Joint Commission International

Perinatal Care (PC) Measures

2010 Joint Commission International

I-PC-01
Elective Delivery
Measure Overview
Patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39
weeks of gestation completed
Overview/Details:
Patients who had an elective vaginal delivery or elective cesarean section performed at
greater than or equal to 37 weeks and less than 39 weeks gestation completed.
Rationale:
Clinical guidelines have had in place a standard requiring 39 completed weeks gestation prior
to ELECTIVE delivery, either vaginal or operative. Studies have determined that elective
delivery or elective cesarean section prior to the gestational age of 39 weeks may result in
significant short term neonatal morbidity (neonatal intensive care unit admission rates of 1321%).
Measure Related Outcomes:
Mortality: Decreased mortality
Readmissions within 30 days: Decreased
Reliability: Increased delivery of evidence based care
Improvement Noted: Decrease in rate
Patient Settings/Services
Obstetric/Maternal units
Medical/Surgical units
Measure Name: Elective Delivery
Numerator: Patients with elective deliveries
Denominator: Patients delivering newborns with >= 37 and < 39 weeks of gestation
completed
Domains of Performance
Appropriateness
Effectiveness
Prevention/Early Detection
Timeliness

QPS Standards
QPS.3 patient
assessments
QPS.3 surgical
procedure

2010 Joint Commission International

CCPC

IPSG
Goal 1
Goal 4

I-PC-01
Measure Details
Clinical guidelines have had in place a standard requiring 39 completed weeks
gestation prior to ELECTIVE delivery, either vaginal or operative. Studies have
determined that elective delivery or elective cesarean section prior to the
gestational age of 39 weeks may result in significant short term neonatal morbidity
(neonatal intensive care unit admission rates of 13-21%).
Data Collection: Retrospective data sources for the required data elements include
administrative data and medical records.
Numerator: Patients with elective deliveries
Inclusions to the population: ICD principal code for one or more of the following:
Medical induction of labor (Appendix A Table 11.05)
Cesarean section as defined in Appendix A, Table 11.06 while not in active labor,
or experiencing spontaneous rupture of membranes
Exclusions to the population: None
Data elements:
Active Labor
ICD Principal/Other Procedure code
Spontaneous Rupture of Membranes
Denominator: Patients delivering newborns with >= 37 and < 39 weeks of gestation
completed
Data elements:
Admission Date
Birthdate
Gestational age
ICD principal/other diagnosis code
Inclusions to the population: Not applicable
Exclusions to the population:
ICD Principal Diagnosis code for conditions possibly justifying elective delivery prior
to 39 weeks gestation as defined in Appendix A, Table 11.07
Patients less than 8 years of age
Patients greater than or equal to 65 years of age

2010 Joint Commission International

I-PC-01
References

American Academy of Family Physicians. (2000). Tips from Other Journals: Elective
induction doubles cesarean delivery rate, 61, 4.Retrieved December 29, 2008 at:
http://www.aafp.org/afp/20000215/tips/39.html.
American College of Obstetricians and Gynecologists. (November 1996). ACOG
Educational Bulletin.
Clark, S., Miller, D., Belfort, M., Dildy, G., Frye, D., & Meyers, J. (2009). Neonatal and
maternal outcomes associated with elective delivery. [Electronic Version]. Am J Obstet
Gynecol. 200:156.e1-156.e4.
Glantz, J. (Apr.2005). Elective induction vs. spontaneous labor associations and
outcomes. [Electronic Version]. J Reprod Med. 50(4):235-40.
Tita, A., Landon, M., Spong, C., Lai, Y., Leveno, K., Varner, M, et al. (2009). Timing of
elective repeat cesarean delivery at term and neonatal outcomes. [Electronic Version].
NEJM. 360:2, 111-120.

