ICD-9 Codes

Complete listing for all ICD-9 codes

I. Infectious and Parasitic Diseases
II. Neoplasms
III. Endocrine, Nutritional & Metabolic Disorders
IV. Blood Diseases
V. Mental Disorders
VI. Nervous System & Sense Organ Disorders
VII. Circulatory System
VIII. Respiratory System
IX. Digestive System
X. Genitourinary System
XI. Pregnancy, Childbirth
XII. Skin, Subcutaneous Tissue
XIII. Musculoskeletal & Connective Tissue
XIV. Congenital Anomalies
XV. Perinatal (Infant)
XVI. Signs and Symptoms
XVII. Injuries and Adverse Effects
XVIII. Supplemental Classification

I. Infectious and Parasitic Diseases
052 Chickenpox, NOS
111 Dermatomycosis, unspecified
031 Disease due to disseminated mycobacterium
009 Gastroenteritis, infectious
007 Giardiasis
098 Gonorrhea, acute, lower genitourinary tract
054 Herpes simplex, any site
053 Herpes zoster, NOS
042 Human immunodeficiency virus disease
V08 Human immunodeficiency virus positive, asymptomatic
075 Infectious mononucleosis
136 Infectious/parasitic diseases, unspecified
487 Influenza w/ upper respiratory symptoms
007 Intestinal protozoa, NOS
088 Lyme disease
055 Measles, NOS
112 Moniliasis, oral
072 Mumps, NOS
007 Other protozoal intestinal diseases, ant amebiasis
132 Pediculosis, unspecified
127 Pinworms
138 Polio, late effects
795 Positive PPD
082 Rocky mountain spotted fever
056 Rubella, NOS
003 Salmonella gastroenteritis
135 Sarcoidosis
133 Scabies
038 Septicemia, NOS
004 Shigellosis, unspecified
005 Staphylococcal food poisoning
038 Staphylococcal septicemia, unspecified
034 Strep throat
097 Syphilis, unspecified
111 Tinea versicolor
131 Trichomoniasis, unspecified
011 Tuberculosis, pulmonary, NOS
099 Venereal disease, unspecified
077 Viral conjunctivitis
057 Viral exanthems, other, NOS
070 Viral hepatitis, NOS
079 Viral infection, unspecified
078 Warts, all sites


II. Neoplasms
Malignant Neoplasms
188 Bladder, unspecified
191 Brain
174 Breast, female
180 Cervix
153 Colon, unspecified
184 Female genital, unspecified, CIS excluded
159 Gastrointestinal tract, unspecified
189 Kidney
201 Hodgkin's, NOS
208 Leukemia, unspecified
162 Lung/bronchus
187 Male genital, unspecified
183 Ovary
185 Prostate
165 Respiratory tract, NOS
173 Skin, unspecified
199 Unspecified
189 Urinary, unspecified
179 UterusBenign Neoplasms
211 Colon214 Lipoma, any site
239 Neoplasm, unspecified
216 Skin, unspecified
239 Skin, soft tissue neoplasm, unspecified
229 Unspecified
218 Uterus (leiomyoma, unspecified)

III. Endocrine, Nutritional & Metabolic Disorders
266 B12 deficiency w/o anemia
276 Dehydration
250 Diabetes mellitus
271 Glucose intolerance
240 Goiter, unspecified
274 Gout, unspecified
275 Disorder of calcium metabolism
275 Hypercalcemia
272 Hypercholesterolemia/hyperlipidemia
276 Hyperkalemia
276 Hypernatremia
252 Hyperparathyroidism
242 Hyperthyroidism, NOS
275 Hypocalcemia
250 Hypoglycemia, diabetic, unspecified
251 Hypoglycemia, nondiabetic, unspecified
276 Hypokalemia
276 Hyponatremia
252 Hypoparathyroidism
244 Hypothyroidism, unspecified
272 Lipoid Disorder, unspecified
269 Nutritional deficiencies, unspecified
278 Obesity, NOS
790 Other abnormal blood chemistry
241 Thyroid nodule

