Non-specific code 2009 ICD-9-CM Diagnosis Code 656.4
Intrauterine death affecting management of mother
  • There are 3 ICD-9-CM codes below 656.4 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim.
  • You are viewing the 2009 version of ICD-9-CM 656.4.
  • More recent version(s) of ICD-9-CM 656.4: 2010 2011 2012 2013 2014.
656.4 Excludes
  • missed abortion (632)
Applies To
  • Fetal death:
    • NOS
    • after completion of 22 weeks' gestation
    • late
  • Missed delivery
ICD-9-CM Volume 2 Index entries containing back-references to 656.4:
  • Dead
    • fetus
      • retained (in utero) 656.4
        • early pregnancy (death before 22 completed weeks gestation) 632
        • late (death after 22 completed weeks gestation) 656.4
      • syndrome 641.3
  • Death
    • fetus, fetal (cause not stated) (intrauterine) 779.9
      • early, with retention (before 22 completed weeks gestation) 632
      • from asphyxia or anoxia (before labor) 768.0
      • late, affecting management of pregnancy (after 22 completed weeks gestation) 656.4
    • intrauterine (see also Death, fetus) 779.9
      • complicating pregnancy 656.4
  • Delivery
    • complicated (by) NEC 669.9
      • abdominal tumor, fetal 653.7
        • causing obstructed labor 660.1
      • abnormal, abnormality of
        • cervix 654.6
          • causing obstructed labor 660.2
        • forces of labor 661.9
        • formation of uterus 654.0
        • pelvic organs or tissues 654.9
          • causing obstructed labor 660.2
        • pelvis (bony) (major) NEC 653.0
          • causing obstructed labor 660.1
        • presentation or position NEC 652.9
          • causing obstructed labor 660.0
        • size, fetus 653.5
          • causing obstructed labor 660.1
        • soft parts (of pelvis) 654.9
          • causing obstructed labor 660.2
        • uterine contractions NEC 661.9
        • uterus (formation) 654.0
          • causing obstructed labor 660.2
        • vagina 654.7
          • causing obstructed labor 660.2
      • abnormally formed uterus (any type) (congenital) 654.0
        • causing obstructed labor 660.2
      • acromion presentation 652.8
        • causing obstructed labor 660.0
      • adherent placenta 667.0
      • adhesions, uterus (to abdominal wall) 654.4
      • advanced maternal age NEC 659.6
      • air embolism 673.0
      • amnionitis 658.4
      • amniotic fluid embolism 673.1
      • anesthetic death 668.9
      • annular detachment, cervix 665.3
      • antepartum hemorrhage - see Delivery, complicated, hemorrhage
      • anteversion, cervix or uterus 654.4
        • causing obstructed labor 660.2
      • apoplexy 674.0
      • arrested active phase 661.1
      • asymmetrical pelvis bone 653.0
        • causing obstructed labor 660.1
      • atony, uterus with hemorrhage (hypotonic) (inertia) 666.1
      • Bandl's ring 661.4
      • Battledore placenta - see Placenta, abnormal
      • bicornis or bicornuate uterus 654.0
        • causing obstructed labor 660.2
      • birth injury to mother NEC 665.9
      • bleeding (see also Delivery, complicated, hemorrhage) 641.9
      • breech presentation (assisted) (buttocks) (complete) (frank) (spontaneous) 652.2
        • with successful version 652.1
      • brow presentation 652.4
      • cephalopelvic disproportion (normally formed fetus) 653.4
        • causing obstructed labor 660.1
      • cerebral hemorrhage 674.0
      • cervical dystocia 661.2
      • chin presentation 652.4
        • causing obstructed labor 660.0
      • cicatrix
      • coagulation defect 649.3
      • colporrhexis 665.4
        • with perineal laceration 664.0
      • compound presentation 652.8
        • causing obstructed labor 660.0
      • compression of cord (umbilical) 663.2
      • contraction, contracted pelvis 653.1
      • contraction ring 661.4
      • cord (umbilical) 663.9
      • Couvelaire uterus 641.2
      • cretin pelvis (dwarf type) (male type) 653.1
        • causing obstructed labor 660.1
      • crossbirth 652.3
        • with successful version 652.1
        • causing obstructed labor 660.0
