Perinatal Quality Improvement Program (QIP) – Extended ......The Perinatal QIP – Extended Pilot...

Perinatal Quality Improvement Program (QIP) – Extended Pilot Part II

Measure Specifications

Developed by: Perinatal QIP Team

Contact: [email protected]

Published on: August 23, 2019

Table of Contents Program Overview ............................................................................................................................. 3

Eligibility ............................................................................................................................................. 3

Payment Methodology ....................................................................................................................... 3

Timeline ............................................................................................................................................. 4

Perinatal QIP - Pilot Summary of Measures ....................................................................................... 5

Measure 1. Timely Tdap .................................................................................................................... 6

Measure 2. Timely Prenatal Care ....................................................................................................... 7

Measure 3. Timely Postpartum Care .................................................................................................. 9

Appendix I ........................................................................................................................................ 10

Appendix II ....................................................................................................................................... 12

Appendix III ...................................................................................................................................... 14

Table I. National Data Center (NDC) Tdap Codes ................................................................ 14

Table II. Current Procedural Terminology (CPT) Tdap Codes .............................................. 15

Table III. Delivery Procedure Codes ..................................................................................... 17

Table IV. Delivery Diagnosis Codes ..................................................................................... 19

Table V. Prenatal/Postpartum Visit Procedure Codes........................................................... 43

Works Cited ..................................................................................................................................... 47

Program Overview

Partnership HealthPlan of California (PHC) has value-based payment programs in the areas of primary care, hospital care, specialty care, palliative care, perinatal care, long-term care, community pharmacy, and mental health. These value-based programs align with PHC’s organizational mission to help our members and the communities we serve be healthy.

Starting October 1, 2018, the Perinatal Quality Improvement Program (Perinatal QIP) – Extended Pilot Part II will continue to offer substantial financial incentives to participating Comprehensive Perinatal Services Program (CPSP) providers providing quality and timely prenatal and postpartum care to PHC members. Providers participate by submitting a signed Letter of Agreement to Partnership HealthPlan. For this incentive program, a simple and meaningful measurement set was developed with PCPs and OB/GYNs in mind and includes the following measures:

• Timely Tdap • Timely Prenatal Care • Timely Postpartum Care

The extended pilot will last for 12 months, from October 1, 2018 to September 30, 2019. This document pertains to the requirements of the extended pilot program.

Eligibility All CPSP providers are invited to participate in the Extended Pilot Part II. CPSP providers are only eligible for one prenatal care and one postpartum care QIP payment per patient per pregnancy. In order to qualify for payment for the prenatal and postpartum measures, a site must submit at least 10 attestations or claims for each measure. Participation will require signing a Letter of Agreement (LOA) by October 31, 2018 to participate and to be eligible for payment in the Perinatal QIP Extended Pilot Part II. The CPSP providers should be in good standing with state and federal regulators as of the month the payment is to be disbursed. Good standing means that the provider site is open, solvent, and not under financial sanctions from the state of California or Centers for Medicare & Medicaid Services. Payment Methodology The Perinatal QIP – Extended Pilot Part II will use an excel submission template, where eligible providers will enter member-level information regarding delivery of timely prenatal care and postpartum care. Providers will be required to continuing using and saving the prenatal and postpartum care attestation forms for audit purposes. For services occurring October 1st or later, providers must submit Perinatal services for incentive by completing and securely sending an excel template to the Perinatal QIP by the 30th of

each month. Although individual attestation forms will no longer be required, PHC still requires all components listed in the attestation forms to be addressed during the visit to qualify as a comprehensive and timely perinatal service. For each submitted service, provider is attesting to completing the following:

For Prenatal Visits: • Weight (lbs) and Blood Pressure • One of the following:

o Auscultation for fetal heart tone o Measurement of fundus height o Pelvic Exam o Ultrasound

• Assessment of Medical and Social History, including: o History of Gestational Diabetes o Use of drugs, alcohol, or tobacco during this pregnancy o C-Section prior to this pregnancy o Issues with previous pregnancy

For Postpartum visits:

• Weight (lbs) and Blood Pressure • Abdomen description (normal/abnormal) • Breast and lactation evaluation (normal/abnormal, breastfeeding status) • Discussion of family planning • Screening for depression

To verify timely and comprehensive services for all patients listed in excel submissions, PHC will request documentation in form of medical record and/or completed attestation forms by December 31st for audit. Documentation should contain indication that all required components (above) were addressed during the service.

Tdap data will be extracted from PHC’s claims database. Payments and summary reports will be compiled at the conclusion of the extended pilot program. Providers will receive payments and summary reports 4 months after the end of the extended pilot.

The Perinatal QIP – Extended Pilot Part II will run for nine months (October 1, 2018 to June 30, 2019). Perinatal QIP- Extended Pilot Part II Timeline

Task Due Date Last day to sign up for the program; last day to submit extension LOA (Letter of Agreement)

10/31/2018

Effective End Date of Program

9/30/2019

Last date pilot participants can submit data to PHC 10/11/2019

Final payment disbursement

1/31/2020

Perinatal QIP – Extended Pilot Part II Summary of Measures Measure Dollar Amount per

submission, per member

Submission Process

Timely Tdap vaccine (only if provided and billed by OB office)

$50 PHC queries claims database

Timely Prenatal Care (<14 weeks gestation)

$75 Participating providers submit a notification form per visit Timely Postpartum Care

(between 21 days to 56 days after delivery)

$75 Participating providers submit a notification form per visit

Measure 1. Timely Tdap Acellular Pertussis Vaccine (Tdap) vaccine is a combination booster shot that protects adults, pregnant women, and newborns against three diseases: tetanus, diphtheria, and pertussis (or whooping cough). The Centers for Disease Control and Prevention (CDC) recommends that pregnant women receive the Tdap vaccine between 27 and 36 weeks of each pregnancy.1 Since the amount of antibodies from the vaccine decreases over time, getting it during the third trimester is the best way to help protect babies from whooping cough in the first few months of life.

Measure Summary The number of women who had one dose of acellular pertussis vaccine (Tdap) within 20 weeks before delivery date.

Measurement Period October 1, 2018 to September 30, 2019

Specifications PHC will calculate the total number of women who had one dose of Tdap vaccine within 20 weeks before delivery by:

1) Identifying all women who delivered a live birth during the measurement period 2) Identifying Tdap codes billed for these women between 20 weeks and 1 day before

delivery.

Codes Used For delivery diagnosis, delivery procedure, and Tdap codes, please refer to Appendix III.

Financial Incentive $50 for each woman who received Tdap vaccination between 20 weeks and 1 day before delivery.

Measure 2. Timely Prenatal Care Timely prenatal care is proven to improve health outcomes of pregnancy for mothers and their child.3 Increased access to health care during pregnancy and childbirth can prevent pregnancy-related deaths and diseases. The World Health Organization (WHO) recommends at pregnant women to have their first contact with a provider in the first 12 weeks’ gestation, with succeeding appointments thereafter.4 A pregnant women’s contact with her provider is more than a simple PCP visit because it establishes care and support throughout the pregnancy. 4

Measure Summary Timely prenatal care services rendered to pregnant PHC members in the first trimester, as defined as less than 14 weeks of gestation, or within 30 days of enrollment in the organization.

Measurement Period

October 1, 2018 to September 30, 2019

Specifications Prenatal care visit to an OB/GYN or other prenatal care practitioner or PCP in the first trimester (less than 14 weeks of gestation, as documented in the medical record) will be eligible for the incentive payment. A diagnosis of pregnancy must be present. Providers should bill for services using the codes provided in the code list at the end of this document. Documentation in the medical record must include a note indicating the date when the prenatal care visit occurred, and evidence of one of the following: • Documentation of estimate date of delivery (EDD) and gestational age in weeks • A comprehensive physical and obstetrical examination that includes: weight (lbs), blood

pressure, and auscultation for fetal heart tone, or pelvic exam with obstetric observations, or measurement of fundus height (a standardized prenatal flow sheet may be used), or ultrasound.

The provider also attests that a complete medical and social history was assessed including but not limited to:

a) History of gestational diabetes b) Use of drugs, alcohol, or tobacco during pregnancy c) C-section prior to the pregnancy d) issues with previous pregnancy

Financial Incentive is $75 for each member receiving a timely visit, with all required elements documented in medical record and submitted using the Timely Prenatal Visit Notification Form.