IV. Blood Diseases
288 Abnormal white blood cells, unspecified
285 Anemia, acute blood loss
280 Anemia, iron deficiency, unspecified
285 Anemia, other, unspecified
281 Anemia, pernicious
289 Blood disease, unspecified
276 Electrolyte disturbance
287 Hemorrhagic conditions, unspecified
288 Leukocytosis/leukopenia
272 Lipoid disorder, unspecified
289 Lymphadenitis, chronic
238 Polycythemia vera
282 Sickle-cell anemia, unspecified
282 Sickle-cell trait
287 Thrombocytopenia

V. Mental Disorders
309 Adjustment reaction, unspecified
305 Alcohol abuse, unspecified
303 Alcoholism, unspecified
331 Alzheimer's
307 Anorexia nervosa
300 Anxiety state, unspecified
314 Attention deficit, w/ or w/o hyperactivity
307 Bulimia
312 Conduct disorder, unspecified
294 Dementia
311 Depressive disorder, NOS
305 Drug abuse, unspecified
304 Drug dependence, unspecified
307 Eating disorders
300 Hysteria, unspecified
307 Insomnia/non-organic sleep disorder, unspecified
315 Learning disability/developmental delay, NOS
319 Mental retardation, unspecified
300 Neurosis, NOS
300 Panic disorder
301 Personality disorder, unspecified
298 Psychosis, unspecified
296 Psychoses, affective, episodic
295 Schizophrenia, unspecified
290 Senile dementia, NOS
302 Sexual dysfunction, unspecified
308 Situational disturbance, acute
780 Sleep apnea/disturbances, non-organic origin
307 Tension headache
305 Tobacco abuse

VI. Nervous System & Sense Organ Disorders
Nervous System Diseases
351 Bell's palsy
191 Cancer, brain
354 Carpal tunnel
438 CVA, late effect, unspecified
345 Epilepsy, unspecified, w/o intractable epilepsy
346 Headache, migraine
322 Meningitis, unspecified
346 Migraine, unspecified, w/o intractable migraine
333 Movement disorder, unspecified
340 Multiple sclerosis
359 Myopathy, unspecified
349 Nervous system, NOS
357 Neuropathy, unspecified
332 Parkinsonism, primary
333 Restless legs
333 Tremor, essential/familial
781 Tremor/spasms, NOS
350 Trigeminal neuralgia Eye Diseases
373 Blepharitis, unspecified
366 Cataract, unspecified
373 Chalazion
372 Conjunctivitis, unspecified
918 Corneal abrasion
370 Corneal ulcer, unspecified
940 Eye burn, unspecified
379 Eye disorder, unspecified
930 Eye foreign body, external, unspecified
378 Eye movement disorder, unspecified
365 Glaucoma, unspecified
373 Hordeolum (stye)
367 Refractive errors, unspecified
362 Retinal disorder, unspecified
368 Visual disturbance, unspecified
369 Visual loss, unspecified Ear Diseases
380 Cerumen impaction
388 Ear disorder, unspecified
381 Eustachian salpingitis, unspecified
389 Hearing loss, unspecified
386 Labyrinthitis
380 Otitis externa
382 Otitis media, acute
381 Otitis media, chronic serous
386 Vertigo
380 Wax in ear

VII. Circulatory System
794 Abnormal electrocardiogram
410  Acute myocardial infarction
428 Acute pulmonary edema
413 Angina pectoris , NOS
411 Angina, unstable
441 Aortic aneurysm, unspecified
427 Arrythmias, cardiac
447 Arterial disorder, other, unspecified
440 Atherosclerosis, NOS (excludes heart/brain)
414 Atherosclerotic heart disease (ASHD)
427 Atrial fibrillation
427 Cardiac arrest
861 Cardiac contusion
425 Cardiomyopathy
434 Cerebral artery occlusion, w/ infarction, unspecified
436 Cerebral vascular accident (CVA)
437 Cerebrovascular disease
414 Chronic ischemic heart disease
459 Circulatory disorder, unspecified
426 Conduction disorder, unspecified
428 Congestive heart failure (CHF)
V45 Coronary artery bypass surgery (CABG)
414 Coronary heart disease (CAD, CASHD, CHD)
424 Disease of heart valve, aortic/pulmonary/tricuspid
394 Disease of heart valve, mitral, unspecified
796 Elevated BP w/o hypertension
429 Heart disease, other, unspecified
785 Heart murmur
272 Hypercholesterolemia/hyperlipidemia
401 Hypertension, benign/malignant
403 Hypertension, renal disease, unspecified, w/ renal failure
402 Hypertensive cardiac
458 Hypotension
432 Intracranial hemorrhage, NOS
446 Kawasaki disease
785 Lymphadenopathy
412 Myocardial infarction, old
458 Orthostatic hypotension
427 Paroxysmal supraventricular tachycardia
420 Pericarditis, acute, nonspecific
443 Peripheral vascular disease, unspecified
427 Premature beats, unspecified
415 Pulmonary embolism, not iatrogenic
416 Pulmonary heart disease, chronic, unspecified
398 Rheumatic heart disease, unspecified
427 Sick sinus syndrome
451 Thrombophlebitis, unspecified
435 Transient ischemic attack, unspecified
454 Varicose veins w/o ulcer/inflammation
459 Venous insufficiency, unspecified

