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

This code signifies a labor and delivery encounter where the umbilical cord is found wrapped around the neck of the second fetus in a multiple gestation pregnancy, but without evidence of compression or compromise to the fetus. It indicates a non-obstructive nuchal cord presentation during the birthing process.

Apply this code when documentation clearly states a nuchal cord without compression for the second twin or multiple, identified during labor or delivery. This is appropriate when the nuchal cord is noted but does not lead to fetal distress, hypoxia, or other adverse outcomes attributable to cord compression.

• Ensure the documentation specifies "without compression" to differentiate from codes indicating compression.
• Verify the fetus number (e.g., fetus 2) in multiple gestations to select the correct subcategory.
• Always sequence this code after the primary obstetric complication or outcome of delivery.