ICD-9 Code 649.23

Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

Not Valid for Submission

649.23 is a legacy non-billable code used to specify a medical diagnosis of bariatric surgery status complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 649.23
Short Description:Bariatrc surg stat-antep
Long Description:Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication

Convert 649.23 to ICD-10

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

  • O99.841 - Bariatric surgery status comp pregnancy, first trimester
  • O99.842 - Bariatric surgery status comp pregnancy, second trimester
  • O99.843 - Bariatric surgery status comp pregnancy, third trimester

Code Classification

  • Complications of pregnancy, childbirth, and the puerperium (630–679)
    • Complications mainly related to pregnancy (640-649)
      • 649 Other conditions or status of the mother complicating pregnancy, childbirth, or the puerperium

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


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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Health Problems in Pregnancy

Every pregnancy has some risk of problems. The causes can be conditions you already have or conditions you develop. They also include being pregnant with more than one baby, previous problem pregnancies, or being over age 35. They can affect your health and the health of your baby.

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. Examples of common conditions that can complicate a pregnancy include

  • Heart disease
  • High blood pressure
  • Kidney problems
  • Autoimmune disorders
  • Sexually transmitted diseases
  • Diabetes
  • 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 doctor or midwife if something is bothering or worrying you.

  • Bed rest during pregnancy
  • Hydramnios
  • Hyperemesis gravidarum
  • Insufficient cervix
  • Morning sickness
  • Morning sickness
  • Placenta abruptio
  • Placenta abruptio
  • Placenta previa
  • Polyhydramnios
  • Serum progesterone
  • Striae
  • Vaginal bleeding in early pregnancy
  • Vaginal bleeding in late pregnancy
  • Vaginal bleeding in pregnancy

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Weight Loss Surgery

Also called: Bariatric surgery, Bypass surgery, Gastric banding, Obesity surgery

Weight loss surgery helps people with extreme obesity to lose weight. It may be an option if you cannot lose weight through diet and exercise or have serious health problems caused by obesity.

There are different types of weight loss surgery. They often limit the amount of food you can take in. Some types of surgery also affect how you digest food and absorb nutrients. All types have risks and complications, such as infections, hernias, and blood clots.

Many people who have the surgery lose weight quickly, but regain some weight later on. If you follow diet and exercise recommendations, you can keep most of the weight off. You will also need medical follow-up for the rest of your life.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Bariatric Surgery for Severe Obesity - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Diet after gastric banding
  • Gastric bypass surgery
  • Gastric bypass surgery - discharge
  • Laparoscopic gastric banding
  • Laparoscopic gastric banding - discharge
  • Vertical sleeve gastrectomy
  • Your diet after gastric bypass 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.