2010 Joint Commission International

I-PC-01

Elective Delivery

START

Run case with ICD Code for

PC

ICD Code for

Delivery

NO

Not in measure
population

< 37 weeks
or >= 39 weeks

Case not in
population

YES

Check gestational age

Gestational Age

Weeks >= 37 and < 39 or UTD

Active Labor

Check for active labor

YES

Case in Denominator
population

YES

Case in Denominator
population

NO

Check for Spontaneous

Rupture of membranes

Spontaneous
Rupture of
Membranes
NO
Case in Numerator
population

2010 Joint Commission International

I-PC-02
Cesarean Section
Measure Overview
Nulliparous women with a term, singleton baby in a vertex position delivered by
cesarean section
Overview/Details:
Patients, during their first pregnancy who presented with a single fetus in a normal (vertex
position) who were delivered by cesarean section at 37 or more weeks of gestation completed.
Rationale:
Studies have demonstrated that over 60% of the variation among hospitals can be attributed to
first birth labor induction rates and first birth early labor admission rates. Clinical studies have
shown if labor was forced when the cervix was not ready, the outcomes were poorer. Studies
have also shown the use of that labor and delivery guidelines can make a difference in labor
outcomes.
Measure Related Outcomes:
Mortality: Decreased mortality
Readmissions within 30 days: Decreased
Reliability: Increased delivery of evidence based care
Improvement noted: Decrease in rate
Patient Settings/Services
Labor and Delivery units
Medical/Surgical units
Measure Name: Cesarean Section
Numerator: Patients with cesarean sections
Denominator: Nulliparous patients delivered of a live term singleton newborn in vertex
presentation
Domains of Performance
Appropriateness
Effectiveness
Prevention/Early Detection
Timeliness

QPS Standards
QPS.3 patient
assessments
QPS.3 surgical
procedures

2010 Joint Commission International

CCPC

IPSG
Goal 1
Goal 4

I-PC-02
Measure Details
Clinical studies found that over 60% of the variation among hospitals can be
attributed to first birth labor induction rates and first birth early labor admission
rates. The results have shown if labor was forced when the cervix was not ready,
the outcomes were poorer. Many authors have shown that physician factors,
rather than patient characteristics or obstetric diagnoses are the major driver for
the difference in rates within a hospital.
Data Collection:
Retrospective data sources for the required data elements include administrative data
and medical records.
Numerator: Patients with cesarean sections
Inclusions to the population: ICD Principal Procedure Code or ICD Other Procedure
Codes for cesarean section as defined in Appendix A, Table 11.06
Exclusions to the population: None
Data elements:
ICD principal/other procedure Code
Denominator: Nulliparous patients delivered of a live term singleton newborn in vertex
presentation.
Data elements:
Admission Date
Birthdate
Gestational age
ICD other diagnosis code
ICD other procedure code
ICD principal diagnosis code
ICD procedure code
Parity

2010 Joint Commission International

Inclusions to the population: Nulliparous patients with ICD Principal Diagnosis Code or
ICD Other Diagnosis Codes for outcome of delivery as defined in Appendix A, Table
11.08 and with a delivery of a newborn with 37 weeks or more of gestation completed
Exclusions to the population:
ICD Principal Diagnosis Code or ICD Other Diagnosis Codes, for contraindications
to vaginal delivery as defined in Appendix A, Table 11.09
Patients less than 8 years of age
Patients greater than or equal to 65 years of age

