ICD-9 Code 656.40

Intrauterine death, affecting management of mother, unspecified as to episode of care or not applicable

Not Valid for Submission

656.40 is a legacy non-billable code used to specify a medical diagnosis of intrauterine death, affecting management of mother, unspecified as to episode of care or not applicable. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 656.40
Short Description:Intrauterine death-unsp
Long Description:Intrauterine death, affecting management of mother, unspecified as to episode of care or not applicable

Convert 656.40 to ICD-10

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

  • O36.4XX0 - Maternal care for intrauterine death, not applicable or unsp

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)
      • 656 Other fetal and placental problems affecting management of mother

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


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


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Stillbirth

If a woman loses a pregnancy after she's past her 20th week, it's called a stillbirth. Stillbirths are due to natural causes. They can happen before delivery or during delivery. Causes include:

  • Problems with the placenta, the organ that transports oxygen and nutrients to the fetus
  • Genetic problems with the fetus
  • Fetal infections
  • Other physical problems in the fetus

In at least half of all cases, it is not possible to tell why the baby died.

If stillbirth happens before delivery, your health care provider may induce labor or perform a Cesarean section to deliver the fetus. In some cases, you can wait until you go into labor yourself. This usually happens within two weeks of stillbirth.

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 stillbirth go on to have healthy babies.

NIH: National Institute of Child Health and Human Development


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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.