      • cyst (Gartner's duct) 654.7
      • cystocele 654.4
        • causing obstructed labor 660.2
      • death of fetus (near term) 656.4
        • early (before 22 completed weeks gestation) 632
      • deformity (acquired) (congenital)
        • fetus 653.7
          • causing obstructed labor 660.1
        • pelvic organs or tissues NEC 654.9
          • causing obstructed labor 660.2
        • pelvis (bony) NEC 653.0
          • causing obstructed labor 660.1
      • delay, delayed
        • delivery in multiple pregnancy 662.3
          • due to locked mates 660.5
        • following rupture of membranes (spontaneous) 658.2
      • depressed fetal heart tones 659.7
      • diastasis recti 665.8
      • dilatation
        • bladder 654.4
          • causing obstructed labor 660.2
        • cervix, incomplete, poor or slow 661.0
      • diseased placenta 656.7
      • displacement uterus NEC 654.4
        • causing obstructed labor 660.2
      • disproportion NEC 653.9
        • causing obstructed labor 660.1
      • disruptio uteri - see Delivery, complicated, rupture, uterus
      • distress
      • double uterus (congenital) 654.0
        • causing obstructed labor 660.2
      • dropsy amnion 657
      • dysfunction, uterus 661.9
      • dystocia
        • cervical 661.2
        • fetal - see Delivery, complicated, abnormal, presentation
        • maternal - see Delivery, complicated, prolonged labor
        • pelvic - see Delivery, complicated, contraction pelvis
        • positional 652.8
        • shoulder girdle 660.4
      • eclampsia 642.6
      • ectopic kidney 654.4
        • causing obstructed labor 660.2
      • edema, cervix 654.6
        • causing obstructed labor 660.2
      • effusion, amniotic fluid 658.1
      • elderly multigravida 659.6
      • elderly primigravida 659.5
      • embolism (pulmonary) 673.2
      • entanglement, umbilical cord 663.3
        • with compression 663.2
        • around neck (with compression) 663.1
      • eversion, cervix or uterus 665.2
      • excessive
      • face presentation 652.4
      • failure, fetal head to enter pelvic brim 652.5
        • causing obstructed labor 660.0
      • female genital mutilation 660.8
      • fetal
        • acid-base balance 656.8
        • death (near term) NEC 656.4
          • early (before 22 completed weeks gestation) 632
        • deformity 653.7
          • causing obstructed labor 660.1
        • distress 656.8
        • heart rate or rhythm 659.7
        • reduction of multiple fetuses reduced to single fetus 651.7
      • fetopelvic disproportion 653.4
        • causing obstructed labor 660.1
      • fever during labor 659.2
      • fibroid (tumor) (uterus) 654.1
        • causing obstructed labor 660.2
      • fibromyomata 654.1
        • causing obstructed labor 660.2
      • forelying umbilical cord 663.0
      • fracture of coccyx 665.6
      • hematoma 664.5
      • hemorrhage (uterine) (antepartum) (intrapartum) (pregnancy) 641.9
        • accidental 641.2
        • associated with
        • cerebral 674.0
        • due to
          • low-lying placenta 641.1
          • placenta previa 641.1
          • premature separation of placenta (normally implanted) 641.2
          • retained placenta 666.0
          • trauma 641.8
          • uterine leiomyoma 641.8
        • marginal sinus rupture 641.2
        • placenta NEC 641.9
        • postpartum (atonic) (immediate) (within 24 hours) 666.1
      • hourglass contraction, uterus 661.4
      • hydramnios 657
      • hydrocephalic fetus 653.6
        • causing obstructed labor 660.1
      • hydrops fetalis 653.7
        • causing obstructed labor 660.1
      • hypertension - see Hypertension, complicating pregnancy
      • hypertonic uterine dysfunction 661.4
      • hypotonic uterine dysfunction 661.2
      • impacted shoulders 660.4
      • incarceration, uterus 654.3
        • causing obstructed labor 660.2
      • incomplete dilation (cervix) 661.0
      • incoordinate uterus 661.4
      • indication NEC 659.9
      • inertia, uterus 661.2