Reporting Participating providers are to submit PHC Perinatal QIP Timely Prenatal Visit Notification Form (Appendix I of this document) to [email protected] or fax to (707) 863-4316. All submitted attestation forms are subject to audit by PHC.

mailto:[email protected]

Measure 3. Timely Postpartum Care Timely postpartum is a measure of quality care and can contribute to healthier outcomes for women after delivery. The postpartum visit is an important opportunity to educate new mothers on expectations about motherhood and address concerns. Postpartum visits reinforces the importance of routine preventive health care.2 The American College of Obstetricians and Gynecologists (ACOG) recommends that a timely postpartum visit occur between four to six weeks after delivery to assess the health of the infant, patient’s medical and psychological condition, breastfeeding, and contraceptive plan.2

Measure Summary Timely postpartum care services rendered to PHC members on or between 21 and 56 days after delivery

Measurement Period October 1, 2018 to September 30, 2019

Specifications Postpartum visits to an OB/GYN practitioner or midwife, family practitioner or other PCP on or between 21 days to 56 days after delivery will be eligible for the incentive payment. Providers should bill for services using the codes provided in the code list at the end of this document. Documentation in the medical record must include a note indicating the date when a postpartum visit occurred and the following: • Date of delivery and live birth confirmation • A complete postpartum visit that includes all of the following:

- Weight, blood pressure, evaluation of breasts and abdomen. - Notation of “breastfeeding” is acceptable for the “evaluation of breasts” component.

The provider also attests that the following evaluation occurred:

a) Evaluation of lactation (if breastfeeding) b) Discussion of family planning c) Screening for depression

Financial Incentive is $75 for each member receiving a timely visit, with all required elements documented in medical record and submitted using the Timely Postpartum Care Notification Form.

Reporting Participating providers are to submit PHC Perinatal QIP Timely Postpartum Care Notification Form to [email protected] or fax to (707) 863-4316. All submitted attestation forms are subject to audit by PHC.


Perinatal QIP – Extended Pilot Part II Page | 10

Appendix I

Perinatal Quality Improvement Program

TIMELY PRENATAL VISIT NOTIFICATION FORM

A timely prenatal visit with a PHC member with all required components listed in this form is eligible for a financial incentive. A timely prenatal visit, per HEDIS specifications, is defined as a visit that occurs in the first trimester of pregnancy, i.e. 14 weeks 0 days of gestation.

As of October 1, 2018, all submissions must be made via excel template. This form may be submitted to Partnership HealthPlan of California to be used as supplemental documentation during audit.

Email: [email protected] Fax: 707-863-4316

Member Information

First Name:

Last Name:

CIN #:

Date of birth:

Telephone number:

(Optional) Address: City: ZIP code:

Clinic Information

Clinic name:

Clinic address:

Clinic NPI: Specialty:

Office telephone number:

City: ZIP code:

Clinician signature:

Date signed:

All submissions subject to audit by PHC.



Prenatal Care

Date of timely prenatal visit (MM/DD/YYYY): ____________ Gestational age in weeks (*must be less than 14 weeks of gestation to qualify for incentive): ______ Best Estimate Date of Delivery (EDD): ________ Comprehensive Obstetrical and Physical Exam that includes: Weight (lbs): ______ Blood Pressure: _______ And one of the following:

□ auscultation for fetal heart tone □ measurement of fundus height □ pelvic exam □ ultrasound

Gravida: ____ Parity:____ Abortus: ____

□ By checking this box, I attest that during the visit the patient’s medical and social

history was assessed, including: history of gestational diabetes use of drugs, alcohol, or tobacco during this pregnancy C-Section prior to this pregnancy issues with previous pregnancy



Appendix II

Perinatal Quality Improvement Program POSTPARTUM CARE NOTIFICATION FORM

A timely postpartum visit with a PHC member with all requirement components listed in this form is eligible for a financial incentive. A timely postpartum visit, per HEDIS specifications, is defined as a visit that occurs within 3 to 8 weeks of delivery.

As of October 1, 2018, all submissions must be made via excel template. This form may be submitted to Partnership HealthPlan of California to be used as supplemental documentation during audit.

Email: [email protected] Fax: 707-863-4316

Member Information

First Name:

Last Name:

CIN #:

Date of birth:

Telephone number:

(Optional) Address: City: ZIP code:

Clinic Information

Clinic name:

Clinic address:

Clinic NPI: Specialty:

Office telephone number:

City: ZIP code:

Clinician signature:

Date signed:

Please turn over to page 2




Postpartum Assessment

Date of Delivery (MM/DD/YYYY): ________________________________

Date of postpartum care visit: __________________________________

No. of days since delivery (*must be within 21-56 days since delivery to qualify for incentive): ____

Live birth confirmed: □ Yes □ No

A complete postpartum visit that includes all of the following:

Weight (lbs): ______________

Blood Pressure: ___________

Abdomen (select one): □ Normal □ Abnormal

Breasts (select one): □ Normal □ Abnormal □ Breastfeeding

□ By checking this box, I attest that during the visit all of the following occurred:

Evaluation of lactation (if breastfeeding) Discussion of family planning Screening for depression



Appendix III Table I. National Data Center (NDC) Tdap Codes NDC VACCINE REFERENCE CODE

SYSTEM 00006413341 TDAP DRUG_NDC_CODES NDC 00013533131 TDAP DRUG_NDC_CODES NDC 00017478131 TDAP DRUG_NDC_CODES NDC 00021695413 TDAP DRUG_NDC_CODES NDC 00049281215 TDAP DRUG_NDC_CODES NDC 00049281225 TDAP DRUG_NDC_CODES NDC 00049281286 TDAP DRUG_NDC_CODES NDC 00049281400 TDAP DRUG_NDC_CODES NDC 00049281510 TDAP DRUG_NDC_CODES NDC 00049281562 TDAP DRUG_NDC_CODES NDC 00049281589 TDAP DRUG_NDC_CODES NDC 00058160810 TDAP DRUG_NDC_CODES NDC 00058160811 TDAP DRUG_NDC_CODES NDC 00058160812 TDAP DRUG_NDC_CODES NDC 00058160842 TDAP DRUG_NDC_CODES NDC 00143620111 TDAP DRUG_NDC_CODES NDC 13533013101 TDAP DRUG_NDC_CODES NDC 17478013101 TDAP DRUG_NDC_CODES NDC 49281021510 TDAP DRUG_NDC_CODES NDC 49281021515 TDAP DRUG_NDC_CODES NDC 49281028610 TDAP DRUG_NDC_CODES NDC 49281029110 TDAP DRUG_NDC_CODES NDC 49281029183 TDAP DRUG_NDC_CODES NDC 49281040010 TDAP DRUG_NDC_CODES NDC 49281040015 TDAP DRUG_NDC_CODES NDC 49281040058 TDAP DRUG_NDC_CODES NDC 58160084211 TDAP DRUG_NDC_CODES NDC 58160084232 TDAP DRUG_NDC_CODES NDC 58160084252 TDAP DRUG_NDC_CODES NDC


