Chapter XVI
Certain conditions originating in the perinatal period
(P00-P96)

Fetus and newborn affected by maternal factors and by complications of pregnancy, labour and delivery
(P00-P04)

Includes: the listed maternal conditions only when specified as a cause of mortality or morbidity in fetus or newborn

P00 Fetus and newborn affected by maternal conditions that may be unrelated to present pregnancy
Excludes: fetus and newborn affected by:
· maternal complications of pregnancy ( P01.- )
· maternal endocrine and metabolic disorders ( P70-P74 )
· noxious influences transmitted via placenta or breast milk ( P04.- )
P00.0 Fetus and newborn affected by maternal hypertensive disorders
Fetus or newborn affected by maternal conditions classifiable to O10-O11, O13-O16
P00.1 Fetus and newborn affected by maternal renal and urinary tract diseases
Fetus or newborn affected by maternal conditions classifiable to N00-N39
P00.2 Fetus and newborn affected by maternal infectious and parasitic diseases
Fetus or newborn affected by maternal infectious disease classifiable to A00-B99 and J09-J11, but not itself manifesting that disease
Excludes: infections specific to the perinatal period ( P35-P39 )
maternal genital tract and other localized infections ( P00.8 )
P00.3 Fetus and newborn affected by other maternal circulatory and respiratory diseases
Fetus or newborn affected by maternal conditions classifiable to I00-I99, J00-J99, Q20-Q34 and not included in P00.0, P00.2
P00.4 Fetus and newborn affected by maternal nutritional disorders
Fetus or newborn affected by maternal disorders classifiable to E40-E64
Maternal malnutrition NOS
P00.5 Fetus and newborn affected by maternal injury
Fetus or newborn affected by maternal conditions classifiable to S00-T79
P00.6 Fetus and newborn affected by surgical procedure on mother
Excludes: caesarean section for present delivery ( P03.4 )
damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1 )
previous surgery to uterus or pelvic organs ( P03.8 )
termination of pregnancy, fetus ( P96.4 )
P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified
Fetus or newborn affected by radiology on mother
Excludes: damage to placenta from amniocentesis, caesarean section or surgical induction ( P02.1 )
fetus or newborn affected by other complications of labour and delivery ( P03.- )
P00.8 Fetus and newborn affected by other maternal conditions
Fetus or newborn affected by:
· conditions classifiable to T80-T88
· maternal genital tract and other localized infections
· maternal systemic lupus erythematosus
Excludes: transitory neonatal endocrine and metabolic disorders ( P70-P74 )
P00.9 Fetus and newborn affected by unspecified maternal condition

P01 Fetus and newborn affected by maternal complications of pregnancy
P01.0 Fetus and newborn affected by incompetent cervix
P01.1 Fetus and newborn affected by premature rupture of membranes
P01.2 Fetus and newborn affected by oligohydramnios
Excludes: when due to premature rupture of membranes ( P01.1 )
P01.3 Fetus and newborn affected by polyhydramnios
Hydramnios
P01.4 Fetus and newborn affected by ectopic pregnancy
Abdominal pregnancy
P01.5 Fetus and newborn affected by multiple pregnancy
Triplet (pregnancy)
Twin (pregnancy)
P01.6 Fetus and newborn affected by maternal death
P01.7 Fetus and newborn affected by malpresentation before labour
Breech presentation
External version
Face presentation
Transverse lie
Unstable lie
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before labour
P01.8 Fetus and newborn affected by other maternal complications of pregnancy
Spontaneous abortion, fetus
P01.9 Fetus and newborn affected by maternal complication of pregnancy, unspecified

P02 Fetus and newborn affected by complications of placenta, cord and membranes
P02.0 Fetus and newborn affected by placenta praevia
P02.1 Fetus and newborn affected by other forms of placental separation and haemorrhage
Abruptio placentae
Accidental haemorrhage
Antepartum haemorrhage
Damage to placenta from amniocentesis, caesarean section or surgical induction
Maternal blood loss
Premature separation of placenta
P02.2 Fetus and newborn affected by other and unspecified morphological and functional abnormalities of placenta
Placental:
· dysfunction
· infarction
· insufficiency
P02.3 Fetus and newborn affected by placental transfusion syndromes
Placental and cord abnormalities resulting in twin-to-twin or other transplacental transfusion
Use additional code, if desired, to indicate resultant condition in the fetus or newborn.
P02.4 Fetus and newborn affected by prolapsed cord
P02.5 Fetus and newborn affected by other compression of umbilical cord
Cord (tightly) around neck
Entanglement of cord
Knot in cord
P02.6 Fetus and newborn affected by other and unspecified conditions of umbilical cord
Short cord
Vasa praevia
Excludes: single umbilical artery ( Q27.0 )
P02.7 Fetus and newborn affected by chorioamnionitis
Amnionitis
Membranitis
Placentitis
P02.8 Fetus and newborn affected by other abnormalities of membranes
P02.9 Fetus and newborn affected by abnormality of membranes, unspecified

P03 Fetus and newborn affected by other complications of labour and delivery
P03.0 Fetus and newborn affected by breech delivery and extraction
P03.1 Fetus and newborn affected by other malpresentation, malposition and disproportion during labour and delivery
Contracted pelvis
Fetus or newborn affected by conditions classifiable to O64-O66
Persistent occipitoposterior
Transverse lie
P03.2 Fetus and newborn affected by forceps delivery
P03.3 Fetus and newborn affected by delivery by vacuum extractor [ventouse]
P03.4 Fetus and newborn affected by caesarean delivery
P03.5 Fetus and newborn affected by precipitate delivery
Rapid second stage
P03.6 Fetus and newborn affected by abnormal uterine contractions
Fetus or newborn affected by conditions classifiable to O62.-, except O62.3
Hypertonic labour
Uterine inertia
P03.8 Fetus and newborn affected by other specified complications of labour and delivery
Abnormality of maternal soft tissues
Destructive operation to facilitate delivery
Fetus or newborn affected by conditions classifiable to O60-O75 and by procedures used in labour and delivery not included in P02.- and P03.0-P03.6
Induction of labour
P03.9 Fetus and newborn affected by complication of labour and delivery, unspecified

P04 Fetus and newborn affected by noxious influences transmitted via placenta or breast milk
Includes: nonteratogenic effects of substances transmitted via placenta
Excludes: congenital malformations ( Q00-Q99 )
neonatal jaundice from other excessive haemolysis due to drugs or toxins transmitted from mother ( P58.4 )
P04.0 Fetus and newborn affected by maternal anaesthesia and analgesia in pregnancy, labour and delivery
Reactions and intoxications from maternal opiates and tranquillizers administered during labour and delivery
P04.1 Fetus and newborn affected by other maternal medication
Cancer chemotherapy
Cytotoxic drugs
Excludes: dysmorphism due to warfarin ( Q86.2 )
fetal hydantoin syndrome ( Q86.1 )
maternal use of drugs of addiction ( P04.4 )
P04.2 Fetus and newborn affected by maternal use of tobacco
P04.3 Fetus and newborn affected by maternal use of alcohol
Excludes: fetal alcohol syndrome ( Q86.0 )
P04.4 Fetus and newborn affected by maternal use of drugs of addiction
Excludes: maternal anaesthesia and analgesia ( P04.0 )
withdrawal symptoms from maternal use of drugs of addiction ( P96.1 )
P04.5 Fetus and newborn affected by maternal use of nutritional chemical substances
P04.6 Fetus and newborn affected by maternal exposure to environmental chemical substances
P04.8 Fetus and newborn affected by other maternal noxious influences
P04.9 Fetus and newborn affected by maternal noxious influence, unspecified