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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2020 ICD-10-CM Diagnosis Code O77.9

Labor and delivery complicated by fetal stress, unspecified

2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

• O77.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2020 edition of ICD-10-CM O77.9 became effective on October 1, 2019.
• This is the American ICD-10-CM version of O77.9 - other international versions of ICD-10 O77.9 may differ.

• O77.9 is applicable to maternity patients aged 12 - 55 years inclusive.

• Fetal distress affecting management of mother
• Fetal stress in childbirth
• Nonreassuring fetal status

• 998 Principal diagnosis invalid as discharge diagnosis

Convert O77.9 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
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change

• Type 1 Excludes: O68
  , O76
  ICD-10-CM Diagnosis Code O68

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

  2016 2017 2018 2019 2020 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)
  ICD-10-CM Diagnosis Code O76

  Abnormality in fetal heart rate and rhythm complicating labor and delivery

  2016 2017 2018 2019 2020 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 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    • by
      • fetal
        • stress O77.9
• Stress F43.9
  ICD-10-CM Diagnosis Code F43.9

  Reaction to severe stress, unspecified

  2016 2017 2018 2019 2020 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 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

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