O76

Billable

ChapterO00–O9A

Rankcategory

Official Description

Abnormality in fetal heart rate and rhythm complicating labor and delivery

Metadata & Insights

•2026 ICD-10-CM Edition - Effective October 1, 2025.
•Billable/specific code (valid for reimbursement).
•Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here)

supervision of normal pregnancy (Z34.-)

Excludes2(Not included here)

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

Use Additional Code

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Instructional Notes

Includes

Depressed fetal heart rate tones complicating labor and delivery
Fetal bradycardia complicating labor and delivery
Fetal heart rate decelerations complicating labor and delivery
Fetal heart rate irregularity complicating labor and delivery
Fetal heart rate abnormal variability complicating labor and delivery
Fetal tachycardia complicating labor and delivery
Non-reassuring fetal heart rate or rhythm complicating labor and delivery

Excludes1(Not coded here)

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)

Excludes2(Not included here)

fetal metabolic acidemia (O68)
other fetal stress (O77.0-O77.1)

Clinical Hierarchy

CH15Pregnancy, childbirth and the puerperium (O00-O9A)

O60-O77Complications of labor and delivery (O60-O77)

O76Abnormality in fetal heart rate and rhythm complicating labor and delivery

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O76:

chapterCH15

Pregnancy, childbirth and the puerperium (O00-O9A)

View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to O76. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

2 raw paths

Delivery (childbirth) (labor)2 unique routes

complicated(2 variants)

by(2 variants)

depressed fetal heart tones→O76

fetal

heart rate or rhythm (abnormal) (non-reassuring)→O76

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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