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2008 ICD-9-CM Volume 1 Diagnosis Codes Home > Supplementary Classification Of Factors Influencing Health Status And Contact With Health Services V01-V86 > Persons Encountering Health Services In Circumstances Related To Reproduction And Development V20-V29 > Supervision Of High-Risk Pregnancy V23.* > 2008 ICD-9-CM Diagnosis V23.3 Supervision of high-risk pregnancy with grand multiparity  On October 1, 2008 the 2009 ICD-9-CM codes came into effect. Therefore, this code may be out of date. The 2009 version of ICD-9-CM V23.3 can be accessed here. V23.3 is a specific code that can be used to specify a diagnosis V23.3 contains 2 index entries View the ICD-9-CM Volume 1 V23.* hierarchy V23.3 excludes: care in relation to labor and delivery (659.4) that without current pregnancy (V61.5) Index entries containing V23.3: Multiparity V61.5 affecting management of pregnancy V23.3 Pregnancy (single) (uterine) (without sickness) V22.2 supervision (of) (for) - see also Pregnancy, management affected by multiparity V23.3