Table II. Current Procedural Terminology (CPT) Tdap Codes

PROC REFERENCE

CPT DESCRIPTION CVX CODE

VACCINE CLASS

90696 CDC Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated

(DTaP-IPV), when administered to children 4 years through 6

years of age, for intramuscular use

130 TDAP

90698 HEDIS Diphtheria, tetanus toxoids, and acellular pertussis vaccine,

haemophilus influenza Type B, and poliovirus vaccine,

inactivated (DTaP - Hib - IPV), for intramuscular use

120 TDAP

90700 HEDIS Diphtheria, tetanus toxoids, and acellular pertussis vaccine

(DTaP), for use in individuals younger than seven years, for

intramuscular use

106 TDAP

90701 CDC Diphtheria, tetanus toxoids, and whole cell pertussis vaccine (DTP), for intramuscular use

01 TDAP

90702 CDC Diphtheria and tetanus toxoids (DT) adsorbed for use in

individuals younger than seven years, for intramuscular use

28 TDAP

90714 HEDIS Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals seven years

or older, for intramuscular use

113 TDAP

90715 HEDIS Tetanus, diphtheria toxoids and acellular pertussis vaccine

(Tdap), for use in individuals 7 years or older, for intramuscular

use

115 TDAP

90718 HEDIS Tetanus and diphtheria toxoids (Td) adsorbed for use in

individuals seven years or older,

09 TDAP


for intramuscular use

90720 CDC Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular use

22 TDAP

90721 HEDIS Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine

(DTaP-Hib), for intramuscular use

50 TDAP

90723 HEDIS Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus

vaccine, inactivated (DTaP-HepB-IPV), for intramuscular use

110 TDAP

CH45 CHDP CHDP DTAP(DIPHTHERIA AND TETANUS TOXOIDS AND

ACELLULAR PERTUSSIS)VACCINE

TDAP

CH45A CHDP CHDP-DTAP VACCINE - ADMINISTRATION FEE ONLY

TDAP

CH58 CHDP Td Adult PF

TDAP

CH58A CHDP Td Adult PF

TDAP

CH59 CHDP DT Pediatric

TDAP

CH60 CHDP Td Adult

TDAP

CH60A CHDP Td Adult

TDAP

CH68 CHDP Pediarix Vaccine - DTaP, Hepatitis B

TDAP

CH68A CHDP Pediarix Vaccine - DTaP, Hepatitis B

TDAP

CH72 CHDP TdaP (Tetanus,diphtheria toxoids and acellular perussis VFC

TDAP

CH72A CHDP TdaP (Tetanus,diphtheria toxoids and acellular perussis VFC

TDAP

CH79 CHDP Tdap PURCHASED

TDAP


CH82 CHDP DTaP-Hib-IPV

TDAP

CH82A CHDP CHDP-DTaP-Hib-IPV, ADMIN ONLY

TDAP

CH83 CHDP DTaP-IPV

TDAP

CH83A CHDP DTaP-IPV

TDAP

Table III. Delivery Procedure Codes CODES PROCEDURE DESCRIPTION PROC

TYPE 0073T DELIVERY, COMP IMRT Revenue 00946 ANESTH, VAGINAL DELIVERY Revenue 0095 NURSERY ACUTE, WITH ASSOCIATED DELIVERY Revenue 0720 LABOR ROOM/DELIVERY, GENERAL Revenue 0721 LABOR ROOM/DELIVERY,LABOR Revenue 0722 Delivery Revenue 0724 LABOR ROOM/DELIVERY, BIRTHING CENTER (UNLICENSED BEDS) Revenue 10D00Z0 Extraction of POC, Classical, Open Approach I0 10D00Z1 Extraction of POC, Low Cervical, Open Approach I0 10D00Z2 Extraction of POC, Extraperitoneal, Open Approach I0 10D07Z3 Extraction of POC, Low Forceps, Via Opening I0 10D07Z4 Extraction of POC, Mid Forceps, Via Opening I0 10D07Z5 Extraction of POC, High Forceps, Via Opening I0 10D07Z6 Extraction of Products of Conception, Vacuum, Via Opening I0 10D07Z7 Extraction of POC, Int Version, Via Opening I0 10D07Z8 Extraction of Products of Conception, Other, Via Opening I0 10D17ZZ Extraction of Products of Conception, Retained, Via Opening I0 10D18ZZ Extraction of Products of Conception, Retained, Endo I0 10E0XZZ Delivery of Products of Conception, External Approach I0 59400 GLOBAL VAG. DELIVERY, INCLUDES ANTE/POSTPARTUM CARE CPT 59409 VAG DELIVERY ONLY (WITH OR W/OUT CPT 59410 NORMAL DELIVERY ONLY. . .CHECK OIM#47 EX K4-ASST.SURG CPT 59412 DELIVERY, EXTERNAL VERSION (SPH BENEFIT) CPT 59425 Under Vaginal Delivery, Antepartum and Postpartum Care Procedures CPT 59426 Under Vaginal Delivery, Antepartum and Postpartum Care Procedures CPT 59430 Under Vaginal Delivery, Antepartum and Postpartum Care Procedures CPT


59500 CESAREAN SECTION CPT 59501 CESAREAN SECTION INCLUDING ANTI/POSTPART CPT 59510 C-SECTION DELIVERY GLOBAL FEE CHECK O.I.M. #7 CPT 59514 CESAREAN DELIVERY ONLY CPT 59515 C-SECTION DELIVERY ONLY CHECK O.I.M #7 CPT 59520 CESAREAN SECTION CPT 59520E CESAREAN SECTION CPT 59521 CESAREAN SECTION CPT 59525 REMOVAL OF UTERUS AFTER C-SECT. CPT 59540 CESAREAN SECTION CPT 59541 CESAREAN SECTION CPT 59560 CESAREAN HYSTERECTOMY CPT 59561 CESAREAN HYSTERECTOMY CPT 59580 CESAREAN HYSTERECTOMY CPT 59581 CESAREAN HYSTERECTOMY CPT 59610 *ROUTINE OB CARE INCLUDE ANTE/POSTPARTUM CARE/VAG DEL AFTER

PREV C-SECT CPT

59612 *VAGINAL DELIVERY ONLY, AFTER PREVIOUS CESAREAN DELIVERY CPT 59614 *VAG DELIVERY ONLY AFTER C-SECTION DELIVERY, INCLUDING

POSTPARTUM CARE CPT

59618 Deliveries CPT 59620 Deliveries CPT 59622 Deliveries CPT 720 Low forceps operation I9 721 Low forceps operation with episiotomy I9 7221 Mid forceps operation with episiotomy I9 7229 Mid forceps op NEC I9 7231 High forceps operation with episiotomy I9 7239 High forceps op NEC I9 724 Forceps rotat fetal head I9 7251 Part brch extrac w forcp I9 7252 Other partial breech extraction I9 7253 Tot brch extrac w forcep I9 7254 Other total breech extraction I9 726 Forceps application to aftercoming head I9 7271 Vacuum ext del w episiot I9 7279 Other vacuum extraction I9 728 Instrument delivery NEC I9 729 Instrument delivery NOS I9 7301 Induct labor-rupt memb I9 7309 Artif rupt membranes NEC I9 731 Other surgical induction of labor I9 7321 Int/comb version no extr I9


7322 Int/comb version w extr I9 733 Failed forceps I9 734 Medical induction labor I9 7351 Manual rotat fetal head I9 7359 Manual assist deliv NEC I9 736 Episiotomy I9 738 Fetal ops-facilitate del I9 7391 Ext version-assist deliv I9 7392 Replace prolapsed cord I9 7393 Incis cx to assist deliv I9 7394 Pubiotomy to assist del I9 7399 Ops assisting deliv NEC I9 740 Classical c-section I9 741 Low cervical c-section I9 742 Extraperitoneal c-sect I9 744 Cesarean section NEC I9 7499 Cesarean section NOS I9 99436 ATTENDANCE AT DELIVERY AND INITIAL STABILIZATION OF NEWBORN CPT Z1010 LOW RISK DELIVERY Local

Table IV. Delivery Diagnosis Codes CODES DIAGNOSIS DESCRIPTION DIAG

TYPE 64001 Threatened abortion, delivered, with or without mention of antepartum

condition I9

64081 Other specified hemorrhage in early pregnancy, delivered, with or without mention of antepartum condition

I9

64091 Unspecified hemorrhage in early pregnancy, delivered, with or without mention of antepartum condition

I9

64101 Placenta previa without hemorrhage, delivered, with or without mention of antepartum condition

I9

64111 Hemorrhage from placenta previa, delivered, with or without mention of antepartum condition

I9

64121 Premature separation of placenta, delivered, with or without mention of antepartum condition

I9

64131 Antepartum hemorrhage associated with coagulation defects, delivered, with or without mention of antepartum condition

I9

64181 Other antepartum hemorrhage, delivered, with or without mention of antepartum condition

I9

64191 Unspecified antepartum hemorrhage, delivered, with or without mention of antepartum condition

I9

64201 Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, delivered, with or without mention of antepartum condition

I9


64202 ESSEN HYPERTEN-DEL W P/P I9 64211 Hypertension secondary to renal disease, complicating pregnancy,

childbirth, and the puerperium, delivered, with or without mention of antepartum condition

I9

64212 RENAL HYPERTEN-DEL P/P I9 64221 Other pre-existing hypertension, complicating pregnancy, childbirth, and

the puerperium, delivered, with or without mention of antepartum condition

I9

64222 OLD HYPERTEN-DELIV W P/P I9 64231 Transient hypertension of pregnancy, delivered , with or without mention

of antepartum condition I9

64232 TRANS HYPERTEN-DEL W P/P I9 64241 Mild or unspecified pre-eclampsia, delivered, with or without mention of

antepartum condition I9

64242 MILD PREECLAMP-DEL W P/P I9 64251 Severe pre-eclampsia, delivered, with or without mention of antepartum

condition I9

64252 SEV PREECLAMP-DEL W P/P I9 64261 Eclampsia, delivered, with or without mention of antepartum condition I9 64262 ECLAMPSIA-DELIV W P/P I9 64271 Pre-eclampsia or eclampsia superimposed on pre-existing

hypertension, delivered, with or without mention of antepartum condition I9

64272 TOX W OLD HYP-DEL W P/P I9 64291 Unspecified hypertension,complicating pregnancy, childbirth, or the

puerperium, delivered, with or without mention of antepartum condition I9

64292 HYPERTENS NOS-DEL W P/P I9 64301 Mild hyperemesis gravidarum, delivered, with or without mention of


64311 Hyperemesis gravidarum with metabolic disturbance, delivered, with or without mention of antepartum condition

I9

64321 Late vomiting of pregnancy, delivered, with or without mention of antepartum condition

I9

64381 Other vomiting complicating pregnancy, delivered, with or without mention of antepartum condition

I9

64391 Unspecified vomiting of pregnancy, delivered, with or without mention of antepartum condition

I9

64421 Early onset of delivery, delivered, with or without mention of antepartum condition

I9

64511 Post term pregnancy, delivered, with or without mention of antepartum condition

I9

64521 Prolonged pregnancy, delivered, with or without mention of antepartum condition

I9

64601 Papyraceous fetus, delivered, with or without mention of antepartum condition

I9


64611 Edema or excessive weight gain in pregnancy, without mention of hypertension,delivered, with or without mention of antepartum complication

