COMPLICATIONS OF THE PUERPERIUM (670-677)

Major puerperal infection
Venous complications in pregnancy and the puerperium
Pyrexia of unknown origin during the puerperium
Obstetrical pulmonary embolism
Other and unspecified complications of the puerperium, not elsewhere classified
Infections of the breast and nipple associated with childbirth
Other disorders of the breast associated with childbirth and disorders of lactation
Late effect of complication of pregnancy, childbirth, and the puerperium

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 (septic)
pelvic:
cellulitis
sepsis
peritonitis
pyemia
salpingitis
septicemia
Excludes: infection following abortion (639.0)
minor genital tract infection following delivery (646.6)
puerperal pyrexia NOS (672)
puerperal fever NOS (672)
puerperal pyrexia of unknown origin (672)
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] Postpartum fever NOS
Puerperal fever NOS
Puerperal pyrexia NOS
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

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
Excludes: uterine rupture before onset of labor (665.0)
uterine rupture during labor (665.1)

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

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