ICD-9 Diagnosis Code 648.52

Congen CV dis-del w p/p

Diagnosis Code 648.52

ICD-9: 648.52
Short Description: Congen CV dis-del w p/p
Long Description: Congenital cardiovascular disorders of mother, delivered, with mention of postpartum complication
This is the 2014 version of the ICD-9-CM diagnosis code 648.52

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 Patients

Congenital Heart Defects

A congenital heart defect is a problem with the structure of the heart. It is present at birth. Congenital heart defects are the most common type of birth defect. The defects can involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can disrupt the normal flow of blood through the heart. The blood flow can slow down, go in the wrong direction or to the wrong place, or be blocked completely.

Doctors use a physical exam and special heart tests to diagnose congenital heart defects. They often find severe defects during pregnancy or soon after birth. Signs and symptoms of severe defects in newborns include

  • Rapid breathing
  • Cyanosis - a bluish tint to the skin, lips, and fingernails
  • Fatigue
  • Poor blood circulation

Many congenital heart defects cause few or no signs and symptoms. They are often not diagnosed until children are older.

Many children with congenital heart defects don't need treatment, but others do. Treatment can include medicines, catheter procedures, surgery, and heart transplants. The treatment depends on the type of the defect, how severe it is, and a child's age, size, and general health.

NIH: National Heart, Lung, and Blood Institute

  • Absent pulmonary valve
  • Anomalous left coronary artery from the pulmonary artery
  • Aortic angiography
  • Aortopulmonary window
  • Atrial septal defect
  • Bicuspid aortic valve
  • Cardiac catheterization
  • Cardiac catheterization - discharge
  • Coarctation of the aorta
  • Congenital heart defect corrective surgeries
  • Congenital heart disease
  • Coronary artery fistula
  • Cyanotic heart disease
  • Dextrocardia
  • Double aortic arch
  • Double inlet left ventricle
  • Ebstein's anomaly
  • Eisenmenger syndrome
  • Electrocardiogram
  • Endocardial cushion defect
  • Heart murmurs and other sounds
  • Hypoplastic left heart syndrome
  • Left heart catheterization
  • Patent ductus arteriosus
  • Patent foramen ovale
  • Pediatric heart surgery - discharge
  • Pulmonary atresia
  • Pulmonary valve stenosis
  • Tetralogy of Fallot
  • Total anomalous pulmonary venous return
  • Transposition of the great vessels
  • Tricuspid atresia
  • Truncus arteriosus
  • Vascular ring
  • Ventricular septal defect

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Health Problems in Pregnancy

Every pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. They also include being pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect your health and the health of your baby.

If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Examples of common conditions that can complicate a pregnancy include

  • Heart disease
  • High blood pressure
  • Kidney problems
  • Autoimmune disorders
  • Sexually transmitted diseases
  • Diabetes
  • Cancer
  • Infections

Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.

Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your doctor or midwife if something is bothering or worrying you.

  • Bed rest during pregnancy
  • Hydramnios
  • Hyperemesis gravidarum
  • Insufficient cervix
  • Morning sickness
  • Morning sickness
  • Placenta abruptio
  • Placenta abruptio
  • Placenta previa
  • Polyhydramnios
  • Serum progesterone
  • Striae
  • Vaginal bleeding in early pregnancy
  • Vaginal bleeding in late pregnancy
  • Vaginal bleeding in pregnancy

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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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