O68

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

Billable / specific

O68 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes

  • Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Note: Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Note: Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • Note: 1st trimester- less than 14 weeks 0 days
  • Note: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • Note: 3rd trimester- 28 weeks 0 days until delivery

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

Excludes1

Not coded here — never report together with this code.

  • supervision of normal pregnancy (Z34.-)
  • 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)

Excludes2

Not included here — may be reported together when both conditions exist.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
  • abnormality in fetal heart rate or rhythm (O76)
  • labor and delivery complicated by meconium in amniotic fluid (O77.0)

Use additional code

Add a code to identify the following, if applicable.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Also known as

  • 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
  • Pregnancy, complicated by, fetal, acidemia
  • Pregnancy, complicated by, fetal, acidosis
  • Pregnancy, complicated by, fetal, alkalosis

Related codes

  • O60Preterm laborHeader
  • O61Failed induction of laborHeader
  • O62Abnormalities of forces of laborHeader
  • O63Long laborHeader
  • O64Obstructed labor due to malposition and malpresentation of fetusNeeds 7th char
  • O65Obstructed labor due to maternal pelvic abnormalityHeader
  • O66Other obstructed laborHeader
  • O67Labor and delivery complicated by intrapartum hemorrhage, not elsewhere classifiedHeader
  • O69Labor and delivery complicated by umbilical cord complicationsNeeds 7th char
  • O70Perineal laceration during deliveryHeader
  • O71Other obstetric traumaHeader
  • O72Postpartum hemorrhageHeader
  • O73Retained placenta and membranes, without hemorrhageHeader
  • O74Complications of anesthesia during labor and deliveryHeader
  • O75Other complications of labor and delivery, not elsewhere classifiedHeader
  • O76Abnormality in fetal heart rate and rhythm complicating labor and deliveryBillable
  • O77Other fetal stress complicating labor and deliveryHeader

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