      • infantile
      • injury (to mother) NEC 665.9
      • intrauterine fetal death (near term) NEC 656.4
        • early (before 22 completed weeks gestation) 632
      • inversion, uterus 665.2
      • kidney, ectopic 654.4
        • causing obstructed labor 660.2
      • knot (true), umbilical cord 663.2
      • labor, premature (before 37 completed weeks gestation) 644.2
      • laceration 664.9
      • lateroversion, uterus or cervix 654.4
        • causing obstructed labor 660.2
      • locked mates 660.5
      • low implantation of placenta - see Delivery, complicated, placenta, previa
      • mal lie 652.9
      • malposition
        • fetus NEC 652.9
          • causing obstructed labor 660.0
        • pelvic organs or tissues NEC 654.9
          • causing obstructed labor 660.2
        • placenta 641.1
        • uterus NEC or cervix 654.4
          • causing obstructed labor 660.2
      • malpresentation 652.9
        • causing obstructed labor 660.0
      • marginal sinus (bleeding) (rupture) 641.2
      • maternal hypotension syndrome 669.2
      • meconium in liquor 656.8
      • membranes, retained - see Delivery, complicated, placenta, retained
      • mentum presentation 652.4
        • causing obstructed labor 660.0
      • metrorrhagia (myopathia) - see Delivery, complicated, hemorrhage
      • metrorrhexis - see Delivery, complicated, rupture, uterus
      • multiparity (grand) 659.4
      • myelomeningocele, fetus 653.7
        • causing obstructed labor 660.1
      • Nägele's pelvis 653.0
        • causing obstructed labor 660.1
      • nonengagement, fetal head 652.5
        • causing obstructed labor 660.0
      • oblique presentation 652.3
        • causing obstructed labor 660.0
      • obstetric
      • obstructed labor 660.9
        • due to
          • abnormality of pelvic organs or tissues (conditions classifiable to 654.0-654.9) 660.2
          • deep transverse arrest 660.3
          • impacted shoulders 660.4
          • locked twins 660.5
          • malposition and malpresentation of fetus (conditions classifiable to 652.0-652.9) 660.0
          • persistent occipitoposterior 660.3
          • shoulder dystocia 660.4
      • occult prolapse of umbilical cord 663.0
      • oversize fetus 653.5
        • causing obstructed labor 660.1
      • pathological retraction ring, uterus 661.4
      • pelvic
        • arrest (deep) (high) (of fetal head) (transverse) 660.3
        • deformity (bone) - see also Deformity, pelvis, with disproportion
        • tumor NEC 654.9
          • causing obstructed labor 660.2
      • penetration, pregnant uterus by instrument 665.1
      • perforation - see Delivery, complicated, laceration
      • persistent
      • placenta, placental
      • polyhydramnios 657
      • polyp, cervix 654.6
        • causing obstructed labor 660.2
      • precipitate labor 661.3
      • premature
        • labor (before 37 completed weeks gestation) 644.2
        • rupture, membranes 658.1
          • delayed delivery following 658.2
      • presenting umbilical cord 663.0
      • previous
      • primary uterine inertia 661.0
      • primipara, elderly or old 659.5
      • prolapse
        • arm or hand 652.7
          • causing obstructed labor 660.0
        • cord (umbilical) 663.0
        • fetal extremity 652.8
        • foot or leg 652.8
          • causing obstructed labor 660.0
        • umbilical cord (complete) (occult) (partial) 663.0
        • uterus 654.4
          • causing obstructed labor 660.2
      • prolonged labor 662.1
      • pyrexia during labor 659.2
      • rachitic pelvis 653.2
        • causing obstructed labor 660.1
      • rectocele 654.4
        • causing obstructed labor 660.2
      • retained membranes or portions of placenta 666.2
      • retarded (prolonged) birth 662.1
      • retention secundines (with hemorrhage) 666.2
      • retroversion, uterus or cervix 654.3
        • causing obstructed labor 660.2
      • rigid
      • Robert's pelvis 653.0
        • causing obstructed labor 660.1
      • rupture - see also Delivery, complicated, laceration
