Is O32.1XX5 a billable ICD-10-CM code?

Yes. O32.1XX5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O32.1XX5 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).

What cannot be coded together with O32.1XX5?

O32.1XX5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O32.1XX5 (O32.1, O32) and apply to it just the same.

O32.1XX5

O32.1XX5 — Maternal care for breech presentation, fetus 5

Billable / specific codeICD-10-CM

O32.1XX5 is a billable, specific ICD-10-CM code for maternal care for breech presentation, fetus 5. It is valid for submission on a claim.

7th character "5" — fetus 5

One of the following 7th characters is to be assigned to each code under category O32. 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 O32 that has a 7th character of 1 through 9.

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

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

footling presentation (O32.8)
incomplete breech (O32.8)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Maternal care for buttocks presentation
Maternal care for complete breech
Maternal care for frank breech

Excludes1 inherited from the categories above O32.1XX5

These are not written on O32.1XX5, but they bind it: a note on a category applies to every code beneath it. Billing O32.1XX5 with anything listed here is a denial.

Written on O32.1 — Maternal care for breech presentation

footling presentation (O32.8)
incomplete breech (O32.8)

Written on O32 — Maternal care for malpresentation of fetus

malpresentation of fetus with obstructed labor (O64.-)

Risk adjustment

O32.1XX5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

O32.1XX5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share O32.1. If O32.1XX5 is not quite right, the correct code is usually one of these.

Questions about O32.1XX5

Is O32.1XX5 a billable ICD-10-CM code?: Yes. O32.1XX5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O32.1XX5 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).
What cannot be coded together with O32.1XX5?: O32.1XX5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O32.1XX5 (O32.1, O32) and apply to it just the same.