2026 ICD-10-CM Diagnosis Code O64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified

ICD-10-CM Codes›O00-O9A›O60-O77›O64

ICD-10-CM O64.0XX0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O64.0XX0 is a billable ICD-10-CM diagnosis code for obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified. The 7th character 0 shows this applies to a single gestation, or that the affected fetus is not identified. 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 deep transverse arrest. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O64.0XX0
Billable Status
Yes — Valid for Submission
Code Describes
Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
Short Description
Obstructed labor due to incmpl rotation of fetal head, unsp
Parent Code
O64.0
Obstructed labor due to incomplete rotation of fetal head

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO64Obstructed labor due to malposition and malpresentation of fetus
This CodeO64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O64.0XX0.

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.

  • Deep transverse arrest
  • Deep transverse arrest with persistent occipitoposterior position
  • Fetal disorder due to maternal disorder of labor
  • Fetal disorder due to persistent occipito-posterior malposition during labor
  • Obstructed labor due to fetal malposition
  • Obstructed labor due to incomplete rotation of fetal head
  • Persistent occipitoposterior position

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 O64.0XX0 to ICD-9-CMHistory

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

ICD-9-CM
660.31 Persist occiptpost-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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O64.0XX0Overview

Is O64.0XX0 (Obstructed labor due to incomplete rotation of fetal head) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 0 in O64.0XX0 mean?

The final character 0 shows the obstructed labor due to incomplete rotation of fetal head applies to a single gestation, or that the affected fetus cannot be identified.

What MS-DRG does O64.0XX0 group to?

When obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified 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 O64.0XX0 be reported for?

The Medicare Code Editor checks obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified 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 O64.0XX0?

Under the General Equivalence Mappings, obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified converts to ICD-9-CM 660.31 (persist occiptpost-deliv). 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.