OTHER CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (764-779)

Slow fetal growth and fetal malnutrition
Disorders relating to short gestation and low birthweight
Disorders relating to long gestation and high birthweight
Birth trauma
Intrauterine hypoxia and birth asphyxia
Respiratory distress syndrome
Other respiratory conditions of fetus and newborn
Infections specific to the perinatal period
Fetal and neonatal hemorrhage
Hemolytic disease of fetus or newborn, due to isoimmunization
Other perinatal jaundice
Endocrine and metabolic disturbances specific to the fetus and newborn
Hematological disorders of fetus and newborn
Perinatal disorders of digestive system
Conditions involving the integument and temperature regulation of fetus and newborn
Other and ill-defined conditions originating in the perinatal period

The following fifth-digit subclassification is for use with category 764 and codes 765.0 and 765.1 to denote birthweight:
0 unspecified [weight] 1 less than 500 grams
2 500-749 grams
3 750-999 grams
4 1,000-1,249 grams
5 1,250-1,499 grams
6 1,500-1,749 grams
7 1,750-1,999 grams
8 2,000-2,499 grams
9 2,500 grams and over

764 Slow fetal growth and fetal malnutrition


Requires fifth digit. See beginning of section 764-779 for codes and definitions.
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" classifiable to 764.0, who in addition show signs of fetal malnutrition, such as dry peeling skin and loss of subcutaneous tissue

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
Intrauterine malnutrition

764.9 Fetal growth retardation, unspecified

Intrauterine growth retardation

765 Disorders relating to short gestation and low birthweight


Requires fifth digit. See beginning of section 764-779 for codes and definitions.
Includes: the listed conditions, without further specification, as causes of mortality, morbidity, or additional care, in fetus or newborn

765.0 Extreme immaturity

Note: Usually implies a birthweight of less than 1,000 grams.
Use additional code for weeks of gestation (765.20-765.29)

765.1 Other preterm infants

Note: Usually implies birthweight of 1,000-2,499 grams.
Prematurity NOS
Prematurity or small size, not classifiable to 765.0 or as "light-for-dates" in 764
Use additional code for weeks of gestation (765.20-765.29)

765.2 Weeks of gestation

765.20 Unspecified weeks of gestation
765.21 Less than 24 completed weeks of gestation
765.22 24 weeks of gestation
765.23 25-26 weeks of gestation
765.24 27-28 weeks of gestation
765.25 29-30 weeks of gestation
765.26 31-32 weeks of gestation
765.27 33-34 weeks of gestation
765.28 35-36 weeks of gestation
765.29 37 or more weeks of gestation

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 4,500 grams 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

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 to identify cause
Excludes: intraventricular hemorrhage (772.10-772.14)
subarachnoid hemorrhage (772.2)

767.1 Injuries to scalp

Caput succedaneum
Cephalhematoma
Chignon (from vacuum extraction)
Massive epicranial subaponeurotic hemorrhage

767.2 Fracture of clavicle

767.3 Other injuries to skeleton

Fracture of:
long bones
skull
Excludes: congenital dislocation of hip (754.30-754.35)
fracture of spine, congenital (767.4)

767.4 Injury to spine and spinal cord

Dislocation of spine or spinal cord due to birth trauma
Fracture of spine or spinal cord due to birth trauma
Laceration of spine or spinal cord due to birth trauma
Rupture of spine or spinal cord due to birth trauma

767.5 Facial nerve injury

Facial palsy

767.6 Injury to brachial plexus

Palsy or paralysis:
brachial
Erb (-Duchenne)
Klumpke (-Déjérine)

767.7 Other cranial and peripheral nerve injuries

Phrenic nerve paralysis

767.8 Other specified birth trauma

Eye damage
Hematoma of:
liver (subcapsular)
testes
vulva
Rupture of:
liver
spleen
Scalpel wound
Traumatic glaucoma
Excludes: hemorrhage classifiable to 772.0-772.9

767.9 Birth trauma, unspecified

Birth injury NOS

768 Intrauterine hypoxia and birth asphyxia


Use only when associated with newborn morbidity classifiable elsewhere

768.0 Fetal death from asphyxia or anoxia before onset of labor or at unspecified time

768.1 Fetal death from asphyxia or anoxia during labor

768.2 Fetal distress before onset of labor, in liveborn infant

Fetal metabolic acidemia before onset of labor, in liveborn infant

768.3 Fetal distress first noted during labor, in liveborn infant

Fetal metabolic acidemia first noted during labor, in liveborn infant

768.4 Fetal distress, unspecified as to time of onset, in liveborn infant

Fetal metabolic acidemia unspecified as to time of onset, in liveborn infant

768.5 Severe birth asphyxia

Birth asphyxia with neurologic involvement

768.6 Mild or moderate birth asphyxia

Other specified birth asphyxia (without mention of neurologic involvement)

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


Cardiorespiratory distress syndrome of newborn
Hyaline membrane disease (pulmonary)
Idiopathic respiratory distress syndrome [IRDS or RDS] of newborn
Pulmonary hypoperfusion syndrome
Excludes: transient tachypnea of newborn (770.6)