I9

64612 EDEMA IN PREG-DEL W P/P I9 64621 Unspecified renal disease in pregnancy, without mention of

hypertension, delivered, with or without mention of antepartum condition I9

64622 RENAL DIS NOS-DEL W P/P I9 64631 Recurrent pregnancy loss, delivered, with or without mention of


64641 Peripheral neuritis in pregnancy, delivered, with or without mention of antepartum condition

I9

64642 NEURITIS-DELIVERED W P/P I9 64651 Asymptomatic bacteriuria in pregnancy, delivered, with or without

mention of antepartum condition I9

64652 ASY BACTERURIA-DEL W P/P I9 64661 Infections of genitourinary tract in pregnancy, delivered, with or without


64662 GU INFECTION-DELIV W P/P I9 64671 Liver and biliary tract disorders in pregnancy, delivered, with or without


64681 Other specified complications of pregnancy, delivered, with or without mention of antepartum condition

I9

64682 PREG COMPL NEC-DEL W P/P I9 64691 Unspecified complication of pregnancy, delivered, with or without


64701 Syphilis of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

I9

64702 SYPHILIS-DELIVERED W P/P I9 64711 Gonorrhea of mother, complicating pregnancy, childbirth, or the


64712 GONORRHEA-DELIVER W P/P I9 64721 Other venereal diseases of mother, complicating pregnancy, childbirth,

or the puerperium, delivered, with or without mention of antepartum condition

I9

64722 OTHER VD-DELIVERED W P/P I9 64731 Tuberculosis of mother, complicating pregnancy, childbirth, or the


64732 TUBERCULOSIS-DELIV W P/P I9 64741 Malaria in the mother, delivered, with or without mention of antepartum

condition I9

64742 MALARIA-DELIVERED W P/P I9 64751 Rubella in the mother, delivered, with or without mention of antepartum

condition I9

64752 RUBELLA-DELIVERED W P/P I9 64761 Other viral diseases in the mother, delivered, with or without mention of



64762 OTH VIRAL DIS-DEL W P/P I9 64781 Other specified infectious and parasitic diseases of mother, delivered,

with or without mention of antepartum condition I9

64782 INFECT DIS NEC-DEL W P/P I9 64791 Unspecified infection or infestation of mother, delivered, with or without


64792 INFECT NOS-DELIVER W P/P I9 64801 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the


64802 DIABETES-DELIVERED W P/P I9 64811 Thyroid dysfunction of mother, delivered, with or without mention of


64812 THYROID DYSFUN-DEL W P/P I9 64821 Anemia of mother, delivered, with or without mention of antepartum

condition I9

64822 ANEMIA-DELIVERED W P/P I9 64831 Drug dependence of mother, delivered, with or without mention of


64832 DRUG DEPENDEN-DEL W P/P I9 64841 Mental disorders of mother, delivered, with or without mention of


64842 MENTAL DIS-DELIV W P/P I9 64851 Congenital cardiovascular disorders of mother, delivered, with or

without mention of antepartum condition I9

64852 CONGEN CV DIS-DEL W P/P I9 64861 Other cardiovascular diseases of mother, delivered, with or without


64862 CV DIS NEC-DELIVER W P/P I9 64871 Bone and joint disorders of back, pelvis, and lower limbs of mother,

delivered, with or without mention of antepartum condition I9

64872 BONE DISORDER-DEL W P/P I9 64881 Abnormal glucose tolerance of mother, delivered, with or without


64882 ABN GLUCOSE-DELIV W P/P I9 64891 Other current conditions classifiable elsewhere of mother, delivered,


64892 OTH CURR COND-DEL W P/P I9 64901 Tobacco use disorder complicating pregnancy, childbirth, or the


64902 Tobacco use disorder complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

I9

64911 Obesity complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

I9

64912 Obesity complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

I9


64921 Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

I9

64922 Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

I9

64931 Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

I9

64932 Coagulation defects complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

I9

64941 Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition

I9

64942 Epilepsy complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication

I9

64951 SPOTTING COMPLICATING PREGNANCY, DELIVERED, W/ OR W/O MENTION OF ANTEPAR

I9

64961 Uterine size date discrepancy, delivered, with or without mention of antepartum condition

I9

64962 Uterine size date discrepancy, delivered, with mention of postpartum complication

I9

64971 Cervical shortening, delivered, with or without mention of antepartum condition

I9

64981 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with or without mention of antepartum condition

I9

64982 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section, delivered, with mention of postpartum complication

I9

650 Normal delivery I9 65101 Twin pregnancy, delivered, with or without mention of antepartum

condition I9

65111 Triplet pregnancy, delivered, with or without mention of antepartum condition

I9

65121 Quadruplet pregnancy, delivered, with or without mention of antepartum condition

I9

65131 Twin pregnancy with fetal loss and retention of one fetus, delivered, with or without mention of antepartum condition

I9

65141 Triplet pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition

I9

65151 Quadruplet pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition

I9

65161 Other multiple pregnancy with fetal loss and retention of one or more fetus(es), delivered, with or without mention of antepartum condition

I9

65171 Multiple gestation following (elective) fetal reduction,delivered, with or without mention of antepartum condition

I9

65181 Other specified multiple gestation, delivered, with or without mention of antepartum condition

I9


65191 Unspecified multiple gestation, delivered, with or without mention of antepartum condition

I9

65201 Unstable lie, delivered, with or without mention of antepartum condition I9 65211 Breech or other malpresentation successfully converted to cephalic

presentation, delivered, with or without mention of antepartum condition I9

65221 Breech presentation without mention of version, delivered, with or without mention of antepartum condition

I9

65231 Transverse or oblique presentation, delivered, with or without mention of antepartum condition

I9

65241 Face or brow presentation, delivered, with or without mention of antepartum condition

I9

65251 High head at term, delivered, with or without mention of antepartum condition

I9

65261 Multiple gestation with malpresentation of one fetus or more, delivered, I9 65271 Prolapsed arm of fetus, delivered, with or without mention of antepartum

condition I9

65281 Other specified malposition or malpresentation, delivered, with or without mention of antepartum condition

I9

65291 Unspecified malposition or malpresentation, delivered, with or without mention of antepartum condition

I9

65301 Major abnormality of bony pelvis, not further specified, delivered, with or without mention of antepartum condition

I9

65311 Generally contracted pelvis, delivered, with or without mention of antepartum condition

I9

65321 Inlet contraction of pelvis, delivered, with or without mention of antepartum condition

I9

65331 Outlet contraction of pelvis, delivered, with or without mention of antepartum condition

I9

65341 Fetopelvic disproportion, delivered, with or without mention of antepartum condition

I9

65351 Unusually large fetus causing disproportion, delivered, with or without mention of antepartum condition

I9

65361 Hydrocephalic fetus causing disproportion, delivered, with or without mention of antepartum condition

I9

65371 Other fetal abnormality causing disproportion, delivered, with or without mention of antepartum condition

I9

65381 Disproportion of other origin, delivered, with or without mention of antepartum condition

I9

65391 Unspecified disproportion, delivered, with or without mention of antepartum condition

I9

65401 Congenital abnormalities of uterus, delivered, with or without mention of antepartum condition

I9

65402 CONG ABN UTER-DEL W P/P I9 65411 Tumors of body of uterus, delivered, with or without mention of


65412 UTERINE TUMOR-DEL W P/P I9


65420 PREV C-DELIVERY UNSPEC I9 65421 PREV C-DELIVERY-DELIVRD I9 65423 PREV C-DELIVERY-ANTEPART I9 65431 Retroverted and incarcerated gravid uterus, delivered, with mention of


65432 RETROVERT UTER-DEL W P/P I9 65441 Other abnormalities in shape or position of gravid uterus and of

neighboring structures, delivered, with or without mention of antepartum condition

I9

65442 ABN UTERUS NEC-DEL W P/P I9 65451 Cervical incompetence, delivered, with or without mention of


65452 CERV INCOMPET-DEL W P/P I9 65461 Other congenital or acquired abnormality of cervix, delivered, with or


65462 ABN CERVIX NEC-DEL W P/P I9 65471 Congenital or acquired abnormality of vagina, delivered, with or without


65472 ABNORM VAGINA-DEL W P/P I9 65481 Congenital or acquired abnormality of vulva, delivered, with or without


65482 ABNORMAL VULVA-DEL W P/P I9 65491 Other and unspecified abnormality of organs and soft tissues of pelvis,


65492 ABN PELV NEC-DELIV W P/P I9 65501 Central nervous system malformation in fetus, delivered, with or without


65511 Chromosomal abnormality in fetus, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65521 Hereditary disease in family possibly affecting fetus, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65531 Suspected damage to fetus from viral disease in the mother, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65541 Suspected damage to fetus from other disease in the mother, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65551 Suspected damage to fetus from drugs, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65561 Suspected damage to fetus from radiation, affecting management of mother, delivered,

