Obstructed labor due to malposition and malpresentation of fetus (O64)

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.

  • Pregnancy, childbirth and the puerperium (O00-O9A)

    • Complications of labor and delivery (O60-O77)

        • Obstructed labor due to malposition and malpresentation of fetus (O64)

        • O64 Obstructed labor due to malposition and malpresentation of fetus
        • O64.0 Obstructed labor due to incomplete rotation of fetal head
        • 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 presentation
        • 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 presentation
        • 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 presentation
        • 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 presentation
        • 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 presentation
        • 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 malpresentation
        • 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, unspecified
        • 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

Instructional Notations

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.

  • One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30

7th Character

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

  • 0 - not applicable or unspecified
  • 1 - fetus 1
  • 2 - fetus 2
  • 3 - fetus 3
  • 4 - fetus 4
  • 5 - fetus 5
  • 9 - other fetus