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