2017/18 ICD-10-CM Diagnosis Code O68

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

ICD-10-CM Coding Rules
Applicable To
  • 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
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O68. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • fetal stress NOS (
    ICD-10-CM Diagnosis Code O77.9

    Labor and delivery complicated by fetal stress, unspecified

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Type 1 Excludes
    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.9
    )
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (
    ICD-10-CM Diagnosis Code O77.8

    Labor and delivery complicated by other evidence of fetal stress

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Labor and delivery complicated by electrocardiographic evidence of fetal stress
    • Labor and delivery complicated by ultrasonic evidence of fetal stress
    Type 1 Excludes
    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.8
    )
  • labor and delivery complicated by ultrasonic evidence of fetal stress (
    ICD-10-CM Diagnosis Code O77.8

    Labor and delivery complicated by other evidence of fetal stress

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Labor and delivery complicated by electrocardiographic evidence of fetal stress
    • Labor and delivery complicated by ultrasonic evidence of fetal stress
    Type 1 Excludes
    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.8
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O68) and the excluded code together.
  • abnormality in fetal heart rate or rhythm (
    ICD-10-CM Diagnosis Code O76

    Abnormality in fetal heart rate and rhythm complicating labor and delivery

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Depressed fetal heart rate tones complicating labor and delivery
    • Fetal bradycardia complicating labor and delivery
    • Fetal heart rate decelerations complicating labor and delivery
    • Fetal heart rate irregularity complicating labor and delivery
    • Fetal heart rate abnormal variability complicating labor and delivery
    • Fetal tachycardia complicating labor and delivery
    • Non-reassuring fetal heart rate or rhythm complicating labor and delivery
    Type 1 Excludes
    • 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)
    Type 2 Excludes
    O76
    )
  • labor and delivery complicated by meconium in amniotic fluid (
    ICD-10-CM Diagnosis Code O77.0

    Labor and delivery complicated by meconium in amniotic fluid

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    O77.0
    )
The following code(s) above O68 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O68:
  • O00-O9A
    2018 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
Approximate Synonyms ICD-10-CM O68 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert O68 to ICD-9-CM

Code History
Code annotations containing back-references to O68:

Diagnosis Index entries containing back-references to O68:

ICD-10-CM Codes Adjacent To O68
O66.40 …… unspecified
O66.41 Failed attempted vaginal birth after previous cesarean delivery
O66.5 Attempted application of vacuum extractor and forceps
O66.6 Obstructed labor due to other multiple fetuses
O66.8 Other specified obstructed labor
O66.9 Obstructed labor, unspecified
O67 Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classified
O67.0 Intrapartum hemorrhage with coagulation defect
O67.8 Other intrapartum hemorrhage
O67.9 Intrapartum hemorrhage, unspecified
O68 Labor and delivery complicated by abnormality of fetal acid-base balance
O69 Labor and delivery complicated by umbilical cord complications
O69.0 Labor and delivery complicated by prolapse of cord
O69.0XX0 …… not applicable or unspecified
O69.0XX1 …… fetus 1
O69.0XX2 …… fetus 2
O69.0XX3 …… fetus 3
O69.0XX4 …… fetus 4
O69.0XX5 …… fetus 5
O69.0XX9 …… other fetus
O69.1 Labor and delivery complicated by cord around neck, with compression

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.