XV.  CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD

Includes:    conditions which have their origin in the perinatal period
                  even though death or morbidity occurs later

760     Fetus or newborn affected by material conditions which may be
        unrelated to present pregnancy

Includes:    the listed maternal conditions only when specified as a cause
                  of mortality or morbidity of the fetus or newborn

Excludes:    maternal endocrine and metabolic disorders influencing fetus
                  (775.-)

760.0   Maternal hypertensive disorders

Fetus or newborn affected by maternal conditions classifiable to 642.-

760.1   Maternal renal and urinary tract diseases

Fetus or newborn affected by maternal conditions classifiable to 580-599

760.2   Maternal infections

Fetus or newborn affected by maternal infectious disease classifiable to
    001-136 and 487, but not manifesting that disease

Excludes:    congenital infectious diseases (771.-)
             maternal genital tract, and other localized, infections (760.8)

760.3   Other chronic maternal circulatory and respiratory diseases

Fetus or newborn affected by chronic maternal conditions classifiable to
    390-459, 490-519, 745-748

760.4   Maternal nutritional disorders

Fetus or newborn affected by maternal disorders classifiable to 260-269
Maternal malnutrition NOS

760.5   Maternal injury

Fetus or newborn affected by maternal conditions classifiable to 800-996

760.6   Surgical operation on mother

Excludes:    cesarean section for present delivery (763.4)
             previous surgery to uterus or pelvic organs (763.8)

760.7   Noxious influences transmitted via placenta or breast milk

Excludes:    anesthetic and analgesic drugs administered during labor and
                  delivery (763.5)
             drug withdrawal syndrome in newborn (779.5)
                          ICD-9/Ch15.TXT - pg. 1

760.8   Other

760.9   Unspecified

761     Fetus or newborn affected by maternal complications of pregnancy

Includes:    the listed maternal conditions only when specified as a cause of
                  mortality or morbidity of the fetus or newborn

761.0   Incompetent cervix

761.1   Premature rupture of membranes

761.2   Oligohydramnios

Excludes:    when due to premature rupture of membranes (761.1)

761.3   Polyhydramnios

Hydramnios

761.4   Ectopic pregnancy

Abdominal pregnancy

761.5   Multiple pregnancy

Triplet (pregnancy)               Twin (pregnancy)

761.6   Maternal death

761.7   Malpresentation before labor

Breech presentation before labor
External version before labor
Transverse lie before labor
Unstable lie before labor

761.8   Other

Spontaneous abortion, fetus

761.9   Unspecified

762     Fetus or newborn affected by complications of placenta, cord, and
        membranes

Includes:    the listed maternal conditions only when specified as a cause of
                  mortality or morbidity in the fetus or newborn

762.0   Placenta previa


                          ICD-9/Ch15.TXT - pg. 2

762.1   Other forms of placental separation and hemorrhage

Abruptio placentae
Accidental hemorrhage
Antepartum hemorrhage
Damage to placenta from amniocentesis, cesarean section, or surgical induction
Maternal blood loss
Premature separation of placenta

762.2   Other and unspecified morphological and functional abnormalities of
        placenta

Placental:
    dysfunction
    infarction
    insufficiency

762.3   Placental transfusion syndromes

Placental and cord abnormality resulting in twin-to-twin or other
    transplacental transfusion

Use code 772.0 or 776.4, in addition, if desired, to indicate resultant
    condition in fetus or newborn

762.4   Prolapsed cord

762.5   Other compression of umbilical cord

Cord around neck                  Knot in cord
Entanglement of cord

762.6   Other and unspecified conditions of umbilical cord

Short cord                        Vasa previa

Excludes:    single umbilical artery (747.5)

762.7   Chorioamnionitis

Membranitis                       Placentitis

762.8   Other abnormalities of chorion and amnion

762.9   Unspecified abnormality of chorion and amnion

763     Fetus or newborn affected by other complications of labor and delivery

Includes:    the listed conditions only when specified as a cause of
                  mortality or morbidity in the fetus or newborn

763.0   Breech delivery and extraction

                          ICD-9/Ch15.TXT - pg. 3

763.1   Other malpresentation, malposition, and disproportion during labor
        and delivery

Fetus or newborn affected by conditions classifiable to 652, 653, and 660
Contracted pelvis
Persistent occipitoposterior
Transverse lie

