ICD-10-CM Tabular Index · Chapter 15 · FY 2026 O64

Obstructed labor due to malposition and malpresentation of fetus (O64) ICD-10-CM

The O64 code range covers obstructed labor due to malposition and malpresentation of fetus with 65 ICD-10-CM diagnosis codes. 56 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
65
Diagnosis Codes
56
Billable Codes
O64
Code Range
O60–O77
Parent Section

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

ICD-10-CM

Codes in the O64 Range 65 codes · 56 billable

65 of 65 shown
  • O64 Obstructed labor due to malposition and malpresentation of fetusNon-billable
  • O64.0 Obstructed labor due to incomplete rotation of fetal headNon-billable
  • O64.0XX0 Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
  • O64.0XX1 Obstructed labor due to incomplete rotation of fetal head, fetus 1
  • O64.0XX2 Obstructed labor due to incomplete rotation of fetal head, fetus 2
  • O64.0XX3 Obstructed labor due to incomplete rotation of fetal head, fetus 3
  • O64.0XX4 Obstructed labor due to incomplete rotation of fetal head, fetus 4
  • O64.0XX5 Obstructed labor due to incomplete rotation of fetal head, fetus 5
  • O64.0XX9 Obstructed labor due to incomplete rotation of fetal head, other fetus
  • O64.1 Obstructed labor due to breech presentationNon-billable
  • O64.1XX0 Obstructed labor due to breech presentation, not applicable or unspecified
  • O64.1XX1 Obstructed labor due to breech presentation, fetus 1
  • O64.1XX2 Obstructed labor due to breech presentation, fetus 2
  • O64.1XX3 Obstructed labor due to breech presentation, fetus 3
  • O64.1XX4 Obstructed labor due to breech presentation, fetus 4
  • O64.1XX5 Obstructed labor due to breech presentation, fetus 5
  • O64.1XX9 Obstructed labor due to breech presentation, other fetus
  • O64.2 Obstructed labor due to face presentationNon-billable
  • O64.2XX0 Obstructed labor due to face presentation, not applicable or unspecified
  • O64.2XX1 Obstructed labor due to face presentation, fetus 1
  • O64.2XX2 Obstructed labor due to face presentation, fetus 2
  • O64.2XX3 Obstructed labor due to face presentation, fetus 3
  • O64.2XX4 Obstructed labor due to face presentation, fetus 4
  • O64.2XX5 Obstructed labor due to face presentation, fetus 5
  • O64.2XX9 Obstructed labor due to face presentation, other fetus
  • O64.3 Obstructed labor due to brow presentationNon-billable
  • O64.3XX0 Obstructed labor due to brow presentation, not applicable or unspecified
  • O64.3XX1 Obstructed labor due to brow presentation, fetus 1
  • O64.3XX2 Obstructed labor due to brow presentation, fetus 2
  • O64.3XX3 Obstructed labor due to brow presentation, fetus 3
  • O64.3XX4 Obstructed labor due to brow presentation, fetus 4
  • O64.3XX5 Obstructed labor due to brow presentation, fetus 5
  • O64.3XX9 Obstructed labor due to brow presentation, other fetus
  • O64.4 Obstructed labor due to shoulder presentationNon-billable
  • O64.4XX0 Obstructed labor due to shoulder presentation, not applicable or unspecified
  • O64.4XX1 Obstructed labor due to shoulder presentation, fetus 1
  • O64.4XX2 Obstructed labor due to shoulder presentation, fetus 2
  • O64.4XX3 Obstructed labor due to shoulder presentation, fetus 3
  • O64.4XX4 Obstructed labor due to shoulder presentation, fetus 4
  • O64.4XX5 Obstructed labor due to shoulder presentation, fetus 5
  • O64.4XX9 Obstructed labor due to shoulder presentation, other fetus
  • O64.5 Obstructed labor due to compound presentationNon-billable
  • O64.5XX0 Obstructed labor due to compound presentation, not applicable or unspecified
  • O64.5XX1 Obstructed labor due to compound presentation, fetus 1
  • O64.5XX2 Obstructed labor due to compound presentation, fetus 2
  • O64.5XX3 Obstructed labor due to compound presentation, fetus 3
  • O64.5XX4 Obstructed labor due to compound presentation, fetus 4
  • O64.5XX5 Obstructed labor due to compound presentation, fetus 5
  • O64.5XX9 Obstructed labor due to compound presentation, other fetus
  • O64.8 Obstructed labor due to other malposition and malpresentationNon-billable
  • O64.8XX0 Obstructed labor due to other malposition and malpresentation, not applicable or unspecified
  • O64.8XX1 Obstructed labor due to other malposition and malpresentation, fetus 1
  • O64.8XX2 Obstructed labor due to other malposition and malpresentation, fetus 2
  • O64.8XX3 Obstructed labor due to other malposition and malpresentation, fetus 3
  • O64.8XX4 Obstructed labor due to other malposition and malpresentation, fetus 4
  • O64.8XX5 Obstructed labor due to other malposition and malpresentation, fetus 5
  • O64.8XX9 Obstructed labor due to other malposition and malpresentation, other fetus
  • O64.9 Obstructed labor due to malposition and malpresentation, unspecifiedNon-billable
  • O64.9XX0 Obstructed labor due to malposition and malpresentation, unspecified, not applicable or unspecified
  • O64.9XX1 Obstructed labor due to malposition and malpresentation, unspecified, fetus 1
  • O64.9XX2 Obstructed labor due to malposition and malpresentation, unspecified, fetus 2
  • O64.9XX3 Obstructed labor due to malposition and malpresentation, unspecified, fetus 3
  • O64.9XX4 Obstructed labor due to malposition and malpresentation, unspecified, fetus 4
  • O64.9XX5 Obstructed labor due to malposition and malpresentation, unspecified, fetus 5
  • O64.9XX9 Obstructed labor due to malposition and malpresentation, unspecified, other fetus

About the O64 Code Range

ICD-10 code O64 covers obstructed labor caused by the fetus being in an abnormal position or presentation during childbirth. This category includes detailed subcodes that specify the exact type of fetal malposition or malpresentation, such as incomplete rotation of the fetal head, breech, face, brow, shoulder, or compound presentations, helping healthcare providers document and classify labor complications precisely.

The codes from O64.0 to O64.9 are used for different scenarios of obstructed labor due to fetal malpositions. For example, O64.0XX0 is for incomplete rotation of the fetal head, a condition also known by terms like deep transverse arrest or persistent occipitoposterior position. O64.1XX0 identifies obstructed labor from breech presentation, while codes such as O64.2XX0 and O64.3XX0 address face and brow presentations respectively—both types of fetal dystocia. O64.4XX0 includes labor obstructed by shoulder presentation, sometimes linked to prolapsed fetal arms. The code O64.5XX0 represents compound presentations where multiple fetal parts present together. Unspecified or other malpositions fall under O64.8XX0 and O64.9XX0. These codes assist medical coders and professionals in capturing precise labor difficulties linked to abnormal fetal positions, improving care documentation and treatment planning.

Questions About This Page

How many billable codes are in the O64 range?

Of the 65 codes in this range, 56 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.

What does the O64 range classify?

The range classifies obstructed labor due to malposition and malpresentation of fetus. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.

Related References

Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.