment
should be given to birth weight.
P08.0 Exceptionally large baby
Usually implies a birth weight of 4500 g or more
P08.1 Other heavy for gestational age infants
Usually implies a birth weight > 90th percentile for gestational age or 4000 g or
more at term
Other fetus or infant heavy- or large-for-dates regardless of period of gestation
P08.2 Post-term infant, not heavy for gestational age
Fetus or infant with gestation period of 42 completed weeks or more (294 days or
more), not heavy- or large-for-dates
Postmaturity NOS
A6 Antepartum death of unspecified cause
P95 Fetal death of unspecified cause
Incl.: Deadborn fetus NOS
Stillbirth NOS
Annex B: ICD-PM groups and
ICD-10 codes for intrapartum
deaths
of the perinatal death (antepartum/intrapartum/neonatal) as well as the ICD-10 cause of
I1 Congenital malformations, deformations and chromosomal

abnormalities
Q01 Encephalocele
Q02 Microcephaly
Q05 Spina bifida
Q36 Cleft lip
Q54 Hypospadias
Q69 Polydactyly
Q70 Syndactyly
where classified
Q90 Down syndrome
I2 Birth trauma
P10 Intracranial laceration and haemorrhage due to birth injury
P10.0 Subdural haemorrhage due to birth injury
Subdural haematoma (localized) due to birth injury
P10.1 Cerebral haemorrhage due to birth injury
P10.2 Intraventricular haemorrhage due to birth injury
P10.3 Subarachnoid haemorrhage due to birth injury
P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and haemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury
P11 Other birth injuries to central nervous system

P11.0 Cerebral oedema due to birth injury
P11.1 Other specified brain damage due to birth injury
P11.2 Unspecified brain damage due to birth injury
P11.5 Birth injury to spine and spinal cord
Fracture of spine due to birth injury
P11.9 Birth injury to central nervous system, unspecified
P12 Birth injury to scalp

P12.0 Cephalhaematoma due to birth injury
P12.1 Chignon due to birth injury
P12.2 Epicranial subaponeurotic haemorrhage due to birth injury
P12.3 Bruising of scalp due to birth injury
P12.4 Monitoring injury of scalp of newborn
Sampling incision
Scalp clip (electrode) injury
P12.8 Other birth injuries to scalp
P12.9 Birth injury to scalp, unspecified
P13 Birth injury to skeleton

P13.0 Fracture of skull due to birth injury
P13.1 Other birth injuries to skull
P13.2 Birth injury to femur
P13.3 Birth injury to other long bones
P13.4 Fracture of clavicle due to birth injury
P13.8 Birth injuries to other parts of skeleton
P13.9 Birth injury to skeleton, unspecified
P15 Other birth injuries

P15.0 Birth injury to liver
Rupture of liver due to birth injury
P15.1 Birth injury to spleen
Rupture of spleen due to birth injury
P15.2 Sternomastoid injury due to birth injury
P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified
I3 Acute intrapartum event

P20.1 Intrauterine hypoxia first noted during labour and delivery
I4 Infection


I5 Other specified intrapartum disorder


P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3 and grade 4, of fetus and

newborn

P55.9 Haemolytic disease of fetus and newborn, unspecified haemolytic disease


Uraemia of newborn

I6 Disorders related to fetal growth
Light-for-dates
Small-for-dates
P07 Disorders related to short gestation and low birth weight, not elsewhere
classified
Incl.: the listed conditions, without further specification, as the cause of mortality,
morbidity or additional care in newborn
P07.0 Extremely low birth weight
Birth weight 999 g or less
P07.1 Other low birth weight
Birth weight 1000–2499 g
P07.2 Extreme immaturity
Less than 28 completed weeks (less than 196 completed days) of gestation
P07.3 Other preterm infants
28 completed weeks or more but less than 37 completed weeks (196 completed
days but less than 259 completed days) of gestation
Prematurity NOS

more at term
Postmaturity NOS
I7 Intrapartum death of unspecified cause

P95 Fetal death of unspecified cause
Incl.: Deadborn fetus NOS
Stillbirth NOS
Annex C: ICD-PM groups and
ICD-10 codes for neonatal
deaths
N1 Congenital malformations, deformations and