I9

65571 DECREASED FETAL MOVEMENTS DELIVERED WITH/WITHOUT MENTION OF ANTEPARTUM

I9


65581 Other known or suspected fetal abnormality, not elsewhere classified, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65591 Unspecified suspected fetal abnormality, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65601 Fetal-maternal hemorrhage, delivered, with or without mention of antepartum condition

I9

65611 Rhesus isoimmunization, delivered, with or without mention of antepartum condition

I9

65621 Isoimmunization from other and unspecified blood-group incompatibility, delivered, with or without mention of antepartum condition

I9

65631 Fetal distress, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65651 Poor fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65661 Excessive fetal growth, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65671 Other placental conditions, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65681 Other specified fetal and placental problems, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65691 Unspecified fetal and placental problem, affecting management of mother, delivered, with or without mention of antepartum condition

I9

65701 Polyhydramnios, delivered, with or without mention of antepartum condition

I9

65801 Oligohydramnios, delivered, with or without mention of antepartum condition

I9

65811 Premature rupture of membranes, delivered, with or without mention of antepartum condition

I9

65821 Delayed delivery after spontaneous or unspecified rupture of membranes, delivered, with or without mention of antepartum condition

I9

65831 Delayed delivery after artificial rupture of membranes, delivered, with or without mention of antepartum condition

I9

65841 Infection of amniotic cavity, delivered, with or without mention of antepartum condition

I9

65881 Other problems associated with amniotic cavity and membranes, delivered, with or without mention of antepartum condition

I9

65891 Unspecified problem associated with amniotic cavity and membranes, delivered, with or without mention of antepartum condition

I9

65901 Failed mechanical induction of labor, delivered, with or without mention of antepartum condition

I9

65911 Failed medical or unspecified induction of labor, delivered, with or without mention of antepartum condition

I9

65921 Maternal pyrexia during labor, unspecified, delivered, with or without mention of antepartum condition

I9

65931 Generalized infection during labor, delivered, with or without mention of antepartum condition

I9


65941 Grand multiparity, delivered, with or without mention of antepartum condition

I9

65951 Elderly primigravida, delivered, with or without mention of antepartum condition

I9

65961 Elderly multigravida, delivered with or without mention of antepartum condition

I9

65971 Abnormality in fetal heart rate or rhythm, delivered, with or without mention of antepartum condition

I9

65981 Other specified indications for care or intervention related to labor and delivery, delivered, with or without mention of antepartum condition

I9

65991 Unspecified indication for care or intervention related to labor and delivery, delivered, with or without mention of antepartum condition

I9

66001 Obstruction caused by malposition of fetus at onset of labor, delivered, with or without mention of antepartum condition

I9

66011 Obstruction by bony pelvis during labor, delivered, with or without mention of antepartum condition

I9

66021 Obstruction by abnormal pelvic soft tissues during labor, delivered, with or without mention of antepartum condition

I9

66031 Deep transverse arrest and persistent occipitoposterior position, delivered, with or without mention of antepartum condition

I9

66041 Shoulder (girdle) dystocia, delivered, with or without mention of antepartum condition

I9

66051 Locked twins, delivered, with or without mention of antepartum condition I9 66061 Unspecified failed trial of labor, delivered, with or without mention of


66071 Failed forceps or vacuum extractor, unspecified, delivered, with or without mention of antepartum condition

I9

66081 Other causes of obstructed labor, delivered, with or without mention of antepartum condition

I9

66091 Unspecified obstructed labor, delivered, with or without mention of antepartum condition

I9

66101 Primary uterine inertia, delivered, with or without mention of antepartum condition

I9

66111 Secondary uterine inertia, delivered, with or without mention of antepartum condition

I9

66121 Other and unspecified uterine inertia, delivered, with or without mention of antepartum condition

I9

66131 Precipitate labor, delivered, with or without mention of antepartum condition

I9

66141 Hypertonic, incoordinate, or prolonged uterine contractions, delivered, with or without mention of antepartum condition

I9

66191 Unspecified abnormality of labor, delivered, with or without mention of antepartum condition

I9

66201 Prolonged first stage of labor, delivered, with or without mention of antepartum condition

I9

66211 Unspecified prolonged labor, delivered, with or without mention of antepartum condition

I9


66221 Prolonged second stage of labor, delivered, with or without mention of antepartum condition

I9

6623 DELAY DELIVERY 2ND TWIN I9 66231 DELAY DEL 2ND TWIN-DELIV I9 66301 Prolapse of cord complicating labor and delivery, delivered, with or


66311 Cord around neck, with compression, complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66321 Other and unspecified cord entanglement, with compression, complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66331 Other and unspecified cord entanglement, without mention of compression, complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66341 Short cord complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66351 Vasa previa complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66361 Vascular lesions of cord complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66381 Other umbilical cord complications complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

66391 Unspecified umbilical cord complication complicating labor and delivery, delivered, with or without mention of antepartum condition

I9

6640 DELIVERY W 1 DEG LACERAT I9 66401 DEL W 1 DEG LACERAT-DEL I9 6641 DELIVERY W 2 DEG LACERAT I9 66411 DEL W 2 DEG LACERAT-DEL I9 6642 DELIVERY W 3 DEG LACERAT I9 66421 DEL W 3 DEG LACERAT-DEL I9 6643 DELIVERY W 4 DEG LACERAT I9 66431 DEL W 4 DEG LACERAT-DEL I9 66441 Unspecified perineal laceration, delivered, with or without mention of


66451 Vulvar and perineal hematoma, delivered, with or without mention of antepartum condition

I9

6646 ANAL SPHINCTER TEAR COMPLICATING DELIVERY, NOT ASSOC W/ THIRD DEGREE

I9

66460 ANAL SPHINCTER TEAR,COMPL DELIVERY,UNSP AS TO EPISODE OF CARE OR N/A

I9

66461 ANAL SPHINCTER TEAR,COMPL DEL,W/OR W/OUT MENTION OF ANTEPARTUM CONDITION

I9

66464 ANAL SPHINCTER TEAR,COMPL DELIVERY,POSTPARTUM CONDITION OR COMPLICATION

I9

66481 Other specified trauma to perineum and vulva, delivered, with or without mention of antepartum condition

I9


66491 Unspecified trauma to perineum and vulva, delivered, with or without mention of antepartum condition

I9

66501 Rupture of uterus before onset of labor, delivered, with or without mention of antepartum condition

I9

66511 Rupture of uterus during labor, delivered, with or without mention of antepartum condition

I9

66522 INVERS UTERUS-DEL W P/P I9 66531 Laceration of cervix, delivered, with or without mention of antepartum

condition I9

66541 High vaginal laceration, delivered, with or without mention of antepartum condition

I9

66551 Other injury to pelvic organs, delivered, with or without mention of antepartum condition

I9

66561 Damage to pelvic joints and ligaments, delivered, with or without mention of antepartum condition

I9

66571 Pelvic hematoma, delivered, with or without mention of antepartum condition

I9

66572 PELVIC HEMATOM-DEL W PP I9 66581 Other specified obstetrical trauma, delivered, with or without mention of


66582 OB TRAUMA NEC-DEL W P/P I9 66591 Unspecified obstetrical trauma, delivered, with or without mention of


66592 OB TRAUMA NOS-DEL W P/P I9 66602 THRD-STAGE HEM-DEL W P/P I9 66612 POSTPA HEM NEC-DEL W P/P I9 66622 DELAY P/P HEM-DEL W P/P I9 66632 Postpartum coagulation defects, delivered, with mention of postpartum

complication I9

66702 RETND PLAC NOS-DEL W P/P I9 66712 RET PROD CONC-DEL W P/P I9 66801 PULM COMPL IN DEL-DELIV I9 66802 PULM COMPLIC-DEL W P/P I9 66811 HEART COMPL IN DEL-DELIV I9 66812 HEART COMPL-DEL W P/P I9 66821 CNS COMPL LAB/DEL-DELIV I9 66822 CNS COMPLIC-DEL W P/P I9 66881 Other complications of anesthesia or other sedation in labor and

delivery, delivered, with or without mention of antepartum condition I9

66882 ANESTH COMPL NEC-DEL P/P I9 66891 Unspecified complication of anesthesia and other sedation in labor and

delivery, delivered, with or without mention of antepartum condition I9

66892 ANESTH COMPL NOS-DEL P/P I9 66901 Maternal distress complicating labor and delivery, delivered, with or



66902 MATERN DISTRES-DEL W P/P I9 66911 Shock during or following labor and delivery, delivered, with or without


66912 OBSTET SHOCK-DELIV W P/P I9 66921 Maternal hypotension syndrome, delivered, with or without mention of


66922 MATERN HYPOTEN-DEL W P/P I9 66932 AC REN FAIL-DELIV W P/P I9 66941 Other complications of obstetrical surgery and procedures, delivered,