2010 Joint Commission International

I-PC-02
References

Agency for Healthcare Research and Quality. (2002). AHRQ Quality IndicatorsGuide
to Inpatient Quality Indicators: Quality of Care in HospitalsVolume, Mortality, and
Utilization. Revision 4 (December 22, 2004). AHRQ Pub. No. 02-RO204.
Alfirevic, Z., Edwards, G., & Platt, M.J. (2004). The impact of delivery suite guidelines
on intrapartum care in standard primigravida. Eur J Obstet Gynecol Reprod
Biol.115:28-31.
American College of Obstetricians and Gynecologists. (2000). Task Force on Cesarean
Delivery Rates. Evaluation of Cesarean Delivery. (Developed under the direction of the
Task Force on Cesarean Delivery Rates, Roger K. Freeman, MD, Chair, Arnold W.
Cohen, MD, Richard Depp III, MD, Fredric D. Frigoletto Jr, MD, Gary D.V. Hankins, MD,
Ellice Lieberman, MD, DrPH, M. Kathryn Menard, MD, David A. Nagey, MD, Carol W.
Saffold, MD, Lisa Sams, RNC, MSN and ACOG Staff: Stanley Zinberg, MD, MS, Debra
A. Hawks, MPH, and Elizabeth Steele).
Bailit, J.L., Garrett, J.M., Miller, W.C., McMahon, M.J., & Cefalo, R.C. (2002). Hospital
primary cesarean delivery rates and the risk of poor neonatal outcomes. Am J Obstet
Gynecol. 187(3):721-7.
Bailit, J. & Garrett, J. (2003). Comparison of risk-adjustment methodologies. Am J
Obstet Gynecol.102:45-51. * Bailit, J.L., Love, T.E., & Dawson, N.V. (2006). Quality of
obstetric care and risk-adjusted primary cesarean delivery rates. Am J Obstet
Gynecol.194:402.
Bailit, J.L. (2007). Measuring the quality of inpatient obstetrical care. Ob Gyn Sur.
62:207-213.
Berkowitz, G.S., Fiarman, G.S., Mojica, M.A., et al. (1989). Effect of physician
characteristics on the cesarean birth rate. Am J Obstet Gynecol. 161:146-9.
California Office of Statewide Hospital Planning and Development. (2006). Utilization
Rates for Selected Medical Procedures in California Hospitals, Retrieved from the
Internet on February 11, 2010 at:
http://www.oshpd.ca.gov/HID/Products/PatDischargeData/ResearchReports/HospIPQu
alInd/Vol-Util_IndicatorsRpt/2007Util.pdf
Cleary, R., Beard, R.W., Chapple, J., Coles, J., Griffin, M., & Joffe, M. (1996). The
standard primipara as a basis for inter-unit comparisons of maternity care. Br J Obstet
Gynecol. 103:223-9.
Coonrod, D.V., Drachman, D., Hobson, P., & Manriquez, M. (2008). Nulliparous term
singleton vertex cesarean delivery rates: institutional and individual level predictors. Am
J Obstet Gynecol. 694-696.
DiGiuseppe, D.L., Aron, D.C., Payne, S.M., Snow, R.J., Dieker, L., & Rosenthal, G.E.
(2001). Risk adjusting cesarean delivery rates: a comparison of hospital profiles based
on medical record and birth certificate data. Health Serv Res.36:959-77.

2010 Joint Commission International

Gould, J., Danielson, B., Korst, L., Phibbs, R., Chance, K.,& Main, E.K., et al. (2004).
Cesarean delivery rate and neonatal morbidity in a low-risk population. Am J Obstet
Gynecol, 104:11-19.
Goyert, G.L., Bottoms, F.S., Treadwell, M.C., et al. (1989). The physician factor in
cesarean birth rates. N Engl J Med.320:706-9.
Le Ray, C., Carayol, M., Zeitlin, J., Berat, G., & Goffinet, F. (2006). Level of perinatal
care of the maternity unit and rate of cesarean in low-risk nulliparas. Am J Obstet
Gynecol. 107:1269-77.
Luthy, D.A., Malmgren, J.A., Zingheim, R.W., & Leininger, C.J. (2003). Physician
contribution to a cesarean delivery risk model. Am J Obstet Gynecol.188:1579-85.
Main, E.K. (1999). Reducing cesarean birth rates with data-driven quality improvement
activities. Peds. 103: 374-383.
Main E.K., Bloomfield, L., & Hunt, G. (2004). Development of a large-scale obstetric
quality-improvement program that focused on the nulliparous patient at term. Am J
Obstet Gynecol.190:1747-58.
Main, E.K., Moore, D., Farrell, B., Schimmel, L.D., Altman, R.J., Abrahams, C., et al.,
(2006). Is there a useful cesarean birth measure? Assessment of the nulliparous term
singleton vertex cesarean birth rate as a tool for obstetric quality improvement. Am J
Obstet Gynecol. 194:1644-51.
Menacker, F. (2005).Trends in cesarean rates for first births and repeat cesarean rates
for low-risk women: United States, 1990-2003. Nat Vital Stat Rep. 54(4): 1-5.
Romano, P.S., Yasmeen, S., Schembri, M.E., Keyzer, J.M., & Gilbert, W.M. (2005).
Coding of perineal lacerations and other complications of obstetric care in hospital
discharge data. Am J Obstet Gynecol.106:717-25.
U.S. Department of Health and Human Services. (2000). Healthy People 2010:
Understanding and Improving Health. 2nd ed. Washington, DC: U.S. Government
Printing Office. Measure 16-9.
Yasmeen, S., Romano, P.S., Schembri, M.E., Keyzer, J.M., & Gilbert, W.M. (2006).
Accuracy of obstetric diagnoses and procedures in hospital discharge data. Am J
Obstet Gynecol. 194:992-1001.