763.2   Forceps delivery

763.3   Delivery by vacuum extractor

763.4   Cesarean delivery

763.5   Maternal anesthesia and analgesia

Reactions and intoxications from maternal opiates and tranquillizers
    during labor and delivery

Excludes:    drug-withdrawal syndrome in newborn (779.5)

763.6   Precipitate delivery

Rapid second stage

763.7   Abnormal uterine contractions
                
Fetus or newborn affected by conditions classifiable to 661.-, except 661.3
Hypertonic labor
Uterine inertia

763.8   Other complications of labor and delivery

Fetus or newborn affected by other conditions classifiable to 650-669 and
    by other procedures used in labor and delivery
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Induction of labor

763.9   Unspecified

764     Slow fetal growth and fetal malnutrition

764.0   "Light-for-dates" without mention of fetal malnutrition

Infants underweight for gestational age
"Small-for-dates"

764.1   "Light-for-dates" with signs of fetal malnutrition

Infants "light-for-dates" as in .0, who in addition show signs of fetal
    malnutrition, such as dry, peeling skin and loss of subcutaneous tissue

                          ICD-9/Ch15.TXT - pg. 4

764.2   Fetal malnutrition without mention of "light-for-dates"

Infants, not underweight for gestational age, showing signs of fetal
    malnutrition, such as dry, peeling skin and loss of subcutaneous tissue

764.9   Fetal growth retardation, unspecified

765     Disorders relating to short gestation and unspecified low birthweight

Includes:    the listed conditions, without further specification, as causes
                  of mortality, morbidity or additional care, in fetus or
                  newborn

Excludes:    low birthweight due to slow fetal growth and fetal malnutrition
                  (764.-)

765.0   Extreme immaturity

Note:   Usually implies a birthweight of less than 1000 g. and/or a
        gestation of less than 28 completed weeks.

765.1   Other preterm infants

Prematurity or small size, not classifiable to 765.0 or as "light-for-dates"
    in 764.-
Prematurity NOS

766     Disorders relating to long gestation and high birthweight

Includes:    the listed conditions, without further specification, as causes
                  of mortality, morbidity or additional care, in fetus or
                  newborn

766.0   Exceptionally large baby

Note:   Usually implies a birthweight of 4500 g. or more.

766.1   Other "heavy-for-dates" infants

Other fetus or infant heavy- or large-for-dates regardless of period of
    gestation

766.2   Post-term infant, not "heavy-for-dates"

Fetus or infant with gestation period of 294 days or more [42 or more
    completed weeks], not heavy- or large-for-dates
Postmaturity NOS

767     Birth trauma

767.0   Subdural and cerebral hemorrhage


                          ICD-9/Ch15.TXT - pg. 5

Subdural and cerebral hemorrhage, whether described as due to birth trauma
    or to intrapartum anoxia or hypoxia
Subdural hematoma (localized)
Tentorial tear

Use additional code, if desired, to identify cause

Excludes:    intraventricular hemorrhage (772.1)
             subarachnoid hemorrhage (772.2)

767.1   Injuries to scalp

Cephalhematoma
Chignon (from vacuum extraction)
Massive epicranial subaponeurotic hemorrhage

767.2   Fracture of clavicle

767.3   Other injuries to skeleton

Fracture of:                      Fracture of:
    long bones                        skull

Excludes:    fracture of spine (767.4)

767.4   Injury to spine and spinal cord

767.5   Facial nerve injury

Facial palsy

767.6   Injury to brachial plexus

Erb's palsy
Klumpke's palsy

767.7   Other cranial and peripheral nerve injuries

767.8   Other

Eye damage                        Rupture of:
Hematoma of:                           liver
    liver (subcapsular)                spleen
    testes                        Scalpel wound
    vulva                         Traumatic glaucoma

767.9   Unspecified

768     Intrauterine hypoxia and birth asphyxia

768.2   Fetal distress before onset of labor, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia before onset of labor
                          ICD-9/Ch15.TXT - pg. 6

Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      first noted before onset of
    asphyxia                    }           labor, liveborn infant
    distress                    }
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.3   Fetal distress first noted during labor, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia during labor or
    delivery
Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      first noted during labor or
    asphyxia                    }           delivery, liveborn infant
    distress                    }
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.4   Fetal distress, unspecified, in liveborn infant

Liveborn infant showing evidence of intrauterine hypoxia before delivery, but
    not stated whether before or after onset of labor
Abnormal fetal heart rate       }
Fetal or intrauterine:          }
    acidosis                    }
    anoxia                      }      not stated whether first noted
    asphyxia                    }           before or after onset of
    distress                    }           labor, liveborn infant
    hypoxia                     }
Meconium in liquor              }
Passage of meconium             }

768.5   Severe birth asphyxia

Pulse less than 100 per minute at birth and falling or steady, respiration
    absent or gasping, color poor, tone absent
1-minute Apgar score 0-3     1/
"White asphyxia"

768.6   Mild or moderate birth asphyxia

Normal respiration not established within one minute, but heart rate 100 or
    above, some muscle tone present, some response to stimulation
1-minute Apgar score 4-7     1/
"Blue asphyxia"

1/ The Apgar scoring system is described in: Apgar, V.  Anesthesia and
   Analgesia...Current Researches, 32: 260 (1953)
                          ICD-9/Ch15.TXT - pg. 7

768.9   Unspecified birth asphyxia in liveborn infant

Anoxia NOS, in liveborn infant
Asphyxia NOS, in liveborn infant
Hypoxia NOS, in liveborn infant

769     Respiratory distress syndrome

Hyaline membrane (disease) (pulmonary)
Idiopathic respiratory distress syndrome of newborn [IRDS or RDS]

Excludes:    transient tachypnea of newborn (770.6)

770     Other respiratory conditions of fetus and newborn

770.0   Congenital pneumonia

Infective pneumonia acquired prenatally

770.1   Massive aspiration syndrome

Meconium aspiration syndrome
Pneumonitis:                      Pneumonitis:
    fetal aspiration                  meconium

770.2   Interstitial emphysema and related conditions

Pneumomediastinum               }      originating
Pneumopericardium               }      in the
Pneumothorax                    }      perinatal period

770.3   Pulmonary hemorrhage

Hemorrhage:
    alveolar (lung)             }      originating
    intra-alveolar (lung)       }      in the
    massive pulmonary           }      perinatal period

770.4   Primary atelectasis

Pulmonary immaturity NOS

770.5   Other and unspecified atelectasis

Atelectasis:                    }      originating
    NOS                         }      in the
    partial                     }      perinatal
Pulmonary collapse              }      period

770.6   Transitory tachypnea of newborn

Tachypnea commencing to resolve, usually, within 6 hours of birth
                          ICD-9/Ch15.TXT - pg. 8

Excludes:    respiratory distress syndrome (769)

770.7   Chronic respiratory disease arising in the perinatal period

Bronchopulmonary dysplasia        Wilson-Mikity syndrome

770.8   Other respiratory problems after birth

Apneic spells NOS               }      originating
Cyanotic attacks NOS            }      in the
Respiratory distress NOS        }      perinatal
Respiratory failure NOS         }      period

770.9   Unspecified

771     Infections specific to the perinatal period

Includes:    infections acquired before or during birth or via the umbilicus

Excludes:    congenital pneumonia (770.0)
             congenital syphilis (090.-)
             ophthalmia neonatorum due to gonococcus (098.4)
             other infections acquired after birth (001-136, 480-486, etc.)
             maternal infectious disease as a cause of mortality or morbidity
                  in fetus or newborn not itself manifesting the disease
                  (760.2)

771.0   Congenital rubella

Congenital rubella pneumonitis

771.1   Congenital cytomegalovirus infection

771.2   Other congenital infections

Congenital:
    herpes simplex
    listeriosis
    malaria
    toxoplasmosis
    tuberculosis

771.3   Tetanus neonatorum

771.4   Omphalitis of the newborn

Excludes:    tetanus omphalitis (771.3)

771.5   Neonatal infective mastitis

771.6   Neonatal conjunctivitis and dacryocystitis

Ophthalmia neonatorum NOS
                          ICD-9/Ch15.TXT - pg. 9

Excludes:    ophthalmia neonatorum due to gonococcus (098.4)

