2027 ICD-10-CM Diagnosis Code O63.2Delayed delivery of second twin, triplet, etc.

ICD-10-CM Codes›O00-O9A›O60-O77›O63

ICD-10-CM O63.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O63.2 is a billable ICD-10-CM diagnosis code for delayed delivery of second twin, triplet, etc.. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 998. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as delayed delivery of second of multiple births. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O63.2
Billable Status
Yes — Valid for Submission
Code Describes
Delayed delivery of second twin, triplet, etc.
Short Description
Delayed delivery of second twin, triplet, etc.
Same as the full description in the CMS dataset.
Parent Code
O63
Long labor

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO63Long labor
This CodeO63.2Delayed delivery of second twin, triplet, etc.

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O63.2.

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).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Delayed delivery of second of multiple births
  • Delayed delivery of second twin
  • Delayed delivery of triplet
  • Prolonged labor
  • Triplet pregnancy

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O63.2: its own notes plus those printed at Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

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

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

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O63.2, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming O63.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • O31 Complications specific to multiple gestation
    delayed delivery of second twin, triplet, etc. (O63.2)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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 O63.2 to ICD-9-CMHistory

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

ICD-9-CM
662.31 Delay del 2nd twin-deliv
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 O63.2Overview

What is the ICD-10 code for delayed delivery of second twin, triplet, etc?

The ICD-10-CM code for delayed delivery of second twin, triplet, etc is O63.2 (sometimes written as O632). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O63.2 (Long labor) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report delayed delivery of second twin, triplet, etc. on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O63.2 group to?

When delayed delivery of second twin, triplet, etc. is the principal diagnosis on an inpatient stay, it groups to MS-DRG 998 (principal Diagnosis Invalid as Discharge Diagnosis), which carries a relative weight of 0. Higher weights mean higher Medicare reimbursement.

Who can O63.2 be reported for?

The Medicare Code Editor checks delayed delivery of second twin, triplet, etc. 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 O63.2?

Under the General Equivalence Mappings, delayed delivery of second twin, triplet, etc. converts to ICD-9-CM 662.31 (delay del 2nd twin-deliv). The mapping is approximate, so confirm the match fits the documentation.