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O68

O68: Labor and delivery complicated by abnormality of fetal acid-base balance

Billable / specific codeICD-10-CM

O68 is a billable, specific ICD-10-CM code for labor and delivery complicated by abnormality of fetal acid-base balance. It is valid for submission on a claim.

Check O68 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • fetal stress NOS (O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • abnormality in fetal heart rate or rhythm (O76)
  • labor and delivery complicated by meconium in amniotic fluid (O77.0)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Fetal acidemia complicating labor and delivery
  • Fetal acidosis complicating labor and delivery
  • Fetal alkalosis complicating labor and delivery
  • Fetal metabolic acidemia complicating labor and delivery

Other codes that can never be billed with O68

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • O77.8Labor and delivery complicated by other evidence of fetal stress
  • O77.9Labor and delivery complicated by fetal stress, unspecified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Pregnancy›complicated by›fetal›acidemia
  • Pregnancy›complicated by›fetal›acidosis
  • Pregnancy›complicated by›fetal›alkalosis
  • Delivery›complicated›by›fetal›abnormal acid-base balance
  • Delivery›complicated›by›fetal›acidemia
  • Delivery›complicated›by›fetal›acidosis
  • Delivery›complicated›by›fetal›alkalosis
  • Pregnancy›complicated by›fetal›abnormality or damage›acid-base balance

Code history

Unchanged in every release from FY2024 to FY2027.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.