Attempted application of vacuum extractor and forceps

This code signifies a failed attempt to deliver a fetus using both a vacuum extractor and obstetric forceps during labor. It indicates that neither instrument was successful in achieving vaginal delivery, necessitating an alternative delivery method.

Apply this code when documentation clearly states that both vacuum extraction and forceps were attempted but failed to deliver the fetus. This typically precedes a subsequent delivery method, such as a cesarean section, due to the unsuccessful instrumental attempts.

• Always sequence this code as a secondary diagnosis, following the code for the primary reason for admission or the outcome of the delivery (e.g., O42.x for premature rupture of membranes, O82.x for cesarean delivery).
• Ensure documentation explicitly states both instruments were attempted and failed; do not use if only one instrument was attempted and failed.
• Distinguish from codes for successful instrumental deliveries (O81.x for forceps, O83.x for vacuum extraction) or failed attempts with only one instrument.