VIII. Respiratory System
478 Abscess/ulcer of nose
460 Acute nasopharyngitis (common cold)
518 Allergic bronchopulmonary aspergillosis
507 Aspiration, pneumonia
493 Asthma, unspecified
466 Bronchiolitis/Bronchitis, acute
491 Bronchitis, chronic
490 Bronchitis, unspecified
496 Chronic obstructive pulmonary disease (COPD), NOS
786 Cough, NOS
464 Croup492 Emphysema
464 Epiglottis/Laryngitis, acute
475 Peritonsillar abscess
462 Pharyngitis, acute
511 Pleural effusion/Pleurisy, NOS
507 Pneumonia, aspiration
482 Pneumonia, bacterial
483 Pneumonia, mycoplasma
481 Pneumonia, pneumococcal
480 Pneumonia, RSV486 Pneumonia, unspecified
480 Pneumonia, viral512 Pneumothorax, spontaneous
860 Pneumothorax, traumatic
861 Pulmonary contusion/laceration/unspecified injury
415 Pulmonary embolism
519 Respiratory disease, other, NOS
477 Rhinitis, allergic, cause unspecified
472 Rhinitis, chronic461 Sinusitis, acute, NOS
473 Sinusitis, chronic, NOS
474 Tonsil/adenoid disease, chronic, unspecified
463 Tonsillitis, acute
465 Upper respiratory infection, acute, NOS

IX. Digestive System
565 Anal fissure, non-traumatic
783 Anorexia, loss of appetite of organic origin
540 Appendicitis, unspecified
578 Blood in stool/hematemesis
153 Cancer, colon, unspecified
574 Cholelithiasis, NOS
575 Cholecystitis, acute
571 Chronic liver disease, unspecified
571 Cirrhosis, NOS
555 Crohn's disease, NOS
525 Dental, unspecified
562 Diverticulitis/diverticulosis of colon, NOS
536 Dyspepsia
530 Esophageal disease, unspecified
530 Esophagitis/reflux, unspecified
575 Gallbladder disease, unspecified
535 Gastritis
558 Gastroenteritis, noninfectious, unspecified
530 Gastroesophageal reflux disease (GERD)
578 Hematemesis/blood in stool
455 Hemorrhoids, NOS
750 Hernia, hiatal
550 Hernia, inguinal, NOS
553 Hernias, other of abdominal cavity, NOS
560 Ileus/intestinal obstruction, unspecified
564 Irritable bowel syndrome557 Ischemic bowel disease, unspecified
579 Malabsorption, NOS
578 Melena007 Protozoal intestinal diseases, not amebiasis
528 Oral, soft tissue diseases, unspecified
529 Oral, tongue diseases, unspecified
577 Pancreatic diseases
533 Peptic ulcer disease, unspecified, w/o obstruction
569 Rectal prolapse/bleeding
524 Temporomandibular joint disorder, unspecified
556 Ulcerative colitis, unspecified

