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2025 ICD-10-CM code O69.4

Labor and delivery complicated by vasa previa.

Always use the appropriate 7th character to specify the affected fetus.Code selection should accurately reflect the severity and management of the vasa previa.Consult the official ICD-10-CM coding guidelines for complete instructions.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., anesthesia modifiers, medical management modifiers).

Vasa previa is a life-threatening condition requiring immediate intervention to prevent fetal hemorrhage and maternal complications. Cesarean delivery is often medically necessary to reduce risk.The medical necessity is supported by prenatal ultrasound findings and confirmed during labor.

Obstetricians, midwives, and other healthcare professionals involved in managing high-risk pregnancies and deliveries.Anesthesia services might also be relevant depending on the complexity of the case.

IMPORTANT:Additional 7th digit is required to specify the affected fetus.If unspecified, code O69.40 should be used.Related codes may include those specifying other umbilical cord complications (e.g., cord prolapse, entanglement).

In simple words: This code describes problems during childbirth caused by blood vessels in the umbilical cord being in a dangerous position near the mother's cervix. This can cause bleeding that harms the baby.

This code signifies complications during labor and delivery arising from vasa previa, a condition where fetal blood vessels cross the cervical os (the opening of the cervix) before the umbilical cord.This places the vessels at risk of rupture during labor, potentially leading to severe fetal hemorrhage and complications for both mother and child.The severity can vary widely depending on the location, number, and size of the crossing vessels, and the extent of bleeding.

Example 1: A 35-year-old woman presents at 37 weeks gestation with suspected vasa previa identified during ultrasound.She undergoes a cesarean delivery to avoid rupture of the vessels and fetal hemorrhage., A 28-year-old primiparous woman experiences sudden, profuse vaginal bleeding during labor at 32 weeks.Diagnosis of vasa previa is confirmed.Emergency cesarean section is performed, but the baby requires neonatal intensive care due to blood loss., A 22-year-old patient presents in active labor with a history of vasa previa.The delivery is planned as a cesarean section. However, during the procedure, a vessel ruptures.The medical team must manage fetal hemorrhage and potential maternal complications. Post-operative management focuses on monitoring mother and baby for signs of anemia and bleeding.

Complete obstetric history;prenatal ultrasound reports documenting vasa previa;labor and delivery records, including documentation of bleeding and fetal heart rate monitoring;surgical notes if a cesarean section was performed;neonatal records, including Apgar scores and any interventions required due to blood loss;post-operative maternal and neonatal blood tests.

** This code is solely for maternal records and should never be used on newborn records.Always cross-reference with other relevant codes to ensure complete and accurate billing.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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