2010 Joint Commission International

I-PC-02

Cesarean Section
START

Run case with ICD Code for

PC

ICD Code for

PC

NO

Case not in
population

>0

Case not in
population

NO

Case in
Denominator
population

YES

Check parity

Parity

=0

Check ICD procedure code

(C-section)

ICD Procedure
Code (Csection)
YES
Case in Numerator
population

2010 Joint Commission International

I-PC-05
Exclusive Breast Milk Feeding
Measure Overview
Exclusive breast milk feeding during the newborn's entire hospitalization
Overview/Details:
Exclusive breast milk feeding during the newborns entire hospitalization.
Rationale:
Exclusive breast milk feeding for the first 6 months of neonatal life has long been the
expressed goal of World Health Organization (WHO) and other authorities of women and child
health care. A recent study substantiates the benefits of exclusively feeding a newborn infant
breast milk.
Measure Related Outcomes:
Mortality: Decreased mortality
Readmissions within 30 days: Decreased
Reliability: Increased delivery of evidence based care
Improvement noted as: Increase in rate
Patient Settings/Services
Labor and Delivery units
Measure Name: Exclusive Breast Milk Feeding
Numerator: Newborns that were fed breast milk only since birth
Denominator: Term newborns discharged from the hospital
Domains of Performance

QPS
Standards

Appropriateness
Prevention/Early
Detection
Timeliness

2010 Joint Commission International

CCPC

IPSG

I-PC-05
Measure Details
Exclusive breast milk feeding for the first 6 months of neonatal life has long been
the expressed goal of World Health Organization (WHO) and other authorities of
women and child health care. A recent study substantiates the benefits of
exclusively feeding newborn infants breast milk.
Data Collection:
Retrospective data sources for the required data elements include administrative
data and medical records.
Numerator: Newborns that were fed breast milk only since birth
Inclusions to the population: Not applicable
Exclusions to the population: None
Data elements:
Exclusive Breast Milk Feeding
Denominator: Term newborns discharged from the hospital
.
Data elements:
Admission Date
Birthdate
ICD other diagnosis code
ICD other procedure code
ICD principal diagnosis code
ICD procedure code
Reason for Not Exclusively Feeding Breast Milk
Inclusions to the population: Live-born newborns
Exclusions to the population:
Discharged from the hospital while in the Neonatal Intensive Care Unit
(NICU)
ICD Principal Diagnosis Code or ICD Other Diagnosis Codes, for
galactosemia Table Appendix A, Table 11.21
ICD Principal Procedure Code or ICD Other Procedure Codes for
parenteral infusion as defined in Appendix A, Table 11.22
Newborns who die at birth
Documented reason for Not Exclusively Feeding Breast Milk
2010 Joint Commission International

I-PC-05
References

American Academy of Pediatrics. (2005). Section on Breastfeeding. Policy Statement:

