2026 ICD-10-CM Diagnosis Code O32.1XX0Maternal care for breech presentation, not applicable or unspecified

ICD-10-CM CodesO00-O9AO30-O48O32

ICD-10-CM O32.1XX0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O32.1XX0 is a billable ICD-10-CM diagnosis code for maternal care for breech presentation, not applicable or unspecified. The 7th character 0 shows this applies to a single gestation, or that the affected fetus is not identified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O32.1XX0
Billable Status
Yes — Valid for Submission
Code Describes
Maternal care for breech presentation, not applicable or unspecified
Short Description
Maternal care for breech presentation, unsp
Parent Code
Maternal care for breech presentation

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems
CategoryO32Maternal care for malpresentation of fetus
This CodeO32.1XX0Maternal care for breech presentation, not applicable or unspecified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O32.1XX0.

The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal delivery
  • Breech deeply engaged
  • Breech engaged
  • Breech extraction - delivered
  • Breech malpresentation successfully converted to cephalic presentation
  • Breech not engaged
  • Breech position of fetus in pregnancy
  • Breech presentation
  • Breech presentation, double footling
  • Breech presentation, single footling
  • Complete breech presentation
  • Deliveries by cesarean
  • Deliveries by spontaneous breech delivery
  • Delivery by cesarean section for breech presentation
  • Delivery by cesarean section for flexed breech presentation
  • Delivery by cesarean section for footling breech presentation
  • Direct sacroanterior position
  • Direct sacroposterior position
  • Engagement of breech
  • Fetal breech palpable vaginally
  • Fetal disorder due to breech delivery
  • Fetal engagement
  • Footling breech presentation
  • Frank breech presentation
  • Incomplete breech presentation
  • Left sacroanterior position
  • Left sacrolateral position
  • Left sacroposterior position
  • Positions of breech presentation - finding
  • Presenting part of fetus not engaged
  • Right sacroanterior position
  • Right sacrolateral position
  • Right sacroposterior position
  • Sacroanterior position
  • Sacrolateral position
  • Sacroposterior position

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG024
Malposition, disproportion or other labor complications
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Breech Presentation

    a malpresentation of the fetus at near term or during obstetric labor with the fetal cephalic pole in the fundus of the uterus. there are three types of breech: the complete breech with flexed hips and knees; the incomplete breech with one or both hips partially or fully extended; the frank breech with flexed hips and extended knees.
  • Fetal Engagement

    a position adopted by the fetus during labor when its head moves down into the maternal pelvic cavity.
  • Breech Presentation

    a fetal presentation in which the baby descends into the birth canal with hips, buttocks or its foot first during delivery.

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O32.1XX0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
652.11 Cephalic vers NOS-deliv
Approximate The match is approximate rather than exact.
ICD-9-CM
652.21 Breech presentat-deliver
Approximate The match is approximate rather than exact.
ICD-9-CM
652.23 Breech present-antepart
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O32.1XX0Overview

Is O32.1XX0 (Maternal care for breech presentation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report maternal care for breech presentation, not applicable or unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 0 in O32.1XX0 mean?

The final character 0 shows the maternal care for breech presentation applies to a single gestation, or that the affected fetus cannot be identified.

What MS-DRG does O32.1XX0 group to?

When maternal care for breech presentation, not applicable or unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O32.1XX0 be reported for?

The Medicare Code Editor checks maternal care for breech presentation, not applicable or unspecified against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O32.1XX0?

Under the General Equivalence Mappings, maternal care for breech presentation, not applicable or unspecified converts to ICD-9-CM 652.11 (cephalic vers NOS-deliv), 652.21 (breech presentat-deliver), and 652.23 (breech present-antepart). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.