2027 ICD-10-CM Diagnosis Code O65.5Obstructed labor due to abnormality of maternal pelvic organs

ICD-10-CM Codes›O00-O9A›O60-O77›O65

ICD-10-CM O65.5
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O65.5 is a billable ICD-10-CM diagnosis code for obstructed labor due to abnormality of maternal pelvic organs. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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 maternal dystocia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O65.5
Billable Status
Yes — Valid for Submission
Code Describes
Obstructed labor due to abnormality of maternal pelvic organs
Short Description
Obstructed labor due to abnlt of maternal pelvic organs
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 CodeO65.5Obstructed labor due to abnormality of maternal pelvic organs

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O65.5.

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.

  • Maternal dystocia
  • Obstructed labor caused by pelvic soft tissues
  • Obstructed labor due to abnormality of maternal pelvic organs
  • Prolapse of anterior lip of cervix obstructing labor
  • Stenosis of cervix in pregnancy, childbirth and the puerperium
  • Uterine prolapse in pregnancy

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O65.5: its own notes plus those printed at Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Obstructed labor due to conditions listed in O34.-

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.

On O65.5 itself
  • code to identify abnormality of pelvic organs O34.-
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

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O65.5, its category, or a range that includes it.

Applicable To 1

These notes mention O65.5.

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

Excludes1 3

These codes carry an Excludes1 note naming O65.5: they are not reported together with it, unless the two conditions are unrelated.

  • N85.4 Malposition of uterus
    malposition of uterus complicating pregnancy, labor or delivery (O34.5-, O65.5)
  • N88.2 Stricture and stenosis of cervix uteri
    stricture and stenosis of cervix uteri complicating labor (O65.5)
  • O33 Maternal care for disproportion
    disproportion with obstructed labor (O65-O66) names O65-O66, which includes this code

Code First 1

These codes say to code first a condition named in the note, and O65.5 is one of the conditions named.

  • O34 Maternal care for abnormality of pelvic organs
    any associated obstructed labor (O65.5)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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 O65.5 to ICD-9-CMHistory

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

ICD-9-CM
660.21 Abn pelv tis obstr-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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O65.5Overview

What is the ICD-10 code for obstructed labor due to abnormality of maternal pelvic organs?

The ICD-10-CM code for obstructed labor due to abnormality of maternal pelvic organs is O65.5 (sometimes written as O655). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is O65.5 (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 abnormality of maternal pelvic organs on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does O65.5 group to?

When obstructed labor due to abnormality of maternal pelvic organs is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O65.5 be reported for?

The Medicare Code Editor checks obstructed labor due to abnormality of maternal pelvic organs against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

Does O65.5 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code to identify abnormality of pelvic organs O34.-. The additional code is reported after O65.5.