2026 ICD-10-CM Diagnosis Code O69.89X4Labor and delivery complicated by other cord complications, fetus 4

ICD-10-CM Codes›O00-O9A›O60-O77›O69

ICD-10-CM O69.89X4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O69.89X4 is a billable ICD-10-CM diagnosis code for labor and delivery complicated by other cord complications, fetus 4. The 7th character 4 identifies fetus 4 in a multiple gestation pregnancy. 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). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O69.89X4
Billable Status
Yes — Valid for Submission
Code Describes
Labor and delivery complicated by other cord complications, fetus 4
Short Description
Labor and delivery complicated by oth cord comp, fetus 4
Parent Code
O69.89
Labor and delivery complicated by other cord complications

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO69Labor and delivery complicated by umbilical cord complications
This CodeO69.89X4Labor and delivery complicated by other cord complications, fetus 4

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O69.89X4.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG024
Malposition, disproportion or other labor complications
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Convert O69.89X4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
663.31 Cord entangle NEC-deliv
Approximate The match is approximate rather than exact.
ICD-9-CM
663.81 Cord complicat NEC-deliv
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O69.89X4Overview

Is O69.89X4 (Labor and delivery complicated by other cord complications) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report labor and delivery complicated by other cord complications, fetus 4 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 4 in O69.89X4 mean?

The final character 4 identifies the fetus in a multiple gestation pregnancy: this code reports labor and delivery complicated by other cord complications for fetus 4.

Who can O69.89X4 be reported for?

The Medicare Code Editor checks labor and delivery complicated by other cord complications, fetus 4 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 O69.89X4?

Under the General Equivalence Mappings, labor and delivery complicated by other cord complications, fetus 4 converts to ICD-9-CM 663.31 (cord entangle NEC-deliv) and 663.81 (cord complicat NEC-deliv). 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.