|
Item 30 (Birth)
Item 34 (Fetal Death)
|
COMPLICATIONS AND PROCEDURES OF LABOR AND DELIVERY
(Enter up to 9 codes, separated by commas, for the most important
complications/procedures.)
|
ONSET OF LABOR
|
|
10
|
Premature
rupture of membranes (³ 12
hours)
|
|
07
|
Precipitous
labor (< 3 hours)
|
|
08
|
Prolonged
labor (³ 20 hours)
|
CHARACTERISTICS OF LABOR AND DELIVERY
|
|
11
|
Induction of
labor
|
|
12
|
Augmentation
of labor
|
|
32
|
Non-vertex
presentation
|
|
|
|
|
33
|
Steroids
(glucocorticoids) for fetal lung maturation received by the mother prior to
delivery
|
|
34
|
Antibiotics
received by the mother during labor
|
|
|
|
|
35
|
Clinical
chorioamnionitis diagnosed during labor or maternal temperature ³ 38°C (100.4°F)
|
|
19
|
Moderate/heavy
meconium staining of the amniotic fluid
|
|
|
|
|
36
|
Fetal
intolerance of labor such that one or more of the following actions was taken:
in-utero resuscitative measures, further fetal assessment, or operative
delivery
|
|
37
|
Epidural or
spinal anesthesia during labor
|
|
|
|
|
25
|
Mother
transferred for delivery from another facility for maternal medical or
fetal indications
|
|
|
|
|
COMPLICATIONS
OF PLACENTA, CORD, AND MEMBRANES
|
|
38
|
Rupture of membranes prior to onset of labor
|
|
13
|
Abruptio placenta
|
|
39
|
Placental insufficiency
|
|
20
|
Prolapsed cord
|
|
17
|
Chorioamnionitis
|
MATERNAL MORBIDITY
|
|
24
|
Maternal blood transfusion
|
|
40
|
Third or fourth degree perineal laceration
|
|
41
|
Ruptured uterus
|
|
42
|
Unplanned hysterectomy
|
|
43
|
Admission to ICU
|
|
44
|
Unplanned operating room procedure following delivery
|
NONE OR OTHER COMPLICATIONS/PROCEDURES
NOT LISTED
|
|
00
|
None
|
|
31
|
Other
Labor/Delivery Complications/Procedures not Listed
|
|
|
Item 31 (Birth)
Item 35 (Fetal Death)
|
ABNORMAL CONDITIONS AND CLINICAL PROCEDURES RELATING
TO THE NEWBORN
ABNORMAL CONDITIONS AND CLINICAL PROCEDURES
RELATING TO THE FETUS
(Enter up to 10 codes, separated by commas, for the most
important conditions/procedures.)
|
CONGENITAL ANOMALIES (NEWBORN
OR FETUS)
|
|
01
|
Anencephaly
|
|
02
|
Meningomyelocele/Spina
bifida
|
|
76
|
Cyanotic
congenital heart disease
|
|
77
|
Congenital
diaphragmatic hernia
|
|
78
|
Omphalocele
|
|
79
|
Gastroschisis
|
|
|
|
|
80
|
Limb
reduction defect (excluding congenital amputation and dwarfing syndromes)
|
|
28
|
Cleft palate
alone
|
|
29
|
Cleft lip
alone
|
|
30
|
Cleft palate
with cleft lip
|
|
57
|
Down’s
Syndrome—Karyotype confirmed
|
|
81
|
Down’s
Syndrome—Karyotype pending
|
|
82
|
Suspected
chromosomal disorder—Karyotype confirmed
|
|
83
|
Suspected chromosomal
disorder—Karyotype pending
|
|
35
|
Hypospadias
|
|
88
|
Aortic
stenosis
|
|
89
|
Pulmonary
stenosis
|
|
90
|
Atresia
|
|
|
|
|
62
|
Additional
and unspecified congenital anomalies not listed above
|
|
ABNORMAL CONDITIONS
(NEWBORN OR FETUS)
|
|
66
|
Significant birth injury (skeletal fracture(s),
peripheral nerve injury, and/or soft tissue/solid organ hemorrhage which
requires intervention)
|
|
|
ADDITIONAL
ABNORMAL CONDITIONS/PROCEDURES
(NEWBORN ONLY)
|
|
71
|
Assisted ventilation required immediately following
delivery
|
|
85
|
Assisted ventilation required for more than 6 hours
|
|
73
|
NICU admission
|
|
86
|
Newborn given surfactant replacement therapy
|
|
|
|
|
87
|
Antibiotics received by the newborn for suspected
neonatal sepsis
|
|
70
|
Seizure or serious neurological dysfunction
|
|
|
|
|
74
|
Newborn transferred to another facility within 24 hours
of delivery
|
|
|
|
|
NONE OR OTHER ABNORMAL CONDITIONS/PROCEDURES NOT LISTED
|
|
00
|
None (Newborn or Fetus)
|
|
75
|
Other Conditions/Procedures not Listed (Newborn Only)
|
|
67
|
Other Conditions/Procedures not Listed (Fetal Death
Only)
|
|
|
|
|
|
