All patients who qualify for Postpartum and Post Abortion Diagnoses with Major Procedure will be automatically grouped into DRG 769 - POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURE.
View the requirements to qualify for this subsection.
The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.
| Code | Description |
|---|---|
| A34 |
Obstetrical tetanus |
| O08.0 |
Genital tract and pelvic infection following ectopic and molar pregnancy |
| O08.1 |
Delayed or excessive hemorrhage following ectopic and molar pregnancy |
| O08.2 |
Embolism following ectopic and molar pregnancy |
| O08.3 |
Shock following ectopic and molar pregnancy |
| O08.4 |
Renal failure following ectopic and molar pregnancy |
| O08.5 |
Metabolic disorders following an ectopic and molar pregnancy |
| O08.6 |
Damage to pelvic organs and tissues following an ectopic and molar pregnancy |
| O08.7 |
Other venous complications following an ectopic and molar pregnancy |
| O08.81 |
Cardiac arrest following an ectopic and molar pregnancy |
| O08.82 |
Sepsis following ectopic and molar pregnancy |
| O08.83 |
Urinary tract infection following an ectopic and molar pregnancy |
| O08.89 |
Other complications following an ectopic and molar pregnancy |
| O08.9 |
Unspecified complication following an ectopic and molar pregnancy |
| O10.03 |
Pre-existing essential hypertension complicating the puerperium |
| O10.13 |
Pre-existing hypertensive heart disease complicating the puerperium |
| O10.23 |
Pre-existing hypertensive chronic kidney disease complicating the puerperium |
| O10.33 |
Pre-existing hypertensive heart and chronic kidney disease complicating the puerperium |
| O10.43 |
Pre-existing secondary hypertension complicating the puerperium |
| O10.93 |
Unspecified pre-existing hypertension complicating the puerperium |
| O11.5 |
Pre-existing hypertension with pre-eclampsia, complicating the puerperium |
| O12.05 |
Gestational edema, complicating the puerperium |
| O12.15 |
Gestational proteinuria, complicating the puerperium |
| O12.25 |
Gestational edema with proteinuria, complicating the puerperium |
| O13.5 |
Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium |
| O14.05 |
Mild to moderate pre-eclampsia, complicating the puerperium |
| O14.15 |
Severe pre-eclampsia, complicating the puerperium |
| O14.25 |
HELLP syndrome, complicating the puerperium |
| O14.95 |
Unspecified pre-eclampsia, complicating the puerperium |
| O15.2 |
Eclampsia complicating the puerperium |
| O16.5 |
Unspecified maternal hypertension, complicating the puerperium |
| O24.03 |
Pre-existing type 1 diabetes mellitus, in the puerperium |
| O24.13 |
Pre-existing type 2 diabetes mellitus, in the puerperium |
| O24.33 |
Unspecified pre-existing diabetes mellitus in the puerperium |
| O24.430 |
Gestational diabetes mellitus in the puerperium, diet controlled |
| O24.434 |
Gestational diabetes mellitus in the puerperium, insulin controlled |
| O24.435 |
Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs |
| O24.439 |
Gestational diabetes mellitus in the puerperium, unspecified control |
| O24.83 |
Other pre-existing diabetes mellitus in the puerperium |
| O24.93 |
Unspecified diabetes mellitus in the puerperium |
| O25.3 |
Malnutrition in the puerperium |
| O26.63 |
Liver and biliary tract disorders in the puerperium |
| O26.73 |
Subluxation of symphysis (pubis) in the puerperium |
| O43.211 |
Placenta accreta, first trimester |
| O43.212 |
Placenta accreta, second trimester |
| O43.213 |
Placenta accreta, third trimester |
| O43.221 |
Placenta increta, first trimester |
| O43.222 |
Placenta increta, second trimester |
| O43.223 |
Placenta increta, third trimester |
| O43.231 |
Placenta percreta, first trimester |
| O43.232 |
Placenta percreta, second trimester |
| O43.233 |
Placenta percreta, third trimester |
| O70.0 |
First degree perineal laceration during delivery |
| O70.1 |
Second degree perineal laceration during delivery |
| O70.20 |
Third degree perineal laceration during delivery, unspecified |
| O70.21 |
Third degree perineal laceration during delivery, IIIa |
| O70.22 |
Third degree perineal laceration during delivery, IIIb |