Q01 Encephalocele
Q02 Microcephaly
Q05 Spina bifida
Q36 Cleft lip
Q54 Hypospadias
Q69 Polydactyly
Q70 Syndactyly
where classified
Q90 Down syndrome
N2 Disorders related to fetal growth

Light-for-dates
Small-for-dates

Note: When both birth weight and gestational age are available, priority of assign
ment should be given to birth weight.
more at term
Postmaturity NOS
N3 Birth trauma
P10 Intracranial laceration and haemorrhage due to birth injury
P10.0 Subdural haemorrhage due to birth injury
Subdural haematoma (localized) due to birth injury
P10.1 Cerebral haemorrhage due to birth injury
P10.2 Intraventricular haemorrhage due to birth injury
P10.3 Subarachnoid haemorrhage due to birth injury
P10.4 Tentorial tear due to birth injury
P10.8 Other intracranial lacerations and haemorrhages due to birth injury
P10.9 Unspecified intracranial laceration and haemorrhage due to birth injury
P11 Other birth injuries to central nervous system

P11.0 Cerebral oedema due to birth injury
P11.1 Other specified brain damage due to birth injury
P11.2 Unspecified brain damage due to birth injury
P11.3 Birth injury to facial nerve
Facial palsy due to birth injury
P11.4 Birth injury to other cranial nerves
P11.5 Birth injury to spine and spinal cord
Fracture of spine due to birth injury
P11.9 Birth injury to central nervous system, unspecified
P12 Birth injury to scalp
P12.0 Cephalhaematoma due to birth injury
P12.1 Chignon due to birth injury
P12.2 Epicranial subaponeurotic haemorrhage due to birth injury
P12.3 Bruising of scalp due to birth injury
P12.4 Monitoring injury of scalp of newborn
Sampling incision
Scalp clip (electrode) injury
P12.8 Other birth injuries to scalp
P12.9 Birth injury to scalp, unspecified
P13 Birth injury to skeleton

P13.0 Fracture of skull due to birth injury
P13.1 Other birth injuries to skull
P13.2 Birth injury to femur
P13.3 Birth injury to other long bones
P13.4 Fracture of clavicle due to birth injury
P13.8 Birth injuries to other parts of skeleton
P13.9 Birth injury to skeleton, unspecified
P14 Birth injury to peripheral nervous system

P14.0 Erb paralysis due to birth injury
P14.1 Klumpke paralysis due to birth injury
P14.2 Phrenic nerve paralysis due to birth injury
P14.3 Other brachial plexus birth injuries
P14.8 Birth injuries to other parts of peripheral nervous system
P14.9 Birth injury to peripheral nervous system, unspecified
P15 Other birth injuries
P15.0 Birth injury to liver
Rupture of liver due to birth injury
P15.1 Birth injury to spleen
Rupture of spleen due to birth injury
P15.2 Sternomastoid injury due to birth injury
P15.3 Birth injury to eye

Subconjunctival haemorrhage due to birth injury
Traumatic glaucoma due to birth injury
P15.4 Birth injury to face
Facial congestion due to birth injury
P15.5 Birth injury to external genitalia
P15.6 Subcutaneous fat necrosis due to birth injury
P15.8 Other specified birth injuries
P15.9 Birth injury, unspecified
N4 Complications of intrapartum events

P20.1 Intrauterine hypoxia first noted during labour and delivery
P21 Birth asphyxia

Note: This category is not to be used for low Apgar score without mention of
asphyxia or other respiratory problems.
P21.0 Severe birth asphyxia
Pulse less than 100 per minute at birth and falling or steady, respiration absent or
gasping, colour poor, tone absent
Asphyxia with 1-minute Apgar score 0–3
White asphyxia
P21.1 Mild and moderate birth asphyxia
Normal respiration not established within 1 minute, but heart rate 100 or above,
some muscle tone present, some response to stimulation
Asphyxia with 1-minute Apgar score 4–7
Blue asphyxia
P21.9 Birth asphyxia, unspecified
Anoxia NOS
Asphyxia NOS
Hypoxia NOS
N5 Convulsions and disorders of cerebral status

