ICD-10-CM Code O69

Labor and delivery complicated by umbilical cord complications

Version 2020 Non-Billable Code

Not Valid for Submission

O69 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of labor and delivery complicated by umbilical cord complications. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:O69
Short Description:Labor and delivery complicated by umbilical cord comp
Long Description:Labor and delivery complicated by umbilical cord complications

Consider the following ICD-10 codes with a higher level of specificity:

  • O69.0 - Labor and delivery complicated by prolapse of cord
  • O69.0XX0 - Labor and delivery complicated by prolapse of cord, not applicable or unspecified
  • O69.0XX1 - Labor and delivery complicated by prolapse of cord, fetus 1
  • O69.0XX2 - Labor and delivery complicated by prolapse of cord, fetus 2
  • O69.0XX3 - Labor and delivery complicated by prolapse of cord, fetus 3
  • O69.0XX4 - Labor and delivery complicated by prolapse of cord, fetus 4
  • O69.0XX5 - Labor and delivery complicated by prolapse of cord, fetus 5
  • O69.0XX9 - Labor and delivery complicated by prolapse of cord, other fetus
  • O69.1 - Labor and delivery complicated by cord around neck, with compression
  • O69.1XX0 - Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified
  • O69.1XX1 - Labor and delivery complicated by cord around neck, with compression, fetus 1
  • O69.1XX2 - Labor and delivery complicated by cord around neck, with compression, fetus 2
  • O69.1XX3 - Labor and delivery complicated by cord around neck, with compression, fetus 3
  • O69.1XX4 - Labor and delivery complicated by cord around neck, with compression, fetus 4
  • O69.1XX5 - Labor and delivery complicated by cord around neck, with compression, fetus 5
  • O69.1XX9 - Labor and delivery complicated by cord around neck, with compression, other fetus
  • O69.2 - Labor and delivery complicated by other cord entanglement, with compression
  • O69.2XX0 - Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecified
  • O69.2XX1 - Labor and delivery complicated by other cord entanglement, with compression, fetus 1
  • O69.2XX2 - Labor and delivery complicated by other cord entanglement, with compression, fetus 2
  • O69.2XX3 - Labor and delivery complicated by other cord entanglement, with compression, fetus 3
  • O69.2XX4 - Labor and delivery complicated by other cord entanglement, with compression, fetus 4
  • O69.2XX5 - Labor and delivery complicated by other cord entanglement, with compression, fetus 5
  • O69.2XX9 - Labor and delivery complicated by other cord entanglement, with compression, other fetus
  • O69.3 - Labor and delivery complicated by short cord
  • O69.3XX0 - Labor and delivery complicated by short cord, not applicable or unspecified
  • O69.3XX1 - Labor and delivery complicated by short cord, fetus 1
  • O69.3XX2 - Labor and delivery complicated by short cord, fetus 2
  • O69.3XX3 - Labor and delivery complicated by short cord, fetus 3
  • O69.3XX4 - Labor and delivery complicated by short cord, fetus 4
  • O69.3XX5 - Labor and delivery complicated by short cord, fetus 5
  • O69.3XX9 - Labor and delivery complicated by short cord, other fetus
  • O69.4 - Labor and delivery complicated by vasa previa
  • O69.4XX0 - Labor and delivery complicated by vasa previa, not applicable or unspecified
  • O69.4XX1 - Labor and delivery complicated by vasa previa, fetus 1
  • O69.4XX2 - Labor and delivery complicated by vasa previa, fetus 2
  • O69.4XX3 - Labor and delivery complicated by vasa previa, fetus 3
  • O69.4XX4 - Labor and delivery complicated by vasa previa, fetus 4
  • O69.4XX5 - Labor and delivery complicated by vasa previa, fetus 5
  • O69.4XX9 - Labor and delivery complicated by vasa previa, other fetus
  • O69.5 - Labor and delivery complicated by vascular lesion of cord
  • O69.5XX0 - Labor and delivery complicated by vascular lesion of cord, not applicable or unspecified
  • O69.5XX1 - Labor and delivery complicated by vascular lesion of cord, fetus 1
