2026 ICD-10-CM Diagnosis Code O69.4XX0Labor and delivery complicated by vasa previa, not applicable or unspecified
O69.4XX0 is a billable ICD-10-CM diagnosis code for labor and delivery complicated by vasa previa, not applicable or unspecified. The 7th character 0 shows this applies to a single gestation, or that the affected fetus is not identified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as vasa previa. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O69.4XX0.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Vasa previa
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Vasa Previa
pregnancy complication where fetal blood vessels, normally inside the umbilical cord, are left unprotected and cross fetal membranes. it is associated with antepartum bleeding and fetal death and stillbirth due to exsanguination.GAIA Level 1 Vasa Previa|Global Alignment of Immunization safety Assessment in pregnancy Level 1 Vasa Previa|Level 1 Vasa Previa
gaia level 1 vasa previa is defined by two criteria: first, second trimester ultrasound evidence of fetal vessels (vessel with fetal heart rate identified by color flow doppler) traversing the membranes and overlying the internal cervical os; second, post-delivery examination of the placental specimen that demonstrates unsupported fetal vessels within the membranes.GAIA Level 2 Vasa Previa|Global Alignment of Immunization safety Assessment in pregnancy Level 2 Vasa Previa|Level 2 Vasa Previa
gaia level 2 vasa previa is defined by four criteria: first, vaginal bleeding during the second or third trimester at the time of ruptured amniotic membranes; second, fetal heart rate changes ultimately resulting in sinusoidal rhythm/terminal bradycardia; third, delivery of one of the following: a) a pale, anemic infant; or b) a recent stillbirth; or c) a neonatal death; fourth, post-delivery examination of the placental specimen that demonstrates unsupported fetal vessels within the membranes.Vasa Previa
umbilical blood vessels that have inserted into the amniotic membrane (membranous insertion) that in turn are above or adjacent to the cervical os and are at risk of rupture.
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:
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Convert O69.4XX0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O69.4XX0Overview
Is O69.4XX0 (Labor and delivery complicated by vasa previa) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report labor and delivery complicated by vasa previa, not applicable or unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character 0 in O69.4XX0 mean?
The final character 0 shows the labor and delivery complicated by vasa previa applies to a single gestation, or that the affected fetus cannot be identified.
Who can O69.4XX0 be reported for?
The Medicare Code Editor checks labor and delivery complicated by vasa previa, not applicable or unspecified against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
What is the ICD-9 equivalent of O69.4XX0?
Under the General Equivalence Mappings, labor and delivery complicated by vasa previa, not applicable or unspecified converts to ICD-9-CM 663.51 (vasa previa-delivered). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