P90 Convulsions of newborn
P91 Other disturbances of cerebral status of newborn

P91.0 Neonatal cerebral ischaemia
P91.1 Acquired periventricular cysts of newborn
P91.2 Neonatal cerebral leukomalacia
P91.3 Neonatal cerebral irritability
P91.4 Neonatal cerebral depression
P91.5 Neonatal coma
P91.6 Hypoxic ischaemic encephalopathy of newborn
P91.8 Other specified disturbances of cerebral status of newborn
P91.9 Disturbance of cerebral status of newborn, unspecified
N6 Infection
A33 Tetanus neonatorum
G00 Bacterial meningitis, not elsewhere classified

G00.0 Haemophilus meningitis
Meningitis due to Haemophilus influenzae
G00.1 Pneumococcal meningitis
G00.2 Streptococcal meningitis
G00.3 Staphylococcal meningitis
G00.8 Other bacterial meningitis
G00.9 Bacterial meningitis, unspecified
G01 Meningitis in bacterial diseases classified elsewhere
G02 Meningitis in other infectious and parasitic diseases classified

elsewhere
G02.0 Meningitis in viral diseases classified elsewhere
G02.1 Meningitis in mycoses
G02.8 Meningitis in other specified infectious and parasitic diseases classified

elsewhere
G03 Meningitis due to other and unspecified causes

G03.0 Nonpyogenic meningitis
Nonbacterial meningitis
G03.1 Chronic meningitis
G03.2 Benign recurrent meningitis [Mollaret]
G03.8 Meningitis due to other specified causes
G03.9 Meningitis, unspecified
G04 Encephalitis, myelitis and encephalomyelitis
G04.0 Acute disseminated encephalitis
G04.1 Tropical spastic paraplegia
G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G04.8 Other encephalitis, myelitis and encephalomyelitis
G04.9 Encephalitis, myelitis and encephalomyelitis, unspecified
G05 Encephalitis, myelitis and encephalomyelitis in diseases classified

elsewhere
G05.0 Encephalitis, myelitis and encephalomyelitis in bacterial diseases classified
elsewhere
G05.1 Encephalitis, myelitis and encephalomyelitis in viral diseases classified elsewhere
G05.2 Encephalitis, myelitis and encephalomyelitis in other infectious and parasitic

diseases classified elsewhere
G06 Intracranial and intraspinal abscess and granuloma

G06.0 Intracranial abscess and granuloma
G06.1 Intraspinal abscess and granuloma
G06.2 Extradural and subdural abscess, unspecified
G07 Intracranial and intraspinal abscess and granuloma in diseases

classified elsewhere
G08 Intracranial and intraspinal phlebitis and thrombophlebitis
G09 Sequelae of inflammatory diseases of central nervous system
P23 Congenital pneumonia

Incl.: infective pneumonia acquired in utero or during birth
P23.0 Congenital pneumonia due to viral agent
P23.1 Congenital pneumonia due to Chlamydia
P23.2 Congenital pneumonia due to staphylococcus
P23.3 Congenital pneumonia due to streptococcus, group B
P23.4 Congenital pneumonia due to Escherichia coli
P23.5 Congenital pneumonia due to Pseudomonas
P23.6 Congenital pneumonia due to other bacterial agents
Haemophilus influenzae
Klebsiella pneumoniae
Mycoplasma
Streptococcus, except group B
P23.8 Congenital pneumonia due to other organisms
P23.9 Congenital pneumonia, unspecified

P36 Bacterial sepsis of newborn

Incl.: congenital septicaemia
P36.0 Sepsis of newborn due to streptococcus, group B
P36.1 Sepsis of newborn due to other and unspecified streptococci
P36.2 Sepsis of newborn due to Staphylococcus aureus
P36.3 Sepsis of newborn due to other and unspecified staphylococci
P36.4 Sepsis of newborn due to Escherichia coli
P36.5 Sepsis of newborn due to anaerobes
P36.8 Other bacterial sepsis of newborn
P36.9 Bacterial sepsis of newborn, unspecified

P37.2 Neonatal (disseminated) listeriosis
P37.5 Neonatal candidiasis
P38 Omphalitis of newborn with or without mild haemorrhage

P39.0 Neonatal infective mastitis
P39.1 Neonatal conjunctivitis and dacryocystitis

