Non-specific code 2014 ICD-9-CM Diagnosis Code 658.1
Premature rupture of membranes
  • Non-Billable Code
  • There are 3 ICD-9-CM codes below 658.1 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim.
Clinical Information
  • Spontaneous tearing of the membranes surrounding the fetus any time before the onset of obstetric labor. Preterm prom is membrane rupture before 37 weeks of gestation.
  • The condition when a patient who is beyond 37 weeks gestation presents with rupture of membranes prior to the onset of labor. Rupture of membranes is diagnosed by speculum vaginal examination of the cervix and vaginal cavity, which will show pooling of fluid in the vagina or leakage of fluid from the cervix. Preterm prom (known as pprom) refers to a patient who has not yet reached 37 weeks gestation and presents with rupture of membranes.
Applies To
  • Rupture of amniotic sac less than 24 hours prior to the onset of labor
ICD-9-CM Volume 2 Index entries containing back-references to 658.1:
  • 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
        • onset (spontaneous) after 37 completed weeks of gestation but before 39 completed weeks gestation with delivery by (planned) cesarean section 649.8
        • 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 (pelvic) 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
      • 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
  • Effusion
    • amniotic fluid (see also Rupture, membranes, premature) 658.1
  • Hydrorrhea (nasal) 478.19
    • gravidarum 658.1
    • pregnancy 658.1
  • Leakage
    • amniotic fluid 658.1
      • with delayed delivery 658.2
      • affecting fetus or newborn 761.1
  • Oligohydramnios 658.0
    • due to premature rupture of membranes 658.1
      • affecting fetus or newborn 761.2
  • 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
      • cholestasis 646.7
      • 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)
        • abnormal glucose tolerance 648.8
        • anemia 648.2
        • biliary tract 646.7
        • bone and joint (lower limb) 648.7
        • cardiovascular 648.6
        • cerebrovascular 674.0
        • diabetes (conditions classifiable to 249