October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O69 Labor and delivery complicated by umbilical cord complications

All 70 codes in the O69 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

70

Can lead a claim

1

Cannot lead a claim

69

What CMS assigns to O69

1 of the 70 codes groups to MMTA - Other; 69 are assigned no clinical group. None of the 70 is assigned a comorbidity subgroup. 1 of the 70 can lead a claim.

Every code in O69

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O69.0 Labor and delivery complicated by prolapse of cord
O69.0XX0Labor and delivery complicated by prolapse of cord, not applicable or unspecifiedCMS: Labor and delivery complicated by prolapse of cord, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX1Labor and delivery complicated by prolapse of cord, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX2Labor and delivery complicated by prolapse of cord, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX3Labor and delivery complicated by prolapse of cord, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX4Labor and delivery complicated by prolapse of cord, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX5Labor and delivery complicated by prolapse of cord, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.0XX9Labor and delivery complicated by prolapse of cord, other fetusCMS: Labor and delivery complicated by prolapse of cord, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1 Labor and delivery complicated by cord around neck, with compression
O69.1XX0Labor and delivery complicated by cord around neck, with compression, not applicable or unspecifiedCMS: Labor and delivery comp by cord around neck, w comprsn, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX1Labor and delivery complicated by cord around neck, with compression, fetus 1CMS: Labor and del comp by cord around neck, w comprsn, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX2Labor and delivery complicated by cord around neck, with compression, fetus 2CMS: Labor and del comp by cord around neck, w comprsn, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX3Labor and delivery complicated by cord around neck, with compression, fetus 3CMS: Labor and del comp by cord around neck, w comprsn, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX4Labor and delivery complicated by cord around neck, with compression, fetus 4CMS: Labor and del comp by cord around neck, w comprsn, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX5Labor and delivery complicated by cord around neck, with compression, fetus 5CMS: Labor and del comp by cord around neck, w comprsn, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.1XX9Labor and delivery complicated by cord around neck, with compression, other fetusCMS: Labor and delivery comp by cord around neck, w comprsn, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2 Labor and delivery complicated by other cord entanglement, with compression
O69.2XX0Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecifiedCMS: Labor and del comp by oth cord entangle, w comprsn, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX1Labor and delivery complicated by other cord entanglement, with compression, fetus 1CMS: Labor and del comp by oth cord entangle, w comprsn, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX2Labor and delivery complicated by other cord entanglement, with compression, fetus 2CMS: Labor and del comp by oth cord entangle, w comprsn, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX3Labor and delivery complicated by other cord entanglement, with compression, fetus 3CMS: Labor and del comp by oth cord entangle, w comprsn, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX4Labor and delivery complicated by other cord entanglement, with compression, fetus 4CMS: Labor and del comp by oth cord entangle, w comprsn, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX5Labor and delivery complicated by other cord entanglement, with compression, fetus 5CMS: Labor and del comp by oth cord entangle, w comprsn, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.2XX9Labor and delivery complicated by other cord entanglement, with compression, other fetusCMS: Labor and delivery comp by oth cord entangle, w comprsn, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3 Labor and delivery complicated by short cord
O69.3XX0Labor and delivery complicated by short cord, not applicable or unspecifiedCMS: Labor and delivery complicated by short cord, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX1Labor and delivery complicated by short cord, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX2Labor and delivery complicated by short cord, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX3Labor and delivery complicated by short cord, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX4Labor and delivery complicated by short cord, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX5Labor and delivery complicated by short cord, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.3XX9Labor and delivery complicated by short cord, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4 Labor and delivery complicated by vasa previa
O69.4XX0Labor and delivery complicated by vasa previa, not applicable or unspecifiedCMS: Labor and delivery complicated by vasa previa, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX1Labor and delivery complicated by vasa previa, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX2Labor and delivery complicated by vasa previa, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX3Labor and delivery complicated by vasa previa, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX4Labor and delivery complicated by vasa previa, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX5Labor and delivery complicated by vasa previa, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.4XX9Labor and delivery complicated by vasa previa, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5 Labor and delivery complicated by vascular lesion of cord