Neonatal chlamydial conjunctivitis
Ophthalmia neonatorum NOS
P39.3 Neonatal urinary tract infection
P39.4 Neonatal skin infection
Neonatal pyoderma
N7 Respiratory and cardiovascular disorders
P22 Respiratory distress of newborn
P22.0 Respiratory distress syndrome of newborn
Hyaline membrane disease
P22.1 Transient tachypnoea of newborn
P22.8 Other respiratory distress of newborn
P22.9 Respiratory distress of newborn, unspecified
P24 Neonatal aspiration syndromes

Incl.: neonatal pneumonia resulting from aspiration
P24.0 Neonatal aspiration of meconium
P24.1 Neonatal aspiration of amniotic fluid and mucus
Aspiration of liquor (amnii)
P24.2 Neonatal aspiration of blood
P24.3 Neonatal aspiration of milk and regurgitated food
P24.8 Other neonatal aspiration syndromes
P24.9 Neonatal aspiration syndrome, unspecified
Neonatal aspiration pneumonia NOS
P25 Interstitial emphysema and related conditions originating in the perinatal

period
P25.0 Interstitial emphysema originating in the perinatal period
P25.1 Pneumothorax originating in the perinatal period
P25.2 Pneumomediastinum originating in the perinatal period
P25.3 Pneumopericardium originating in the perinatal period
P25.8 Other conditions related to interstitial emphysema originating in the perinatal period
P26 Pulmonary haemorrhage originating in the perinatal period

P26.0 Tracheobronchial haemorrhage originating in the perinatal period
P26.1 Massive pulmonary haemorrhage originating in the perinatal period
P26.8 Other pulmonary haemorrhages originating in the perinatal period
P26.9 Unspecified pulmonary haemorrhage originating in the perinatal period
P27 Chronic respiratory disease originating in the perinatal period

P27.0 Wilson-Mikity syndrome
Pulmonary dysmaturity
P27.1 Bronchopulmonary dysplasia originating in the perinatal period
P27.8 Other chronic respiratory diseases originating in the perinatal period
Congenital pulmonary fibrosis
Ventilator lung in newborn
P27.9 Unspecified chronic respiratory disease originating in the perinatal period
P28 Other respiratory conditions originating in the perinatal period

P28.0 Primary atelectasis of newborn
Primary failure to expand terminal respiratory units
Pulmonary:
• hypoplasia associated with short gestation
• immaturity NOS
P28.1 Other and unspecified atelectasis of newborn
Atelectasis:
• NOS
• partial
• secondary
Resorption atelectasis without respiratory distress syndrome
P28.2 Cyanotic attacks of newborn
P28.3 Primary sleep apnoea of newborn
Sleep apnoea of newborn:

• central
• NOS
• obstructive
P28.4 Other apnoea of newborn
Apnoea (of):
newborn, obstructive
prematurity
P28.5 Respiratory failure of newborn
P28.8 Other specified respiratory conditions of newborn
Congenital (laryngeal) stridor NOS
Snuffles in newborn
P28.9 Respiratory condition of newborn, unspecified
P29 Cardiovascular disorders originating in the perinatal period

P29.0 Neonatal cardiac failure
P29.1 Neonatal cardiac dysrhythmia
P29.2 Neonatal hypertension
P29.3 Persistent fetal circulation
Delayed closure of ductus arteriosus
Pulmonary hypertension of newborn (persistent)
P29.4 Transient myocardial ischaemia of newborn

P29.8 Other cardiovascular disorders originating in the perinatal period
P29.9 Cardiovascular disorder originating in the perinatal period, unspecified
N8 Other neonatal conditions

P51 Umbilical haemorrhage of newborn

P51.0 Massive umbilical haemorrhage of newborn
P51.8 Other umbilical haemorrhages of newborn
Slipped umbilical ligature NOS
P51.9 Umbilical haemorrhage of newborn, unspecified

P52.2 Intraventricular (nontraumatic) haemorrhage, grade 3, and grade 4 of fetus and

newborn
P53 Haemorrhagic disease of fetus and newborn

Incl.: Vitamin K deficiency of newborn
P54 Other neonatal haemorrhages

P54.0 Neonatal haematemesis
P54.1 Neonatal melaena
P54.2 Neonatal rectal haemorrhage
P54.3 Other neonatal gastrointestinal haemorrhage
P54.4 Neonatal adrenal haemorrhage
P54.5 Neonatal cutaneous haemorrhage
P54.6 Neonatal vaginal haemorrhage
Pseudomenses
P54.8 Other specified neonatal haemorrhages
P54.9 Neonatal haemorrhage, unspecified

