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2025 ICD-10-CM code O69.0XX2

Labor and delivery complicated by prolapse of cord, fetus 2.

This code should only be used on the maternal record, not the newborn record.Use additional code(s) from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Umbilical cord prolapse is a medical emergency that requires immediate intervention to prevent fetal compromise. The medical necessity for procedures such as emergency cesarean section is clearly established in such cases.

The obstetrician or other healthcare professional managing the labor and delivery is responsible for diagnosing and managing umbilical cord prolapse.

In simple words: During labor and childbirth with twins, the umbilical cord of the second baby came down before the baby, which is a dangerous situation.

Labor and delivery complicated by prolapse of cord, fetus 2. This code indicates that during labor and delivery, the umbilical cord of the second fetus has prolapsed, meaning it has descended into the birth canal ahead of the presenting part of the fetus.This is a serious complication that can compromise fetal blood supply and oxygenation.

Example 1: A woman pregnant with twins presents in labor. During the delivery of the second twin, the umbilical cord prolapses. The physician performs an emergency cesarean section to deliver the baby., A woman is in labor with twins.An ultrasound reveals that the umbilical cord of the second twin has prolapsed. An emergency C-section is performed., During a vaginal delivery of twins, the umbilical cord of the second twin is felt in the vagina before the presenting part. The physician immediately pushes the presenting part upward to relieve pressure on the cord and performs an emergency C-section.

Documentation should include the details of the prolapse (e.g., timing, fetal presentation), the interventions performed (e.g., manual elevation of the presenting part, emergency cesarean section), and the fetal outcome.

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