771.7   Neonatal Candida infection

Neonatal Monilia infection

771.8   Other infection specific to the perinatal period

Intra-amniotic infection of fetus:
    NOS
    Clostridial
    Escherichia coli
Intrauterine sepsis of fetus
Neonatal urinary tract infection
Septicemia [sepsis] of newborn

772     Fetal and neonatal hemorrhage

Excludes:    hematological disorders of fetus and newborn (776.-)

772.0   Fetal blood loss

Fetal blood loss from:            Fetal exsanguination
    cut end of co-twin's cord     Fetal hemorrhage into:
    placenta                          co-twin
    ruptured cord                     mother's circulation
    vasa previa

772.1   Intraventricular hemorrhage

Intraventricular hemorrhage from any perinatal cause

772.2   Subarachnoid hemorrhage

Subarachnoid hemorrhage from any perinatal cause

772.3   Umbilical hemorrhage after birth

Slipped umbilical ligature

772.4   Gastrointestinal hemorrhage

Excludes:    swallowed maternal blood (777.3)

772.5   Adrenal hemorrhage

772.6   Cutaneous hemorrhage

Bruising in fetus or newborn
Ecchymoses in fetus or newborn
Petechiae in fetus or newborn
Superficial hematoma in fetus or newborn

                          ICD-9/Ch15.TXT - pg. 10

772.8   Other

Excludes:    hemorrhagic disease of newborn (776.0)
             pulmonary hemorrhage (770.3)

772.9   Unspecified

773     Hemolytic disease of fetus or newborn, due to isoimmunization

773.0   Hemolytic disease due to Rh isoimmunization

Anemia due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Erythroblastosis (fetalis) due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Hemolytic disease (fetus) (newborn) due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Jaundice due to RH:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Rh hemolytic disease
Rh isoimmunization

773.1   Hemolytic disease due to ABO isoimmunization

ABO hemolytic disease
ABO isoimmunization
Anemia due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Erythroblastosis (fetalis) due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Hemolytic disease (fetus)(newborn) due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility
Jaundice due to ABO:
    antibodies
    isoimmunization
    maternal/fetal incompatibility

773.2   Hemolytic disease due to other and unspecified isoimmunization

                          ICD-9/Ch15.TXT - pg. 11

Erythroblastosis (fetalis) NOS
Hemolytic disease (fetus) (newborn) NOS
Jaundice or anemia due to other or unspecified blood-group incompatibility

773.3   Hydrops fetalis due to isoimmunization

773.4   Kernicterus due to isoimmunization

773.5   Late anemia due to isoimmunization

774     Other perinatal jaundice

774.1   Perinatal jaundice from other excessive hemolysis

Fetal or neonatal jaundice from:
    bruising
    drugs or toxins transmitted from mother
    infection
    polycythemia
    swallowed maternal blood

Use additional code, if desired, to identify cause

Excludes:    jaundice due to isoimmunization (773.0, 773.1, 773.2)

774.2   Neonatal jaundice associated with preterm delivery

Hyperbilirubinemia of prematurity
Jaundice due to delayed conjugation associated with preterm delivery

774.3   Neonatal jaundice due to delayed conjugation from other causes

Jaundice due to delayed conjugation from causes such as breast milk
    inhibitors, congenital hypothyroidism, and congenital absence or
    deficiency of enzyme systems for bilirubin conjugation

774.4   Perinatal jaundice due to hepatocellular damage

Fetal or neonatal hepatitis       Inspissated bile syndrome

774.5   Perinatal jaundice from other causes

774.6   Unspecified fetal and neonatal jaundice

Physiologic jaundice NOS in newborn

774.7   Kernicterus not due to isoimmunization

Kernicterus NOS

Excludes:    kernicterus due to isoimmunization (773.4)

775     Endocrine and metabolic disturbances specific to the fetus and newborn
                          ICD-9/Ch15.TXT - pg. 12

Includes:    transitory endocrine and metabolic disturbances caused by the
                  infant's response to maternal endocrine and metabolic
                  factors, its removal from them, or its adjustment to
                  extrauterine existence