        • bladder (urinary) 665.5
        • cervix 665.3
        • marginal sinus 641.2
        • membranes, premature 658.1
        • pelvic organ NEC 665.5
        • perineum (without mention of other laceration) - see Delivery, complicated, laceration, perineum
        • peritoneum 665.5
        • urethra 665.5
        • uterus (during labor) 665.1
      • sacculation, pregnant uterus 654.4
      • sacral teratomas, fetal 653.7
        • causing obstructed labor 660.1
      • scar(s)
        • cervix 654.6
          • causing obstructed labor 660.2
        • cesarean delivery, section 654.2
          • causing obstructed labor 660.2
        • perineum 654.8
          • causing obstructed labor 660.2
        • uterus NEC 654.9
          • causing obstructed labor 660.2
          • due to previous cesarean delivery, section 654.2
        • vagina 654.7
          • causing obstructed labor 660.2
        • vulva 654.8
          • causing obstructed labor 660.2
      • scoliotic pelvis 653.0
        • causing obstructed labor 660.1
      • secondary uterine inertia 661.1
      • secundines, retained - see Delivery, complicated, placenta, retained
      • separation
      • septate vagina 654.7
        • causing obstructed labor 660.2
      • shock (birth) (obstetric) (puerperal) 669.1
      • short cord syndrome 663.4
      • shoulder
      • Siamese twins 678.1
        • causing obstructed labor 660.1
      • slow slope active phase 661.2
      • spasm
      • spondylolisthesis, pelvis 653.3
        • causing obstructed labor 660.1
      • spondylolysis (lumbosacral) 653.3
        • causing obstructed labor 660.1
      • spondylosis 653.0
        • causing obstructed labor 660.1
      • stenosis or stricture
      • sudden death, unknown cause 669.9
      • tear (pelvic organ) (see also Delivery, complicated, laceration) 664.9
        • anal sphincter (healed) (old) 654.8
          • not associated with third-degree perineal laceration 664.6
      • teratomas, sacral, fetal 653.7
        • causing obstructed labor 660.1
      • tetanic uterus 661.4
      • tipping pelvis 653.0
        • causing obstructed labor 660.1
      • transverse
        • arrest (deep) 660.3
        • presentation or lie 652.3
          • with successful version 652.1
          • causing obstructed labor 660.0
      • trauma (obstetrical) NEC 665.9
      • tumor
        • abdominal, fetal 653.7
          • causing obstructed labor 660.1
        • pelvic organs or tissues NEC 654.9
          • causing obstructed labor 660.2
      • umbilical cord (see also Delivery, complicated, cord) 663.9
        • around neck tightly, or with compression 663.1
        • entanglement NEC 663.3
        • prolapse (complete) (occult) (partial) 663.0
      • unstable lie 652.0
        • causing obstructed labor 660.0
      • uterine
        • inertia (see also Delivery, complicated, inertia, uterus) 661.2
        • spasm 661.4
      • vasa previa 663.5
      • velamentous insertion of cord 663.8
      • young maternal age 659.8
    • missed (at or near term) 656.4
    • nonviable infant 656.4
    • stillbirth (near term) NEC 656.4
      • early (before 22 completed weeks gestation) 632
    • term pregnancy (live birth) NEC - see category 650
      • stillbirth NEC 656.4
  • Labor (see also Delivery)
    • missed (at or near term) 656.4
  • Missed
    • delivery (at or near term) 656.4
    • labor (at or near term) 656.4
  • Pregnancy (single) (uterine) (without sickness) V22.2
    • complicated (by) 646.9
      • abnormal, abnormality NEC 646.9
      • abscess or cellulitis
      • adhesion, pelvic peritoneal 648.9
      • air embolism 673.0
      • albuminuria 646.2
        • with hypertension - see Toxemia, of pregnancy
      • amnionitis 658.4
      • amniotic fluid embolism 673.1
      • anemia (conditions classifiable to 280-285) 648.2
      • appendicitis 648.9
      • atrophy, yellow (acute) (liver) (subacute) 646.7
      • bacilluria, asymptomatic 646.5
      • bacteriuria, asymptomatic 646.5
      • bariatric surgery status 649.2
      • bicornis or bicornuate uterus 654.0
