2026 ICD-10-CM Diagnosis Code O64.8XX3Obstructed labor due to other malposition and malpresentation, fetus 3

ICD-10-CM Codes›O00-O9A›O60-O77›O64

ICD-10-CM O64.8XX3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O64.8XX3 is a billable ICD-10-CM diagnosis code for obstructed labor due to other malposition and malpresentation, fetus 3. The 7th character 3 identifies fetus 3 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
O64.8XX3
Billable Status
Yes — Valid for Submission
Code Describes
Obstructed labor due to other malposition and malpresentation, fetus 3
Short Description
Obstructed labor due to oth malpos and malpresent, fetus 3
Parent Code
O64.8
Obstructed labor due to other malposition and malpresentation

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO64Obstructed labor due to malposition and malpresentation of fetus
This CodeO64.8XX3Obstructed labor due to other malposition and malpresentation, fetus 3

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O64.8XX3.

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 O64.8XX3 to ICD-9-CMHistory

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

ICD-9-CM
660.01 Obstruc/fet malpos-deliv
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
652.81 Malposition NEC-deliver
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

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 O64.8XX3Overview

Is O64.8XX3 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report obstructed labor due to other malposition and malpresentation, fetus 3 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 3 in O64.8XX3 mean?

The final character 3 identifies the fetus in a multiple gestation pregnancy: this code reports obstructed labor due to other malposition and malpresentation for fetus 3.

What MS-DRG does O64.8XX3 group to?

When obstructed labor due to other malposition and malpresentation, fetus 3 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 O64.8XX3 be reported for?

The Medicare Code Editor checks obstructed labor due to other malposition and malpresentation, fetus 3 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 O64.8XX3?

Under the General Equivalence Mappings, obstructed labor due to other malposition and malpresentation, fetus 3 converts to ICD-9-CM 660.01 (obstruc/fet malpos-deliv) and 652.81 (malposition NEC-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.