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ICD-10-CM Codes
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O00-O9A
Pregnancy, childbirth and the puerperium
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O60-O77
Complications of labor and delivery
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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.
ICD-10-CM Coding Rules
- O77.9 is applicable to maternity patients aged 12 - 55 years inclusive.
Type 1 ExcludesType 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 O77.9. 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.
- abnormality of fetal acid-base balance (
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)
O68) - 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 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)
O76) - fetal metabolic acidemia (
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)
O68)
The following code(s) above
O77.9 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
O77.9:
Approximate Synonyms
- Fetal distress affecting management of mother
- Fetal stress in childbirth
- Nonreassuring fetal status
ICD-10-CM O77.9 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
- 998 Principal diagnosis invalid as discharge diagnosis
Convert O77.9 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
Code annotations containing back-references to O77.9:
- 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)
- 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)
ICD-10-CM Codes Adjacent To O77.9
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
O86 Other puerperal infections
O86.0 Infection of obstetric surgical wound
O86.01 …… superficial incisional site
O86.02 …… deep incisional site
O86.03 …… organ and space site
O86.04 Sepsis following an obstetrical procedure
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.