11. COMPLICATIONS OF PREGNANCY, CHILDBIRTH, AND THE PUERPERIUM (630-679)
COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)
The following fifth-digit subclassification is for use with categories 660-669 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
660: Obstructed labor
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
661: Abnormality of forces of labor
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
662: Long labor
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
663: Umbilical cord complications
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
664: Trauma to perineum and vulva during delivery
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
Includes:
damage from instruments
that from extension of episiotomy
665: Other obstetrical trauma
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
Includes:
damage from instruments
666: Postpartum hemorrhage
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
667: Retained placenta without hemorrhage
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
668: Complications of the administration of anesthetic or other sedation in labor and delivery
Use additional code(s) to further specify complication
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
Includes:
complications arising from the administration of a general or local anesthetic, analgesic, or other sedation in labor and delivery
Excludes:
reaction to spinal or lumbar puncture (349.0)
spinal headache (349.0)
669: Other complications of labor and delivery, not elsewhere classified
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.

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