ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

4) Postpartum complications occurring during the same
admission as delivery
Postpartum complications that occur during the same
admission as the delivery are identified with a fifth digit of “2.”
Subsequent admissions/encounters for postpartum
complications should be identified with a fifth digit of “4.”
5) Admission for routine postpartum care following
delivery outside hospital
When the mother delivers outside the hospital prior to
admission and is admitted for routine postpartum care and no
complications are noted, code V24.0, Postpartum care and
examination immediately after delivery, should be assigned as
the principal diagnosis.
6) Admission following delivery outside hospital with
postpartum conditions
A delivery diagnosis code should not be used for a woman who
has delivered prior to admission to the hospital. Any
postpartum conditions and/or postpartum procedures should be
coded.
j. Code 677, Late effect of complication of pregnancy
1) Code 677
Code 677, Late effect of complication of pregnancy, childbirth,
and the puerperium is for use in those cases when an initial
complication of a pregnancy develops a sequelae requiring care
or treatment at a future date.
2) After the initial postpartum period
This code may be used at any time after the initial postpartum
period.
3) Sequencing of Code 677
This code, like all late effect codes, is to be sequenced
following the code describing the sequelae of the complication.
k. Abortions
1) Fifth-digits required for abortion categories
Fifth-digits are required for abortion categories 634-637.
Fifth-digit 1, incomplete, indicates that all of the products of
conception have not been expelled from the uterus. Fifth-digit
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
Page 48 of 119