2027 ICD-10-CM Diagnosis Code O69Labor and delivery complicated by umbilical cord complications

ICD-10-CM Codes›O00-O9A›O60-O77›O69

ICD-10-CM O69
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O69 is a non-billable ICD-10-CM category code for labor and delivery complicated by umbilical cord complications, so it cannot be submitted on claims. Use a more specific code from this category instead, such as O69.0XX0, O69.0XX1, O69.0XX2, and O69.0XX3.

Code Identity

ICD-10-CM Code
O69
Billable Status
No — Non-Billable Category
Code Describes
Labor and delivery complicated by umbilical cord complications
Short Description
Labor and delivery complicated by umbilical cord comp
Chapter
O60-O77
Complications of labor and delivery

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO69Labor and delivery complicated by umbilical cord complications
This CodeO69Labor and delivery complicated by umbilical cord complications

Specific Coding for Labor and delivery complicated by umbilical cord compOverview

Non-specific codes like O69 require more characters. Use one of these billable codes instead:

  • O69.0 for Labor and delivery complicated by prolapse of cord

  • O69.1 for Labor and delivery complicated by cord around neck, with compression

  • O69.2 for Labor and delivery complicated by other cord entanglement, with compression

  • O69.3 for Labor and delivery complicated by short cord

  • O69.4 for Labor and delivery complicated by vasa previa

  • O69.5 for Labor and delivery complicated by vascular lesion of cord

  • O69.8 for Labor and delivery complicated by other cord complications

  • O69.81 for Labor and delivery complicated by cord around neck, without compression

  • O69.82 for Labor and delivery complicated by other cord entanglement, without compression

  • O69.89 for Labor and delivery complicated by other cord complications

  • O69.9 for Labor and delivery complicated by cord complication, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O69: its own notes plus those printed at Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.
Values for category O69 Fetus Identification
  • 0not applicable or unspecified
  • 1fetus 1
  • 2fetus 2
  • 3fetus 3
  • 4fetus 4
  • 5fetus 5
  • 9other fetus

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O69Overview

What is the ICD-10 code for labor and delivery complicated by umbilical cord complications?

O69 is the ICD-10-CM category for labor and delivery complicated by umbilical cord complications, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is O69 a billable code?

No. This is a category header that groups the codes for labor and delivery complicated by umbilical cord complications, and headers cannot be submitted on claims. Claims for labor and delivery complicated by umbilical cord complications need a more specific code from this category, such as O69.0XX0, O69.0XX1, and O69.0XX2.