P55.9 Haemolytic disease of fetus and newborn, unspecified

P57 Kernicterus
P57.0 Kernicterus due to isoimmunization
P57.8 Other specified kernicterus
P57.9 Kernicterus, unspecified
P58 Neonatal jaundice due to other excessive haemolysis

P58.0 Neonatal jaundice due to bruising
P58.1 Neonatal jaundice due to bleeding
P58.2 Neonatal jaundice due to infection
P58.3 Neonatal jaundice due to polycythaemia
P58.4 Neonatal jaundice due to drugs or toxins transmitted from mother or given to
newborn
P58.5 Neonatal jaundice due to swallowed maternal blood
P58.8 Neonatal jaundice due to other specified excessive haemolysis
P58.9 Neonatal jaundice due to excessive haemolysis, unspecified
P59 Neonatal jaundice from other and unspecified causes

P59.0 Neonatal jaundice associated with preterm delivery
Hyperbilirubinaemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery
P59.1 Inspissated bile syndrome
P59.2 Neonatal jaundice from other and unspecified hepatocellular damage

Fetal or neonatal giant cell hepatitis
Fetal or neonatal (idiopathic) hepatitis
P59.3 Neonatal jaundice from breast-milk inhibitor
P59.8 Neonatal jaundice from other specified causes
P59.9 Neonatal jaundice, unspecified
Physiological jaundice (intense) (prolonged) NOS

P61.0 Transient neonatal thrombocytopenia
Neonatal thrombocytopenia due to:

• exchange transfusion
• idiopathic maternal thrombocytopenia
• isoimmunization
P61.1 Polycythaemia neonatorum
P61.2 Anaemia of prematurity
P61.5 Transient neonatal neutropenia
P61.6 Other transient neonatal disorders of coagulation
P75 Meconium ileus in cystic fibrosis
P76 Other intestinal obstruction of newborn

P76.0 Meconium plug syndrome
Meconium ileus in cases where cystic fibrosis is known not to be present
P76.1 Transitory ileus of newborn
P76.2 Intestinal obstruction due to inspissated milk
P76.8 Other specified intestinal obstruction of newborn
P76.9 Intestinal obstruction of newborn, unspecified
P77 Necrotizing enterocolitis of fetus and newborn
P78 Other perinatal digestive system disorders

P78.0 Perinatal intestinal perforation
Meconium peritonitis
P78.1 Other neonatal peritonitis
Neonatal peritonitis NOS
P78.2 Neonatal haematemesis and melaena due to swallowed maternal blood
P78.3 Noninfective neonatal diarrhoea
P78.8 Other specified perinatal digestive system disorders
Congenital cirrhosis (of liver)
Neonatal oesophageal reflux
Peptic ulcer of newborn
P78.9 Perinatal digestive system disorder, unspecified
P80 Hypothermia of newborn

P80.0 Cold injury syndrome
Severe and usually chronic hypothermia associated with a pink flushed appearance,
oedema, and neurological and biochemical abnormalities
P80.8 Other hypothermia of newborn
Mild hypothermia of newborn
P80.9 Hypothermia of newborn, unspecified
P81 Other disturbances of temperature regulation of newborn

P81.0 Environmental hyperthermia of newborn
P81.8 Other specified disturbances of temperature regulation of newborn
P81.9 Disturbance of temperature regulation of newborn, unspecified
Fever of newborn NOS
P83 Other conditions of integument specific to fetus and newborn

P83.0 Sclerema neonatorum
P83.1 Neonatal erythema toxicum
P83.2 Hydrops fetalis not due to haemolytic disease
Hydrops fetalis NOS
P83.3 Other and unspecified oedema specific to fetus and newborn
P83.8 Other specified conditions of integument specific to fetus and newborn
Bronze baby syndrome
Neonatal scleroderma
Urticaria neonatorum
P83.9 Condition of integument specific to fetus and newborn, unspecified
P92 Feeding problems of newborn

