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  5. Labor and delivery complicated by umbilical cord complications (O69)

Labor and delivery complicated by umbilical cord complications (O69)

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.

  • Pregnancy, childbirth and the puerperium (O00-O9A)

    • Complications of labor and delivery (O60-O77)

        • Labor and delivery complicated by umbilical cord complications (O69)

        • O69 Labor and delivery complicated by umbilical cord complications
        • 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

Instructional Notations

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

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

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

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.