66942 OTH OB COMPL-DELIV W P/P I9 6695 FORCEPS DELIVERY NOS I9 66951 FORCEP DELIV NOS-DELIVER I9 66961 Breech extraction, without mention of indication, delivered, with or


6697 CESAREAN DELIVERY NOS I9 66970 CESAREAN DELIV NOS-UNSP I9 66971 CESAREAN DELIVERY NOS I9 6698 COMPL LABOR/DELIVERY NEC I9 66981 COMP LAB/DELIV NEC-DELIV I9 66982 COMPL DEL NEC-DEL W P/P I9 6699 COMPL LABOR/DELIVERY NOS I9 66991 COMP LAB/DELIV NOS-DELIV I9 66992 COMPL DEL NOS-DEL W P/P I9 67002 MAJOR PUERP INF-DEL P/P I9 67101 Varicose veins of legs complicating pregnancy and the puerperium,


67102 VARIC VEIN LEG-DEL W P/P I9 67111 Varicose veins of vulva and perineum complicating pregnancy and the


67112 VARICOSE VULVA-DEL W P/P I9 67121 Superficial thrombophlebitis complicating pregnancy and the


67122 THROMBOPHLEB-DELIV W P/P I9 67131 Deep phlebothrombosis, antepartum, delivered, with or without mention

of antepartum condition I9

67142 THROMB POSTPAR-DEL W P/P I9 67151 Other phlebitis and thrombosis complicating pregnancy and the


67152 THROMB NEC-DELIV W P/P I9 67181 Other venous complications of pregnancy and the puerperium,


67182 VEN COMP NEC-DELIV W P/P I9 67191 Unspecified venous complication of pregnancy and the puerperium,



67192 VEN COMP NOS-DELIV W P/P I9 67202 PUERP PYREXIA-DEL W P/P I9 67301 Obstetrical air embolism, delivered, with or without mention of


67302 OB AIR EMBOL-DELIV W P/P I9 67311 Amniotic fluid embolism, delivered, with or without mention of


67312 AMNIOT EMBOL-DELIV W P/P I9 67321 Obstetrical blood-clot embolism, delivered, with or without mention of


67322 PULM EMBOL NOS-DEL W P/P I9 67331 Obstetrical pyemic and septic embolism, delivered, with or without


67332 OB PYEM EMBOL-DEL W P/P I9 67381 Other obstetrical pulmonary embolism, delivered, with or without


67382 PULM EMBOL NEC-DEL W P/P I9 67401 Cerebrovascular disorders in the puerperium, delivered, with or without


67402 CEREBVAS DIS-DELIV W P/P I9 67412 DISRUPT C-SECT-DEL W P/P I9 67422 DISRUPT PERIN-DEL W P/P I9 67432 OB SURG COMPL-DEL W P/P I9 67442 PLACENT POLYP-DEL W P/P I9 67451 Peripartum cardiomyopathy, delivered, with or without mention of


67452 Peripartum cardiomyopathy, delivered, with mention of postpartum condition

I9

67482 PUERP COMP NEC-DEL W P/P I9 67492 PUERP COMP NOS-DEL W P/P I9 67501 Infections of nipple associated with childbirth, delivered, with or without


67502 INFECT NIPPLE-DEL W P/P I9 67511 Abscess of breast associated with childbirth, delivered, with or without


67512 BREAST ABSCESS-DEL W P/P I9 67521 Nonpurulent mastitis associated with childbirth, delivered, with or


67522 MASTITIS-DELIV W P/P I9 67581 Other specified infections of the breast and nipple associated with

childbirth, delivered, with or without mention of antepartum condition I9

67582 BREAST INF NEC-DEL W P/P I9 67591 Unspecified infection of the breast and nipple associated with childbirth,


67592 BREAST INF NOS-DEL W P/P I9


67601 Retracted nipple associated with childbirth, delivered, with or without mention of antepartum condition

I9

67602 RETRACT NIPPLE-DEL W P/P I9 67611 Cracked nipple associated with childbirth, delivered, with or without


67612 CRACKED NIPPLE-DEL W P/P I9 67621 Engorgement of breasts associated with childbirth, delivered, with or


67622 BREAST ENGORGE-DEL W P/P I9 67631 Other and unspecified disorder of breast associated with childbirth,


67632 BREAST DIS NEC-DEL W P/P I9 67641 Failure of lactation, delivered, with or without mention of antepartum

condition I9

67642 LACTATION FAIL-DEL W P/P I9 67651 Suppressed lactation, delivered, with or without mention of antepartum

condition I9

67652 SUPPR LACTAT-DEL W P/P I9 67661 Galactorrhea associated with childbirth, delivered, with or without


67662 GALACTORRHEA-DEL W P/P I9 67681 Other disorders of lactation, delivered, with or without mention of


67682 LACTAT DIS NEC-DEL W P/P I9 67691 Unspecified disorder of lactation, delivered, with or without mention of


67692 LACTAT DIS NOS-DEL W P/P I9 67801 Fetal hematologic conditions, delivered, with or without mention of


67811 Fetal conjoined twins, delivered, with or without mention of antepartum condition

I9

67901 Maternal complications from in utero procedure, delivered, with or without mention of antepartum condition

I9

67902 Maternal complications from in utero procedure, delivered, with mention of postpartum complication

I9

67911 Fetal complications from in utero procedure, delivered, with or without mention of antepartum condition

I9

67912 Fetal complications from in utero procedure, delivered, with mention of postpartum complication

I9

7632 FORCEPS DELIVERY AFF NB I9 7634 CESAREAN DELIVERY AFF NB I9 76389 OTHER SPECIFIED COMPLICATIONS OF LABOR/DELIVERY

AFFECTING FETUS/NEWBORN I9

O6000 PRETERM LABOR WITHOUT DELIVERY, UNSPECIFIED TRIMESTER

I0

O6002 PRETERM LABOR WITHOUT DELIVERY, SECOND TRIMESTER I0


O6003 PRETERM LABOR WITHOUT DELIVERY, THIRD TRIMESTER I0 O6010 PRETERM LABOR WITH PRETERM DELIVERY, UNSPECIFIED

TRIMESTER I0

O6010X0 PRETERM LABOR W PRETERM DELIVERY, UNSP TRIMESTER, UNSP

I0

O6010X1 PRETERM LABOR WITH PRETERM DELIVERY, UNSP TRIMESTER, FETUS 1

I0


I0


I0


I0


I0

O6010X9 PRETERM LABOR W PRETERM DELIVERY, UNSP TRIMESTER, OTH FETUS

I0

O6012 PRETERM LABOR SECOND TRI W PRETERM DELIVERY SECOND TRIMESTER

I0

O6012X0 PRETERM LABOR SECOND TRI W PRETERM DELIVERY SECOND TRI, UNSP

I0

O6012X1 PRETERM LABOR SECOND TRI W PRETERM DEL SECOND TRI, FETUS 1

I0


I0


I0


I0


I0

O6012X9 PRETERM LABOR SECOND TRI W PRETERM DELIVERY SECOND TRI, OTH

I0

O6013 PRETERM LABOR SECOND TRI W PRETERM DELIVERY THIRD TRIMESTER

I0

O6013X0 PRETERM LABOR SECOND TRI W PRETERM DELIVERY THIRD TRI, UNSP

I0

O6013X1 PRETERM LABOR SECOND TRI W PRETERM DEL THIRD TRI, FETUS 1

I0


I0


I0


I0


I0


O6013X9 PRETERM LABOR SECOND TRI W PRETERM DELIVERY THIRD TRI, OTH

I0

O6014 PRETERM LABOR THIRD TRI W PRETERM DELIVERY THIRD TRIMESTER

I0

O6014X0 PRETERM LABOR THIRD TRI W PRETERM DELIVERY THIRD TRI, UNSP

I0

O6014X1 PRETERM LABOR THIRD TRI W PRETERM DEL THIRD TRI, FETUS 1

I0


I0


I0


I0


I0

O6014X9 PRETERM LABOR THIRD TRI W PRETERM DELIVERY THIRD TRI, OTH

I0

O602 TERM DELIVERY WITH PRETERM LABOR I0 O6020 TERM DELIVERY WITH PRETERM LABOR, UNSPECIFIED

TRIMESTER I0

O6020X0 TERM DELIVERY W PRETERM LABOR, UNSP TRIMESTER, UNSP I0 O6020X1 TERM DELIVERY WITH PRETERM LABOR, UNSP TRIMESTER,

FETUS 1 I0

O6020X2 TERM DELIVERY WITH PRETERM LABOR, UNSP TRIMESTER, FETUS 2

I0


I0


I0


I0

O6020X9 TERM DELIVERY WITH PRETERM LABOR, UNSP TRIMESTER, OTH FETUS

I0

O6022 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER I0 O6022X0 TERM DELIVERY W PRETERM LABOR, SECOND TRIMESTER,

