2017/18 ICD-10-CM Diagnosis Code O76

Abnormality in fetal heart rate and rhythm complicating labor and delivery

ICD-10-CM Coding Rules
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
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 O76. 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 (O76) and the excluded code together.
  • fetal metabolic acidemia (
    ICD-10-CM Diagnosis Code O68

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

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    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
    • 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
    • abnormality in fetal heart rate or rhythm (O76)
    • labor and delivery complicated by meconium in amniotic fluid (O77.0)
    O68
    )
  • other fetal stress (
    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-
    ICD-10-CM Diagnosis Code O77.1

    Fetal stress in labor or delivery due to drug administration

      2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    O77.1
    )
The following code(s) above O76 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 O76:
  • 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 O76 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert O76 to ICD-9-CM

Code History
Code annotations containing back-references to O76:

Diagnosis Index entries containing back-references to O76:

ICD-10-CM Codes Adjacent To O76
O75.1 Shock during or following labor and delivery
O75.2 Pyrexia during labor, not elsewhere classified
O75.3 Other infection during labor
O75.4 Other complications of obstetric surgery and procedures
O75.5 Delayed delivery after artificial rupture of membranes
O75.8 Other specified complications of labor and delivery
O75.81 Maternal exhaustion complicating labor and delivery
O75.82 Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
O75.89 Other specified complications of labor and delivery
O75.9 Complication of labor and delivery, unspecified
O76 Abnormality in fetal heart rate and rhythm complicating labor and delivery
O77 Other fetal stress complicating labor and delivery
O77.0 Labor and delivery complicated by meconium in amniotic fluid
O77.1 Fetal stress in labor or delivery due to drug administration
O77.8 Labor and delivery complicated by other evidence of fetal stress
O77.9 Labor and delivery complicated by fetal stress, unspecified
O80 Encounter for full-term uncomplicated delivery
O82 Encounter for cesarean delivery without indication
O85 Puerperal sepsis
O86 Other puerperal infections
O86.0 Infection of obstetric surgical wound

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