Adverse Pregnancy Outcome

Section 840 Section 840.200  Adverse Pregnancy Outcome An adverse pregnancy outcome for an infant consists of one or more of the following case criterion: a)         A diagnosis of a birth defect, made prenatally or by two years of age; b)         A gestational age of less than 31 completed weeks (ICD-10-CM P07.21-P07.33); c)         A diagnosis of fetal alcohol syndrome (ICD-10-CM Q86.0); d)         A fetal or neonatal death; e)         Substance Use 1)         Prenatal maternal, post-natal infant or post-natal maternal positive toxicology for any controlled substance (except drugs administered during labor and delivery); 2)         a maternal admission to illicit drug use, or cannabis use during the pregnancy that led to the delivery of this infant; or 3)         signs of drug toxicity or withdrawal; or f)         A diagnosis of one of the following conditions made prior to discharge from the newborn hospitalization: 1)         Serious infections: A)        Prenatal exposure to syphilis (ICD-10-CM Z20.2) or a diagnosis of congenital syphilis (ICD-10-CM A50.01-A53.9); B)        Prenatal exposure to hepatitis B or hepatitis C  (ICD-10-CM Z20.2) or a diagnosis of hepatitis B or hepatitis C (ICD-10-CM P35.3); C)        Prenatal exposure to chlamydia (ICD-10-CM Z20.2) or a diagnosis of a chlamydial infection ICD-10-CM A74.89, A74.9, or P23.1); D)        Prenatal exposure to herpes (ICD-10-CM Z20.2) or a diagnosis of congenital herpes (ICD-10-CM P35.2); E)        Group B streptococcus (ICD-10-CM J15.3 or P36.0); F)         Gonococcal conjunctivitis (neonatorum) (ICD-10-CM P39.1); G)        Congenital listeriosis (ICD-10-CM P37.2); H)        Congenital rubella (ICD-10-CM P35.0); I)         Congenital cytomegalovirus (ICD-10-CM P35.1); J)         Tetanus neonatorum (ICD-10-CM A33); K)        Septicemia of the newborn ICD-10-CM P36.0-P36.9); L) Prenatal exposure to human immunodeficiency virus (ICD-10-CM Z20.6); or M)       Other congenital infections (ICD-10-CM P35.8, P35.9 or P37.0-P37.9). 2)         Endocrine, metabolic or immune disorder: A)        Hypothyroidism (ICD-10-CM E03.0-E03.9); B)        Adrenogenital syndrome (ICD-10-CM E25.0-E25.9); C)        Inborn errors of metabolism (- ICD-10-CM E70.0-E79.9); D)        Cystic fibrosis (ICD-10-CM E84.0-E84.9); or E)        Immune deficiency disorder (ICD-10-CM D80.0-D81.9). 3)         Blood disorder: A)        Leukemia (ICD-10-CM C91.0-C95.92); B)        Hereditary hemolytic anemias (ICD-10-CM D58.0-D58.9); C)        Constitutional aplastic anemia (ICD-10-CM D61.0-D61.09); or D)        Coagulation defects (ICD-10-CM D65-D68.9). 4)         Other conditions: A)        Neurofibromatosis (ICD-10-CM Q85.0-Q85.9); B)        Cerebral lipidoses ICD-10-CM E75.4); C)        Retinopathy of prematurity (ICD-10-CM H35.1-H35.17); D)        Chorioretinitis (ICD-10-CM H30.00-H30.93); E)        Strabismus (ICD-10-CM H50.00-H50.9); F)         Endocardial fibroelastosis (ICD-10-CM I42.4); G)        Occlusion of cerebral arteries (ICD-10-CM I63.30-I63.59 or I66.0-I66.9); H)        Bronchopulmonary dysplasia (ICD-10-CM P27.1); I)        Intrauterine growth retardation ICD-10-CM P05.0-P05.9); J)         Intraventricular hemorrhage grade III (ICD-10-CM P52.21); K)        Intraventricular hemorrhage grade IV ICD-10-CM P52.22); L)        Seizures (ICD-10-CM P90); M)        Other conditions leading to more than 72 hours on a ventilator (ICD-10-CM Z99.11); N)        Conditions leading to extracorporeal membrane oxygenation (ECMO) (ICD-10-CM Z92.81) O)        Erb's Palsy (ICD-10-CM P14.0) P)         Hypoxic ischemic encephalopathy leading to cooling treatment (ICD-10-CM P91.63) AGENCY NOTE:  The products of induced abortions shall not be reported to APORS.