2027 ICD-10-CM Diagnosis Code O64Obstructed labor due to malposition and malpresentation of fetus

ICD-10-CM Codes›O00-O9A›O60-O77›O64

ICD-10-CM O64
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O64 is a non-billable ICD-10-CM category code for obstructed labor due to malposition and malpresentation of fetus, so it cannot be submitted on claims. Use a more specific code from this category instead, such as O64.0XX0, O64.0XX1, O64.0XX2, and O64.0XX3.

Code Identity

ICD-10-CM Code
O64
Billable Status
No — Non-Billable Category
Code Describes
Obstructed labor due to malposition and malpresentation of fetus
Short Description
Obstructed labor due to malposition and malpresent of fetus
Chapter
O60-O77
Complications of labor and delivery

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO64Obstructed labor due to malposition and malpresentation of fetus
This CodeO64Obstructed labor due to malposition and malpresentation of fetus

Specific Coding for Obstructed labor due to malposition and malpresent of fetusOverview

Non-specific codes like O64 require more characters. Use one of these billable codes instead:

  • O64.0 for Obstructed labor due to incomplete rotation of fetal head

  • O64.1 for Obstructed labor due to breech presentation

  • O64.2 for Obstructed labor due to face presentation

  • O64.3 for Obstructed labor due to brow presentation

  • O64.4 for Obstructed labor due to shoulder presentation

  • O64.5 for Obstructed labor due to compound presentation

  • O64.8 for Obstructed labor due to other malposition and malpresentation

  • O64.9 for Obstructed labor due to malposition and malpresentation, unspecified

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O64: 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

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.

  • One of the following 7th characters is to be assigned to each code under category O64. 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 O64 that has a 7th character of 1 through 9.
Values for category O64 Fetus Identification
  • 0not applicable or unspecified
  • 1fetus 1
  • 2fetus 2
  • 3fetus 3
  • 4fetus 4
  • 5fetus 5
  • 9other fetus

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O64, its category, or a range that includes it.

Applicable To 1

These notes mention O64.

  • P03.1 Newborn affected by other malpresentation, malposition and disproportion during labor and delivery
    Newborn affected by conditions classifiable to O64-O66

Excludes1 1

These codes carry an Excludes1 note naming O64: they are not reported together with it, unless the two conditions are unrelated.

  • O32 Maternal care for malpresentation of fetus
    malpresentation of fetus with obstructed labor (O64.-)

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.

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 O64Overview

What is the ICD-10 code for obstructed labor due to malposition and malpresentation of fetus?

O64 is the ICD-10-CM category for obstructed labor due to malposition and malpresentation of fetus, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is O64 a billable code?

No. This is a category header that groups the codes for obstructed labor due to malposition and malpresentation of fetus, and headers cannot be submitted on claims. Claims for obstructed labor due to malposition and malpresentation of fetus need a more specific code from this category, such as O64.0XX0, O64.0XX1, and O64.0XX2.