O65.9 - Obstructed labor due to maternal pelvic abnormality, unspecified
| ICD-10: | O65.9 |
| Short Description: | Obstructed labor due to maternal pelvic abnormality, unsp |
| Long Description: | Obstructed labor due to maternal pelvic abnormality, unspecified |
| Status: | Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
O65.9 is a billable ICD-10 code used to specify a medical diagnosis of obstructed labor due to maternal pelvic abnormality, unspecified. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
The code O65.9 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
Unspecified diagnosis codes like O65.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Obstructed labor caused by bony pelvis
- Obstructed labor caused by bony pelvis with antenatal problem
- Obstructed labor caused by pelvic soft tissues
- Obstructed labor caused by pelvic soft tissues with antenatal problem
- Obstructed labor due to abnormality of maternal pelvis
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Delivery (childbirth) (labor)
- - complicated - O75.9
- - by
- - obstructed labor
- - due to
- - pelvic
- - abnormality (maternal) - O65.9
- - pelvic
- - due to
- - obstructed labor
- - by
- - complicated - O75.9
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- 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).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Convert to ICD-9 Code
| Source ICD-10 Code | Target ICD-9 Code | |
|---|---|---|
| O65.9 | 660.21 - Abn pelv tis obstr-deliv | |
| Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. | ||
| O65.9 | 660.21 - Abn pelv tis obstr-deliv | |
| Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. | ||
| O65.9 | 654.91 - Abn pelv org NEC-deliver | |
| Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment. | ||
Patient Education
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:
- Preterm (premature) labor, when your labor starts before 37 completed weeks of pregnancy
- Premature rupture of membranes (PROM), when your water breaks too early. If labor does not start soon afterwards, this can raise the risk of infection.
- Problems with the placenta, such as the placenta covering the cervix, separating from the uterus before birth, or being attached too firmly to the uterus
- Labor that does not progress, meaning that labor is stalled. This can happen when
- Your contractions weaken
- Your cervix does not dilate (open) enough or is taking too long to dilate
- The baby is not in the right position
- The baby is too big or your pelvis is too small for the baby to move through the birth canal
- Abnormal heart rate of the baby. Often, an abnormal heart rate is not a problem. But if the heart rate gets very fast or very slow, it can be a sign that your baby is not getting enough oxygen or that there are other problems.
- Problems with the umbilical cord, such as the cord getting caught on the baby's arm, leg, or neck. It's also a problem if cord comes out before the baby does.
- Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
- Shoulder dystocia, when the baby's head comes out, but the shoulder gets stuck
- Perinatal asphyxia, which happens when the baby does not get enough oxygen in the uterus, during labor or delivery, or just after birth
- Perineal tears, tearing of your vagina and the surrounding tissues
- Excessive bleeding, which can happen when the delivery causes tears to the uterus or if you are not able to deliver the placenta after you give birth to the baby
- Post-term pregnancy, when your pregnancy lasts more than 42 weeks
If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section.
NIH: National Institute of Child Health and Human Development
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)