ICD-9 Code 647.20

Other venereal diseases of mother, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

Not Valid for Submission

647.20 is a legacy non-billable code used to specify a medical diagnosis of other venereal diseases of mother, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 647.20
Short Description:Other VD in preg-unspec
Long Description:Other venereal diseases of mother, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable

Convert 647.20 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • O98.319 - Oth infect w sexl mode of transmiss comp preg, unsp tri

Code Classification

  • Complications of pregnancy, childbirth, and the puerperium (630–679)
    • Complications mainly related to pregnancy (640-649)
      • 647 Infective and parasitic conditions in the mother classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:

Information for Patients


Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

  • Preterm (premature) labor, when your labor starts before 37 completed weeks of pregnancy
  • Premature rupture of membranes (PROM), when your water breaks too early. If labor does not start soon afterwards, this can raise the risk of infection.
  • Problems with the placenta, such as the placenta covering the cervix, separating from the uterus before birth, or being attached too firmly to the uterus
  • Labor that does not progress, meaning that labor is stalled. This can happen when
    • Your contractions weaken
    • Your cervix does not dilate (open) enough or is taking too long to dilate
    • The baby is not in the right position
    • The baby is too big or your pelvis is too small for the baby to move through the birth canal
  • Abnormal heart rate of the baby. Often, an abnormal heart rate is not a problem. But if the heart rate gets very fast or very slow, it can be a sign that your baby is not getting enough oxygen or that there are other problems.
  • Problems with the umbilical cord, such as the cord getting caught on the baby's arm, leg, or neck. It's also a problem if cord comes out before the baby does.
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Shoulder dystocia, when the baby's head comes out, but the shoulder gets stuck
  • Perinatal asphyxia, which happens when the baby does not get enough oxygen in the uterus, during labor or delivery, or just after birth
  • Perineal tears, tearing of your vagina and the surrounding tissues
  • Excessive bleeding, which can happen when the delivery causes tears to the uterus or if you are not able to deliver the placenta after you give birth to the baby
  • Post-term pregnancy, when your pregnancy lasts more than 42 weeks

If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section.

NIH: National Institute of Child Health and Human Development


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Infections and Pregnancy

During pregnancy, some common infections like the common cold or a skin infection do not usually cause serious problems. But other infections can be dangerous to you, your baby, or both. Some infections may lead to preterm birth and low birth weight babies. Others can cause serious illness, birth defects, and lifelong disabilities, such as hearing loss or learning problems.

Some of the infections that can be dangerous during pregnancy include:

  • Bacterial vaginosis (BV)
  • Group B strep (GBS)
  • Hepatitis
  • Sexually transmitted diseases
  • Toxoplasmosis
  • Urinary tract infections
  • Yeast infections
  • Zika virus

To try to prevent infections,:

  • Don't eat raw or undercooked meat
  • Don't share food or drinks with other people
  • Wash your hands frequently
  • Don't empty cat litter. Cats can transmit toxoplasmosis.

If you do get an infection during pregnancy, contact your health care provider about how best to protect you and your baby. Only some medicines are safe during pregnancy.


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Sexually Transmitted Diseases

What are sexually transmitted diseases (STDs)?

Sexually transmitted diseases (STDs), or sexually transmitted infections (STIs), are infections that are passed from one person to another through sexual contact. The contact is usually vaginal, oral, or anal sex. But sometimes they can spread through other intimate physical contact. This is because some STDs, like herpes and HPV, are spread by skin-to-skin contact.

There are more than 20 types of STDs, including:

  • Chlamydia
  • Genital herpes
  • Gonorrhea
  • HIV/AIDS
  • HPV
  • Pubic lice
  • Syphilis
  • Trichomoniasis

What causes sexually transmitted diseases (STDs)?

STDs can be caused by bacteria, viruses, and parasites.

Who is affected by sexually transmitted diseases (STDs)?

Most STDs affect both men and women, but in many cases the health problems they cause can be more severe for women. If a pregnant woman has an STD, it can cause serious health problems for the baby.

What are the symptoms of sexually transmitted diseases (STDs)?

STDs don't always cause symptoms or may only cause mild symptoms. So it is possible to have an infection and not know it. But you can still pass it on to others.

If there are symptoms, they could include:

  • Unusual discharge from the penis or vagina
  • Sores or warts on the genital area
  • Painful or frequent urination
  • Itching and redness in the genital area
  • Blisters or sores in or around the mouth
  • Abnormal vaginal odor
  • Anal itching, soreness, or bleeding
  • Abdominal painn
  • Fever

How are sexually transmitted diseases (STDs) diagnosed?

If you are sexually active, you should talk to your health care provider about your risk for STDs and whether you need to be tested. This is especially important since many STDs do not usually cause symptoms.

Some STDs may be diagnosed during a physical exam or through microscopic examination of a sore or fluid swabbed from the vagina, penis, or anus. Blood tests can diagnose other types of STDs.

What are the treatments for sexually transmitted diseases (STDs)?

Antibiotics can treat STDs caused by bacteria or parasites. There is no cure for STDs caused by viruses, but medicines can often help with the symptoms and lower your risk of spreading the infection.

Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading STDs. The most reliable way to avoid infection is to not have anal, vaginal, or oral sex.

There are vaccines to prevent HPV and hepatitis B.

Can sexually transmitted diseases (STDs) be prevented?

Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading STDs. If your or your partner is allergic to latex, you can use polyurethane condoms. The most reliable way to avoid infection is to not have anal, vaginal, or oral sex.

There are vaccines to prevent HPV and hepatitis B.

Centers for Disease Control and Prevention


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ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.