O69.5
Labor and delivery complicated by vascular lesion of cord
O69.5 is a non-billable ICD-10-CM code header for labor and delivery complicated by vascular lesion of cord. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 4 Excludes2 entries.
7th character
Category O69 requires a 7th character. O69.5 has only 4 characters, so a placeholder X fills the empty positions.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
The trimester character comes from the provider's documentation for the current encounter. The unspecified trimester code should rarely be used.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Also from chapter/block level (1 note)
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (4 notes)
Inclusion terms
Conditions classified to this code.
- Labor and delivery complicated by cord bruising
- Labor and delivery complicated by cord hematoma
- Labor and delivery complicated by thrombosis of umbilical vessels
Notes
Also from chapter/block level (6 notes)
- 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
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 9 entries
- Bruise (skin surface intact), umbilical cord
- Delivery (childbirth) (labor), complicated, by, cord (umbilical), bruising
- Delivery (childbirth) (labor), complicated, by, cord (umbilical), hematoma
- Delivery (childbirth) (labor), complicated, by, cord (umbilical), thrombosis (vessels)
- Delivery (childbirth) (labor), complicated, by, cord (umbilical), vascular lesion
- Hematoma (traumatic) (skin surface intact), umbilical cord, complicating delivery
- Hemorrhage, hemorrhagic (concealed), umbilicus, umbilical, cord, complicating delivery
- Lesion (s) (nontraumatic), vascular, umbilical cord, complicating delivery
- Thrombosis, thrombotic (bland) (multiple) (progressive) (silent) (vessel), umbilical cord (vessels), complicating delivery
7th-character codes under O69.5 7
- O69.5XX0Labor and delivery complicated by vascular lesion of cord, not applicable or unspecifiedBillable
- O69.5XX1Labor and delivery complicated by vascular lesion of cord, fetus 1Billable
- O69.5XX2Labor and delivery complicated by vascular lesion of cord, fetus 2Billable
- O69.5XX3Labor and delivery complicated by vascular lesion of cord, fetus 3Billable
- O69.5XX4Labor and delivery complicated by vascular lesion of cord, fetus 4Billable
- O69.5XX5Labor and delivery complicated by vascular lesion of cord, fetus 5Billable
- O69.5XX9Labor and delivery complicated by vascular lesion of cord, other fetusBillable