Failed attempt vaginal birth after previous cesarean del

This code signifies a trial of labor after cesarean (TOLAC) that did not result in a successful vaginal birth, necessitating a repeat cesarean delivery. It specifically applies when the attempt at vaginal delivery following a prior C-section fails.

Use this code when a patient with a history of previous cesarean delivery undergoes an attempted vaginal birth (TOLAC) that ultimately fails, leading to a subsequent C-section during the same admission. Documentation should clearly state "failed TOLAC," "failed VBAC attempt," or similar language indicating the unsuccessful trial of labor.

• Always sequence this code as a secondary diagnosis, following the code for the primary reason for admission (e.g., O42.x for premature rupture of membranes, O60.x for preterm labor).
• Do not confuse this with codes for elective repeat cesarean delivery (O82.1) where no attempt at vaginal birth was made.
• Ensure documentation explicitly states the attempt at vaginal birth and its failure, rather than just a repeat cesarean.