2027 ICD-10-CM Diagnosis Code O32.3XX9Maternal care for face, brow and chin presentation, other fetus

ICD-10-CM Codes›O00-O9A›O30-O48›O32

ICD-10-CM O32.3XX9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O32.3XX9 is a billable ICD-10-CM diagnosis code for maternal care for face, brow and chin presentation, other fetus. The 7th character 9 identifies a fetus other than fetus 1 through 5 in a multiple gestation pregnancy. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
O32.3XX9
Billable Status
Yes — Valid for Submission
Code Describes
Maternal care for face, brow and chin presentation, other fetus
Short Description
Maternal care for face, brow and chin presentation, oth
Parent Code
O32.3
Maternal care for face, brow and chin 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 CodeO32.3XX9Maternal care for face, brow and chin presentation, other fetus

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O32.3XX9.

Maternity diagnoses
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).

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O32.3XX9: its own notes plus those printed at O32 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From O32 Maternal care for malpresentation of fetus applies to 56 codes
  • the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From O32 Maternal care for malpresentation of fetus applies to 56 codes
  • malpresentation of fetus with obstructed labor (O64.-)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From O32 Maternal care for malpresentation of fetus applies to 56 codes
  • One of the following 7th characters is to be assigned to each code under category O32. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9.
Values for category O32 Fetus Identification
  • 0not applicable or unspecified
  • 1fetus 1
  • 2fetus 2
  • 3fetus 3
  • 4fetus 4
  • 5fetus 5
  • 9other fetus this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

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

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 O32.3XX9 to ICD-9-CMHistory

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

ICD-9-CM
652.41 Face/brow present-deliv
Approximate The match is approximate rather than exact.
ICD-9-CM
652.43 Face/brow pres-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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O32.3XX9Overview

What is the ICD-10 code for maternal care for face, brow and chin presentation, other fetus?

The ICD-10-CM code for maternal care for face, brow and chin presentation, other fetus is O32.3XX9 (sometimes written as O323XX9). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O32.3XX9 (Maternal care for face, brow and chin presentation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report maternal care for face, brow and chin presentation, other fetus on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character 9 in O32.3XX9 mean?

The final character 9 identifies the fetus in a multiple gestation pregnancy: this code reports maternal care for face, brow and chin presentation for a fetus other than fetus 1 through 5.

What MS-DRG does O32.3XX9 group to?

When maternal care for face, brow and chin presentation, other fetus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O32.3XX9 be reported for?

The Medicare Code Editor checks maternal care for face, brow and chin presentation, other fetus against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.