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2025 ICD-10-CM code O69.2

Labor and delivery complicated by other cord entanglement, with compression.

Use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Never use this code on the newborn record.This code applies only to the maternal record.

Medical necessity is established by the presence of cord entanglement and compression, which poses a risk to fetal well-being. Intervention is necessary to prevent adverse outcomes such as fetal hypoxia or brain damage.

Obstetricians and other healthcare professionals managing labor and delivery are responsible for identifying and addressing cord entanglement and compression.This may involve close monitoring of the fetal heart rate, intrauterine resuscitation techniques, and potentially expedited delivery via Cesarean section if the compression is severe or prolonged.

IMPORTANT:Excludes1: labor and delivery complicated by other cord entanglement, without compression (O69.82)

In simple words: This code indicates a problem during childbirth where the baby's umbilical cord is tangled and compressed, potentially affecting the baby.

This code describes a complication during labor and delivery where the umbilical cord is entangled, causing compression. This can include compression of the cord itself, entanglement of cords in twins sharing a monoamniotic sac, or a knot in the cord.It is distinct from cord entanglement without compression.

Example 1: A woman in labor with twins sharing a single amniotic sac experiences entanglement of their umbilical cords, leading to compression and fetal distress, requiring an emergency C-section., During labor, the umbilical cord is found to have a true knot, causing intermittent compression during contractions. Continuous fetal monitoring is initiated, and a vaginal delivery is attempted with preparations for possible C-section., A tight nuchal cord (cord around the baby’s neck) is noted during labor, resulting in compression of the cord and reduced blood flow to the fetus. Measures are taken to relieve the compression, but if unsuccessful, a cesarean delivery might be necessary.

Documentation should include details about the nature of the cord entanglement, evidence of compression (e.g., fetal heart rate decelerations), interventions performed, and the outcome.

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