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

This code signifies a labor and delivery encounter where the umbilical cord is found wrapped around the fetus's neck, but without evidence of compression or compromise to the fetal well-being. It specifically applies to the first fetus in a multiple gestation pregnancy or a singleton pregnancy.

Apply this code when documentation clearly indicates the presence of a nuchal cord during labor and delivery, and explicitly states that there was no compression or adverse effect on the fetus. This is often noted during vaginal examination, ultrasound, or at the time of delivery.

• Ensure documentation explicitly states "without compression" or similar language to differentiate from codes indicating compression.
• Verify the fetus number for multiple gestations; this code is specific to the first fetus.
• Do not use this code if fetal distress or compromise due to the nuchal cord is documented; a different code would be more appropriate.