ICD-9 Code 639.1

Delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies

Not Valid for Submission

639.1 is a legacy non-billable code used to specify a medical diagnosis of delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9:	639.1
Short Description:	Postabortion hemorrhage
Long Description:	Delayed or excessive hemorrhage following abortion or ectopic and molar pregnancies

Convert 639.1 to ICD-10

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

O08.1 - Delayed or excess hemor fol ectopic and molar pregnancy

Code Classification

Complications of pregnancy, childbirth, and the puerperium (630–679)
- Ectopic and molar pregnancy and other pregnancy with abortive outcome (630-639)
  - 639 Complications following abortion and ectopic and molar pregnancies

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:

Maternity diagnoses (age 12 through 55)

Index to Diseases and Injuries

References found for the code 639.1 in the Index of Diseases and Injuries:

Blood
- dyscrasia 289.9
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1
  - following
    - abortion 639.1
    - ectopic or molar pregnancy 639.1

Defect defective 759.9
- coagulation factor SEE ALSO See Also
  A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Deficiency coagulation factor 286.9
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 634 638 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1

Deficiency deficient
- coagulation factor NEC NEC "Not elsewhere classifiable"
  This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 286.9
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 634 638 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1

Fibrinolysis acquired hemorrhagic pathologic 286.6
- with
  - ectopic pregnancy SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.1
  - molar pregnancy SEE ALSO See Also
    A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1
- following
  - abortion 639.1
  - ectopic or molar pregnancy 639.1

Hemolysis
- intravascular disseminated NEC NEC "Not elsewhere classifiable"
  This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 286.6
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1
  - following
    - abortion 639.1
    - ectopic or molar pregnancy 639.1

Hemorrhage hemorrhagic nontraumatic 459.0
- delayed
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1
  - following
    - abortion 639.1
    - ectopic or molar pregnancy 639.1
- excessive
  - with
    - ectopic pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 633.0 633.9 639.1
    - molar pregnancy SEE ALSO See Also
      A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. categories 630 632 639.1
  - following
    - abortion 639.1
    - ectopic or molar pregnancy 639.1

Information for Patients

Ectopic Pregnancy

The uterus, or womb, is the place where a baby grows when a woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in the wrong place, outside the uterus, usually in the fallopian tubes. The result is usually a miscarriage.

Ectopic pregnancy can be a medical emergency if it ruptures. Signs of ectopic pregnancy include:

Abdominal pain
Shoulder pain
Vaginal bleeding
Feeling dizzy or faint

Get medical care right away if you have these signs. Doctors use drugs or surgery to remove the ectopic tissue so it doesn't damage your organs. Many women who have had ectopic pregnancies go on to have healthy pregnancies later.

Dept. of Health and Human Services Office on Women's Health

[Read More]

Miscarriage

A miscarriage is an unexpected loss of pregnancy before the 20th week of pregnancy. Most miscarriages happen very early in the pregnancy, often before a woman even knows she is pregnant.

Factors that may contribute to miscarriage include:

A genetic problem with the fetus
Problems with the uterus or cervix
Chronic diseases, such as polycystic ovary syndrome

Signs of a miscarriage include vaginal spotting, abdominal pain or cramping, and fluid or tissue passing from the vagina. Bleeding can be a symptom of miscarriage, but many women also have it in early pregnancy and don't miscarry. To be sure, contact your health care provider right away if you have bleeding.

Women who miscarry early in their pregnancy usually do not need any treatment. In some cases, there is tissue left in the uterus. Doctors use a procedure called a dilatation and curettage (D&C) or medicines to remove the tissue.

Counseling may help you cope with your grief. Later, if you do decide to try again, work closely with your health care provider to lower the risks. Many women who have a miscarriage go on to have healthy babies.

NIH: National Institute of Child Health and Human Development

[Read More]

Vaginal Bleeding

Menstruation, or period, is a woman's monthly bleeding.Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual. It also includes bleeding that happens before puberty or after menopause. Causes can include:

Uterine fibroids or polyps
Hormone problems
Hormone pills, such as birth control pills and hormone replacement therapy (menopausal hormone therapy)
Cancer of the cervix, ovaries, uterus or vagina
Thyroid problems

Bleeding during pregnancy can have several different causes. It is not always serious, but to be safe you should contact your health care provider right away.

Pelvic exams, blood tests, imaging tests, and other procedures can help your health care provider diagnose the problem. Treatment depends on the cause. Treatments may include medicines, hormones, and surgery.

[Read More]

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.

Index of Diseases and Injuries Definitions

And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
Type 1 Excludes Notes - A 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.
Type 2 Excludes Notes - A 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.
Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
Inclusion terms - List of terms is included under some codes. 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.
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

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