COMPLICATIONS OF THE PUERPERIUM (670-676)

• Note: Categories 671 and 673-676 include the listed conditions even if they occur during pregnancy or childbirth.
• The following fifth-digit subclassification is for use with categories 670-676 to denote the current episode of care:
  • 0 unspecified as to episode of care or not applicable
  • 1 delivered, with or without mention of antepartum condition
  • 2 delivered, with mention of postpartum complication
  • 3 antepartum condition or complication
  • 4 postpartum condition or complication
• 670 Major puerperal infection
• [0,2,4]
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • Use 0 as fourth digit for category 670
  • Puerperal:
    • endometritis
    • fever
    • pelvic:
      • cellulitis
      • sepsis
    • peritonitis
    • pyemia
    • salpingitis
    • septicemia
  • Excludes: infection following abortion (639.0)
    • minor genital tract infection following delivery (646.6)
    • urinary tract infection following delivery (646.6)
• 671 Venous complications in pregnancy and the puerperium
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • 671.0 Varicose veins of legs
  • [0-4] Varicose veins NOS
  • 671.1 Varicose veins of vulva and perineum
  • [0-4]
  • 671.2 Superficial thrombophlebitis
  • [0-4] Thrombophlebitis (superficial)
  • 671.3 Deep phlebothrombosis, antepartum
  • [0,1,3] Deep-vein thrombosis, antepartum
  • 671.4 Deep phlebothrombosis, postpartum
  • [0,2,4] Deep-vein thrombosis, postpartum
    • Pelvic thrombophlebitis, postpartum
    • Phlegmasia alba dolens (puerperal)
  • 671.5 Other phlebitis and thrombosis
  • [0-4] Cerebral venous thrombosis
    • Thrombosis of intracranial venous sinus
  • 671.8 Other venous complications
  • [0-4] Hemorrhoids
  • 671.9 Unspecified venous complication
  • [0-4] Phlebitis NOS
    • Thrombosis NOS
• 672 Pyrexia of unknown origin during the puerperium
  • [0,2,4]
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • Use 0 as fourth digit for category 672
  • Puerperal pyrexia NOS
• 673 Obstetrical pulmonary embolism
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • Includes: pulmonary emboli in pregnancy, childbirth, or the puerperium, or specified as puerperal
  • Excludes: embolism following abortion (639.6)
  • 673.0 Obstetrical air embolism
  • [0-4]
  • 673.1 Amniotic fluid embolism
  • [0-4]
  • 673.2 Obstetrical blood-clot embolism
  • [0-4] Puerperal pulmonary embolism NOS
  • 673.3 Obstetrical pyemic and septic embolism
  • [0-4]
  • 673.8 Other pulmonary embolism
  • [0-4] Fat embolism
• 674 Other and unspecified complications of the puerperium, not elsewhere classified
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • 674.0 Cerebrovascular disorders in the puerperium
  • [0-4] Any condition classifiable to 430-434, 436-437 occurring during pregnancy, childbirth, or the puerperium, or specified as puerperal
    • Excludes: intracranial venous sinus thrombosis (671.5)
  • 674.1 Disruption of cesarean wound
  • [0,2,4] Dehiscence or disruption of uterine wound
  • 674.2 Disruption of perineal wound
  • [0,2,4] Breakdown of perineum
    • Disruption of wound of:
      • episiotomy
      • perineal laceration
    • Secondary perineal tear
  • 674.3 Other complications of obstetrical surgical wounds
  • [0,2,4] Hematoma of cesarean section or perineal wound
    • Hemorrhage of cesarean section or perineal wound
    • Infection of cesarean section or perineal wound
    • Excludes: damage from instruments in delivery (664.0-665.9)
  • 674.4 Placental polyp
  • [0,2,4]
  • 674.8 Other
  • [0,2,4] Hepatorenal syndrome, following delivery
    • Postpartum:
      • cardiomyopathy
      • subinvolution of uterus
      • uterine hypertrophy
  • 674.9 Unspecified
  • [0,2,4] Sudden death of unknown cause during the puerperium
• 675 Infections of the breast and nipple associated with childbirth
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • Includes: the listed conditions during pregnancy, childbirth, or the puerperium
  • 675.0 Infections of nipple
  • [0-4] Abscess of nipple
  • 675.1 Abscess of breast
  • [0-4] Abscess:
    • mammary
    • subareolar
    • submammary
    • Mastitis:
      • purulent
      • retromammary
      • submammary
  • 675.2 Nonpurulent mastitis
  • [0-4] Lymphangitis of breast
    • Mastitis:
      • NOS
      • interstitial
      • parenchymatous
  • 675.8 Other specified infections of the breast and nipple
  • [0-4]
  • 675.9 Unspecified infection of the breast and nipple
  • [0-4]
• 676 Other disorders of the breast associated with childbirth and disorders of lactation
  • Requires fifth digit; valid digits are in [brackets] under each code. See beginning of section 670-676 for definitions.
  • Includes: the listed conditions during pregnancy, the puerperium, or lactation
  • 676.0 Retracted nipple
  • [0-4]
  • 676.1 Cracked nipple
  • [0-4] Fissure of nipple
  • 676.2 Engorgement of breasts
  • [0-4]
  • 676.3 Other and unspecified disorder of breast
  • [0-4]
  • 676.4 Failure of lactation
  • [0-4] Agalactia
  • 676.5 Suppressed lactation
  • [0-4]
  • 676.6 Galactorrhea
  • [0-4]
    • Excludes: galactorrhea not associated with childbirth (611.6)
  • 676.8 Other disorders of lactation
  • [0-4] Galactocele
  • 676.9 Unspecified disorder of lactation
  • [0-4]
• 677 Late effect of complication of pregnancy, childbirth, and the puerperium
  • Note: This category is to be used to indicate conditions in 632-648.9 and 651-676.9 as the cause of the late effect, themselves classifiable elsewhere. The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the puerperium.
  • Code first any sequelae