| O70.23 |
Third degree perineal laceration during delivery, IIIc |
| O70.3 |
Fourth degree perineal laceration during delivery |
| O70.4 |
Anal sphincter tear complicating delivery, not associated with third degree laceration |
| O70.9 |
Perineal laceration during delivery, unspecified |
| O71.2 |
Postpartum inversion of uterus |
| O71.3 |
Obstetric laceration of cervix |
| O71.4 |
Obstetric high vaginal laceration alone |
| O71.5 |
Other obstetric injury to pelvic organs |
| O71.6 |
Obstetric damage to pelvic joints and ligaments |
| O71.7 |
Obstetric hematoma of pelvis |
| O71.82 |
Other specified trauma to perineum and vulva |
| O71.89 |
Other specified obstetric trauma |
| O71.9 |
Obstetric trauma, unspecified |
| O72.2 |
Delayed and secondary postpartum hemorrhage |
| O72.3 |
Postpartum coagulation defects |
| O73.0 |
Retained placenta without hemorrhage |
| O73.1 |
Retained portions of placenta and membranes, without hemorrhage |
| O75.0 |
Maternal distress during labor and delivery |
| O85 |
Puerperal sepsis |
| O86.0 |
Infection of obstetric surgical wound |
| O86.11 |
Cervicitis following delivery |
| O86.12 |
Endometritis following delivery |
| O86.13 |
Vaginitis following delivery |
| O86.19 |
Other infection of genital tract following delivery |
| O86.20 |
Urinary tract infection following delivery, unspecified |
| O86.21 |
Infection of kidney following delivery |
| O86.22 |
Infection of bladder following delivery |
| O86.29 |
Other urinary tract infection following delivery |
| O86.4 |
Pyrexia of unknown origin following delivery |
| O86.81 |
Puerperal septic thrombophlebitis |
| O86.89 |
Other specified puerperal infections |
| O87.0 |
Superficial thrombophlebitis in the puerperium |
| O87.1 |
Deep phlebothrombosis in the puerperium |
| O87.2 |
Hemorrhoids in the puerperium |
| O87.3 |
Cerebral venous thrombosis in the puerperium |
| O87.4 |
Varicose veins of lower extremity in the puerperium |
| O87.8 |
Other venous complications in the puerperium |
| O87.9 |
Venous complication in the puerperium, unspecified |
| O88.03 |
Air embolism in the puerperium |
| O88.13 |
Amniotic fluid embolism in the puerperium |
| O88.23 |
Thromboembolism in the puerperium |
| O88.33 |
Pyemic and septic embolism in the puerperium |
| O88.83 |
Other embolism in the puerperium |
| O89.01 |
Aspiration pneumonitis due to anesthesia during the puerperium |
| O89.09 |
Other pulmonary complications of anesthesia during the puerperium |
| O89.1 |
Cardiac complications of anesthesia during the puerperium |
| O89.2 |
Central nervous system complications of anesthesia during the puerperium |
| O89.3 |
Toxic reaction to local anesthesia during the puerperium |
| O89.4 |
Spinal and epidural anesthesia-induced headache during the puerperium |
| O89.5 |
Other complications of spinal and epidural anesthesia during the puerperium |
| O89.6 |
Failed or difficult intubation for anesthesia during the puerperium |
| O89.8 |
Other complications of anesthesia during the puerperium |
| O89.9 |
Complication of anesthesia during the puerperium, unspecified |
| O90.0 |
Disruption of cesarean delivery wound |
| O90.1 |
Disruption of perineal obstetric wound |
| O90.2 |
Hematoma of obstetric wound |
| O90.3 |
Peripartum cardiomyopathy |
| O90.4 |
Postpartum acute kidney failure |
| O90.5 |
Postpartum thyroiditis |
| O90.6 |
Postpartum mood disturbance |
| O90.81 |
Anemia of the puerperium |
| O90.89 |
Other complications of the puerperium, not elsewhere classified |
| O90.9 |
Complication of the puerperium, unspecified |
| O91.02 |
Infection of nipple associated with the puerperium |
| O91.03 |
Infection of nipple associated with lactation |
| O91.12 |
Abscess of breast associated with the puerperium |
| O91.13 |
Abscess of breast associated with lactation |
| O91.22 |
Nonpurulent mastitis associated with the puerperium |
| O91.23 |
Nonpurulent mastitis associated with lactation |
| O92.02 |
Retracted nipple associated with the puerperium |
| O92.03 |
Retracted nipple associated with lactation |
| O92.12 |
Cracked nipple associated with the puerperium |
| O92.13 |