Breastfeeding and the Use of Human Milk. Pediatrics.115:496 506.
American College of Obstetricians and Gynecologists. (Feb. 2007). Committee on
Obstetric Practice and Committee on Health Care for Underserved
Women.Breastfeeding: Maternal and Infant Aspects. ACOG Committee Opinion 361.
California Department of Public Health. (2006). Genetic Disease Branch. California InHospital Breastfeeding as Indicated on the Newborn Screening Test Form, Statewide,
County and Hospital of Occurrence: Available at:
http://www.cdph.ca.gov/data/statistics/Pages/BreastfeedingStatistics.aspx.
Centers for Disease Control and Prevention. (Aug 3, 2007). Breastfeeding trends and
updated national health objectives for exclusive breastfeeding--United States birth years
2000-2004. MMWR - Morbidity & Mortality Weekly Report. 56(30):760-3.
Centers for Disease Control and Prevention. (2007). Division of Nutrition, Physical
Activity and Obesity. Breastfeeding Report Card. Available at:
http://www.cdc.gov/breastfeeding/data/report_card2.htm.
Ip, S., Chung, M., Raman, G., et al. (2007). Breastfeeding and maternal and infant
health outcomes in developed countries. Rockville, MD: US Department of Health and
Human Services. Available at:
http://www.ahrq.gov/downloads/pub/evidence/pdf/brfout/brfout.pdf
Kramer, M.S. & Kakuma, R. (2002).Optimal duration of exclusive breastfeeding. [107
refs] Cochrane Database of Systematic Reviews. (1):CD003517.
Petrova, A., Hegyi, T., & Mehta, R. (2007). Maternal race/ethnicity and one-month
exclusive breastfeeding in association with the in-hospital feeding modality.
Breastfeeding Medicine. 2(2):92-8.
Shealy, K.R., Li, R., Benton-Davis, S., & Grummer-Strawn, L.M. (2005).The CDC guide
to breastfeeding interventions. Atlanta, GA: US Department of Health and Human
Services, CDC. Available at:
http://www.cdc.gov/breastfeeding/pdf/breastfeeding_interventions.pdf.
Taveras, E.M., Li, R., Grummer-Strawn, L., Richardson, M., Marshall, R., Rego, V.H.,
Miroshnik, I., & Lieu, T.A. (2004). Opinions and practices of clinicians associated with
continuation of exclusive breastfeeding. Pediatrics. 113(4):e283-90.
US Department of Health and Human Services. (2007). Healthy People 2010 Midcourse
Review. Washington, DC: US Department of Health and Human Services. Available at:
http://www.healthypeople.gov/data/midcourse.
World Health Organization. (1991). Indicators for assessing breastfeeding practices.
Geneva, Switzerland: World Health Organization. Available at:
http://www.who.int/childadolescenthealth/new_publications/nutrition/who_cdd_ser_91.1
4.pdf.

2010 Joint Commission International

I-PC-05

Exclusive Breast Milk Feeding

START

Run case with ICD Code for

PC included in newborn
population

ICD Code for

PC newborn

NO

Case not in
population

YES

Case in Numerator
population

YES

Case not in
population

YES

Check if exclusively breast

fed

Exclusive
Breast Milk
Feeding
NO

Check if reason for not

exclusively breast feeding

Reason for not

exclusively
feeding Breast
Milk
NO
Case in
Denominator
population

2010 Joint Commission International

Appendix A
Perinatal Care ICD Code Tables
ICD Codes
Please Note : Due to the various ICD Code versions used by different countries, ICD-8,
ICD-9,and ICD-10 spaces have been left intentionally blank. Please fill in the specific
code utilized by your country to correspond to the ICD-9-CM code description for the
following diagnoses.
Table 11.05
Medical Induction of Labor Codes
ICD-8
ICD-9
ICD-10
ICD-9Shortened Description
Code
Code
Code
CMCode
73.01
INDUCT LABOR-RUPT MEMB

Table 11.06
Cesarean Section
ICD-8
ICD-9
Code
Code

ICD-10
Code

73.1

SURG INDUCT LABOR NEC

73.4

MEDICAL INDUCTION LABOR

ICD-9Shortened Description
CMCode
74.0
CLASSICAL C-SECTION
74.1

LOW CERVICAL SECTION

74.2

EXTRAPERITONEAL C-SECTION

74.4

CESAREAN SECTION NEC

74.99

CESAREAN SECTION NOS

Table 11.07
Conditions Justifying Elective Delivery
ICD-8
ICD-9
ICD-10
ICD-9Shortened Description
Code
Code
Code
CMCode
641.01 PLACENTA PREVIA-DELIVER
641.11

PLACENTA PREV HEM-DELIV

641.21

PREM SEPAR PLACEN-DELIV

641.31

COAG DEF HEMORR-DELIVER

641.81

ANTEPARTUM HEM NEC-DELIV

2010 Joint Commission International

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9Shortened Description
CMCode
641.91 ANTEPARTUM HEM NOS-DELIV
642.01

