O69.1 vs O69.81
O69.1 (Labor and delivery complicated by cord around neck, with compression) compared with O69.81 (Labor and delivery complicated by cord around neck, without compression), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. O69.1 carries an Excludes1 note covering O69.81: “labor and delivery complicated by cord around neck, without compression (O69.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O69.1Labor and delivery complicated by cord around neck, with compression | O69.81Labor and delivery complicated by cord around neck, without compression | |
|---|---|---|
| Billing status | Non-billable header Report instead: O69.1XX0, O69.1XX1, O69.1XX2, O69.1XX3, O69.1XX4 | Non-billable header Report instead: O69.81X0, O69.81X1, O69.81X2, O69.81X3, O69.81X4 |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Labor and delivery complicated by cord around neck, with compression is a non-billable ICD-10-CM category code (O69.1). | Labor and delivery complicated by cord around neck, without compression is a non-billable ICD-10-CM category code (O69.81). |
| 7th character | One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9. | One of the following 7th characters is to be assigned to each code under category O69. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O69 that has a 7th character of 1 through 9. |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources