DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

O69 Labor and delivery complicated by umbilical cord complications

  • Header · not billable
  • Codes take a 7th character

O69 is not billable. The category heads 70 billable codes in FY2027, grouped under 8 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Vasa previa → O69.4
  • Previavasa → O69.4
  • Knot(s)umbilical cord (true) → O69.2

Where it sits

  1. Chapter 15 Pregnancy, childbirth and the puerperium (O00-O9A)
  2. O60-O77 Complications of labor and delivery (O60-O77)
  3. O69 Labor and delivery complicated by umbilical cord complications
Billable codes
70
Subdivisions
8
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
55

Codes in O69

  1. O69.0
    Labor and delivery complicated by prolapse of cord +7th: 0 1 2 3 4 5 9
    Needs 7th character
  2. O69.1
    Labor and delivery complicated by cord around neck, with compression +7th: 0 1 2 3 4 5 9
    Needs 7th character
    Excludes1 1

    Excludes1

    • labor and delivery complicated by cord around neck, without compression (O69.81) O69.81
  3. O69.2
    Labor and delivery complicated by other cord entanglement, with compression +7th: 0 1 2 3 4 5 9
    Needs 7th character
    Inclusion terms 3, Excludes1 1

    Inclusion terms

    • Labor and delivery complicated by compression of cord NOS
    • Labor and delivery complicated by entanglement of cords of twins in monoamniotic sac
    • Labor and delivery complicated by knot in cord

    Excludes1

    • labor and delivery complicated by other cord entanglement, without compression (O69.82) O69.82
  4. O69.3
    Labor and delivery complicated by short cord +7th: 0 1 2 3 4 5 9
    Needs 7th character
  5. O69.4
    Labor and delivery complicated by vasa previa +7th: 0 1 2 3 4 5 9
    Needs 7th character
    Inclusion terms 1

    Inclusion terms

    • Labor and delivery complicated by hemorrhage from vasa previa
  6. O69.5
    Labor and delivery complicated by vascular lesion of cord +7th: 0 1 2 3 4 5 9
    Needs 7th character
    Inclusion terms 3

    Inclusion terms

    • Labor and delivery complicated by cord bruising
    • Labor and delivery complicated by cord hematoma
    • Labor and delivery complicated by thrombosis of umbilical vessels
  7. O69.8
    Labor and delivery complicated by other cord complications
    Header
  8. O69.81
    Labor and delivery complicated by cord around neck, without compression +7th: 0 1 2 3 4 5 9
    Needs 7th character
  9. O69.82
    Labor and delivery complicated by other cord entanglement, without compression +7th: 0 1 2 3 4 5 9
    Needs 7th character
  10. O69.89
    Labor and delivery complicated by other cord complications +7th: 0 1 2 3 4 5 9
    Needs 7th character
  11. O69.9
    Labor and delivery complicated by cord complication, unspecified +7th: 0 1 2 3 4 5 9
    Needs 7th character

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

Notes that also apply

Chapter 15 instructions (Notes 6, Excludes1 1, Excludes2 4, Use additional code 1): printed on the chapter 15 page.

7th characters

7th characters for O69 defined here

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.

7th characters for O69
7thMeaning (NCHS)
0not applicable or unspecified
1fetus 1
2fetus 2
3fetus 3
4fetus 4
5fetus 5
9other fetus

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Vasa previa → O69.4
  • Knot(s)umbilical cord (true) → O69.2
  • Short, shortening, shortnesscord (umbilical), complicating delivery → O69.3
  • Hemorrhage, hemorrhagic (concealed)vasa previa → O69.4
  • Previavasa → O69.4
  • Bruise (skin surface intact)umbilical cord → O69.5
  • Hematoma (traumatic) (skin surface intact)umbilical cord, complicating delivery → O69.5
  • Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel)umbilical cord (vessels), complicating delivery → O69.5
  • Entanglementumbilical cord(s) → O69.82
  • Malformation (congenital)umbilical cord NEC (complicating delivery) → O69.89
  • Rupture, rupturedumbilical cord, complicating delivery → O69.89
  • Abnormal, abnormality, abnormalitiesumbilical cord complicating delivery → O69.9
  • Delivery (childbirth) (labor)cesarean (for)cord presentation or prolapse → O69.0
  • Delivery (childbirth) (labor)cesarean (for)umbilical cord presentation or prolapse → O69.0
  • Prolapse, prolapsedumbilical cordcomplicating delivery → O69.0
  • Compressionumbilical cordcomplicating delivery → O69.2
  • Entanglementumbilical cord(s)with compression → O69.2
  • Entanglementumbilical cord(s)of twins in monoamniotic sac → O69.2
  • Entanglementumbilical cord(s)other, with compression → O69.2
  • Excess, excessive, excessivelyshortumbilical cord in labor or delivery → O69.3
  • Short, shortening, shortnessumbilical cordcomplicating delivery → O69.3
  • Lesion(s) (nontraumatic)vascularumbilical cord, complicating delivery → O69.5
  • Cordaround neckcomplicating delivery → O69.81
  • Entanglementumbilical cord(s)other, without compression → O69.82
  • Entanglementumbilical cord(s)without compression → O69.82
  • Tear, torn (traumatic)umbilical cordcomplicating delivery → O69.89
  • Complication(s) (from) (of)umbilical cord NECcomplicating delivery → O69.9
  • Compressionumbilical cordcomplicating deliveryprolapse → O69.0
  • Compressionumbilical cordcomplicating deliverycord around neck → O69.1
  • Cordaround neckcomplicating deliverywith compression → O69.1
  • Entanglementumbilical cord(s)around neckwith compression → O69.1
  • Compressionumbilical cordcomplicating deliveryspecified NEC → O69.2
  • Delivery (childbirth) (labor)complicatedbycompression of cord (umbilical) NEC → O69.2
  • Delivery (childbirth) (labor)complicatedbyvasa previa → O69.4
  • Hemorrhage, hemorrhagic (concealed)umbilicus, umbilicalcordcomplicating delivery → O69.5
  • Entanglementumbilical cord(s)around neckwithout compression → O69.81
  • Complication(s) (from) (of)umbilical cord NECcomplicating deliveryspecified NEC → O69.89
  • Pregnancy (single) (uterine)complicated by (care of) (management affected by)abnormal, abnormalitycord (umbilical) → O69.9
  • Delivery (childbirth) (labor)complicatedbycord (umbilical)presentation → O69.0
  • Delivery (childbirth) (labor)complicatedbycord (umbilical)prolapse → O69.0

15 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy