2024 ICD-10-CM Diagnosis Code Z37.9

Outcome of delivery, unspecified

ICD-10-CM Code:
Z37.9
ICD-10 Code for:
Outcome of delivery, unspecified
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • Factors influencing health status and contact with health services
    (Z00–Z99)
    • Persons encountering health services in circumstances related to reproduction
      (Z30-Z39)
      • Outcome of delivery
        (Z37)

Z37.9 is a billable diagnosis code used to specify a medical diagnosis of outcome of delivery, unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z37.9 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

Unspecified diagnosis codes like Z37.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abdominal pregnancy
  • Abdominal pregnancy
  • Abnormal delivery
  • Abnormal delivery
  • Ambulance birth
  • Bilateral lower limb vein thrombophlebitis
  • Birth
  • Birth details - finding
  • Birth details - finding
  • Birth details - finding
  • Birth details - finding
  • Birth details - finding
  • Birth details - finding
  • Birth details not known
  • Birth of child
  • Born after induced labor
  • Born after precipitate delivery
  • Breech extraction - delivered
  • Caul membrane over baby's head at delivery
  • Cerebral venous sinus thrombosis in puerperium
  • Cerebrovascular disorder in the puerperium
  • Complete spontaneous rupture of fetal umbilical cord
  • Consultant unit birth
  • Delivered by low forceps delivery
  • Delivered by mid-cavity forceps delivery
  • Delivered by mid-cavity forceps with rotation
  • Deliveries by cesarean
  • Deliveries by cesarean
  • Deliveries by destructive operation
  • Deliveries by vacuum extractor
  • Deliveries by vacuum extractor
  • Deliveries by vacuum extractor
  • Delivery by combination of forceps and vacuum extractor
  • Delivery by elective cesarean section
  • Delivery by emergency cesarean section
  • Delivery of viable fetus in abdominal pregnancy
  • Failure to progress in labor
  • Fetal viability
  • Fetal viability
  • Finding of birth outcome
  • Finding of completeness of placenta
  • Finding of completeness of placenta
  • Finding of contents of cervix
  • Finding of contents of cervix
  • Finding of contents of uterus
  • Forceps delivery - delivered
  • H/O: delivery no details
  • H/O: full term delivery
  • History of past delivery
  • Home birth
  • Home birth
  • Incomplete placenta at delivery
  • Incomplete placenta at delivery
  • Labor details
  • Livebirth
  • Low pressure headache
  • Monozygotic twins
  • Mother delivered
  • Mother delivered
  • Mother delivered
  • Multiple birth
  • Multiple delivery, all by forceps and vacuum extractor
  • Multiple delivery, all spontaneous
  • Neurological dysfunction due to obstetric fistula
  • Outcome of delivery - finding
  • Partial spontaneous rupture of fetal umbilical cord
  • Phlebitis in puerperium
  • Place of birth - finding
  • Place of birth - finding
  • Place of birth - finding
  • Place of birth - finding
  • Placental fragments at cervical os
  • Placental fragments in uterus
  • Planned home birth
  • Post dural puncture headache
  • Postpartum hemorrhage
  • Postpartum hemorrhage with retained placenta
  • Premature labor
  • Preterm labor with preterm delivery
  • Products of conception at uterine os cervix
  • Quadruplet birth
  • Quintuplet birth
  • Retained placenta
  • Retained placenta
  • Retained placenta
  • Retained placenta
  • Retained placenta, without hemorrhage
  • Retained placenta, without hemorrhage
  • Retained placental fragment
  • Retained placental fragment
  • Retained products of conception with no hemorrhage
  • Retained products of conception with no hemorrhage with postnatal problem
  • Retained secundines
  • Retained secundines
  • Retained secundines
  • Retained secundines
  • Retained uterine membrane
  • Retained uterine membrane
  • Retained uterine membrane
  • Retained uterine membrane without hemorrhage
  • Retention of part of placenta and uterine membrane without hemorrhage
  • Retention of part of placenta without hemorrhage
  • Retention of placenta and uterine membrane
  • Retention of placenta and uterine membrane
  • Sextuplet birth
  • Spinal and epidural anesthesia-induced headache during labor and delivery
  • Spontaneous rupture of fetal umbilical cord
  • Term birth of multiple newborns
  • Term birth of newborn
  • Term birth of newborn female
  • Term birth of newborn male
  • Term birth of newborn triplets
  • Term birth of newborn twins
  • Term pregnancy delivered
  • Thrombophlebitis in puerperium
  • Thrombophlebitis of bilateral lower limbs in puerperium
  • Triplet birth
  • Unplanned home birth
  • Vacuum extractor delivery - delivered
  • Varicose veins in puerperium
  • Varicose veins in puerperium
  • Varicose veins in puerperium
  • Varicose veins of bilateral lower limbs
  • Varicose veins of bilateral lower limbs in puerperium
  • Varicose veins of genitalia in puerperium
  • Varicose veins of perineum
  • Varicose veins of perineum in puerperium
  • Varicose veins of vulva
  • Varicose veins of vulva in puerperium
  • Venous thrombosis in puerperium
  • Venous thrombosis in puerperium
  • Viable fetus
  • Viable fetus
  • Viable fetus in abdominal pregnancy

Clinical Classification

Clinical Information

  • Fetal Viability

    the potential of the fetus to survive outside the uterus after birth, natural or induced. fetal viability depends largely on the fetal organ maturity, and environmental conditions.
  • Postpartum Hemorrhage

    excess blood loss from uterine bleeding associated with obstetric labor or childbirth. it is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as blood pressure and hematocrit. postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
  • Early Postpartum Hemorrhage|Primary Postpartum Hemorrhage|Primary Postpartum Hemorrhage

    cumulative blood loss of greater than or equal to 1000 ml or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours following the birth process (includes intrapartum loss). (revitalize)
  • GAIA Level 1 Postpartum Hemorrhage|Global Alignment of Immunization safety Assessment in pregnancy Level 1 Postpartum Hemorrhage|Level 1 Postpartum Haemorrhage

    gaia level 1 postpartum hemorrhage is the presence of genital bleeding after delivery, leading to severe maternal outcome (maternal death or maternal near miss) as defined by who.
  • GAIA Level 2 Postpartum Hemorrhage|Global Alignment of Immunization safety Assessment in pregnancy Level 2 Postpartum Hemorrhage|Level 2 Postpartum Haemorrhage

    gaia level 2 postpartum hemorrhage is defined by the presence of the following criteria: genital bleeding after delivery with at least one of the following: a) measured abnormal bleeding (1000ml or more); or b) any bleeding leading to hypotension or blood transfusion.
  • GAIA Level 3 Postpartum Hemorrhage|Global Alignment of Immunization safety Assessment in pregnancy Level 3 Postpartum Hemorrhage|Level 3 Postpartum Haemorrhage

    gaia level 3 postpartum hemorrhage is defined by the presence of genital bleeding after delivery that is estimated at 1000ml or more.
  • GAIA Postpartum Hemorrhage Level of Diagnostic Certainty Terminology|Global Alignment of Immunization safety Assessment in pregnancy Postpartum Hemorrhage Level of Diagnostic Certainty Terminology

    a subset of terminology related to postpartum hemorrhage, developed by the global alignment of immunization safety assessment in pregnancy consortium to aid in monitoring and improving fetal and maternal outcomes.
  • GAIA Postpartum Hemorrhage Level of Diagnostic Certainty|Global Alignment of Immunization safety Assessment in pregnancy Postpartum Hemorrhage Level of Diagnostic Certainty|Postpartum Hemorrhage Level of Diagnostic Certainty

    a classification of maternal and fetal outcomes relating to postpartum hemorrhage, developed by the global alignment of immunization safety assessment in pregnancy, based on the extent to which the diagnosis has been confirmed.
  • Late Postpartum Hemorrhage|Delayed Postpartum Hemorrhage|Delayed Postpartum Hemorrhage|Secondary Postpartum Hemorrhage|Secondary Postpartum Hemorrhage

    excessive blood loss between 24 hours after delivery through four weeks that requires intervention.
  • Postpartum Hemorrhage

    hemorrhage defined as a blood loss in excess of 500 ml after vaginal delivery or more than 1000 ml after a cesarean delivery.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These 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.
  • Multiple birth NOS
  • Single birth NOS

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.
  • Outcome of delivery diagnoses codes - Outcome of delivery diagnoses codes.
  • Outcome of delivery diagnoses codes - Outcome of delivery diagnoses codes.

Present on Admission (POA)

Z37.9 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert Z37.9 to ICD-9-CM

  • ICD-9-CM Code: V27.9 - Outcome of delivery NOS

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.