Labor and del comp by cord around neck, w/o comprsn, fetus 4

This code signifies a labor and delivery encounter where the umbilical cord is wrapped around the fetus's neck, but without evidence of compression or compromise to the fetal well-being. The "fetus 4" designation indicates this finding pertains to the fourth fetus in a multiple gestation pregnancy.

Apply this code when documentation explicitly states the presence of a nuchal cord without compression during labor and delivery for the fourth fetus. Supporting documentation would include physician notes detailing the cord finding and confirming the absence of fetal distress attributable to the cord.

• Ensure the documentation clearly specifies "without compression" to differentiate from codes indicating compression.
• Verify the fetal number in multiple gestations; this code is specific to the fourth fetus.
• Sequence this code as a secondary diagnosis following the primary code for the outcome of delivery.