ESSEN HYPERTEN-DELIVERED

642.02

ESSEN HYPERTEN-DEL W P/P

642.11

RENAL HYPERTEN PG-DELIV

642.12

RENAL HYPERTEN-DEL P/P

642.21

OLD HYPERTEN NEC-DELIVER

642.22

OLD HYPERTEN-DELIV W P/P

642.31

TRANS HYPERTEN-DELIVERED

642.32

TRANS HYPERTEN-DEL W P/P

642.41

MILD/NOS PREECLAMP-DELIV

642.42

MILD PREECLAMP-DEL W P/P

642.51

SEVERE PREECLAMP-DELIVER

642.52

SEV PREECLAMP-DEL W P/P

642.61

ECLAMPSIA-DELIVERED

642.62

ECLAMPSIA-DELIV W P/P

642.71

TOX W OLD HYPERTEN-DELIV

642.72

TOX W OLD HYP-DEL W P/P

642.91

TOX W OLD HYP-DEL W P/P

642.92

HYPERTENS NOS-DEL W P/P

645.11

POST TERM PREG-DEL

645.21

PROLONGED PREG-DEL

646.21

RENAL DIS NOS-DELIVERED

646.22

RENAL DIS NOS-DEL W P/P

646.71

LIVER DISORDER-DELIVERED

648.02

DIABETES-DELIVERED W P/P

648.51

CONGEN CV DIS-DELIVERED

648.52

CONGEN CV DIS-DEL W P/P

648.61

CV DIS NEC PREG-DELIVER

648.62

CV DIS NEC-DELIVER W P/P

2010 Joint Commission International

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9Shortened Description
CMCode
648.81 ABN GLUCOSE TOLER-DELIV
648.82

ABN GLUCOSE-DELIV W P/P

649.31

COAGULATION DEF-DELIV

649.32

COAGULATN DEF-DEL W P/P

649.73

CERVICAL SHORTENING-ANTE

651.01

TWIN PREGNANCY-DELIVERED

651.11

TRIPLET PREGNANCY-DELIV

651.21

QUADRUPLET PREG-DELIVER

651.31

TWINS W FETAL LOSS-DEL

651.41

TRIPLETS W FET LOSS-DEL

651.51

QUADS W FETAL LOSS-DEL

651.61

MULT GES W FET LOSS-DEL

651.71

MULT GEST-FET REDUCT DEL

651.81

MULTI GESTAT NEC-DELIVER

651.91

MULT GESTATION NOS-DELIV

652.01

UNSTABLE LIE-DELIVERED

652.11

CEPHALIC VERS NOS-DELIV

652.21

BREECH PRESENTAT-DELIVER

652.31

TRANSVER/OBLIQ LIE-DELIV

652.41

FACE/BROW PRESENT-DELIV

652.51

HIGH HEAD AT TERM-DELIV

652.61

MULT GEST MALPRES-DELIV

654.31

RETROVERT UTERUS-DELIVER

654.32

RETROVERT UTER-DEL W P/P

655.01

FETAL CNS MALFORM-DELIV

655.11

FETAL CHROMOSO ABN-DELIV

655.31

FET DAMG D/T VIRUS-DELIV

655.41

FET DAMG D/T DIS-DELIVER

655.51

FET DAMAG D/T DRUG-DELIV

2010 Joint Commission International

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9Shortened Description
CMCode
656.61 EXCESS FETAL GRTH-DELIV
656.01

