1. ICD-10-CM Codes
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2. O00-O9A Pregnancy, childbirth and the puerperium
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3. O60-O77 Complications of labor and delivery
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4. O77- Other fetal stress complicating labor and delivery
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2018 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 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2018 edition of ICD-10-CM O77.1 became effective on October 1, 2017.
• This is the American ICD-10-CM version of O77.1 - other international versions of ICD-10 O77.1 may differ.

• O77.1 is applicable to maternity patients aged 12 - 55 years inclusive.
• O77.1 is applicable to female patients.

• Fetal stress in childbirth due to drug administration

• 767 Vaginal delivery with sterilization and/or d&c
• 768 Vaginal delivery with o.r. Procedure except sterilization and/or d&c
• 774 Vaginal delivery with complicating diagnoses
• 775 Vaginal delivery without complicating diagnoses

Convert O77.1 to ICD-9-CM

• 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

• Type 2 Excludes: O76
  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

  • fetal metabolic acidemia (O68)
  • other fetal stress (O77.0-O77.1)

• Delivery (childbirth) (labor)
  • complicated O75.9
    ICD-10-CM Diagnosis Code O75.9

    Complication of labor and delivery, unspecified

    2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    • by
      • fetal
        • stress O77.9
          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)
          • due to drug administration O77.1
• Stress F43.9
  ICD-10-CM Diagnosis Code F43.9

  Reaction to severe stress, unspecified

  2016 2017 2018 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 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 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)
      • due to drug administration O77.1

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