- 22 - Appendix A: Codes to Identify Deliveries
ICD-9 Diagnosis CodesCodes Description
640.xx-648.xx1 Complications mainly related to pregnancy
650.xx-659.xx1 Normal delivery, and other indications for care in pregnancy, labor, and delivery
660.xx-669.xx1 Complications occurring mainly in the course of labor and delivery
670.xx-677.xx1 Complications of the puerperium
763.xx Fetus or newborn affected by other complications of labor and delivery
V27.xx, except V27.1, V27.4, or V27.7 2
Outcome of delivery
V30.xx-V39.xx Liveborn infants according to type of birth
1Fifth digit of 3 or 4 indicates no delivery.
2This category is intended for coding of the outcome of delivery on the mother’s record.
ICD-9 Procedure Codes
Codes
Description
72.xx-75.xx, except 75.0x Obstetrical procedures
CPT Procedure Codes
Codes Description
59400-59410 Vaginal delivery, antepartum, postpartum care
59510-59515 Cesarean delivery
59610 Routine obstetric care including…vaginal delivery…
59612 Vaginal delivery only, after previous cesarean delivery 59614 Vaginal delivery only…including postpartum care 59618 Routine obstetrical care including cesarean delivery…
59620 Cesarean delivery only…
59622 Cesarean delivery, including postpartum care
DRG Codes
Codes
Description
370-375 C-section or vaginal delivery
- 23 -
Appendix B: Diagnoses and Procedures to Identify Hepatitis B in Children
Codes Claim
Type
Time Window CPT Diagnostic Procedures
87350 Hepatitis B e Antigen
87380 Hepatitis, Delta Agent; Detect by enzyme immunoassay 86692 Antibody, Hepatitis, Delta Agent
86707 Hepatitis Be Antibody
Physician claims
Infants DOB to 730 days post DOB
ICD-9 Diagnoses
V05.3 Need for prophylactic immunization and inoculation against viral hepatitis.
070.2x Viral hepatitis B with hepatic coma
070.3x Viral hepatitis B without mention of hepatic coma V02.61 Hepatitis B carrier
V02.60 Viral hepatitis carrier, unspecified
070.42 Hepatitis delta without mention of active hepatitis B disease with hepatic coma 070.52 Hepatitis delta without mention of active hepatitis B disease or hepatic coma 070.6 Unspecified viral hepatitis with hepatic coma
070.9 Unspecified viral hepatitis without mention of hepatic coma
Physician or
Facility claims
Infant DOB to 730 days post DOB
CPT and ICD9 Procedures for Immune Globulin 90371 Immune globulin, Hepatitis B (HBIG) 1
C9105 Injection, hepatitis B immune globulin, per 1 ml 1
Physician claims
Infant DOB to 10 days post DOB
1 Code 90371 was used from 1999-2001; code C9105 was used in 2001 Note: DOB = Date of Birth
