2026 ICD-10-CM Diagnosis Code O32.8XX4Maternal care for other malpresentation of fetus, fetus 4

ICD-10-CM Codes›O00-O9A›O30-O48›O32

ICD-10-CM O32.8XX4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O32.8XX4 is a billable ICD-10-CM diagnosis code for maternal care for other malpresentation of fetus, fetus 4. The 7th character 4 identifies fetus 4 in a multiple gestation pregnancy. 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
O32.8XX4
Billable Status
Yes — Valid for Submission
Code Describes
Maternal care for other malpresentation of fetus, fetus 4
Short Description
Maternal care for other malpresentation of fetus, fetus 4
Same as the full description in the CMS dataset.
Parent Code
O32.8
Maternal care for other malpresentation of fetus

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 CodeO32.8XX4Maternal care for other malpresentation of fetus, fetus 4

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O32.8XX4.

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).

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 O32.8XX4 to ICD-9-CMHistory

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

ICD-9-CM
652.81 Malposition NEC-deliver
Approximate The match is approximate rather than exact.
ICD-9-CM
652.83 Malposition NEC-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 O32.8XX4Overview

Is O32.8XX4 (Maternal care for other malpresentation of fetus) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report maternal care for other malpresentation of fetus, fetus 4 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 4 in O32.8XX4 mean?

The final character 4 identifies the fetus in a multiple gestation pregnancy: this code reports maternal care for other malpresentation of fetus for fetus 4.

What MS-DRG does O32.8XX4 group to?

When maternal care for other malpresentation of fetus, fetus 4 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 O32.8XX4 be reported for?

The Medicare Code Editor checks maternal care for other malpresentation of fetus, fetus 4 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 O32.8XX4?

Under the General Equivalence Mappings, maternal care for other malpresentation of fetus, fetus 4 converts to ICD-9-CM 652.81 (malposition NEC-deliver) and 652.83 (malposition NEC-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.