Abnormality in fetal heart rate and rhythm complicating labor and delivery (2024)

Table of Contents
Abnormality in fetal heart rate and rhythm complicating labor and delivery Labor and delivery complicated by fetal stress, unspecified Labor and delivery complicated by other evidence of fetal stress Labor and delivery complicated by other evidence of fetal stress Labor and delivery complicated by abnormality of fetal acid-base balance Labor and delivery complicated by meconium in amniotic fluid Fetal stress in labor or delivery due to drug administration Pregnancy, childbirth and the puerperiumNoteCODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDSCodes 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)Trimesters are counted from the first day of the last menstrual period. They are defined as follows:1st trimester- less than 14 weeks 0 days2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days3rd trimester- 28 weeks 0 days until deliveryType 1 Excludessupervision of normal pregnancy (Z34.-)Type 2 Excludesmental and behavioral disorders associated with the puerperium (F53.-)obstetrical tetanus (A34)postpartum necrosis of pituitary gland (E23.0)puerperal osteomalacia (M83.0)Use Additionalcode, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Labor and delivery complicated by other evidence of fetal stress Labor and delivery complicated by fetal stress, unspecified Labor and delivery complicated by abnormality of fetal acid-base balance Complication of labor and delivery, unspecified
  1. ICD-10-CM Codes
  2. O00-O9A
  3. O60-O77
  4. O76-
  5. 2024 ICD-10-CM Diagnosis Code O76

Abnormality in fetal heart rate and rhythm complicating labor and delivery (1)

Abnormality in fetal heart rate and rhythm complicating labor and delivery

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O76 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursem*nt purposes.
  • Short description: Abnlt in fetal heart rate and rhythm comp labor and delivery
  • The 2024 edition of ICD-10-CM O76 became effective on October 1, 2023.
  • This is the American ICD-10-CM version of O76 - other international versions of ICD-10 O76 may differ.

ICD-10-CM Coding Rules

  • O76 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O76 is applicable to female patients.

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

Type 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 O76. 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.

  • fetal stress NOS (

    ICD-10-CM Diagnosis Code O77.9

    Labor and delivery complicated by fetal stress, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Type 1 Excludes

    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.9)
  • labor and delivery complicated by electrocardiographic evidence of fetal stress (

    ICD-10-CM Diagnosis Code O77.8

    Labor and delivery complicated by other evidence of fetal stress

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Applicable To

    • Labor and delivery complicated by electrocardiographic evidence of fetal stress
    • Labor and delivery complicated by ultrasonic evidence of fetal stress

    Type 1 Excludes

    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.8)
  • labor and delivery complicated by ultrasonic evidence of fetal stress (

    ICD-10-CM Diagnosis Code O77.8

    Labor and delivery complicated by other evidence of fetal stress

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Applicable To

    • Labor and delivery complicated by electrocardiographic evidence of fetal stress
    • Labor and delivery complicated by ultrasonic evidence of fetal stress

    Type 1 Excludes

    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
    O77.8)

Type 2 Excludes

Type 2 Excludes Help

A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O76) and the excluded code together.

  • 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 2021 2022 2023 2024 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)
  • other fetal stress (

    ICD-10-CM Diagnosis Code O77.0

    Labor and delivery complicated by meconium in amniotic fluid

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    O77.0-

    ICD-10-CM Diagnosis Code O77.1

    Fetal stress in labor or delivery due to drug administration

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    O77.1)

The following code(s) above O76 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 O76:

  • O00-O9A

    2024 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note

    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • 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)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery

    Type 1 Excludes

    • supervision of normal pregnancy (Z34.-)

    Type 2 Excludes

    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)

    Use Additional

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

    Pregnancy, childbirth and the puerperium

Approximate Synonyms

  • Abnormal fetal heart rate
  • Abnormal fetal heart rhythm in childbirth
  • Fetal distress affecting management of mother

ICD-10-CM O76 is grouped within Diagnostic Related Group(s) (MS-DRG v41.0):

  • 998 Principal diagnosis invalid as discharge diagnosis

Convert O76 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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change

Code annotations containing back-references to O76:

  • Type 1 Excludes: O77.8, O77.9

    ICD-10-CM Diagnosis Code O77.8

    Labor and delivery complicated by other evidence of fetal stress

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Applicable To

    • Labor and delivery complicated by electrocardiographic evidence of fetal stress
    • Labor and delivery complicated by ultrasonic evidence of fetal stress

    Type 1 Excludes

    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)

    ICD-10-CM Diagnosis Code O77.9

    Labor and delivery complicated by fetal stress, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Type 1 Excludes

    • abnormality of fetal acid-base balance (O68)
    • abnormality in fetal heart rate or rhythm (O76)
    • fetal metabolic acidemia (O68)
  • Type 2 Excludes: O68

    ICD-10-CM Diagnosis Code O68

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

      2016 2017 2018 2019 2020 2021 2022 2023 2024 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)

Diagnosis Index entries containing back-references to O76:

  • Delivery (childbirth) (labor)
    • complicated O75.9

      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      • by
        • fetal
          • heart rate or rhythm O76 (abnormal) (non-reassuring)
        • depressed fetal heart tones O76

ICD-10-CM Codes Adjacent To O76

O75.1 Shock during or following labor and delivery

O75.2 Pyrexia during labor, not elsewhere classified

O75.3 Other infection during labor

O75.4 Other complications of obstetric surgery and procedures

O75.5 Delayed delivery after artificial rupture of membranes

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

O85 Puerperal sepsis

O86 Other puerperal infections

O86.0 Infection of obstetric surgical wound

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

Abnormality in fetal heart rate and rhythm complicating labor and delivery (2024)
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