Labor and del comp by cord around neck, w comprsn, fetus 2

This code signifies a birth where the umbilical cord was wrapped around the fetus's neck, leading to compression and potential compromise of the fetal oxygen supply. This specific code indicates that the affected fetus is the second in a multiple gestation pregnancy.

Apply this code when documentation clearly states a nuchal cord with evidence of compression (e.g., fetal heart rate decelerations, meconium staining) during labor and delivery for the second fetus. Supporting documentation would include obstetrician notes, delivery summaries, and fetal monitoring strips.

• Ensure documentation specifies "with compression" to differentiate from O69.0XX2 (cord around neck, without compression).
• Verify the fetal position (first, second, etc.) in multiple gestations to select the correct final character.
• Sequence this code as a secondary diagnosis following the primary code for the outcome of delivery (e.g., Z37.2 for twins, both liveborn).