770 Other respiratory conditions of fetus and newborn


770.0 Congenital pneumonia

Infective pneumonia acquired prenatally
Excludes: pneumonia from infection acquired after birth (480.0-486)

770.1 Meconium aspiration syndrome

Aspiration of contents of birth canal NOS
Meconium aspiration below vocal cords
Pneumonitis:
fetal aspiration
meconium

770.2 Interstitial emphysema and related conditions

Pneumomediastinum originating in the perinatal period
Pneumopericardium originating in the perinatal period
Pneumothorax originating in the perinatal period

770.3 Pulmonary hemorrhage

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

770.4 Primary atelectasis

Pulmonary immaturity NOS

770.5 Other and unspecified atelectasis

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

770.6 Transitory tachypnea of newborn

Ideopathic tachypnea of newborn
Wet lung syndrome
Excludes: respiratory distress syndrome (769)

770.7 Chronic respiratory disease arising in the perinatal period

Bronchopulmonary dysplasia
Interstitial pulmonary fibrosis of prematurity
Wilson-Mikity syndrome

770.8 Other respiratory problems after birth

770.81 Primary apnea of newborn
Apneic spells of newborn NOS
Essential apnea of newborn
Sleep apnea of newborn
770.82 Other apnea of newborn
Obstructive apnea of newborn
770.83 Cyanotic attacks of newborn
770.84 Respiratory failure of newborn
Excludes: respiratory distress syndrome (769)
770.89 Other respiratory problems after birth

770.9 Unspecified respiratory condition of fetus and newborn


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 (090.0-090.9)
maternal infectious disease as a cause of mortality or morbidity in fetus or newborn, but fetus or newborn not manifesting the disease (760.2)
ophthalmia neonatorum due to gonococcus (098.40)
other infections not specifically classified to this category

771.0 Congenital rubella

Congenital rubella pneumonitis

771.1 Congenital cytomegalovirus infection

Congenital cytomegalic inclusion disease

771.2 Other congenital infections

Congenital:
herpes simplex
listeriosis
malaria
toxoplasmosis
tuberculosis

771.3 Tetanus neonatorum

Tetanus omphalitis
Excludes: hypocalcemic tetany (775.4)

771.4 Omphalitis of the newborn

Infection:
navel cord
umbilical stump
Excludes: tetanus omphalitis (771.3)

771.5 Neonatal infective mastitis

Excludes: noninfective neonatal mastitis (778.7)

771.6 Neonatal conjunctivitis and dacryocystitis

Ophthalmia neonatorum NOS
Excludes: ophthalmia neonatorum due to gonococcus (098.40)

771.7 Neonatal Candida infection

Neonatal moniliasis
Thrush in newborn

771.8 Other infections specific to the perinatal period

Use additional code to identify organism
771.81 Septicemia [sepsis] of newborn
771.82 Urinary tract infection of newborn
771.83 Bacteremia of newborn
771.89 Other infections specific to the perinatal period
Intra-amniotic infection of fetus NOS
Infection of newborn NOS

772 Fetal and neonatal hemorrhage


Excludes: hematological disorders of fetus and newborn (776.0-776.9)

772.0 Fetal blood loss

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

772.1 Intraventricular hemorrhage

Intraventricular hemorrhage from any perinatal cause
772.10 Unspecified grade
772.11 Grade I
Bleeding into germinal matrix
772.12 Grade II
Bleeding into ventricle
772.13 Grade III
Bleeding with enlargement of ventricle
772.14 Grade IV
Bleeding into cerebral cortex

772.2 Subarachnoid hemorrhage

Subarachnoid hemorrhage from any perinatal cause
Excludes: subdural and cerebral hemorrhage (767.0)

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

772.8 Other specified hemorrhage of fetus or newborn

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

772.9 Unspecified hemorrhage of newborn


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

Erythroblastosis (fetalis) (neonatorum) NOS
Hemolytic disease (fetus) (newborn) NOS
Jaundice or anemia due to other and unspecified blood-group incompatibility

773.3 Hydrops fetalis due to isoimmunization

Use additional code, if desired, to identify type of isoimmunization (773.0-773.2)

773.4 Kernicterus due to isoimmunization

Use additional code, if desired, to identify type of isoimmunization (773.0-773.2)

773.5 Late anemia due to isoimmunization


774 Other perinatal jaundice


774.0 Perinatal jaundice from hereditary hemolytic anemias

Code first underlying disease (282.0-282.9)

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 to identify cause
Excludes: jaundice due to isoimmunization (773.0-773.2)

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

774.30 Neonatal jaundice due to delayed conjugation, cause unspecified
774.31 Neonatal jaundice due to delayed conjugation in diseases classified elsewhere
Code first underlying diseases, as:
congenital hypothyroidism (243)
Crigler-Najjar syndrome (277.4)
Gilbert's syndrome (277.4)
774.39 Other
Jaundice due to delayed conjugation from causes, such as:
breast milk inhibitors
delayed development of conjugating system

