ICD-10-CM Tabular Index · Chapter 15 · FY 2026 O69

Labor and delivery complicated by umbilical cord complications (O69) ICD-10-CM

The O69 code range covers labor and delivery complicated by umbilical cord complications with 82 ICD-10-CM diagnosis codes. 70 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
82
Diagnosis Codes
70
Billable Codes
O69
Code Range
O60–O77
Parent Section

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.

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

ICD-10-CM

Codes in the O69 Range 82 codes · 70 billable

82 of 82 shown
  • O69 Labor and delivery complicated by umbilical cord complicationsNon-billable
  • O69.0 Labor and delivery complicated by prolapse of cordNon-billable
  • 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 compressionNon-billable
  • 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 compressionNon-billable
  • 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 cordNon-billable
  • 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 previaNon-billable
  • 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 cordNon-billable
  • 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 complicationsNon-billable
  • O69.81 Labor and delivery complicated by cord around neck, without compressionNon-billable
  • 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 compressionNon-billable
  • 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 complicationsNon-billable
  • 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, unspecifiedNon-billable
  • 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

Clinical Terms in This Code Range

Definitions from the National Library of Medicine for conditions coded in the O69 range.

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.

About the O69 Code Range

ICD-10 code O69 covers labor and delivery cases complicated specifically by umbilical cord issues, such as cord prolapse, cord around the neck, and other entanglements. These codes help document and classify distinct complications involving the umbilical cord that affect delivery management.

This section includes subcodes targeting various cord problems: O69.0 for prolapse of the cord—which can also be referenced by terms like "presentation of cord" or "cord beside head"—and O69.1 for cases when the cord is wrapped around the neck with compression, sometimes known as "umbilical cord tight around neck." Other subcategories include O69.2 for different forms of cord entanglement with compression (e.g., true knots or monoamniotic twins), O69.3 for short cord complications, and O69.4 for vasa previa. There are also codes for vascular lesions (O69.5) and additional cord complications not otherwise specified (O69.8 and O69.9). Assigning the correct ICD-10 code for umbilical cord complications is vital for distinguishing the exact nature of the complication and fetus involved, as many codes allow specifying affected multiple fetuses.

These detailed codes guide healthcare providers and coders in accurately reporting and managing labor issues arising from umbilical cord conditions, ensuring appropriate care and documentation for clinical and billing purposes.

Questions About This Page

How many billable codes are in the O69 range?

Of the 82 codes in this range, 70 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.

What does the O69 range classify?

The range classifies labor and delivery complicated by umbilical cord complications. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.

Related References

Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.