ICD-9 Diagnosis Code 648.44

Mental disorder-postpart

Diagnosis Code 648.44

ICD-9: 648.44
Short Description: Mental disorder-postpart
Long Description: Mental disorders of mother, postpartum condition or complication
This is the 2014 version of the ICD-9-CM diagnosis code 648.44

Code Classification
  • Complications of pregnancy, childbirth, and the puerperium
    • Complications mainly related to pregnancy (640-649)
      • 648 Other current conditions in the mother classifiable elsewhere but complicating pregnancy, childbirth, and the puerperium

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Maternity diagnoses (age 12 through 55) Additional informationCallout TooltipMaternity diagnoses (age 12 through 55)
Maternity diagnoses: Age range is 12–55 years inclusive.

Convert to ICD-10 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 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.

  • Bipolar I disorder, most recent episode depressed with postpartum onset
  • Bipolar I disorder, most recent episode manic with postpartum onset
  • Bipolar I disorder, most recent episode mixed with postpartum onset
  • Bipolar I disorder, single manic episode with postpartum onset
  • Major depressive disorder, single episode with postpartum onset
  • Mental disorder in the puerperium - baby delivered during previous episode of care
  • Mild postnatal depression
  • Mild postnatal psychosis
  • Postpartum psychosis
  • Recurrent major depressive disorder with postpartum onset
  • Severe postnatal depression
  • Severe postnatal psychosis

Information for Patients

Mental Disorders

Also called: Mental illness

Mental disorders include a wide range of problems, including

  • Anxiety disorders, including panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and phobias
  • Bipolar disorder
  • Depression
  • Mood disorders
  • Personality disorders
  • Psychotic disorders, including schizophrenia

There are many causes of mental disorders. Your genes and family history may play a role. Your life experiences, such as stress or a history of abuse, may also matter. Biological factors can also be part of the cause. A traumatic brain injury can lead to a mental disorder. A mother's exposure to viruses or toxic chemicals while pregnant may play a part. Other factors may increase your risk, such as use of illegal drugs or having a serious medical condition like cancer.

Medications and counseling can help many mental disorders.

  • Adjustment disorder
  • Conversion disorder
  • Hypochondria
  • Somatization disorder
  • Somatoform pain disorder

[Read More]

Postpartum Care

Also called: Post-pregnancy health

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health

  • After vaginal delivery - in the hospital
  • Losing weight after pregnancy
  • Vaginal delivery - discharge

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Postpartum Depression

Many women have the baby blues after childbirth. If you have the baby blues, you may have mood swings, feel sad, anxious or overwhelmed, have crying spells, lose your appetite, or have trouble sleeping. The baby blues most often go away within a few days or a week. The symptoms are not severe and do not need treatment.

The symptoms of postpartum depression last longer and are more severe. You may also feel hopeless and worthless, and lose interest in the baby. You may have thoughts of hurting yourself or the baby. Very rarely, new mothers develop something even more serious. They may have hallucinations or try to hurt themselves or the baby. They need to get treatment right away, often in the hospital.

Postpartum depression can begin anytime within the first year after childbirth. The cause is not known. Hormonal and physical changes after birth and the stress of caring for a new baby may play a role. Women who have had depression are at higher risk.

If you think you have postpartum depression, tell your health care provider. Medicines, including antidepressants and talk therapy can help you get well.

Dept. of Health and Human Services Office on Women's Health

  • Postpartum depression

[Read More]
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