O69.82X2 ICD-10-CM Code: Labor and delivery complicated by other cord entanglement, without compression, fetus 2
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
- Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of O69.82X2 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
- O60-O77 — Complications of labor and delivery [Hierarchy]
- O69 — Clinical Diagnosis [Hierarchy]
- O69.8 — Clinical Diagnosis [Hierarchy]
- O69.82 — Clinical Diagnosis [Hierarchy]
- O69.82X — Clinical Diagnosis [Hierarchy]
Clinical classification (CCSR)
- PRG024 — Malposition, disproportion or other labor complications [CCSR]
Potential MS-DRG
- DRG 998 — PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS [MS-DRG]: “PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS (MDC 14)”
Nearest codes (40)
- O69 — Labor and delivery complicated by umbilical cord complications [Sibling]
- O69.5 — Labor and delivery complicated by vascular lesion of cord [Sibling]
- O69.5XX0 — Labor and delivery complicated by vascular lesion of cord, not applicable or unspecified [Sibling]
- O69.5XX1 — Labor and delivery complicated by vascular lesion of cord, fetus 1 [Sibling]
- O69.5XX2 — Labor and delivery complicated by vascular lesion of cord, fetus 2 [Sibling]
- O69.5XX3 — Labor and delivery complicated by vascular lesion of cord, fetus 3 [Sibling]
- O69.5XX4 — Labor and delivery complicated by vascular lesion of cord, fetus 4 [Sibling]
- O69.5XX5 — Labor and delivery complicated by vascular lesion of cord, fetus 5 [Sibling]
- and 32 more
Relationships & Classification
Clinical classification (AHRQ CCSR):PRG024 — Malposition, disproportion or other labor complications (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 1 MS-DRG: DRG 998 (MDC 14).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does O69.82X2 require a 7th character?
Yes. 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..
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O69.82X2 in its code family, with their registry titles.
- O69.81X5 — Labor and delivery complicated by cord around neck, without compression, fetus 5
- O69.81X9 — Labor and delivery complicated by cord around neck, without compression, other fetus
- O69.82 — Labor and delivery complicated by other cord entanglement, without compression
- O69.82X0 — Labor and delivery complicated by other cord entanglement, without compression, not applicable or unspecified
- O69.82X1 — Labor and delivery complicated by other cord entanglement, without compression, fetus 1
- O69.82X3 — Labor and delivery complicated by other cord entanglement, without compression, fetus 3
- O69.82X4 — Labor and delivery complicated by other cord entanglement, without compression, fetus 4
- O69.82X5 — Labor and delivery complicated by other cord entanglement, without compression, fetus 5
- O69.82X9 — Labor and delivery complicated by other cord entanglement, without compression, other fetus
- O69.89 — Labor and delivery complicated by other cord complications