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2025 ICD-10-CM code O69.1

Labor and delivery complicated by umbilical cord around the neck with compression.

Code selection should accurately reflect the presence and severity of umbilical cord compression.If compression is absent, use the appropriate code for cord around neck without compression.

The medical necessity is established by the presence of fetal distress or compromise in the oxygen supply due to umbilical cord compression.The need for intervention is based on clinical judgment considering the severity of the compression and its impact on the fetal heart rate.

Obstetrician, Midwife, Neonatologist

IMPORTANT:O69.81 (Labor and delivery complicated by cord around neck, without compression), O69.2 (Labor and delivery complicated by other cord entanglement, with compression)

In simple words: During childbirth, the umbilical cord was wrapped around the baby's neck, squeezing it and potentially reducing blood flow and oxygen. This required immediate attention to ensure the baby's safety.

This code signifies complications during labor and delivery resulting from the umbilical cord being wrapped around the infant's neck, causing compression of the cord and potentially restricting blood flow and oxygen supply to the baby.This condition necessitates immediate medical attention during delivery to mitigate potential adverse outcomes for the newborn.

Example 1: A nulliparous woman at 39 weeks gestation presents for labor and delivery.During delivery, the umbilical cord is found wrapped tightly around the infant's neck, resulting in fetal bradycardia.An emergent cesarean section is performed., A multiparous woman at term presents in active labor.During vaginal delivery, the umbilical cord is found to be loosely wrapped around the baby's neck.The cord is gently unlooped without complications., A woman at 37 weeks gestation experiences a sudden deceleration in fetal heart rate during labor.Upon examination, the umbilical cord is found to be compressed around the infant's neck, necessitating an expedited delivery via vacuum extraction.

Complete obstetrical history, documentation of fetal heart rate monitoring during labor, description of cord entanglement, method of delivery, and any interventions performed (e.g., cesarean section, vacuum extraction), Apgar scores for the newborn, and any immediate neonatal interventions.

** This code should only be used for maternal records and not newborn records.Use additional code from category Z3A (Weeks of gestation) if known.

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