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    v1.0.28
    OpenPayerBilling CodesComplications of labor and deliveryICD-10-CM o64-obstructed-labor-malposition-malpresentation
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    ICD-10-CM Code For Obstructed Labor Due To Malposition And Malpresentation Of Fetus: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group O64 includes diagnoses for obstructed labor caused by malposition and malpresentation of the fetus, covering presentations such as transverse, face, brow, and other abnormal fetal positions that impede vaginal delivery. These ICD-10-CM diagnosis codes are used to document clinical scenarios where labor is obstructed due to fetal position, capturing details about labor complexity and obstetric management. Accurate coding within the ICD-10-CM O64 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM O64: Obstructed Labor Due To Malposition And Malpresentation Of Fetus Overview

    This group contains diagnoses for obstructed labor caused by abnormal fetal position or presentation during childbirth, affecting the obstetric and perinatal systems. It covers situations where labor progress is impeded because the fetus is malpositioned or malpresented, such as transverse or face presentation. Accurate coding is important for clinical records and can affect reimbursement by reflecting the complexity of labor management.

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    When to Use

    Use a code from this group when labor is documented as obstructed specifically due to fetal malposition or malpresentation that impedes delivery. Assign the most specific code describing the type of malposition or presentation documented in the medical record.

    ICD-10-CM Codes

    56 rows

    ICD-10-CM CodeDescription
    O64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
    O64.0XX1Obstructed labor due to incomplete rotation of fetal head, fetus 1
    O64.0XX2Obstructed labor due to incomplete rotation of fetal head, fetus 2
    O64.0XX3Obstructed labor due to incomplete rotation of fetal head, fetus 3
    O64.0XX4Obstructed labor due to incomplete rotation of fetal head, fetus 4
    O64.0XX5Obstructed labor due to incomplete rotation of fetal head, fetus 5
    O64.0XX9Obstructed labor due to incomplete rotation of fetal head, other fetus
    O64.1XX0Obstructed labor due to breech presentation, not applicable or unspecified
    O64.1XX1Obstructed labor due to breech presentation, fetus 1
    O64.1XX2Obstructed labor due to breech presentation, fetus 2
    O64.1XX3Obstructed labor due to breech presentation, fetus 3
    O64.1XX4Obstructed labor due to breech presentation, fetus 4
    O64.1XX5Obstructed labor due to breech presentation, fetus 5
    O64.1XX9Obstructed labor due to breech presentation, other fetus
    O64.2XX0Obstructed labor due to face presentation, not applicable or unspecified
    O64.2XX1Obstructed labor due to face presentation, fetus 1
    O64.2XX2Obstructed labor due to face presentation, fetus 2
    O64.2XX3Obstructed labor due to face presentation, fetus 3
    O64.2XX4Obstructed labor due to face presentation, fetus 4
    O64.2XX5Obstructed labor due to face presentation, fetus 5

    Showing 1–20 of 56

    DRG Codes

    6 rows

    DRG CodeDescription
    817Other Antepartum Diagnoses with O.R. Procedures with MCC
    818Other Antepartum Diagnoses with O.R. Procedures with CC
    819Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
    831Other Antepartum Diagnoses without O.R. Procedures with MCC
    832Other Antepartum Diagnoses without O.R. Procedures with CC
    833Other Antepartum Diagnoses without O.R. Procedures without CC/MCC

    Typical Clinical Scenarios

    • A full-term primigravida in active labor is brought to the labor and delivery unit after prolonged second stage with failure of descent and fetal head arrested in an occiput-posterior position. The laboring patient has strong contractions but inadequate rotation and descent of the presenting part, prompting operative vaginal delivery or cesarean decision; a code from this group is assigned because labor is obstructed due to fetal malposition. Typical codes: O64.0XX0, O64.0XX1
    • A multiparous woman at 38 weeks presents in labor with persistent breech presentation identified on admission and unsuccessful external cephalic version attempts earlier in pregnancy; labor is obstructed by the fetal lie and trial of vaginal delivery is complicated by failure to progress. A diagnosis from this group is used to indicate obstructed labor caused by malpresentation (breech) and to support the intrapartum management plan. Typical codes: O64.2XX0, O64.2XX1
    • An emergency transfer to the OR for cesarean delivery after sudden arrest of labor in a patient with transverse fetal lie and signs of fetal distress; this acute complication during labor requires prompt operative intervention because the malpresentation obstructs vaginal delivery and compromises the fetus. A code from this group is assigned to capture the obstructed labor due to malpresentation as the indication for surgery. Typical codes: O64.3XX3, O64.3XX4

    Related Codes

    O60-PRETERM-LABOR

    ICD-10-CM Code For Preterm Labor: Group Overview

    O61-FAILED-INDUCTION-OF-LABOR

    ICD-10-CM Code For Failed Induction Of Labor: Group Overview

    O62-ABNORMALITIES-OF-FORCES-OF-LABOR

    ICD-10-CM Code For Abnormalities Of Forces Of Labor: Group Overview

    O63-LONG-LABOR-CONDITIONS

    ICD-10-CM Code For Long Labor: Group Overview

    O65-OBSTRUCTED-LABOR-MATERNAL-PELVIS

    ICD-10-CM Code For Obstructed Labor Due To Maternal Pelvic Abnormality: Group Overview

    O66-OTHER-OBSTRUCTED-LABOR

    ICD-10-CM Code For Other Obstructed Labor: Group Overview

    O67-LABOR-AND-DELIVERY-HEMORRHAGE

    ICD-10-CM Code For Labor And Delivery Complicated By Intrapartum Hemorrhage: Group Overview

    O68-LABOR-AND-DELIVERY-COMPLICATED-BY-ABNORMALITY-OF-FETAL-ACID-BASE

    ICD-10-CM Code For Labor And Delivery Complicated By Abnormality Of Fetal Acid Base Balance: Group Overview

    O69-UMBILICAL-CORD-COMPLICATIONS

    ICD-10-CM Code For Labor And Delivery Complicated By Umbilical Cord Complications: Group Overview

    O70-PERINEAL-LACERATION-DURING-DELIVERY

    ICD-10-CM Code For Perineal Laceration During Delivery: Group Overview

    Showing 1–10 of 17

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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