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

ICD-10-CM Diagnosis Code (2025)

Official Description for O64

Obstructed labor due to malposition and malpresentation of fetus

Coding Notes & Guidelines for O64

Excludes1: Not Coded Here
  • impacted shoulders (O66.0)
  • shoulder dystocia (O66.0)
Inclusion Terms
  • Deep transverse arrest
  • Obstructed labor due to persistent occipitoiliac (position)
  • Obstructed labor due to persistent occipitoposterior (position)
  • Obstructed labor due to persistent occipitosacral (position)
  • Obstructed labor due to persistent occipitotransverse (position)
Inclusion Terms
  • Obstructed labor due to buttocks presentation
  • Obstructed labor due to complete breech presentation
  • Obstructed labor due to frank breech presentation
Inclusion Terms

Obstructed labor due to chin presentation

Inclusion Terms

Prolapsed arm

Inclusion Terms
  • Obstructed labor due to footling presentation
  • Obstructed labor due to incomplete breech presentation
7th Character Guidance

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, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.

7th Character Definitions
  • 0: not applicable or unspecified
  • 1: fetus 1
  • 2: fetus 2
  • 3: fetus 3
  • 4: fetus 4
  • 5: fetus 5
  • 9: other fetus

Child Codes (More Specific Codes for O64):

O64.0 - Obstructed labor due to incomplete rotation of fetal head O64.1 - Obstructed labor due to breech presentation O64.2 - Obstructed labor due to face presentation O64.3 - Obstructed labor due to brow presentation O64.4 - Obstructed labor due to shoulder presentation O64.5 - Obstructed labor due to compound presentation O64.8 - Obstructed labor due to other malposition and malpresentation O64.9 - Obstructed labor due to malposition and malpresentation, unspecified

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

ICD-10-CM code O64 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM O64 became effective on October 1, 2024.

This page provides detailed information about O64 - Obstructed labor due to malposition and malpresentation of fetus. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Obstructed labor due to malposition and malpresentation of fetus.