774.4 Perinatal jaundice due to hepatocellular damage

Fetal or neonatal hepatitis
Giant cell hepatitis
Inspissated bile syndrome

774.5 Perinatal jaundice from other causes

Code first underlying cause, as:
congenital obstruction of bile duct (751.61)
galactosemia (271.1)
mucoviscidosis (277.00-277.09)

774.6 Unspecified fetal and neonatal jaundice

Icterus neonatorum
Neonatal hyperbilirubinemia (transient)
Physiologic jaundice NOS in newborn
Excludes: that in preterm infants (774.2)

774.7 Kernicterus not due to isoimmunization

Bilirubin encephalopathy
Kernicterus of newborn NOS
Excludes: kernicterus due to isoimmunization (773.4)

775 Endocrine and metabolic disturbances specific to the fetus and newborn


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

Diabetes mellitus syndrome in newborn infant

775.2 Neonatal myasthenia gravis

775.3 Neonatal thyrotoxicosis

Neonatal hyperthyroidism (transient)

775.4 Hypocalcemia and hypomagnesemia of newborn

Cow's milk hypocalcemia
Hypocalcemic tetany, neonatal
Neonatal hypoparathyroidism
Phosphate-loading hypocalcemia

775.5 Other transitory neonatal electrolyte disturbances

Dehydration, neonatal

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 endocrine and metabolic disturbances specific to the fetus and newborn


776 Hematological disorders of fetus and newborn


Includes: disorders specific to the fetus or newborn

776.0 Hemorrhagic disease of newborn

Hemorrhagic diathesis of newborn
Vitamin K deficiency of newborn
Excludes: fetal or neonatal hemorrhage (772.0-772.9)

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

Transient coagulation defect, newborn

776.4 Polycythemia neonatorum

Plethora of newborn
Polycythemia due to:
donor twin transfusion
maternal-fetal transfusion

776.5 Congenital anemia

Anemia following fetal blood loss
Excludes: anemia due to isoimmunization (773.0-773.2, 773.5)
hereditary hemolytic anemias (282.0-282.9)

776.6 Anemia of prematurity

776.7 Transient neonatal neutropenia

Isoimmune neutropenia
Maternal transfer neutropenia
Excludes: congenital neutropenia (nontransient) (288.0)

776.8 Other specified transient hematological disorders

776.9 Unspecified hematological disorder specific to fetus or newborn


777 Perinatal disorders of digestive system


Includes: disorders specific to the fetus and newborn
Excludes: intestinal obstruction classifiable to 560.0-560.9

777.1 Meconium obstruction

Congenital fecaliths
Delayed passage of meconium
Meconium ileus NOS
Meconium plug syndrome
Excludes: meconium ileus in cystic fibrosis (277.01)

777.2 Intestinal obstruction due to inspissated milk

777.3 Hematemesis and melena due to swallowed maternal blood

Swallowed blood syndrome in newborn
Excludes: that not due to swallowed maternal blood (772.4)

777.4 Transitory ileus of newborn

Excludes: Hirschsprung's disease (751.3)

777.5 Necrotizing enterocolitis in fetus or newborn

Pseudomembranous enterocolitis in newborn

777.6 Perinatal intestinal perforation

Meconium peritonitis

777.8 Other specified perinatal disorders of digestive system

777.9 Unspecified perinatal disorder of digestive system


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


778.0 Hydrops fetalis not due to isoimmunization

Idiopathic hydrops
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

Dehydration fever in newborn
Environmentally induced pyrexia
Hyperthermia in newborn
Transitory fever of newborn

778.5 Other and unspecified edema of newborn

Edema neonatorum

778.6 Congenital hydrocele

Congenital hydrocele of tunica vaginalis

778.7 Breast engorgement in newborn

Noninfective mastitis of newborn
Excludes: infective mastitis of newborn (771.5)

778.8 Other specified conditions involving the integument of fetus and newborn

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

778.9 Unspecified condition involving the integument and temperature regulation of fetus and newborn


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

CNS dysfunction in newborn NOS

779.3 Feeding problems in newborn

Regurgitation of food 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: fetal alcohol syndrome (760.71)
reactions and intoxications from maternal opiates and tranquilizers (763.5)

779.5 Drug withdrawal syndrome in newborn

Drug withdrawal syndrome in infant of dependent mother
Excludes: fetal alcohol syndrome (760.71)

779.6 Termination of pregnancy (fetus)

Fetal death due to:
induced abortion
termination of pregnancy
Excludes: spontaneous abortion (fetus) (761.8)

779.7 Periventricular leukomalacia

779.8 Other specified conditions originating in the perinatal period

779.81 Neonatal bradycardia
Excludes: abnormality in fetal heart rate or rhythm complicating labor and delivery (763.81-763.83)
bradycardia due to birth asphyxia (768.5-768.9)
779.82 Neonatal tachycardia
Excludes: abnormality in fetal heart rate or rhythm complicating labor and delivery (763.81-763.83)
779.89 Other specified conditions originating in the perinatal period

779.9 Unspecified condition originating in the perinatal period

Congenital debility NOS
Stillbirth NEC