  • O69.5XX2 - Labor and delivery complicated by vascular lesion of cord, fetus 2
  • O69.5XX3 - Labor and delivery complicated by vascular lesion of cord, fetus 3
  • O69.5XX4 - Labor and delivery complicated by vascular lesion of cord, fetus 4
  • O69.5XX5 - Labor and delivery complicated by vascular lesion of cord, fetus 5
  • O69.5XX9 - Labor and delivery complicated by vascular lesion of cord, other fetus
  • O69.8 - Labor and delivery complicated by other cord complications
  • O69.81 - Labor and delivery complicated by cord around neck, without compression
  • O69.81X0 - Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified
  • O69.81X1 - Labor and delivery complicated by cord around neck, without compression, fetus 1
  • O69.81X2 - Labor and delivery complicated by cord around neck, without compression, fetus 2
  • O69.81X3 - Labor and delivery complicated by cord around neck, without compression, fetus 3
  • O69.81X4 - Labor and delivery complicated by cord around neck, without compression, fetus 4
  • O69.81X5 - Labor and delivery complicated by cord around neck, without compression, fetus 5
  • O69.81X9 - Labor and delivery complicated by cord around neck, without compression, other fetus
  • O69.82 - Labor and delivery complicated by other cord entanglement, without compression
  • O69.82X0 - Labor and delivery complicated by other cord entanglement, without compression, not applicable or unspecified
  • O69.82X1 - Labor and delivery complicated by other cord entanglement, without compression, fetus 1
  • O69.82X2 - Labor and delivery complicated by other cord entanglement, without compression, fetus 2
  • O69.82X3 - Labor and delivery complicated by other cord entanglement, without compression, fetus 3
  • O69.82X4 - Labor and delivery complicated by other cord entanglement, without compression, fetus 4
  • O69.82X5 - Labor and delivery complicated by other cord entanglement, without compression, fetus 5
  • O69.82X9 - Labor and delivery complicated by other cord entanglement, without compression, other fetus
  • O69.89 - Labor and delivery complicated by other cord complications
  • O69.89X0 - Labor and delivery complicated by other cord complications, not applicable or unspecified
  • O69.89X1 - Labor and delivery complicated by other cord complications, fetus 1
  • O69.89X2 - Labor and delivery complicated by other cord complications, fetus 2
  • O69.89X3 - Labor and delivery complicated by other cord complications, fetus 3
  • O69.89X4 - Labor and delivery complicated by other cord complications, fetus 4
  • O69.89X5 - Labor and delivery complicated by other cord complications, fetus 5
  • O69.89X9 - Labor and delivery complicated by other cord complications, other fetus
  • O69.9 - Labor and delivery complicated by cord complication, unspecified
  • O69.9XX0 - Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified
  • O69.9XX1 - Labor and delivery complicated by cord complication, unspecified, fetus 1
  • O69.9XX2 - Labor and delivery complicated by cord complication, unspecified, fetus 2
  • O69.9XX3 - Labor and delivery complicated by cord complication, unspecified, fetus 3
  • O69.9XX4 - Labor and delivery complicated by cord complication, unspecified, fetus 4
  • O69.9XX5 - Labor and delivery complicated by cord complication, unspecified, fetus 5
  • O69.9XX9 - Labor and delivery complicated by cord complication, unspecified, other fetus

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O69:

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • 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

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • 0 - not applicable or unspecified
  • 1 - fetus 1
  • 2 - fetus 2
  • 3 - fetus 3
  • 4 - fetus 4
  • 5 - fetus 5
  • 9 - other fetus

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications of labor and delivery (O60-O77)
      • Labor and delivery complicated by umbilical cord comp (O69)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.


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