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    OpenPayerBilling CodesComplications of labor and deliveryICD-10-CM o69-umbilical-cord-complications
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    ICD-10-CM Code For Labor And Delivery Complicated By Umbilical Cord Complications: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group O69 includes complications of labor and delivery caused by umbilical cord problems such as cord prolapse, cord entanglement, and cord compression that compromise fetal well-being. These ICD-10-CM diagnosis codes are used to document intrapartum clinical scenarios where the umbilical cord contributes to fetal heart rate abnormalities, need for urgent delivery, or other delivery complications, capturing severity and delivery-related complexity. Accurate coding within the ICD-10-CM O69 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM O69: Labor And Delivery Complicated By Umbilical Cord Complications Overview

    This group represents complications of labor and delivery caused by umbilical cord problems that affect fetal oxygenation and delivery management. It targets intrapartum conditions such as cord prolapse, cord compression, and cord entanglement involving the umbilical cord and placenta. Accurate coding ensures clinical severity and delivery-related complexity are documented, supporting correct reimbursement and quality reporting.

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    When to Use

    Use a code from this group when an umbilical cord event is identified during labor or delivery and is documented as complicating the delivery or affecting fetal status. These codes apply when clinical documentation links the umbilical cord problem to intrapartum fetal heart rate changes, need for expedited delivery, or other delivery interventions.

    ICD-10-CM Codes

    70 rows

    ICD-10-CM CodeDescription
    O69.0XX0Labor and delivery complicated by prolapse of cord, not applicable or unspecified
    O69.0XX1Labor and delivery complicated by prolapse of cord, fetus 1
    O69.0XX2Labor and delivery complicated by prolapse of cord, fetus 2
    O69.0XX3Labor and delivery complicated by prolapse of cord, fetus 3
    O69.0XX4Labor and delivery complicated by prolapse of cord, fetus 4
    O69.0XX5Labor and delivery complicated by prolapse of cord, fetus 5
    O69.0XX9Labor and delivery complicated by prolapse of cord, other fetus
    O69.1XX0Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified
    O69.1XX1Labor and delivery complicated by cord around neck, with compression, fetus 1
    O69.1XX2Labor and delivery complicated by cord around neck, with compression, fetus 2
    O69.1XX3Labor and delivery complicated by cord around neck, with compression, fetus 3
    O69.1XX4Labor and delivery complicated by cord around neck, with compression, fetus 4
    O69.1XX5Labor and delivery complicated by cord around neck, with compression, fetus 5
    O69.1XX9Labor and delivery complicated by cord around neck, with compression, other fetus
    O69.2XX0Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecified
    O69.2XX1Labor and delivery complicated by other cord entanglement, with compression, fetus 1
    O69.2XX2Labor and delivery complicated by other cord entanglement, with compression, fetus 2
    O69.2XX3Labor and delivery complicated by other cord entanglement, with compression, fetus 3
    O69.2XX4Labor and delivery complicated by other cord entanglement, with compression, fetus 4
    O69.2XX5Labor and delivery complicated by other cord entanglement, with compression, fetus 5

    Showing 1–20 of 70

    DRG Codes

    1 rows

    DRG CodeDescription
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    Typical Clinical Scenarios

    • A term pregnant patient in active labor presents to the labor and delivery unit after fetal heart rate monitoring reveals recurrent variable decelerations and a sudden prolonged deceleration. On vaginal exam the clinician documents a prolapsed loop of umbilical cord descending in the vagina, prompting emergent maneuvers and preparation for immediate delivery due to acute cord compression and fetal compromise. A code from this group is assigned to indicate labor complicated by umbilical cord prolapse with acute fetal status. Typical codes: O69.0XX3, O69.0XX1
    • A woman in the second stage of labor has a nuchal cord identified around the fetal neck on ultrasound and confirmed at delivery; intermittent tightness of the cord caused repetitive variable decelerations but resolved with maternal repositioning and operative vaginal assistance is not required. This scenario is an intrapartum complication due to cord around the neck causing transient fetal heart rate abnormalities, and a code from this group documents the cord complication affecting the course of labor. Typical codes: O69.1XX2, O69.1XX4
    • A patient with a known vasa previa diagnosed antenatally is admitted in preterm labor after vaginal bleeding; continuous fetal monitoring shows signs concerning for fetal hemorrhage, and the team proceeds to urgent cesarean delivery. Because the labor and delivery are complicated by cord or fetal vessel involvement that threatens fetal well-being, a code from this group is used to capture the umbilical/vessel-related complication during delivery. Typical codes: O69.3XX0, O69.3XX2

    Related Codes

    O60-PRETERM-LABOR

    ICD-10-CM Code For Preterm Labor: Group Overview

    O61-FAILED-INDUCTION-OF-LABOR

    ICD-10-CM Code For Failed Induction Of Labor: Group Overview

    O62-ABNORMALITIES-OF-FORCES-OF-LABOR

    ICD-10-CM Code For Abnormalities Of Forces Of Labor: Group Overview

    O63-LONG-LABOR-CONDITIONS

    ICD-10-CM Code For Long Labor: Group Overview

    O64-OBSTRUCTED-LABOR-MALPOSITION-MALPRESENTATION

    ICD-10-CM Code For Obstructed Labor Due To Malposition And Malpresentation Of Fetus: Group Overview

    O65-OBSTRUCTED-LABOR-MATERNAL-PELVIS

    ICD-10-CM Code For Obstructed Labor Due To Maternal Pelvic Abnormality: Group Overview

    O66-OTHER-OBSTRUCTED-LABOR

    ICD-10-CM Code For Other Obstructed Labor: Group Overview

    O67-LABOR-AND-DELIVERY-HEMORRHAGE

    ICD-10-CM Code For Labor And Delivery Complicated By Intrapartum Hemorrhage: Group Overview

    O68-LABOR-AND-DELIVERY-COMPLICATED-BY-ABNORMALITY-OF-FETAL-ACID-BASE

    ICD-10-CM Code For Labor And Delivery Complicated By Abnormality Of Fetal Acid Base Balance: Group Overview

    O70-PERINEAL-LACERATION-DURING-DELIVERY

    ICD-10-CM Code For Perineal Laceration During Delivery: Group Overview

    Showing 1–10 of 17

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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