X. Genitourinary System
Urinary System Diseases
188 Cancer of bladder
575 Cholecystitis
574 Cholelithiasis, NOS
595 Cystitis580 Glomerulonephritis, acute, unspecified
582 Glomerulonephritis, Chronic, Unspecified
788 Frequent urination
788 Incontinence/retention
791 Proteinuria, non-postural, non-obstetric
590 Pyelonephritis, acute, no necrosis
593 Renal disease, NOS
584 Renal failure, acute, unspecified
585 Renal failure, chronic
597 Urethral syndrome, non-venereal disease, NOS
592 Urinary calculus, unspecified
599 Urinary infection (UTI)/obstruction, unspecified
Male Genital Organ Disease
607 Balanitis
603 Hydrocele, unspecified
302 Impotence, psychosexual dysfunction
607 Impotence, organic
608 Male genital disease, other, unspecified
604 Orchitis/epididymitis, unspecified
605 Phimosis
600 Prostatic hypertrophy, benign
601 Prostatitis, NOS
790 PSA, elevated
099 Urethritis, nongonococcal
456 Varicocele
Breast Diseases
174 Breast Cancer
611 Breast disease, unspecified
610 Fibroadenosis/fibrocystic breast disease
611 Galactorrhea
793 Mammogram, abnormal
675 Mastitis, lactating, unspecified
611 Mastitis, NOSFemale Genital Organ Diseases
616 Bartholin cyst
180 Cervical cancer
723 Cervical disorder, NOS
622 Cervical polyp, NOS
616 Cervicitis
618 Cystocele/rectocele/prolapse, unspecified
625 Dysmenorrhea/dyspareunia
617 Endometriosis
625 Female disease, other, unspecified
183 Ovarian cancer
620 Ovarian cyst
614 Pelvic inflammatory disease, unspecified
625 Stress incontinence, female
179 Uteran cancer
616 Vaginitis/vulvitis, unspecifiedDisorders of Menstruation
626 Amenorrhea
626 Excessive/frequent menstruation
627 Menopausal disorders, unspecified
626 Metrorrhagia
625 Painful menstruation
V07 Postmenopausal hormone replacement
625 Premenstrual tension syndrome
Fertility Problems
628 Infertility, female, unspecified
606 Infertility, male, unspecified

XI. Pregnancy, Childbirth
635 Abortion, induced, w/o complication
634 Abortion, spontaneous, w/o complication
641 Abruptio placentae, unspecified
641 Bleeding in pregnancy, unspecified
669 Complicated delivery/labor, unspecified
V25 Contraceptive counseling and advice
655 Decreased fetal movements, unspecified
633 Ectopic pregnancy, unspecified
670 Endometritis, postpartum
642 Gestational hypertension, unspecified
650 Normal delivery
646 Other complications of pregnancy, unspecified
674 Other complications of puerperium/ postpartum, unspecified
641 Placenta previa, unspecified
645 Post-term pregnancy, unspecified
V24 Postpartum follow-up, routine
642 Pre-eclampsia
V22 Pregnancy, normal
644 Premature labor
V23 Prenatal care, high risk, unspecified
V22 Prenatal care, normal
640 Threatened abortion, unspecified
644 Threatened premature labor, undelivered
651 Twins, unspecified
646 Urinary tract infection in pregnancy, unspecified
643 Vomiting of pregnancy, unspecified

XII. Skin, Subcutaneous Tissue
706 Acne, other
702 Actinic keratosis
704 Alopecia, unspecified
691 Atopic dermatitis
949 Burn, degree unspecified
682 Cellulitis/abscess, unspecified
707 Chronic skin ulcer, unspecified
692 Contact dermatitis, NOS
700 Corn/callus
707 Decubitis ulcer
691 Dermatitis, atopic
691 Diaper rash
691 Eczema, atopic dermatitis
704 Hair disease, unspecified
704 Hirsutism684 Impetigo
703 Ingrown nail
702 Keratosis
683 Lymphadenitis, acute
703 Nail disease, unspecified
110 Onychomycosis
709 Other skin disease, unspecified
696 Pityriasis rosea
698 Pruritus, NOS
696 Psoriasis
695 Rosacea
706 Sebaceous cyst
690 Seborrheic dermatitis, NOS
702 Seborrheic keratosis, NOS
701 Skin atrophy/hypertrophy
216 Skin, benigh neoplasm
919 Skin damage, superficial
173 Skin cancer, unspecified
692 Sunburn
705 Sweat gland disease
708 Urticaria, unspecified