UNSP I0

O6022X1 TERM DELIVERY WITH PRETERM LABOR, SECOND TRIMESTER, FETUS 1

I0


I0


I0


I0


I0


O6022X9 TERM DELIVERY W PRETERM LABOR, SECOND TRIMESTER, OTH FETUS

I0

O6023 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER I0 O6023X0 TERM DELIVERY W PRETERM LABOR, THIRD TRIMESTER, UNSP I0 O6023X1 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER,

FETUS 1 I0

O6023X2 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, FETUS 2

I0


I0


I0


I0

O6023X9 TERM DELIVERY WITH PRETERM LABOR, THIRD TRIMESTER, OTH FETUS

I0

O632 DELAYED DELIVERY OF SECOND TWIN, TRIPLET, ETC. I0 O67 LABOR AND DELIVERY COMP BY INTRAPARTUM HEMORRHAGE,

NEC I0

O68 LABOR AND DELIVERY COMP BY ABNLT OF FETAL ACID-BASE BALANCE

I0

O69 LABOR AND DELIVERY COMPLICATED BY UMBILICAL CORD COMP

I0

O690 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD I0 O690XX0 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD,

UNSP I0

O690XX1 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, FETUS 1

I0


I0


I0


I0


I0

O690XX9 LABOR AND DELIVERY COMPLICATED BY PROLAPSE OF CORD, OTH

I0

O691 LABOR AND DELIVERY COMP BY CORD AROUND NECK, W COMPRESSION

I0

O691XX0 LABOR AND DELIVERY COMP BY CORD AROUND NECK, W COMPRSN, UNSP

I0

O691XX1 LABOR AND DEL COMP BY CORD AROUND NECK, W COMPRSN, FETUS 1

I0


I0



I0


I0


I0

O691XX9 LABOR AND DELIVERY COMP BY CORD AROUND NECK, W COMPRSN, OTH

I0

O692 LABOR AND DELIVERY COMP BY OTH CORD ENTANGLE, W COMPRESSION

I0

O692XX0 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, UNSP

I0

O692XX1 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W COMPRSN, FETUS 1

I0


I0


I0


I0


I0

O692XX9 LABOR AND DELIVERY COMP BY OTH CORD ENTANGLE, W COMPRSN, OTH

I0

O693 LABOR AND DELIVERY COMPLICATED BY SHORT CORD I0 O693XX0 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, UNSP I0 O693XX1 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 1 I0 O693XX2 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 2 I0 O693XX3 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 3 I0 O693XX4 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 4 I0 O693XX5 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, FETUS 5 I0 O693XX9 LABOR AND DELIVERY COMPLICATED BY SHORT CORD, OTHER

FETUS I0

O694 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA I0 O694XX0 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, UNSP I0 O694XX1 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 1 I0 O694XX2 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 2 I0 O694XX3 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 3 I0 O694XX4 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 4 I0 O694XX5 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, FETUS 5 I0 O694XX9 LABOR AND DELIVERY COMPLICATED BY VASA PREVIA, OTHER

FETUS I0

O695 LABOR AND DELIVERY COMPLICATED BY VASCULAR LESION OF CORD

I0

O695XX0 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, UNSP

I0


O695XX1 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, FETUS 1

I0


I0


I0


I0


I0

O695XX9 LABOR AND DELIVERY COMP BY VASCULAR LESION OF CORD, OTH

I0

O698 LABOR AND DELIVERY COMPLICATED BY OTHER CORD COMPLICATIONS

I0

O6981 LABOR AND DELIVERY COMP BY CORD AROUND NECK, W/O COMPRESSION

I0

O6981X0 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, UNSP

I0

O6981X1 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, FETUS 1

I0


I0


I0


I0


I0

O6981X9 LABOR AND DEL COMP BY CORD AROUND NECK, W/O COMPRSN, OTH

I0

O6982 LABOR AND DELIVERY COMP BY OTH CORD ENTANGLE, W/O COMPRSN

I0

O6982X0 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, UNSP

I0

O6982X1 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, FTS1

I0


I0


I0


I0


I0

O6982X9 LABOR AND DEL COMP BY OTH CORD ENTANGLE, W/O COMPRSN, OTH

I0


O6989 LABOR AND DELIVERY COMPLICATED BY OTHER CORD COMPLICATIONS

I0

O6989X0 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, UNSP

I0

O6989X1 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, FETUS 1

I0


I0


I0


I0


I0

O6989X9 LABOR AND DELIVERY COMPLICATED BY OTH CORD COMP, OTH I0 O699 LABOR AND DELIVERY COMPLICATED BY CORD COMPLICATION,

UNSP I0

O699XX0 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, UNSP

I0

O699XX1 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, FETUS 1

I0


I0


I0


I0


I0

O699XX9 LABOR AND DELIVERY COMPLICATED BY CORD COMP, UNSP, OTH

I0

O7020 THIRD DEGREE PERINEAL LACERATION DURING DELIVERY, UNSPECIFIED

I0

O7021 THIRD DEGREE PERINEAL LACERATION DURING DELIVERY, IIIA I0 O7022 THIRD DEGREE PERINEAL LACERATION DURING DELIVERY, IIIB I0 O7023 THIRD DEGREE PERINEAL LACERATION DURING DELIVERY, IIIC I0 O709 PERINEAL LACERATION DURING DELIVERY, UNSPECIFIED I0 O749 COMPLICATION OF ANESTHESIA DURING LABOR AND DELIVERY,

UNSP I0

O75 OTH COMPLICATIONS OF LABOR AND DELIVERY, NEC I0 O755 DELAYED DELIVERY AFTER ARTIFICIAL RUPTURE OF

MEMBRANES I0

O7582 ONSET LABOR 37-39 WEEKS, W DEL BY (PLANNED) CESAREAN SECTION

I0

O759 COMPLICATION OF LABOR AND DELIVERY, UNSPECIFIED I0


O770 LABOR AND DELIVERY COMPLICATED BY MECONIUM IN AMNIOTIC FLUID

I0

O771 FETAL STRESS IN LABOR OR DELIVERY DUE TO DRUG ADMINISTRATION

I0

O778 LABOR AND DELIVERY COMP BY OTH EVIDENCE OF FETAL STRESS

I0

O779 LABOR AND DELIVERY COMPLICATED BY FETAL STRESS, UNSPECIFIED

I0

O80 ENCOUNTER FOR FULL-TERM UNCOMPLICATED DELIVERY I0 O82 ENCOUNTER FOR CESAREAN DELIVERY WITHOUT INDICATION I0 O8620 URINARY TRACT INFECTION FOLLOWING DELIVERY,

UNSPECIFIED I0

O900 DISRUPTION OF CESAREAN DELIVERY WOUND I0 P030 NEWBORN AFFECTED BY BREECH DELIVERY AND EXTRACTION I0 P033 NEWBORN AFFECTED BY DELIVERY BY VACUUM EXTRACTOR I0 P039 NEWBORN AFFECTED BY COMPLICATION OF LABOR AND

DELIVERY, UNSP I0

V272 Outcome of delivery, twins, both liveborn I9 V273 Outcome of delivery, twins, one liveborn and one stillborn I9 V275 Outcome of delivery, other multiple birth, all liveborn I9 V276 DEL-MULT BRTH, SOME LIVE I9 V277 DEL-MULT BIRTH, ALL SB I9 V3000 Single liveborn, born in hospital, delivered without mention of cesarean

section I9

V3001 Single liveborn, born in hospital, delivered by cesarean section I9 V301 Single liveborn, born before admission to hospital I9 V302 Single liveborn, born outside hospital and not hospitalized I9 V3100 Twin birth, mate liveborn, born in hospital, delivered without mention of

cesarean section I9

V3101 Twin birth, mate liveborn, born in hospital, delivered by cesarean section

I9

V311 Twin birth, mate liveborn, born before admission to hospital I9 V312 Twin birth, mate liveborn, born outside hospital and not hospitalized I9 V3200 Twin birth, mate stillborn, born in hospital, delivered without mention of

cesarean section I9

V3201 Twin birth, mate stillborn, born in hospital, delivered by cesarean section

I9

V321 Twin birth, mate stillborn, born before admission to hospital I9 V322 Twin birth, mate stillborn, born outside hospital and not hospitalized I9 V3300 Twin birth, unspecified whether mate liveborn or stillborn, born in

hospital, delivered without mention of cesarean section I9

V3301 Twin birth, unspecified whether mate liveborn or stillborn, born in hospital, delivered by cesarean section

I9

V331 Twin birth, unspecified whether mate liveborn or stillborn, born before admission to hospital

I9


V332 Twin birth, unspecified whether mate liveborn or stillborn, born outside hospital and not hospitalized

