Labor and delivery complicated by prolapse of cord, fetus 1

This code signifies a complication during labor and delivery where the umbilical cord descends in front of or alongside the presenting fetal part, potentially leading to cord compression and fetal distress. It specifically applies to the first fetus in a multiple gestation pregnancy or the only fetus in a singleton pregnancy. This condition is a medical emergency requiring immediate intervention.

Use this code when documentation clearly indicates a prolapsed umbilical cord during labor or delivery. Supporting documentation should include physician notes detailing the cord presentation relative to the fetus, fetal heart rate abnormalities, and the specific fetus affected (e.g., "fetus A" or "singleton").

• Ensure the documentation specifies "prolapse" and not just "presentation" of the cord, as these are distinct conditions.
• Verify that this code is assigned to the correct fetus in multiple gestations; separate codes exist for subsequent fetuses.
• Always sequence this code as a principal diagnosis when it is the primary reason for the admission or the condition that necessitated the delivery.