O69.89X4 — Labor and delivery complicated by other cord complications, fetus 4
Is O69.89X4 billable?
Yes — O69.89X4 is billable for FY2027. O69.89X4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O69.89X4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O69.89X4 at a glance
| Code | O69.89X4 |
|---|---|
| Description | Labor and delivery complicated by other cord complications, fetus 4 |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "4" | fetus 4 |
What does the 7th character "4" mean in O69.89X4?
In O69.89X4, the 7th character 4 means fetus 4. The 7th character is required for O69.89X4 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does O69.89X4 group to?
O69.89X4 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 998—
How is O69.89X4 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O69.89, the nearest indexed parent of O69.89X4. Use them to find the family, then select the specific code.
- Malformation › umbilical cord NEC (congenital)
- Rupture, ruptured › umbilical cord, complicating delivery
- Tear, torn › umbilical cord › complicating delivery (traumatic)
- Complication › umbilical cord NEC › complicating delivery › specified NEC (s) (from) (of)
- Delivery › complicated › by › cord › complication › specified NEC (childbirth) (labor)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O69.89X4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O69.89X4 to fully describe the condition. O69.89X4 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O69.89X4, but a patient may have both at the same time. When documentation supports it, O69.89X4 and the excluded code may both be reported.
How long has O69.89X4 existed?
O69.89X4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.