775.0   Syndrome of "infant of a diabetic mother"

Maternal diabetes mellitus affecting fetus or newborn (with hypoglycemia)

775.1   Neonatal diabetes mellitus

775.2   Neonatal myasthenia gravis

775.3   Neonatal thyrotoxicosis

775.4   Hypocalcemia and hypomagnesemia of newborn

Cow's milk hypocalcemia
Neonatal hypoparathyroidism
Phosphate-loading hypocalcemia

775.5   Other transitory neonatal electrolyte disturbances

775.6   Neonatal hypoglycemia

Excludes:    infant of mother with diabetes mellitus (775.0)

775.7   Late metabolic acidosis of newborn

775.8   Other transitory neonatal endocrine and metabolic disturbances

Amino-acid metabolic disorders described as transitory

775.9   Unspecified

776     Hematological disorders of fetus and newborn

Includes:    disorders specific to the fetus or newborn

776.0   Hemorrhagic disease of newborn

Vitamin K deficiency of newborn

776.1   Transient neonatal thrombocytopenia

Neonatal thrombocytopenia due to:
    exchange transfusion
    idiopathic maternal thrombocytopenia
    isoimmunization

776.2   Disseminated intravascular coagulation in newborn

776.3   Other transient neonatal disorders of coagulation
                          ICD-9/Ch15.TXT - pg. 13

776.4   Polycythemia neonatorum

776.5   Congenital anemia

Anemia following fetal blood loss

Excludes:    anemia due to isoimmunization (773.-)
             hereditary hemolytic anemias (282.-)

776.6   Anemia of prematurity

776.7   Transient neonatal neutropenia

Isoimmune neutropenia             Maternal transfer neutropenia

776.8   Other specified transient hematological disorders

776.9   Unspecified

777     Perinatal disorders of digestive system

Includes:    disorders specific to the fetus and newborn

Excludes:    intestinal obstruction classifiable to 560.-

777.1   Other meconium obstruction

Congenital fecaliths              Meconium plug syndrome

777.2   Intestinal obstruction due to inspissated milk

777.3   Hematemesis and melena due to swallowed maternal blood

777.4   Transitory ileus of newborn

Excludes:    Hirschsprung's disease (751.3)

777.5   Necrotizing enterocolitis in fetus or newborn

777.6   Perinatal intestinal perforation

Meconium peritonitis

777.8   Other

777.9   Unspecified

778     Conditions involving the integument and temperature regulation of
        fetus and newborn

778.0   Hydrops fetalis not due to isoimmunization

Idiopathic hydrops
                          ICD-9/Ch15.TXT - pg. 14

Excludes:    hydrops fetalis due to isoimmunization (773.3)

778.1   Sclerema neonatorum

778.2   Cold injury syndrome of newborn

778.3   Other hypothermia of newborn

778.4   Other disturbances of temperature regulation of newborn

Environmentally induced pyrexia and dehydration fever in newborn

778.5   Other and unspecified edema of newborn

778.6   Congenital hydrocele

778.7   Breast engorgement in newborn

Noninfective mastitis of newborn

778.8   Other

Urticaria neonatorum

Excludes:    impetigo neonatorum (684)
             pemphigus neonatorum (684)

778.9   Unspecified

779     Other and ill-defined conditions originating in the perinatal period

779.0   Convulsions in newborn

Fits in newborn                   Seizures in newborn

779.1   Other and unspecified cerebral irritability in newborn

779.2   Cerebral depression, coma, and other abnormal cerebral signs

779.3   Feeding problems in newborn

Regurgitation of feeds in newborn
Slow feeding in newborn
Vomiting in newborn

779.4   Drug reactions and intoxications specific to newborn

Gray syndrome from chloramphenicol administration in newborn

Excludes:    reactions and intoxications from maternal opiates and
                  tranquilizers (763.5)


                          ICD-9/Ch15.TXT - pg. 15

779.5   Drug withdrawal syndrome in newborn

Drug withdrawal syndrome in infant of dependent mother

779.6   Termination of pregnancy (fetus)

779.8   Other

779.9   Unspecified

Congenital debility NOS










































                          ICD-9/Ch15.TXT - pg. 16