2021 ICD-10-CM Code O99.4
Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium
Not Valid for Submission
O99.4 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of diseases of the circulatory system complicating pregnancy, childbirth and the puerperium. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
ICD-10: | O99.4 |
Short Description: | Diseases of the circulatory system compl preg/chldbrth |
Long Description: | Diseases of the circulatory system complicating pregnancy, childbirth and the puerperium |
Code Classification
Specific Coding for Diseases of the circulatory system compl preg/chldbrth
Header codes like O99.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for diseases of the circulatory system compl preg/chldbrth:
- O99.41 - Diseases of the circulatory system complicating pregnancy
- O99.411 - Diseases of the circulatory system complicating pregnancy, first trimester
- O99.412 - Diseases of the circulatory system complicating pregnancy, second trimester
- O99.413 - Diseases of the circulatory system complicating pregnancy, third trimester
- O99.419 - Diseases of the circulatory system complicating pregnancy, unspecified trimester
- O99.42 - Diseases of the circulatory system complicating childbirth
- O99.43 - Diseases of the circulatory system complicating the puerperium
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O99.4:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- peripartum cardiomyopathy O90.3
Type 2 Excludes
Type 2 ExcludesA type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Information for Patients
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 (Medical Encyclopedia)
- Brachial plexus injury in newborns (Medical Encyclopedia)
- Breech birth (Medical Encyclopedia)
- Caput succedaneum (Medical Encyclopedia)
- Meconium aspiration syndrome (Medical Encyclopedia)
- Premature rupture of membranes (Medical Encyclopedia)
[Learn More]
Health Problems in Pregnancy
Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, substance abuse during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.
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. Some common conditions that can complicate a pregnancy include
- High blood pressure
- Polycystic ovary syndrome
- Kidney problems
- Autoimmune disorders
- Obesity
- HIV/AIDS
- 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 health care provider if something is bothering or worrying you.
- Bed rest during pregnancy (Medical Encyclopedia)
- Hydramnios (Medical Encyclopedia)
- Hyperemesis gravidarum (Medical Encyclopedia)
- Insufficient cervix (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta previa (Medical Encyclopedia)
- Vaginal bleeding in early pregnancy (Medical Encyclopedia)
- Vaginal bleeding in late pregnancy (Medical Encyclopedia)
- Vaginal bleeding in pregnancy (Medical Encyclopedia)
[Learn More]
Vascular Diseases
What are vascular diseases?
Your vascular system is your body's network of blood vessels. It includes your
- Arteries, which carry oxygen-rich blood from your heart to your tissues and organs
- Veins, which carry the blood and waste products back to your heart
- Capillaries, which are tiny blood vessels that connect your small arteries to your small veins. The walls of the capillaries are thin and leaky, to allow for an exchange of materials between your tissues and blood.
Vascular diseases are conditions which affect your vascular system. They are common and can be serious. Some types include
- Aneurysm - a bulge or "ballooning" in the wall of an artery
- Atherosclerosis - a disease in which plaque builds up inside your arteries. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood.
- Blood clots, including deep vein thrombosis and pulmonary embolism
- Coronary artery disease and carotid artery disease, diseases that involve the narrowing or blockage of an artery. The cause is usually a buildup of plaque.
- Raynaud's disease - a disorder that causes the blood vessels to narrow when you are cold or feeling stressed
- Stroke - a serious condition that happens when blood flow to your brain stops.
- Varicose veins - swollen, twisted veins that you can see just under the skin
- Vasculitis - inflammation of the blood vessels
What causes vascular diseases?
The causes of vascular diseases depend on the specific disease. These causes include
- Genetics
- Heart diseases such as high cholesterol and high blood pressure
- Infection
- Injury
- Medicines, including hormones
Sometimes the cause is unknown.
Who is at risk for vascular diseases?
The risk factors for vascular diseases can vary, depending on the specific disease. But some of the more common risk factors include
- Age - your risk of some diseases goes up as you get older
- Conditions that can affect the heart and blood vessels, such as diabetes or high cholesterol
- Family history of vascular or heart diseases
- Infection or injury that damages your veins
- Lack of exercise
- Obesity
- Pregnancy
- Sitting or standing still for long periods of time
- Smoking
What are the symptoms of vascular diseases?
The symptoms for each disease are different.
How are vascular diseases diagnosed?
To make a diagnosis, your health care provider will do a physical exam and ask about your symptoms and medical history. You may have imaging tests and/or blood tests.
How are vascular diseases treated?
Which treatment you get depends on which vascular disease you have and how severe it is. Types of treatments for vascular diseases include
- Lifestyle changes, such as eating a heart-healthy diet and getting more exercise
- Medicines, such as blood pressure medicines, blood thinners, cholesterol medicines, and clot-dissolving drugs. In some cases, providers use a catheter to send medicine directly to a blood vessel.
- Non-surgical procedures, such as angioplasty, stenting, and vein ablation
- Surgery
Can vascular diseases be prevented?
There are steps you can take to help prevent vascular diseases:
- Make healthy lifestyle changes, such as eating a heart-healthy diet and getting more exercise
- Don't smoke. If you are already a smoker, talk to your health care provider for help in finding the best way for you to quit.
- Keep your blood pressure and cholesterol in check
- If you have diabetes, control your blood sugar
- Try not to sit or stand for up long periods of time. If you do need to sit all day, get up and move around every hour or so. If you traveling on a long trip, you can also wear compression stockings and regularly stretch your legs.
- Aortic arch syndrome (Medical Encyclopedia)
- Arterial embolism (Medical Encyclopedia)
- Arteriogram (Medical Encyclopedia)
- Cerebral angiography (Medical Encyclopedia)
- Duplex ultrasound (Medical Encyclopedia)
- Venous insufficiency (Medical Encyclopedia)
- Venous ulcers -- self-care (Medical Encyclopedia)
[Learn More]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)