Cracked nipple associated with lactation |
| O92.20 |
Unspecified disorder of breast associated with pregnancy and the puerperium |
| O92.29 |
Other disorders of breast associated with pregnancy and the puerperium |
| O92.3 |
Agalactia |
| O92.4 |
Hypogalactia |
| O92.5 |
Suppressed lactation |
| O92.6 |
Galactorrhea |
| O92.70 |
Unspecified disorders of lactation |
| O92.79 |
Other disorders of lactation |
| O98.03 |
Tuberculosis complicating the puerperium |
| O98.13 |
Syphilis complicating the puerperium |
| O98.23 |
Gonorrhea complicating the puerperium |
| O98.33 |
Other infections with a predominantly sexual mode of transmission complicating the puerperium |
| O98.43 |
Viral hepatitis complicating the puerperium |
| O98.53 |
Other viral diseases complicating the puerperium |
| O98.63 |
Protozoal diseases complicating the puerperium |
| O98.73 |
Human immunodeficiency virus [HIV] disease complicating the puerperium |
| O98.83 |
Other maternal infectious and parasitic diseases complicating the puerperium |
| O98.93 |
Unspecified maternal infectious and parasitic disease complicating the puerperium |
| O99.03 |
Anemia complicating the puerperium |
| O99.13 |
Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium |
| O99.215 |
Obesity complicating the puerperium |
| O99.285 |
Endocrine, nutritional and metabolic diseases complicating the puerperium |
| O99.315 |
Alcohol use complicating the puerperium |
| O99.325 |
Drug use complicating the puerperium |
| O99.335 |
Smoking (tobacco) complicating the puerperium |
| O99.345 |
Other mental disorders complicating the puerperium |
| O99.355 |
Diseases of the nervous system complicating the puerperium |
| O99.43 |
Diseases of the circulatory system complicating the puerperium |
| O99.53 |
Diseases of the respiratory system complicating the puerperium |
| O99.63 |
Diseases of the digestive system complicating the puerperium |
| O99.73 |
Diseases of the skin and subcutaneous tissue complicating the puerperium |
| O99.815 |
Abnormal glucose complicating the puerperium |
| O99.825 |
Streptococcus B carrier state complicating the puerperium |
| O99.835 |
Other infection carrier state complicating the puerperium |
| O99.845 |
Bariatric surgery status complicating the puerperium |
| O9A.13 |
Malignant neoplasm complicating the puerperium |
| O9A.23 |
Injury, poisoning and certain other consequences of external causes complicating the puerperium |
| O9A.33 |
Physical abuse complicating the puerperium |
| O9A.43 |
Sexual abuse complicating the puerperium |
| O9A.53 |
Psychological abuse complicating the puerperium |
| Z39.0 |
Encounter for care and examination of mother immediately after delivery |
| Code | Description |
|---|---|
| 0DQP7ZZ |
Repair Rectum, Via Natural or Artificial Opening |
| 0DQQXZZ |
Repair Anus, External Approach |
| 0HQ9XZZ |
Repair Perineum Skin, External Approach |
| 0JQB0ZZ |
Repair Perineum Subcutaneous Tissue and Fascia, Open Approach |
| 0TQB0ZZ |
Repair Bladder, Open Approach |
| 0TQB3ZZ |
Repair Bladder, Percutaneous Approach |
| 0TQB4ZZ |
Repair Bladder, Percutaneous Endoscopic Approach |
| 0TQB7ZZ |
Repair Bladder, Via Natural or Artificial Opening |
| 0TQB8ZZ |
Repair Bladder, Via Natural or Artificial Opening Endoscopic |
| 0TQD0ZZ |
Repair Urethra, Open Approach |
| 0TQD3ZZ |
Repair Urethra, Percutaneous Approach |
| 0TQD4ZZ |
Repair Urethra, Percutaneous Endoscopic Approach |
| 0TQD7ZZ |
Repair Urethra, Via Natural or Artificial Opening |
| 0TQD8ZZ |
Repair Urethra, Via Natural or Artificial Opening Endoscopic |
| 0UQG0ZZ |
Repair Vagina, Open Approach |
| 0UQG3ZZ |
Repair Vagina, Percutaneous Approach |
| 0UQG4ZZ |
Repair Vagina, Percutaneous Endoscopic Approach |
| 0UQG7ZZ |
Repair Vagina, Via Natural or Artificial Opening |
| 0UQG8ZZ |
Repair Vagina, Via Natural or Artificial Opening Endoscopic |
| 0UQGXZZ |
Repair Vagina, External Approach |
| 0UQM0ZZ |
Repair Vulva, Open Approach |
| 0UQMXZZ |
Repair Vulva, External Approach |
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MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.
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