icd 10 code for nucal cord

by Dr. Payton Abernathy 9 min read

Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified. O69.81X0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM O69.81X0 became effective on October 1, 2018.

O69.1XX0

Full Answer

What is the ICD 10 code for nuchal cord?

The ICD code O691 is used to code Nuchal cord A nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees. Nuchal cords are not very common, with prevalence rates of 6% to 37%. Up to half of nuchal cords resolve before delivery.

What L&D code for tight nuchal cord with compression?

Our coders have been using O69.1XX0 (L&D complicated by cord around neck, with compression) for deliveries where "tight nuchal cord" is documented. Does the provider have to specifically document "tight nuchal cord" with compression, or is "tight nuchal cord" sufficient enough to use the “with compression” code?

What is the ICD 10 code for cord around neck?

O69.81X0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Labor and del comp by cord around neck, w/o comprsn, unsp The 2021 edition of ICD-10-CM O69.81X0 became effective on October 1, 2020.

What is the ICD 10 for Triple nuchal cord umbilical problem?

Triple nuchal cord Umbilical problem, triple nuchal cord ICD-10-CM O69.81X0 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 998 Principal diagnosis invalid as discharge diagnosis

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What is the ICD-10 code for tight nuchal cord?

O69.1XX0Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified. O69. 1XX0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O69.

What is a nuchal cord?

Abstract. Nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees. Nuchal cords occur in about 10–29% of fetuses and the incidence increases with advancing gestation age.

What is a nuchal cord with compression?

Nuchal cord: It's estimated that in up to 29% of pregnancies, the umbilical cord becomes wrapped around the baby's neck, which can cause mild compression. Serious compression can happen but is rare. 2. Knotted cord: The umbilical cord can become knotted, particularly if it's abnormally long and compressed.

Is a tight nuchal cord the same as compression?

Answer. While “tight nuchal cord" is not presently an official synonym for "nuchal cord with compression” under ICD-10-CM, this does not invalidate the term's use.

How is nuchal cord diagnosis?

Diagnosis. Nuchal cords can only be diagnosed using an ultrasound, and even then, they can be very difficult to detect. Additionally, the ultrasound can only identify the nuchal cord. Healthcare providers can't determine from an ultrasound if the nuchal cord poses any risk to your baby.

Does nuchal cord mean C section?

Will I have to have a c-section if my baby has a nuchal cord? Absolutely not. The only reason for a c-section is extreme fetal distress. In rare cases, a nuchal cord can contribute to the distress of a baby during labor, and a c-section will be necessary.

What does nuchal cord x2 mean?

What is a double nuchal cord? A double nuchal cord occurs when the umbilical cord wraps around the baby's neck two times. This is also relatively common, occurring in about 2-7% of births. It is also possible for a nuchal cord to be wrapped more than twice.

What causes nuchal cord in pregnancy?

What Causes a Nuchal Cord? The fetal movements your baby makes before they are born is the most common cause of nuchal cords. An extra amount of amniotic fluid, allowing your baby to move around more freely, as well as a longer than average umbilical cord, might also cause your baby to have a nuchal cord.

What does loose nuchal cord mean?

The main cause of a nuchal cord is excessive fetal movement. Other medical reasons why cords may move around the neck of a fetus or may result in loose knots include: an abnormally long umbilical cord. a weak cord structure. excessive amniotic fluid.

How do you code a loose nuchal cord?

Labor and delivery complicated by cord around neck, without compression, not applicable or unspecified. O69. 81X0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O69.

What does a thick nuchal fold mean?

Many studies have shown that a thickened nuchal fold in a second-trimester fetus is a sonographic sign suggestive of a high risk for Down syndrome. These series have included fetuses already at risk for aneuploidy because of advanced maternal age or abnormal maternal serum alpha-fetoprotein (AFP) levels.

How do you know if baby has nuchal cord?

It's visible via ultrasound. Your practitioner can detect a nuchal cord about 70 percent of the time during routine ultrasounds, although it's usually not possible to determine if the cord is short or tight around the neck.

Should I be worried about nuchal cord?

Should I Worry If My Baby Has a Nuchal Cord? Nuchal cords are very common and rarely cause any lasting complications or harm to your baby. Babies born with nuchal cords typically don't have any increased risk of low Apgar scores, growth and developmental problems, or stillbirth.

What causes nuchal cord in pregnancy?

What causes nuchal cords? Random fetal movement is the primary cause of a nuchal cord. Other factors that might increase the risk of the umbilical cord wrapping around a baby's neck include an extra-long umbilical cord or excess amniotic fluid that allows more fetal movement.

How common is nuchal cord death?

Cord entanglement is a common finding in utero; however, fetal demise resulting from nuchal cord entanglement is rare (1–8).

Why does nuchal cord occur?

The main cause of a nuchal cord is excessive fetal movement. Other medical reasons why cords may move around the neck of a fetus or may result in loose knots include: an abnormally long umbilical cord. a weak cord structure.

What is the nuchal cord?

A nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees. Nuchal cords are not very common, with prevalence rates of 6% to 37%. Up to half of nuchal cords resolve before delivery.

What is the ICD code for a w compression?

ICD Code O69.1 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'labor and delivery comp by cord around neck, w compression' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:

What does "non billable" mean?

Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. 7th Character Required. 7th Character Required. Code requires 7th Character Extension identifier.

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