ICD-10 Code
International Classification of Diseases, 10th Revision
Apr 24, 2019

ICD-10 PCS Section “1” - Obstetrics

ICD 10 Procedure Code Lookup
Perform a reverse code lookup for any valid procedure code
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Obstetrics procedure codes have a first character value of “1”. The second character value for body system is Pregnancy. The root operations Change, Drainage, Extraction, Insertion, Inspection, Removal, Repair, Reposition, Resection and Transplantation are used in the obstetrics section, and have the same meaning as in the medical and surgical section. The obstetrics section also includes two additional root operations, Abortion and Delivery, defined below:

  • Abortion: Artificially terminating a pregnancy
  • Delivery: Assisting the passage of the products of conception from the genital canal
A cesarean section is not its own unique root operation, because the underlying objective is Extraction (i.e., pulling out all or a portion of a body part). The body part values in the obstetrics section are:
  • Products of conception
  • Products of conception, retained
  • Products of conception, ectopic

The obstetrics section includes procedures performed on the products of conception only; procedures on the pregnant female are coded in the medical and surgical section (e.g., episiotomy). The term “products of conception” refers to all physical components of a pregnancy, including the fetus, amnion, umbilical cord and placenta. There is no differentiation of the products of conception based on gestational age. Thus, the specification of the products of conception as a zygote, embryo or fetus, or the trimester of the pregnancy, is not part of the procedure code but can be found in the diagnosis code.

The fifth character specifies approaches as defined in the medical and surgical section. The sixth character is used for devices such as fetal monitoring electrodes. Qualifier values are specific to the root operation, and are used to specify the type of extraction (e.g., low forceps, high forceps, low cervical cesarean, etc.), the type of fluid taken out during a drainage procedure (e.g., amniotic fluid, fetal blood, etc.) or the body system of the products of conception on which a repair was performed.

When ICD 10 was implemented on October 1, 2015, it did not affect physicians', outpatient facilities', and hospital outpatient departments' use of CPT codes on Medicare Fee-For-Service claims. Providers should continue to use CPT codes to report these services.