Obstetrics Metrics
Additional References
Diagnosis and Procedure Code Tables
The following definitions are used to define the calculations for the Obstetrics metrics that are available in the Custom Query--> Set Up Analysis tab --> Columns prompt.
|
Metric |
Description |
Notes |
|---|---|---|
|
CDC Total Deliveries |
All inpatients age > 10 years with vaginal or cesarean deliveries. (MS-DRG = 767, 768, 774, 775, 783, 784, 785, 786, 787, 788, 796, 797, 798, 805, 806 or 807) OR ICD-10 principal or secondary Delivery Diagnosis code or principal or secondary Delivery Procedure code present AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code |
Vaginal and cesarean delivery cases that group to an OB MS-DRG or have delivery diagnosis and/or procedure codes, excluding cases that have diagnosis and/or procedure codes for abortion (missed abortion, elective abortion, and other complications around termination of pregnancy) Total Vaginal Deliveries and Total Cesarean Deliveries do not always equal CDC Total Deliveries. Some deliveries cannot be identified as vaginal or cesarean due to insufficient coding. MSDRGs 765 and 766 are retired as of 9/30/2018 |
|
Total Vaginal Deliveries* |
All CDC Birth Volume Denominator patients age > 10 years with a vaginal delivery MS-DRG (767, 768, 774, 775, 796, 797, 798, 805, 806 or 807) or ICD-10 PCS 10D07Z3, 10D07Z4, 10D07Z5, 10D07Z6, 10D07Z7, 10D07Z8 AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code OR Excluding patients with a cesarean MS-DR 783, 784, 785, 786, 787, or 788 |
Vaginal delivery cases that group to an OB MS-DRG or have a vaginal delivery procedure code, excluding cases that have diagnosis and/or procedure codes for abortion (missed abortion, elective abortion, and other complications around termination of pregnancy) Vaginal Deliveries are a sub-set of Total Deliveries Patients having procedure codes for both vaginal delivery and cesarean delivery are included in vaginal deliveries when grouping to a vaginal MS-DRG and are excluded from vaginal deliveries when grouping to a cesarean MS-DRG |
|
Cesarean Deliveries* |
All CDC Birth Volume Denominator patients age > 10 years with a Cesarean Delivery MS-DRG (783, 784, 785, 786, 787 or 788) or ICD-10-CM O82 or ICD-10-PCS 10D00Z0, 10D00Z1, 10D00Z2 AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code OR Excluding patients with a vaginal MS-DRG code 767, 768, 774, 775, 796, 797, 798, 805, 806 or 807 |
Cesarean Delivery cases that group to an OB MS-DRG or have delivery diagnosis and/or procedure codes, excluding cases that have diagnosis and/or procedure codes for abortion (missed abortion, elective abortion, and other complications around termination of pregnancy) Cesarean Deliveries are a sub-set of Total Deliveries Patients having procedure codes for both vaginal delivery and cesarean delivery are included in cesarean deliveries when grouping to a cesarean MS-DRG and are excluded from cesarean deliveries when grouping to a vaginal MS-DRG |
|
Previous Cesarean Delivery* |
CDC Total Deliveries WITH principal or secondary ICD-10-CM diagnosis code of O34211 or O34212 or O34218 or O34219 or O3422 AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code |
Vaginal or Cesarean Delivery cases that have had a Cesarean Delivery in the past (sub-set of Total Deliveries) |
|
Primary Cesarean Delivery* |
All Total Primary Cesarean Delivery patients WITHOUT A principal or secondary ICD-10-CM diagnosis code of O34211 or O34212 or O34218 or O34219 or O3422 |
Cesarean Delivery cases that have not had a previous Cesarean delivery (sub-set of Total Cesarean Deliveries) |
|
Repeat Cesarean Delivery* |
All inpatients age > 10 years with a Cesarean Delivery MS-DRG (783, 784, 785, 786, 787 or 788) or ICD-10-CM O82 or ICD-10-PCS 10D00Z0, 10D00Z1, 10D00Z2 WITH A principal or secondary ICD-10-CM diagnosis code of O34211 or O34212 or O34218 or O34219 or O3422 AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code |
Cesarean Delivery cases that have had a previous Cesarean Delivery (sub-set of Cesarean Deliveries) |
|
VBACs* |
All inpatients age > 10 years with a vaginal delivery MS-DRG (767, 768, 774, 775, 796, 797, 798, 805, 806 or 807) or ICD-10-PCS 10D07Z3, 10D07Z4, 10D07Z5, 10D07Z6, 10D07Z7, 10D07Z8 WITH principal or secondary ICD-10-CM diagnosis code of O34211 or O34212 or O34218 or O34219 or O3422 AND Excluding patients with a principal or secondary Abortion Diagnosis Code or principal or secondary Abortion Procedure code |
Vaginal delivery cases that have had a previous cesarean delivery (sub-set of Total Vaginal Deliveries) |
Diagnosis and Procedure Code Tables
|
Delivery Diagnosis Codes |
|
|---|---|
| O75.82 |
Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery |
|
Z37.0 |
Single live birth |
|
Z37.1 |
Single stillbirth |
|
Z37.2 |
Twins, both liveborn |
|
Z37.3 |
Twins, one liveborn and one stillborn |
|
Z37.4 |
Twins, both stillborn |
|
Z37.50 |
Multiple births, unspecified, all liveborn |
|
Z37.51 |
Triplets, all liveborn |
|
Z37.52 |
Quadruplets, all liveborn |
|
Z37.53 |
Quintuplets, all liveborn |
|
Z37.54 |
Sextuplets, all liveborn |
|
Z37.59 |
