ICD-9 Code 654.74

Congenital or acquired abnormality of vagina, postpartum condition or complication

Not Valid for Submission

654.74 is a legacy non-billable code used to specify a medical diagnosis of congenital or acquired abnormality of vagina, postpartum condition or complication. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 654.74
Short Description:Abnorm vagina-postpartum
Long Description:Congenital or acquired abnormality of vagina, postpartum condition or complication

Convert 654.74 to ICD-10

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

  • O34.61 - Maternal care for abnormality of vagina, first trimester
  • O34.62 - Maternal care for abnormality of vagina, second trimester
  • O34.63 - Maternal care for abnormality of vagina, third trimester

Code Classification

  • Complications of pregnancy, childbirth, and the puerperium (630–679)
    • Normal delivery, and other indications for care in pregnancy, labor, and delivery (650-659)
      • 654 Abnormality of organs and soft tissues of pelvis

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


Postpartum Care

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


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Vaginal Diseases

Vaginal problems are some of the most common reasons women go to the doctor. They may have symptoms such as:

  • Itching
  • Burning
  • Pain
  • Abnormal bleeding
  • Discharge

One common problem is vaginitis, an inflammation of the vagina. Other problems that affect the vagina include sexually transmitted diseases, vaginal cancer, and vulvar cancer. Treatment of vaginal problems depends on the cause.


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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.