XIII. Musculoskeletal & Connective Tissue
736 Acquired deformity, limb, unspecified
719 Arthralgia
716 Arthropathy, unspecified
724 Back pain, other/unspecified disorders
847 Back pain, sprain/strain
726 Bursitis
354 Carpal tunnel
723 Cervical disorder, NOS
710 Connective tissue disease
715 Degenerative joint disease (DJD)
718 Derangement of joint, other
722 Disc syndrome, no myelopathy, NOS
719 Effusion/swelling of joint
729 Extremity pain
729 Fibrositis
727 Ganglion/cyst
719 Hip pain
717 Internal derangement, knee
719 Joint pain
844 Knee strain
737 Kyphosis/scoliosis, unspecified
729 Leg cramps
724 Low back pain
728 Muscle/ligament disorder
729 Myalgia/myositis, unspecified
721 Osteoarthritis of spine, NOS
715 Osteoarthrosis, unspecified
730 Osteomyelitis, unspecified
733 Osteoporosis, unspecified
725 Polymyalgia rheumatica
729 Rheumatism
714 Rheumatoid arthritis (not juvenile rheumatoid arthritis)
719 Shoulder pain
726 Shoulder syndrome, unspecified
727 Synovitis/tenosynovitis, unspecified
726 Tendonitis
716 Traumatic arthropathy, unspecified

XIV. Congenital Anomalies
743 Blocked tear duct/eye
746 Congenital heart anomaly, NOS
755 Limb anomaly, unspecified
751 Meckel's diverticulum
759 Other congenital anomaly, unspecified
750 Pyloric stenosis
752 Undescended testis

XV. Perinatal (Infant)
768 Birth asphyxia, unspecified
767 Birth trauma, unspecified
779 Feeding problem newborn
768 Fetal distress, unspecified
774 Jaundice, newborn, unspecified
764 Newborn, light-for-dates, weight unspecified
779 Perinatal morbidity/mortality, unspecified
765 Preterm infant, weight unspecified
769 Respiratory distress syndrome
770 Respiratory problem, other, unspecified
771 Sepsis778 Skin/temperature problem
798 Sudden infant death syndrome

XVI. Signs and Symptoms
789 Abdominal pain, unspecified
790 Abnormal glucose tolerance test, non-obstetric
790 Abnormal transaminase/LDH
795 Abnormal papanicolaou smear
790 Abnormal red blood cell
793 Abnormal X-ray lung
794 Abnormal electrocardiogram
995 Anaphylaxis, NOS
783 Anorexia
719 Arthralgia, unspecified
789 Ascites
799 Asphyxia/hypoxemia
847 Back pain
790 Bacteremia (not Septicemia)
569 Bleeding, rectal
578 Blood in stool, melena
792 Blood in stool, occult
427 Cardiac arrest
786 Chest pain, unspecified
780 Coma, non-diabetic/non-hepatic
564 Constipation/irritable bowel syndrome
786 Cough, NOS
787 Diarrhea, NOS
780 Dizziness/vertigo, NOS
787 Dysphagia
786 Dyspnea (SOB)
788 Dysuria
782 Edema localized, NOS
719 Effusion/swelling of joint, unspecified
787 Encopresis, NOS, fecal incontinence
784 Epistaxis
729 Extremity pain
783 Failure to thrive/short stature
780 Fatigue/malaise
783 Feeding problem, infant/elderly
780 Fever, etiology unknown
788 Frequent urination
787 Gas/bloating
791 Glycosuria
784 Headache, unspecified
787 Heartburn
785 Heart murmur
578 Hematemesis
599 Hematuria/urinary obstruction
786 Hemoptysis (nose bleed)
789 Hepatomegaly
786 Hiccups
719 Hip pain
784 Hoarseness
306 Hyperventilation
788 Incontinence/enuresis, NOS
729 Leg cramps
782 Localized swelling/mass, superficial
785 Lymph nodes, enlarged
781 Movement disorder
785 Murmur of heart, undiagnosed
787 Nausea
788 Nocturia
799 Other ill-defined conditions
729 Pain in limb
785 Palpitations
788 Polyuria
790 PSA, elevated
782 Rash, non-vesicular, unspecified
780 Seizures, convulsions, semicoma, stupor
782 Sensory disturbance skin
785 Shock, unspecified
786 Shortness of breath (SOB)
789 Splenomegaly
780 Sweating excess
780 Syncope
780 Transient alterations of awareness
788 Urinary frequency, incontinence, retention
787 Vomiting
536 Vomiting, persistent
783 Weight loss, abnormal

