2026 ICD-10-CM Diagnosis Code O61.1Failed instrumental induction of labor
ICD-10-CM Codes›O00-O9A›O60-O77›O61
- Billable — Valid for Submission
- Not Chronic
O61.1 is a billable ICD-10-CM diagnosis code for failed instrumental induction of labor. 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). Coders also document this condition as failed attempted induction of labor. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O61.1.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Failed attempted induction of labor
- Failed attempted mechanical induction of labor
- Failed attempted surgical induction of labor
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Failed mechanical induction (of labor)
- Failed surgical induction (of labor)
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Delivery (childbirth) (labor)
- failed
- instrumental - O61.1
- mechanical - O61.1
- surgical - O61.1
- complicated - O75.9
- by
- failed
- instrumental - O61.1
- mechanical - O61.1
- surgical - O61.1
- induction (of labor) - O61.9
- instrumental - O61.1
- mechanical - O61.1
- surgical - O61.1
- Pregnancy (single) (uterine) - See Also: Delivery and Puerperal; - Z33.1
- complicated by (care of) (management affected by)
- failed induction of labor - O61.9
- instrumental - O61.1
- mechanical - O61.1
- surgical - O61.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Delivery(childbirth) (labor)
- cesarean (for)
- failed
- induction of labor
- instrumental
- Delivery(childbirth) (labor)
- cesarean (for)
- failed
- induction of labor
- mechanical
- Delivery(childbirth) (labor)
- cesarean (for)
- failed
- induction of labor
- surgical
- Delivery(childbirth) (labor)
- complicated
- by
- failed
- induction of labor
- instrumental
- Delivery(childbirth) (labor)
- complicated
- by
- failed
- induction of labor
- mechanical
- Delivery(childbirth) (labor)
- complicated
- by
- failed
- induction of labor
- surgical
- Failure, failed
- induction (of labor)
- instrumental
- Failure, failed
- induction (of labor)
- mechanical
- Failure, failed
- induction (of labor)
- surgical
- Pregnancy(single) (uterine)
- complicated by (care of) (management affected by)
- failed induction of labor
- instrumental
- Pregnancy(single) (uterine)
- complicated by (care of) (management affected by)
- failed induction of labor
- mechanical
- Pregnancy(single) (uterine)
- complicated by (care of) (management affected by)
- failed induction of labor
- surgical
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 O61.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O61.1Overview
Is O61.1 (Failed induction of labor) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report failed instrumental induction of labor on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does O61.1 group to?
When failed instrumental induction of labor 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 O61.1 be reported for?
The Medicare Code Editor checks failed instrumental induction of labor 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 O61.1?
Under the General Equivalence Mappings, failed instrumental induction of labor converts to ICD-9-CM 659.01 (fail mech induct-deliver). 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.