FETAL-MATERNAL HEM-DELIV

656.11

RH ISOIMMUNIZAT-DELIV

656.21

ABO ISOIMMUNIZAT-DELIV

656.41

INTRAUTER DEATH-DELIV

656.51

POOR FETAL GROWTH-DELIV

657.01

POLYHYDRAMNIOS-DELIV

658.01

OLIGOHYDRAMNIOS-DELIV

658.11

PREM RUPT MEMBRAN-DELIV

658.21

PROLONG RUPT MEMB-DELIV

V27.1

DELIVER- SINGLE-STILLBORN

Table 11.08 Outcome of Delivery

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode
V27.0

Shortened Description
DELIVER-SINGLE LIVEBORN

Table 11.09 Contraindications to Vaginal Delivery

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode

Shortened Description

644.20

EARLY ONSET DELIV-UNSPEC

644.21

EARLY ONSET DELIVERY-DEL

651.00

TWIN PREGNANCY-UNSPEC

651.01

TWIN PREGNANCY-DELIVERED

651.03

TWIN PREGNANCY-ANTEPART

651.10

TRIPLET PREGNANCY-UNSPEC

651.11

TRIPLET PREGNANCY-DELIV

651.13

TRIPLET PREG-ANTEPARTUM

651.20

QUADRUPLET PREG-UNSPEC

2010 Joint Commission International

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode

Shortened Description

651.21

QUADRUPLET PREG-DELIVER

651.23

QUADRUPLET PREG-ANTEPART

651.30

TWINS W FETAL LOSS-UNSP

651.31

TWINS W FETAL LOSS-DEL

651.33

TWINS W FETAL LOSS-ANTE

651.40

TRIPLETS W FET LOSS-UNSP

651.41

TRIPLETS W FET LOSS-DEL

651.43

TRIPLETS W FET LOSS-ANTE

651.50

QUADS W FETAL LOSS-UNSP

651.51

QUADS W FETAL LOSS-DEL

651.53

QUADS W FETAL LOSS-ANTE

651.60

MULT GES W FET LOSS-UNSP

651.61

MULT GES W FET LOSS-DEL

651.63

MULT GES W FET LOSS-ANTE

651.80

MULTI GESTAT NEC-UNSPEC

651.81

MULTI GESTAT NEC-DELIVER

651.83

MULTI GEST NEC-ANTEPART

651.90

MULTI GESTAT NOS-UNSPEC

651.91

MULT GESTATION NOS-DELIV

651.93

MULTI GEST NOS-ANTEPART

652.20

BREECH PRESENTAT-UNSPEC

652.21

BREECH PRESENTAT-DELIVER

652.23

BREECH PRESENT-ANTEPART

652.30

TRANSV/OBLIQ LIE-UNSPEC

652.31

TRANSVER/OBLIQ LIE-DELIV

652.33

TRANSV/OBLIQ LIE-ANTEPAR

652.40

FACE/BROW PRESENT-UNSPEC

652.41

FACE/BROW PRESENT-DELIV

2010 Joint Commission International

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode

Shortened Description

652.43

FACE/BROW PRES-ANTEPART

652.60

MULT GEST MALPRESEN-UNSP

652.61

MULT GEST MALPRES-DELIV

652.63

MULT GES MALPRES-ANTEPAR

654.20

PREV C-DELIVERY UNSPEC

654.21

PREV C-DELIVERY-DELIVRD

654.23

PREV C-DELIVERY-ANTEPART

656.40

INTRAUTERINE DEATH-UNSPEC

656.41

INTRAUTER DEATH-DELIV

656.43

INTRAUTER DEATH-ANTEPART

660.50

LOCKED TWINS-UNSPECIFIED

660.51

LOCKED TWINS-DELIVERED

660.53

LOCKED TWINS-ANTEPARTUM

662.30

DELAY DEL 2ND TWIN-UNSP

662.31

DELAY DEL 2ND TWIN-DELIV

662.33

DELAY DEL 2 TWIN-ANTEPAR

669.60

BREECH EXTR NOS-UNSPEC

669.61

BREECH EXTR NOS-DELIVER

761.5

MULT PREGNANCY AFF NB

V27.1

DELIVER SINGLE-STILLBORN

V27.2

DELIVER-TWINS, BOTH LIVE

V27.3

DEL-TWINS, 1 NB, 1 SB

V27.4

DELIVER-TWINS, BOTH SB

V27.5

DEL-MULT BIRTH, ALL LIVE

V27.6

DEL-MULT BIRTH, SOME LIVE

V27.7

DEL-MULT BIRTH, ALL SB

2010 Joint Commission International

Table 11.20.1 Term Gestation

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode
765.29

Shortened Description
37+ Comp WKS GESTATION

Table 11.21 Galactosemia

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode
271.1

Shortened Description
GALACTOSEMIA

Table 11.22 Parenteral Infusion

ICD-8
Code

ICD-9
Code

ICD-10
Code

ICD-9CMCode
99.15

2010 Joint Commission International

Shortened Description
PARENT INFUS NUTRIT SUB