2026 ICD-10-CM Diagnosis Code O65.4Obstructed labor due to fetopelvic disproportion, unspecified

ICD-10-CM Codes›O00-O9A›O60-O77›O65

ICD-10-CM O65.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O65.4 is a billable ICD-10-CM diagnosis code for obstructed labor due to fetopelvic disproportion, unspecified. 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 fetal disorder due to disproportion during delivery. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O65.4
Billable Status
Yes — Valid for Submission
Code Describes
Obstructed labor due to fetopelvic disproportion, unspecified
Short Description
Obstructed labor due to fetopelvic disproportion, unsp
Parent Code
O65
Obstructed labor due to maternal pelvic abnormality

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO65Obstructed labor due to maternal pelvic abnormality
This CodeO65.4Obstructed labor due to fetopelvic disproportion, unspecified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O65.4.

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.

  • Fetal disorder due to disproportion during delivery
  • Fetal disorder due to disproportion during labor
  • Obstructed labor due to disproportion between fetus and pelvis
  • Perinatal disorder due to disproportion during labor and/or delivery

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • dystocia due to abnormality of fetus O66.2 O66.3

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Delivery(childbirth) (labor)
      • complicated
        • by
          • obstructed labor
            • due to
              • fetopelvic disproportion

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 O65.4 to ICD-9-CMHistory

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

ICD-9-CM
660.11 Bony pelv obstruct-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
653.41 Fetopelv dispropor-deliv
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 O65.4Overview

Is O65.4 (Obstructed labor due to maternal pelvic abnormality) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report obstructed labor due to fetopelvic disproportion, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does O65.4 group to?

When obstructed labor due to fetopelvic disproportion, 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 O65.4 be reported for?

The Medicare Code Editor checks obstructed labor due to fetopelvic disproportion, 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 O65.4?

Under the General Equivalence Mappings, obstructed labor due to fetopelvic disproportion, unspecified converts to ICD-9-CM 660.11 (bony pelv obstruct-deliv) and 653.41 (fetopelv dispropor-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.