O69.5XX0Labor and delivery complicated by vascular lesion of cord, not applicable or unspecifiedCMS: Labor and delivery comp by vascular lesion of cord, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX1Labor and delivery complicated by vascular lesion of cord, fetus 1CMS: Labor and delivery comp by vascular lesion of cord, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX2Labor and delivery complicated by vascular lesion of cord, fetus 2CMS: Labor and delivery comp by vascular lesion of cord, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX3Labor and delivery complicated by vascular lesion of cord, fetus 3CMS: Labor and delivery comp by vascular lesion of cord, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX4Labor and delivery complicated by vascular lesion of cord, fetus 4CMS: Labor and delivery comp by vascular lesion of cord, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX5Labor and delivery complicated by vascular lesion of cord, fetus 5CMS: Labor and delivery comp by vascular lesion of cord, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.5XX9Labor and delivery complicated by vascular lesion of cord, other fetusCMS: Labor and delivery comp by vascular lesion of cord, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.8 Labor and delivery complicated by other cord complications
O69.81 Labor and delivery complicated by cord around neck, without compression
O69.81X0Labor and delivery complicated by cord around neck, without compression, not applicable or unspecifiedCMS: Labor and del comp by cord around neck, w/o comprsn, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X1Labor and delivery complicated by cord around neck, without compression, fetus 1CMS: Labor and del comp by cord around neck, w/o comprsn, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X2Labor and delivery complicated by cord around neck, without compression, fetus 2CMS: Labor and del comp by cord around neck, w/o comprsn, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X3Labor and delivery complicated by cord around neck, without compression, fetus 3CMS: Labor and del comp by cord around neck, w/o comprsn, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X4Labor and delivery complicated by cord around neck, without compression, fetus 4CMS: Labor and del comp by cord around neck, w/o comprsn, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X5Labor and delivery complicated by cord around neck, without compression, fetus 5CMS: Labor and del comp by cord around neck, w/o comprsn, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.81X9Labor and delivery complicated by cord around neck, without compression, other fetusCMS: Labor and del comp by cord around neck, w/o comprsn, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82 Labor and delivery complicated by other cord entanglement, without compression
O69.82X0Labor and delivery complicated by other cord entanglement, without compression, not applicable or unspecifiedCMS: Labor and del comp by oth cord entangle, w/o comprsn, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X1Labor and delivery complicated by other cord entanglement, without compression, fetus 1CMS: Labor and del comp by oth cord entangle, w/o comprsn, fts1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X2Labor and delivery complicated by other cord entanglement, without compression, fetus 2CMS: Labor and del comp by oth cord entangle, w/o comprsn, fts2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X3Labor and delivery complicated by other cord entanglement, without compression, fetus 3CMS: Labor and del comp by oth cord entangle, w/o comprsn, fts3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X4Labor and delivery complicated by other cord entanglement, without compression, fetus 4CMS: Labor and del comp by oth cord entangle, w/o comprsn, fts4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X5Labor and delivery complicated by other cord entanglement, without compression, fetus 5CMS: Labor and del comp by oth cord entangle, w/o comprsn, fts5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.82X9Labor and delivery complicated by other cord entanglement, without compression, other fetusCMS: Labor and del comp by oth cord entangle, w/o comprsn, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89 Labor and delivery complicated by other cord complications
O69.89X0Labor and delivery complicated by other cord complications, not applicable or unspecifiedCMS: Labor and delivery complicated by oth cord comp, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X1Labor and delivery complicated by other cord complications, fetus 1CMS: Labor and delivery complicated by oth cord comp, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X2Labor and delivery complicated by other cord complications, fetus 2CMS: Labor and delivery complicated by oth cord comp, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X3Labor and delivery complicated by other cord complications, fetus 3CMS: Labor and delivery complicated by oth cord comp, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X4Labor and delivery complicated by other cord complications, fetus 4CMS: Labor and delivery complicated by oth cord comp, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X5Labor and delivery complicated by other cord complications, fetus 5CMS: Labor and delivery complicated by oth cord comp, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.89X9Labor and delivery complicated by other cord complications, other fetusCMS: Labor and delivery complicated by oth cord comp, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9 Labor and delivery complicated by cord complication, unspecified
O69.9XX0Labor and delivery complicated by cord complication, unspecified, not applicable or unspecifiedCMS: Labor and delivery complicated by cord comp, unsp, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX1Labor and delivery complicated by cord complication, unspecified, fetus 1CMS: Labor and delivery complicated by cord comp, unsp, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX2Labor and delivery complicated by cord complication, unspecified, fetus 2CMS: Labor and delivery complicated by cord comp, unsp, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX3Labor and delivery complicated by cord complication, unspecified, fetus 3CMS: Labor and delivery complicated by cord comp, unsp, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX4Labor and delivery complicated by cord complication, unspecified, fetus 4CMS: Labor and delivery complicated by cord comp, unsp, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX5Labor and delivery complicated by cord complication, unspecified, fetus 5CMS: Labor and delivery complicated by cord comp, unsp, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O69.9XX9Labor and delivery complicated by cord complication, unspecified, other fetusCMS: Labor and delivery complicated by cord comp, unsp, othCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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