XVII. Injuries and Adverse Effects
824 Fracture: ankle, closed, unspecified
814 Fracture: carpal, closed, unspecified
810 Fracture: clavicle, closed, unspecified
820 Fracture: femur/hip, closed, unspecified
821 Fracture: femur/shaft, closed
823 Fracture: fibula, closed, unspecified
825 Fracture: foot, closed, unspecified (not toes)
813 Fracture: forearm, closed, unspecified
812 Fracture: humerus, closed, unspecified
802 Fracture: mandible, closed, unspecified
815 Fracture: metacarpal, closed, unspecified
802 Fracture: nose, closed
829 Fracture: other sites, closed, unspecified
808 Fracture: pelvic, closed, unspecified
826 Fracture: phalanges, foot, closed
816 Fracture: phalanges, hand, closed, unspecified
807 Fracture: ribs, closed, unspecified
803 Fracture: skull, closed, unspecified
823 Fracture: tibia, closed, unspecified
805 Fracture: vertebral, closed, unspecified
Dislocations, Sprains & Strains
839 Dislocation: other, closed, unspecified
831 Dislocation: shoulder, closed, unspecified
836 Knee meniscus injury, unspecified
845 Sprain/strain: ankle/foot, unspecified
842 Sprain/strain: hand, unspecified
844 Sprain/strain: knee/leg, unspecified
847 Sprain/strain: neck/back, unspecified
848 Sprain/strain: other site, unspecified
840 Sprain/strain: shoulder/arm, unspecified
847 Sprain/strain: vertebral, unspecified
842 Sprain/strain: wrist, unspecified
Other Trauma, Adverse Effects
919 Abrasion, unspecified
995 Adult physical abuse
995 Allergy, drug
924 Bruise contusion, unspecified
949 Burn, degree unspecified
995 Child abuse, unspecified
991 Cold injury, unspecified
850 Concussion, unspecified
929 Crushing injury, unspecified
994 Drowning/submersion
995 Drug allergy
305 Drug, tobacco abuse
994 Exhaustion due to exposure
938 Foreign body, digestive system, unspecified
931 Foreign body, ear
932 Foreign body, nose
919 Foreign body, skin, superficial, unspecifiedE
922 Gunshot wound
854 Head injury, NOS
992 Heat injury (not burn), unspecified
919 Insect bite
908 Late effects of injury, unspecified
995 Medication, adverse effects, unspecified
873 Open wound, head, unspecified
894 Open wound, lower limb, unspecified
884 Open wound, upper limb, unspecified
998 Operative complications
959 Other trauma, unspecified
977 Poisoning, medicine overdose, unspecified
989 Poisoning, unspecified
V71 Rape
999 Surgery/medical care complications, unspecified

XVIII. Supplemental Classification
V68 Administrative, other, unspecified
V65 Advice/health instruction, NOS
V61 Caring for family/household member
V58 Chemotherapy
V50 Circumcision, routine
V01 Contact/exposure, infectious disease, unspecified
V25 Contraception/sterilization
V61 Counseling for marital and partner problems, unspecified
V61 Counseling for parent/child problem, unspecified
V60 Economic problem
V62 Educational problem
V61 Family disruption
V25 Family planning advice
V61 Family problem, other, unspecified
V04 Flu shot
V67 Follow-up exam
V72 Gynecological exam
V70 Health checkup, not pediatric
V05 Hepatitis B, immunizations/vaccinations
V03 HIB, immunizations/vaccinations
V60 Housing problem/homelessness
V06 Immunization, combination, unspecified
V05 Immunization, single, unspecified
V62 Legal problem
V68 Letter, form, w/o exam
V76 Mammogram, screening
V25 Norplant insertion
V62 Occupational problem
V45 Other states following surgery of eye and adnexa
V62 Phase-of-life problem
V70 Physical exam, general
V04 Polio, immunizations/vaccinations
V72 Pre-operative physical exam
V61 Problem w/ aged parents or in-laws
V62 Psychosocial problem, unspecified
V58 Radiotherapy
V68 Referral w/o exam
V43 Replacement, of organ or tissue
V70 Routine physical exam, Adult
V76 Screening, cancer, unspecified
V77 Screening, endocrine, nutritional, metabolic, immunity
V82 Screening, unspecifiedV62 Social maladjustmentV25 SterilizationV58 Suture removal
V58 Transfusion
V20 Well child check
V30 Well newborn, single, in-hospital birth


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