Labor and del comp by cord around neck, w comprsn, fetus 1

This code signifies a labor and delivery encounter where the umbilical cord is wrapped around the fetal neck, specifically with evidence of compression. This compression can lead to fetal distress or other complications during the birth process. The "fetus 1" designation indicates this complication applies to the first fetus in a multiple gestation or the only fetus in a singleton pregnancy.

Apply this code when documentation clearly indicates a nuchal cord with signs of compression affecting the first fetus during labor and delivery. Supporting documentation would include physician notes detailing fetal heart rate decelerations, meconium staining, or other signs of fetal compromise attributed to the cord compression. This code is used in conjunction with a code for the outcome of delivery.

• Ensure documentation specifies "compression" of the cord around the neck; mere presence of a nuchal cord without compression would use a different code.
• Verify the fetal number (fetus 1, 2, etc.) to select the correct fourth character.
• Always sequence this code after the primary obstetric code for the delivery, and before codes for the outcome of delivery.