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. 

 

(Source:  Amended at 46 Ill. Reg. 2971, effective February 1, 2022)