P92.0 Vomiting in newborn
P92.1 Regurgitation and rumination in newborn
P92.2 Slow feeding of newborn
P92.3 Underfeeding of newborn
P92.4 Overfeeding of newborn
P92.5 Neonatal difficulty in feeding at breast
P92.8 Other feeding problems of newborn
P92.9 Feeding problem of newborn, unspecified
P93 Reactions and intoxications due to drugs administered to fetus and

newborn
Incl.: Grey syndrome from chloramphenicol administration in newborn
P94 Disorders of muscle tone of newborn

P94.0 Transient neonatal myasthenia gravis
P94.1 Congenital hypertonia
P94.2 Congenital hypotonia
Nonspecific floppy baby syndrome
P94.8 Other disorders of muscle tone of newborn
P94.9 Disorder of muscle tone of newborn, unspecified
N9 Low birth weight and prematurity

P07 Disorders related to short gestation and low birth weight, not elsewhere
classified
Incl.: the listed conditions, without further specification, as the cause of mortality,
morbidity or additional care in newborn
P07.0 Extremely low birth weight
Birth weight 999 g or less
P07.1 Other low birth weight
Birth weight 1000–2499 g
P07.2 Extreme immaturity
Less than 28 completed weeks (less than 196 completed days) of gestation
P07.3 Other preterm infants
28 completed weeks or more but less than 37 completed weeks (196 completed
days but less than 259 completed days) of gestation
Prematurity NOS
N10 Miscellaneous
While a perinatal death is most often coded to P05–P96 or a Q code, there are cases where
codes from several other sections of ICD-10 should be used. For an extensive list see ICD-
10 version:2016 and ICD-10 volume 2: instruction manual (2010)7
N11 Neonatal death of unspecified cause

Uraemia of newborn
P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction
Drug withdrawal syndrome in infant of dependent mother
Neonatal abstinence syndrome
P96.2 Withdrawal symptoms from therapeutic use of drugs in newborn

Annex D: ICD-PM groups and
ICD-10 codes for maternal
conditions in perinatal death
M1 Complications of placenta, cord and membranes

P02 Fetus and newborn affected by complications of placenta, cord and
membranes
P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and
haemorrhage
Abruptio placentae
Accidental haemorrhage
Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and func
tional abnormalities of placenta
Placental:
• dysfunction
• infarction
• insufficiency
P02.3 Fetus and newborn affected by placental transfusion syndromes
Placental and cord abnormalities resulting in twin-to-twin or other transplacental

transfusion
Use additional code, if desired, to indicate resultant condition in the fetus or

newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord
Cord (tightly) around neck
Entanglement of cord
Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical
cord
Short cord
Vasa praevia
P02.7 Fetus and newborn affected by chorioamnionitis
Amnionitis
Membranitis
Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes
P02.9 Fetus and newborn affected by abnormality of membranes, unspecified
M2 Maternal complications of pregnancy

P01 Fetus and newborn affected by maternal complications of pregnancy
P01.0 Fetus and newborn affected by incompetent cervix
P01.1 Fetus and newborn affected by premature rupture of membranes
P01.2 Fetus and newborn affected by oligohydramnios
P01.3 Fetus and newborn affected by polyhydramnios
Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy
Abdominal pregnancy
P01.5 Fetus and newborn affected by multiple pregnancy
Triplet (pregnancy)
Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour
P01.8 Fetus and newborn affected by other maternal complications of pregnancy

Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified
M3 Other complications of labour and delivery

P03 Fetus and newborn affected by other complications of labour and delivery
P03.0 Fetus and newborn affected by breech delivery and extraction
P03.1 Fetus and newborn affected by other malpresentation, malposition and dispro
portion during labour and delivery
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64–O66
Persistent occipitoposterior
Transverse lie
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery
P03.5 Fetus and newborn affected by precipitate delivery
Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions
Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour
Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and delivery
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60–O75 and by proce

dures used in labour and delivery not included in P02.– and P03.0–P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified
M4 Maternal medical and surgical conditions