Other multiple births, all liveborn |
|
Z37.60 |
Multiple births, unspecified, some liveborn |
|
Z37.61 |
Triplets, some liveborn |
|
Z37.62 |
Quadruplets, some liveborn |
|
Z37.63 |
Quintuplets, some liveborn |
|
Z37.64 |
Sextuplets, some liveborn |
|
Z37.69 |
Other multiple births, some liveborn |
|
Z37.7 |
Other multiple births, all stillborn |
|
Z37.9 |
Outcome of delivery, unspecified |
|
O80 |
Encounter for full-term uncomplicated delivery |
|
O82 |
Encounter for cesarean delivery without indication |
|
Delivery Procedure Codes |
|
|---|---|
|
10D00Z0 |
Extraction of Products of Conception, Classical, Open Approach |
|
10D00Z1 |
Extraction of Products of Conception, Low Cervical, Open Approach |
|
10D00Z2 |
Extraction of Products of Conception, Extraperitoneal, Open Approach |
|
10D07Z3 |
Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening |
|
10D07Z4 |
Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening |
|
10D07Z5 |
Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening |
|
10D07Z6 |
Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening |
|
10D07Z7 |
Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening |
|
10D07Z8 |
Extraction of Products of Conception, Other, Via Natural or Artificial Opening |
|
10E0XZZ |
Delivery of Products of Conception, External Approach |
|
Vaginal Delivery Procedure Codes |
|
|---|---|
|
10D07Z3 |
Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening |
|
10D07Z4 |
Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening |
|
10D07Z5 |
Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening |
|
10D07Z6 |
Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening |
|
10D07Z7 |
Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening |
|
10D07Z8 |
Extraction of Products of Conception, Other, Via Natural or Artificial Opening |
|
Cesarean Diagnosis Codes |
|
|---|---|
|
O82 |
Encounter for cesarean delivery without indication |
|
Cesarean Procedure Codes |
|
|---|---|
|
10D00Z0 |
Extraction of Products of Conception, Classical, Open Approach |
|
10D00Z1 |
Extraction of Products of Conception, Low Cervical, Open Approach |
|
10D00Z2 |
Extraction of Products of Conception, Extraperitoneal, Open Approach |
|
Abortion Diagnosis Codes |
|
|---|---|
|
O00.0 |
ABDOMINAL PREGNANCY |
|
O00.00 |
ABDOMINAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.01 |
ABDOMINAL PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.1 |
TUBAL PREGNANCY |
|
O00.10 |
TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.101 |
RIGHT TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.102 |
LEFT TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.109 |
UNSPECIFIED TUBAL PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.11 |
TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.111 |
RIGHT TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.112 |
LEFT TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.119 |
UNSPECIFIED TUBAL PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.2 |
OVARIAN PREGNANCY |
|
O00.20 |
OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.201 |
RIGHT OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.202 |
LEFT OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.209 |
UNSPECIFIED OVARIAN PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.21 |
OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.211 |
RIGHT OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.212 |
LEFT OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.219 |
UNSPECIFIED OVARIAN PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.8 |
OTHER ECTOPIC PREGNANCY |
|
O00.80 |
OTHER ECTOPIC PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.81 |
OTHER ECTOPIC PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O00.9 |
ECTOPIC PREGNANCY, UNSPECIFIED |
|
O00.90 |
UNSPECIFIED ECTOPIC PREGNANCY WITHOUT INTRAUTERINE PREGNANCY |
|
O00.91 |
UNSPECIFIED ECTOPIC PREGNANCY WITH INTRAUTERINE PREGNANCY |
|
O01.0 |
CLASSICAL HYDATIDIFORM MOLE |
|
O01.1 |
INCOMPLETE AND PARTIAL HYDATIDIFORM MOLE |
|
O01.9 |
HYDATIDIFORM MOLE, UNSPECIFIED |
|
O02.0 |
BLIGHTED OVUM AND NONHYDATIDIFORM MOLE |
|
O02.1 |
MISSED ABORTION |
|
O02.81 |
INAPPROPRIATE CHANGE IN QUANTITATIVE HUMAN CHORIONIC GONADOTROPIN (HCG) IN EARLY PREGNANCY |
|
O02.89 |
OTHER ABNORMAL PRODUCTS OF CONCEPTION |
|
O02.9 |
ABNORMAL PRODUCT OF CONCEPTION, UNSPECIFIED |
|
O03.0 |
GENITAL TRACT AND PELVIC INFECTION FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.1 |
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.2 |
EMBOLISM FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.30 |
UNSPECIFIED COMPLICATION FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.31 |
SHOCK FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.32 |
RENAL FAILURE FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.33 |
METABOLIC DISORDER FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.34 |
DAMAGE TO PELVIC ORGANS FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.35 |
OTHER VENOUS COMPLICATIONS FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.36 |
CARDIAC ARREST FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.37 |