I9

V3400 Other multiple birth (three or more), mates all liveborn, born in hospital, delivered without mention of cesarean section

I9

V3401 Other multiple birth (three or more), mates all liveborn, born in hospital, delivered by cesarean section

I9

V341 Other multiple birth (three or more), mates all liveborn, born before admission to hospital

I9

V342 Other multiple birth (three or more), mates all liveborn, born outside hospital and not hospitalized

I9

V3500 Other multiple birth (three or more), mates all still born, born in hospital, delivered without mention of cesarean section

I9

V3501 Other multiple birth (three or more), mates all still born, born in hospital, delivered by cesarean section

I9

V351 Other multiple birth (three or more), mates all stillborn, born before admission to hospital

I9

V352 Other multiple birth (three or more), mates all stillborn, born outside of hospital and not hospitalized

I9

V3600 Other multiple birth (three or more), mates liveborn and stillborn, born in hospital, delivered without mention of cesarean section

I9

V3601 Other multiple birth (three or more), mates liveborn and stillborn, born in hospital, delivered by cesarean delivery

I9

V361 Other multiple birth (three or more), mates liveborn and stillborn, born before admission to hospital

I9

V362 Other multiple birth (three or more), mates liveborn and stillborn, born outside hospital and not hospitalized

I9

V3700 Other multiple birth (three or more), unspecified whether mates liveborn or stillborn, born in hospital, delivered without mention of cesarean section

I9

V3701 Other multiple birth (three or more), unspecified whether mates liveborn or stillborn, born in hospital, delivered by cesarean section

I9

V371 Other multiple birth (three or more), unspecified whether mates liveborn or stillborn, born before admission to hospital

I9

V372 Other multiple birth (three or more), unspecified whether mates liveborn or stillborn, born outside of hospital

I9

V3900 Liveborn, unspecified whether single, twin or multiple, born in hospital, delivered without mention of cesarean section

I9

V3901 Liveborn, unspecified whether single, twin or multiple, born in hospital, delivered by cesarean section

I9

V391 Liveborn, unspecified whether single, twin or multiple, born before admission to hospital

I9

V392 Liveborn, unspecified whether single, twin or multiple, born outside hospital and not hospitalized

I9

Z372 [Z37.2] Twins, both liveborn I0 Z373 [Z37.3] Twins, one liveborn and one stillborn I0 Z3750 [Z37.50] Multiple births, unspecified, all liveborn I0 Z3751 [Z37.51] Triplets, all liveborn I0


Z3752 [Z37.52] Quadruplets, all liveborn I0 Z3753 [Z37.53] Quintuplets, all liveborn I0 Z3754 [Z37.54] Sextuplets, all liveborn I0 Z3759 [Z37.59] Other multiple births, all liveborn I0 Z3760 [Z37.60] Multiple births, unspecified, some liveborn I0 Z3761 [Z37.61] Triplets, some liveborn I0 Z3762 [Z37.62] Quadruplets, some liveborn I0 Z3763 [Z37.63] Quintuplets, some liveborn I0 Z3764 [Z37.64] Sextuplets, some liveborn I0 Z3769 [Z37.69] Other multiple births, some liveborn I0 Z379 OUTCOME OF DELIVERY, UNSPECIFIED I0 Z3800 [Z38.00] Single liveborn infant, delivered vaginally I0 Z3801 [Z38.01] Single liveborn infant, delivered by cesarean I0 Z381 [Z38.1] Single liveborn infant, born outside hospital I0 Z382 [Z38.2] Single liveborn infant, unspecified as to place of birth I0 Z3830 [Z38.30] Twin liveborn infant, delivered vaginally I0 Z3831 [Z38.31] Twin liveborn infant, delivered by cesarean I0 Z384 [Z38.4] Twin liveborn infant, born outside hospital I0 Z385 [Z38.5] Twin liveborn infant, unspecified as to place of birth I0 Z3861 [Z38.61] Triplet liveborn infant, delivered vaginally I0 Z3862 [Z38.62] Triplet liveborn infant, delivered by cesarean I0 Z3863 [Z38.63] Quadruplet liveborn infant, delivered vaginally I0 Z3864 [Z38.64] Quadruplet liveborn infant, delivered by cesarean I0 Z3865 [Z38.65] Quintuplet liveborn infant, delivered vaginally I0 Z3866 [Z38.66] Quintuplet liveborn infant, delivered by cesarean I0 Z3868 [Z38.68] Other multiple liveborn infant, delivered vaginally I0 Z3869 [Z38.69] Other multiple liveborn infant, delivered by cesarean I0 Z387 [Z38.7] Other multiple liveborn infant, born outside hospital I0 Z388 [Z38.8] Other multiple liveborn infant, unspecified as to place of birth I0


Table V. Prenatal/Postpartum Visit Procedure Codes PROC PROCEDURE DESCRIPTION PROC TYPE

0514 Prenatal Visits UBREV

8878 Prenatal Ultrasound ICD9PCS

57170 Postpartum Visits CPT


59025 FETAL NON-STRESS TEST CPT

59425 ANTEPARTUM CARE ONLY CPT

59426 ANTEPARTUM CARE ONLY CPT

59430 CARE AFTER DELIVERY CPT

76801 Prenatal Ultrasound CPT
















99201 Prenatal Visits CPT
















0503F Postpartum Visits CPT-CAT-II

BY49ZZZ

Prenatal Ultrasound ICD10PCS

BY4BZZZ


BY4CZZZ


BY4DZZZ


BY4FZZZ



BY4GZZZ


G0101 Postpartum Visits HCPCS

G0463 Prenatal Visits HCPCS

H1003 Prenatal care, at-risk enhanced service; education HCPCS

H1005 Prenatal Bundled Services HCPCS

T1015 Prenatal Visits HCPCS

Z01411 Postpartum Visits ICD10CM



Z1030 NON-OXYTOCIN FETAL STRESS TEST HCPCS

Z1032 Initial comprehensive pregnancy-related office visit

HCPCS

Z1034 Antepartum visit HCPCS

Z1036 Tenth antepartum visit HCPCS

Z1038 Postpartum office visit HCPCS




Z6200 INITIAL NUTRIT ASSESSMENT/DEVELOP HCPCS

Z6202 SUB NUTRITION ASSESS/DEVELOP EA SU HCPCS

Z6204 FOLLOW-UP ANTEPARTUM INDIVIDUAL EA HCPCS

Z6206 FOLLOW-UP ANTEPARTUM PER PATIENT E HCPCS

Z6208 POSTPARTUM NUTR ASSE/TREAT/INTER I HCPCS

Z6300 INIT PSYCHOSOCIAL ASSESS/DEVEL FIR HCPCS

Z6302 SUB PSYCHOSOCIAL ASSESS/DEVELOP EA HCPCS


Z6304 FOLLOW-UP ANTEPARTUM PSYCHOSOCIAL HCPCS

Z6306 FOLLOW-UP ANTEPARTUM PSYCHSOCIAL E HCPCS

Z6308 POSTPARTUM PSYCHOSOCIAL ASSESS EA HCPCS

Z6400 NEW CLIENT ORIENTATION EA 15MIN HCPCS

Z6402 INITIAL HEALTH ED ASSESS/DEVELOP 7 HCPCS

Z6404 SUB HEALTH EDUCATION ASSESS/DEVELO HCPCS

Z6406 FOLLOW-UP ANTEPARTUM HEALTH/ED EA HCPCS

Z6408 FOLLOW-UP ANTEPARTUM HEALTH ED EA HCPCS

Z6410 PERINATAL EDUCATION INDIVIDUAL EA HCPCS

Z6412 PERINATAL EDUCATION GROUP PER PAT HCPCS

Z6414 POSTPARTUM HEALTH ED ASSESS IND EA HCPCS

Z6500 INITIAL COMP FIRST 30 MIN/INC CASE HCPCS


Works Cited

1. Centers for Disease Control and Prevention. (2016). National Center for Immunization and Respiratory Diseases (NCIRD): Division of Bacterial Diseases. Retrieved from: https://www.cdc.gov/features/tdap-in-pregnancy

2. Stuebe, A., Borders, A. “Optimizing Postpartum Care.” The American College of Obstetricians and Gynecologists: Committee Opinion No.666 (2016). Web. 3 May 2017.

3. U.S. Department of Health and Human Services Health Resources and Services Administration (2015). Clinical Quality Measures: Prenatal – First Trimester Care Access. Web. 3 May 2017. https://www.hrsa.gov/quality/toolbox/508pdfs/prenatalmoduleaccess.pdf

4. World Health Organization. (2017). Sexual and Reproductive Health: New guidelines on antenatal care for a positive pregnancy experience. Retrieved from: http://www.who.int/reproductivehealth/en/

https://www.hrsa.gov/quality/toolbox/508pdfs/prenatalmoduleaccess.pdf

http://www.who.int/reproductivehealth/en/

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