P00 Fetus and newborn affected by maternal conditions that may be
unrelated to present pregnancy
P00.0 Fetus and newborn affected by maternal hypertensive disorders
Fetus or newborn affected by maternal conditions classifiable to O10–O11, O13–O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Fetus or newborn affected by maternal conditions classifiable to N00–N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Fetus or newborn affected by maternal infectious disease classifiable to A00–B99

and J09–J11, but not itself manifesting that disease
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory
diseases
Fetus or newborn affected by maternal conditions classifiable to I00–I99, J00–J99,

Q20–Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders
Fetus or newborn affected by maternal disorders classifiable to E40–E64
Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury
Fetus or newborn affected by maternal conditions classifiable to S00–T79
P00.6 Fetus and newborn affected by surgical procedure on mother
P00.7 Fetus and newborn affected by other medical procedures on mother, not else
where classified
Fetus or newborn affected by radiology on mother
P00.8 Fetus and newborn affected by other maternal conditions
Fetus or newborn affected by:

• conditions classifiable to T80–T88
• maternal genital tract and other localized infections
• maternal systemic lupus erythematosus
P00.9 Fetus and newborn affected by unspecified maternal condition
P04 Fetus and newborn affected by noxious influences transmitted via

placenta or breast-milk
Incl.: nonteratogenic effects of substances transmitted via placenta
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy,
labour and delivery
Reactions and intoxications from maternal opiates and tranquillizers administered

during labour and delivery
P04.1 Fetus and newborn affected by other maternal medication
Cancer chemotherapy
Cytotoxic drugs
P04.2 Fetus and newborn affected by maternal use of tobacco
P04.3 Fetus and newborn affected by maternal use of alcohol
P04.4 Fetus and newborn affected by maternal use of drugs of addiction
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical

substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified
M5 No maternal condition

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ICD-MM Refference Aid

ICD-MM Reference AID

Direct Indirect unspecified

ex 1 : Ectopic ex 7: Cardiac diseases,

Group 1: Pregnancy with abortive outcome

.0 Incomplete, complicated by genital tract and pelvic infection

O00 Ectopic pregnancy

O01 Hydatidiform mole

O02 Other abnormal products of conception

O03 Spontaneous abortion

O04 Medical abortion

O05 Other abortion

O06 Unspecified abortion

O07 Failed attempted abortion

With conditions in O08.0

With conditions in O08.1

Group 2: Hypertensive disorders in pregnancy, childbirth

O11 Pre-existing hypertensive disorder with superimposed proteinuria

O12 Gestational [pregnancy-induced] oedema and proteinuria

O13 Gestational [pregnancy-induced] hypertension without significant proteinuria

O14 Gestational [pregnancy-induced] hypertension with significant proteinuria

O14.9 Pre-eclampsia, unspecified

O16 Unspecified maternal hypertension

Group 3: Obstetric Haemorrhage

O20 Haemorrhage in early pregnancy

O43 Placental disorders

O44 Placenta praevia

O45 Premature separation of placenta [abruptio placentae]

O46 Antepartum haemorrhage, not elsewhere classified

O46.0 Antepartum haemorrhage with coagulation defect

O67 Labour and delivery complicated by intrapartum haemorrhage, not

O72 Postpartum haemorrhage

Group 4: Pregnancy-related infection

O41.1 Infection of amniotic sac and membranes

O75.3 Other infection during labour

O85 Puerperal sepsis

O86 Other puerperal infections

O86.2 Urinary tract infection following delivery

O91 Infections of breast associated with childbirth

Group 5: Other obstetric complications

O22 Venous complications in pregnancy

O71 Other obstetric trauma

O71.5 Other obstetric injury to pelvic organs

O73 Retained placenta and membranes, without haemorrhage

O87 Venous complications in the puerperium

O87.9 Venous complication in the puerperium, unspecified

O88 Obstetric embolism

O90 Complications of the puerperium, not elsewhere classified

Direct deaths without an Obstetric code in ICD-10

(X60-X84) Intentional self-harm

Intentional self-poisoning by and exposure to other drugs acting on the autonomic

X68 Intentional self-poisoning by and exposure to pesticides

Group 6 : Unanticipated complications of management

O29 Complications of anaesthesia during pregnancy

O74 Complications of anaesthesia during labour and delivery

O74.2 Cardiac complications of anaesthesia during labour and delivery

O89 Complications of anaesthesia during the puerperium

Group 7: Non-obstetric complications

O24 Diabetes mellitus in pregnancy