MCMedicalCodingSoftware
O69.81

O69.81: Labor and delivery complicated by cord around neck, without compression

Non-billable headerICD-10-CM

O69.81 is a non-billable header ICD-10-CM code for labor and delivery complicated by cord around neck, without compression. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9.

0
not applicable or unspecified
1
fetus 1
2
fetus 2
3
fetus 3
4
fetus 4
5
fetus 5
9
other fetus

Other codes that can never be billed with O69.81

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

  • O69.1Labor and delivery complicated by cord around neck, with compression
  • O69.1XX0Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified
  • O69.1XX1Labor and delivery complicated by cord around neck, with compression, fetus 1
  • O69.1XX2Labor and delivery complicated by cord around neck, with compression, fetus 2
  • O69.1XX3Labor and delivery complicated by cord around neck, with compression, fetus 3
  • O69.1XX4Labor and delivery complicated by cord around neck, with compression, fetus 4
  • O69.1XX5Labor and delivery complicated by cord around neck, with compression, fetus 5
  • O69.1XX9Labor and delivery complicated by cord around neck, with compression, other fetus

Risk adjustment

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

Alphabetic index entries that lead here

  • Cord›around neck›complicating delivery
  • Entanglement›umbilical cord›around neck›without compression
  • Delivery›complicated›by›umbilical cord around neck›without compression
  • Delivery›complicated›by›cord›around neck›without compression

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O69.81

7 child codes. Green means billable.

Other codes under O69.8

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.