SEPSIS FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.38 |
URINARY TRACT INFECTION FOLLOWING INCOMPLETE SPONTANEOUS ABORTION |
|
O03.39 |
INCOMPLETE SPONTANEOUS ABORTION WITH OTHER COMPLICATIONS |
|
O03.4 |
INCOMPLETE SPONTANEOUS ABORTION WITHOUT COMPLICATION |
|
O03.5 |
GENITAL TRACT AND PELVIC INFECTION FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.6 |
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.7 |
EMBOLISM FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.80 |
UNSPECIFIED COMPLICATION FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.81 |
SHOCK FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.82 |
RENAL FAILURE FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.83 |
METABOLIC DISORDER FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.84 |
DAMAGE TO PELVIC ORGANS FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.85 |
OTHER VENOUS COMPLICATIONS FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.86 |
CARDIAC ARREST FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.87 |
SEPSIS FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.88 |
URINARY TRACT INFECTION FOLLOWING COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION |
|
O03.89 |
COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION WITH OTHER COMPLICATIONS |
|
O03.9 |
COMPLETE OR UNSPECIFIED SPONTANEOUS ABORTION WITHOUT COMPLICATION |
|
O04.5 |
GENITAL TRACT AND PELVIC INFECTION FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.6 |
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.7 |
EMBOLISM FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.80 |
(INDUCED) TERMINATION OF PREGNANCY WITH UNSPECIFIED COMPLICATIONS |
|
O04.81 |
SHOCK FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.82 |
RENAL FAILURE FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.83 |
METABOLIC DISORDER FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.84 |
DAMAGE TO PELVIC ORGANS FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.85 |
OTHER VENOUS COMPLICATIONS FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.86 |
CARDIAC ARREST FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.87 |
SEPSIS FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.88 |
URINARY TRACT INFECTION FOLLOWING (INDUCED) TERMINATION OF PREGNANCY |
|
O04.89 |
(INDUCED) TERMINATION OF PREGNANCY WITH OTHER COMPLICATIONS |
|
O07.0 |
GENITAL TRACT AND PELVIC INFECTION FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.1 |
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.2 |
EMBOLISM FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.30 |
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITH UNSPECIFIED COMPLICATIONS |
|
O07.31 |
SHOCK FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.32 |
RENAL FAILURE FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.33 |
METABOLIC DISORDER FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.34 |
DAMAGE TO PELVIC ORGANS FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.35 |
OTHER VENOUS COMPLICATIONS FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.36 |
CARDIAC ARREST FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.37 |
SEPSIS FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.38 |
URINARY TRACT INFECTION FOLLOWING FAILED ATTEMPTED TERMINATION OF PREGNANCY |
|
O07.39 |
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITH OTHER COMPLICATIONS |
|
O07.4 |
FAILED ATTEMPTED TERMINATION OF PREGNANCY WITHOUT COMPLICATION |
|
O08.0 |
GENITAL TRACT AND PELVIC INFECTION FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.1 |
DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.2 |
EMBOLISM FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.3 |
SHOCK FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.4 |
RENAL FAILURE FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.5 |
METABOLIC DISORDERS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.6 |
DAMAGE TO PELVIC ORGANS AND TISSUES FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.7 |
OTHER VENOUS COMPLICATIONS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.81 |
CARDIAC ARREST FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.82 |
SEPSIS FOLLOWING ECTOPIC AND MOLAR PREGNANCY |
|
O08.83 |
URINARY TRACT INFECTION FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.89 |
OTHER COMPLICATIONS FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
O08.9 |
UNSPECIFIED COMPLICATION FOLLOWING AN ECTOPIC AND MOLAR PREGNANCY |
|
Abortion Procedure Codes |
|
|---|---|
|
10A00ZZ |
Abortion of Products of Conception, Open Approach |
|
10A03ZZ |
Abortion of Products of Conception, Percutaneous Approach |
|
10A04ZZ |
Abortion of Products of Conception, Percutaneous Endoscopic Approach |
|
10A07Z6 |
Abortion of Products of Conception, Vacuum, Via Natural or Artificial Opening |
|
10A07ZW |
Abortion of Products of Conception, Laminaria, Via Natural or Artificial Opening |
|
10A07ZX |
Abortion of Products of Conception, Abortifacient, Via Natural or Artificial Opening |
|
10A07ZZ |
Abortion of Products of Conception, Via Natural or Artificial Opening |
|
10A08ZZ |
Abortion of Products of Conception, Via Natural or Artificial Opening Endoscopic |