O68
Labor and delivery complicated by abnormality of fetal acid-base balance
This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
fetal stress NOS (O77.9) labor and delivery complicated by electrocardiographic evidence of fetal stress (O77.8) labor and delivery complicated by ultrasonic evidence of fetal stress (O77.8)
abnormality in fetal heart rate or rhythm (O76) labor and delivery complicated by meconium in amniotic fluid (O77.0)
Fetal acidemia complicating labor and delivery Fetal acidosis complicating labor and delivery Fetal alkalosis complicating labor and delivery Fetal metabolic acidemia complicating labor and delivery
supervision of normal pregnancy (Z34.-)
mental and behavioral disorders associated with the puerperium (F53.-) obstetrical tetanus (A34) postpartum necrosis of pituitary gland (E23.0) puerperal osteomalacia (M83.0)
code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery
Official Guidelines for O68
FY 2026 ›Subsections
- I.C.15.aGeneral Rules for Obstetric Cases
- I.C.15.bSelection of OB Principal or First-listed Diagnosis
- I.C.15.cPre-existing conditions versus conditions due to the pregnancy
- I.C.15.dPre-existing hypertension in pregnancy
- I.C.15.eFetal Conditions Affecting the Management of the Mother
- I.C.15.fHIV Infection in Pregnancy, Childbirth and the Puerperium
- I.C.15.gDiabetes mellitus in pregnancy
- I.C.15.hLong term use of insulin and oral hypoglycemics
- I.C.15.iGestational (pregnancy induced) diabetes
- I.C.15.jSepsis and septic shock complicating abortion, pregnancy, childbirth and the puerperium
- I.C.15.kPuerperal sepsis
- I.C.15.lAlcohol, tobacco and drug use during pregnancy, childbirth and the puerperium
- I.C.15.mPoisoning, toxic effects, adverse effects and underdosing in a pregnant patient
- I.C.15.nNormal Delivery, Code O80
- I.C.15.oThe Peripartum and Postpartum Periods
- I.C.15.pCode O94, Sequelae of complication of pregnancy, childbirth, and the puerperium
- I.C.15.qTermination of Pregnancy and Spontaneous abortions
- I.C.15.rAbuse in a pregnant patient
- I.C.15.sCOVID-19 infection in pregnancy, childbirth, and the puerperium
Sections that reference O68
Sections whose FY 2026 text names O68, its O68 category, or a range containing it — the chapter guidance above is the authoritative source.
Find O68 in the alphabetic index
8 index paths lead to this code
- Pregnancy › complicated by › fetal › acidemia
- Pregnancy › complicated by › fetal › acidosis
- Pregnancy › complicated by › fetal › alkalosis
- Delivery › complicated › by › fetal › abnormal acid-base balance
- Delivery › complicated › by › fetal › acidemia
- Delivery › complicated › by › fetal › acidosis
- Delivery › complicated › by › fetal › alkalosis
- Pregnancy › complicated by › fetal › abnormality or damage › acid-base balance