      • biliary problems 646.8
      • bone and joint disorders (conditions classifiable to 720-724 or conditions affecting lower limbs classifiable to 711-719, 725-738) 648.7
      • breech presentation (buttocks) (complete) (frank) 652.2
        • with successful version 652.1
      • cardiovascular disease (conditions classifiable to 390-398, 410-429) 648.6
      • cerebrovascular disorders (conditions classifiable to 430-434, 436-437) 674.0
      • cervicitis (conditions classifiable to 616.0) 646.6
      • chloasma (gravidarum) 646.8
      • cholelithiasis 646.8
      • chorea (gravidarum) - see Eclampsia, pregnancy
      • coagulation defect 649.3
      • conjoined twins 678.1
      • contraction, pelvis (general) 653.1
      • convulsions (eclamptic) (uremic) 642.6
        • with pre-existing hypertension 642.7
      • current disease or condition (nonobstetric)
      • cystitis 646.6
      • cystocele 654.4
      • death of fetus (near term) 656.4
        • early pregnancy (before 22 completed weeks gestation) 632
      • deciduitis 646.6
      • decreased fetal movements 655.7
      • diabetes (mellitus) (conditions classifiable to 249 and 250) 648.0
      • disorders of liver 646.7
      • displacement, uterus NEC 654.4
      • disproportion - see Disproportion
      • double uterus 654.0
      • drug dependence (conditions classifiable to 304) 648.3
      • dysplasia, cervix 654.6
      • early onset of delivery (spontaneous) 644.2
      • eclampsia, eclamptic (coma) (convulsions) (delirium) (nephritis) (uremia) 642.6
        • with pre-existing hypertension 642.7
      • edema 646.1
        • with hypertension - see Toxemia, of pregnancy
      • effusion, amniotic fluid 658.1
        • delayed delivery following 658.2
      • embolism
      • emesis (gravidarum) - see Pregnancy, complicated, vomiting
      • endometritis (conditions classifiable to 615.0-615.9) 670
      • epilepsy 649.4
      • excessive weight gain NEC 646.1
      • face presentation 652.4
      • failure, fetal head to enter pelvic brim 652.5
      • false labor (pains) 644.1
      • fatigue 646.8
      • fatty metamorphosis of liver 646.7
      • female genital mutilation 648.9
      • fetal
        • conjoined twins 678.1
        • death (near term) 656.4
          • early (before 22 completed weeks gestation) 632
        • deformity 653.7
        • distress 656.8
        • reduction of multiple fetuses reduced to single fetus 651.7
      • fibroid (tumor) (uterus) 654.1
      • footling presentation 652.8
        • with successful version 652.1
      • gallbladder disease 646.8
      • gastric banding status 649.2
      • gastric bypass status for obesity 649.2
      • goiter 648.1
      • gonococcal infection (conditions classifiable to 098) 647.1
      • gonorrhea (conditions classifiable to 098) 647.1
      • hypertensive heart and chronic kidney disease 642.2
      • hemorrhage 641.9
        • accidental 641.2
        • before 22 completed weeks gestation NEC 640.9
        • cerebrovascular 674.0
        • due to
          • afibrinogenemia or other coagulation defect (conditions classifiable to 286.0-286.9) 641.3
          • leiomyoma, uterine 641.8
          • marginal sinus (rupture) 641.2
          • premature separation, placenta 641.2
          • trauma 641.8
        • early (before 22 completed weeks gestation) 640.9
        • threatened abortion 640.0
        • unavoidable 641.1
      • hepatitis (acute) (malignant) (subacute) 646.7
      • viral 647.6
      • herniation of uterus 654.4
      • high head at term 652.5
      • hydatidiform mole (delivered) (undelivered) 630
      • hydramnios 657
      • hydrocephalic fetus 653.6
      • hydrops amnii 657
      • hydrorrhea 658.1
      • hyperemesis (gravidarum) - see Hyperemesis, gravidarum
      • hypertension - see Hypertension, complicating pregnancy
      • hypertensive
        • chronic kidney disease 642.2
        • heart and chronic kidney disease 642.2
        • heart and renal disease 642.2
        • heart disease 642.2
        • renal disease 642.2