2021

  1. ICD-10-CM Codes
    2. ›
  2. O00-O9A Pregnancy, childbirth and the puerperium
    3. ›
  3. O60-O77 Complications of labor and delivery
    4. ›
  4. O77- Other fetal stress complicating labor and delivery
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code O77.1

2021 ICD-10-CM Diagnosis Code O77.1

Fetal stress in labor or delivery due to drug administration

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
  • O77.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM O77.1 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of O77.1 - other international versions of ICD-10 O77.1 may differ.
ICD-10-CM Coding Rules
  • O77.1 is applicable to maternity patients aged 12 - 55 years inclusive.
The following code(s) above O77.1 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 O77.1:
  • O00-O9A
    2021 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
  • Fetal stress in childbirth due to drug administration
ICD-10-CM O77.1 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 998 Principal diagnosis invalid as discharge diagnosis

Convert O77.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to O77.1:
  • Type 2 Excludes: O76
    ICD-10-CM Diagnosis Code O76

    Abnormality in fetal heart rate and rhythm complicating labor and delivery

      2016 2017 2018 2019 2020 2021 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

Diagnosis Index entries containing back-references to O77.1:
  • Delivery (childbirth) (labor)
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      • by
        • fetal
          • stress O77.9
            ICD-10-CM Diagnosis Code O77.9

            Labor and delivery complicated by fetal stress, unspecified

              2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
            Type 1 Excludes
            • abnormality of fetal acid-base balance (O68)
            • abnormality in fetal heart rate or rhythm (O76)
            • fetal metabolic acidemia (O68)
            • due to drug administration O77.1
  • Stress F43.9
    ICD-10-CM Diagnosis Code F43.9

    Reaction to severe stress, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Trauma and stressor-related disorder, NOS
    • fetal P84
      ICD-10-CM Diagnosis Code P84

      Other problems with newborn

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
      Applicable To
      • Acidemia of newborn
      • Acidosis of newborn
      • Anoxia of newborn NOS
      • Asphyxia of newborn NOS
      • Hypercapnia of newborn
      • Hypoxemia of newborn
      • Hypoxia of newborn NOS
      • Mixed metabolic and respiratory acidosis of newborn
      Type 1 Excludes
      • intracranial hemorrhage due to anoxia or hypoxia (P52.-)
      • hypoxic ischemic encephalopathy [HIE] (P91.6-)
      • late metabolic acidosis of newborn (P74.0)
      • complicating pregnancy O77.9
        ICD-10-CM Diagnosis Code O77.9

        Labor and delivery complicated by fetal stress, unspecified

          2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
        Type 1 Excludes
        • abnormality of fetal acid-base balance (O68)
        • abnormality in fetal heart rate or rhythm (O76)
        • fetal metabolic acidemia (O68)
        • due to drug administration O77.1

ICD-10-CM Codes Adjacent To O77.1
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
O86.00 …… unspecified
O86.01 …… superficial incisional site
O86.02 …… deep incisional site

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

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