ICD-9 Diagnosis Code 649.82

Lbr w plan C/S-del w p/p

Diagnosis Code 649.82

ICD-9: 649.82
Short Description: Lbr w plan C/S-del w p/p
Long Description: 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
This is the 2014 version of the ICD-9-CM diagnosis code 649.82

Code Classification
  • Complications of pregnancy, childbirth, and the puerperium
    • Complications mainly related to pregnancy (640-649)
      • 649 Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium

Information for Patients

Cesarean Section

Also called: C-section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, about one in four women have their babies this way. Most C-sections are done when unexpected problems happen during delivery. These include

  • Health problems in the mother
  • The position of the baby
  • Not enough room for the baby to go through the vagina
  • Signs of distress in the baby

C-sections are also more common among women carrying more than one baby.

The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. After healing, the incision may leave a weak spot in the wall of the uterus. This could cause problems with an attempted vaginal birth later. However, more than half of women who have a C-section can give vaginal birth later.

  • After a C-section - in the hospital
  • C-section
  • Going home after a C-section
  • Vaginal birth after C-section

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Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.

  • Assisted delivery with forceps
  • Brachial plexus injury in newborns
  • Breech birth
  • Caput succedaneum
  • Fractured clavicle in the newborn
  • Meconium aspiration syndrome
  • Placenta previa
  • Premature rupture of membranes
  • Sheehan syndrome
  • Vacuum-assisted delivery
  • When you pass your due date

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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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