2025 ICD-10-CM code O66.5
Attempted application of vacuum extractor and forceps.This indicates an unsuccessful attempt to use a vacuum or forceps during delivery, typically followed by a different delivery method like forceps or cesarean section.
Medical necessity is determined by the clinical situation during labor and delivery, including factors like fetal distress, prolonged labor, or maternal exhaustion. The failed application of vacuum/forceps and the need for an alternate delivery method must be clearly documented.
Obstetricians/Gynecologists (OB/GYN) are responsible for managing labor and delivery complications like the failed application of a vacuum extractor and forceps. They make decisions regarding subsequent delivery methods (forceps or cesarean) based on the mother's and baby's condition.
In simple words: The doctor tried to use tools to help with the delivery, but it didn't work, so a different method was used.
Attempted application of vacuum extractor and forceps,with subsequent delivery by forceps or cesarean delivery.
Example 1: A pregnant woman in labor undergoes an attempted vacuum extraction, which is unsuccessful. Subsequently, a cesarean delivery is performed., During labor, forceps are attempted but fail to deliver the baby. A vacuum extraction is then tried, but also fails. Ultimately, a cesarean section is necessary., A woman in labor experiences difficulty pushing. The doctor attempts a vacuum extraction, but it fails due to poor positioning. Forceps delivery is then successfully performed.
Documentation should include the reason for attempted vacuum/forceps, details of the attempts (e.g., number of pulls, type of forceps), reason for failure, subsequent delivery method, and any complications.
** This code specifically refers to a *failed* attempt at vacuum or forceps delivery, not successful use of these methods. If either method is successfully used, different codes (O81.0-O81.5) apply.If only one instrument (either vacuum *or* forceps) is tried and fails, code O66.5 is still used.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Birthing Center