O32.4 — Maternal care for high head at term
O32.4 is a non-billable header ICD-10-CM code for maternal care for high head at term. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Maternal care for failure of head to enter pelvic brim
Risk adjustment
O32.4 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.
How O32.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O32.4.
- Failure, failed›descent of head(at term) of pregnancy (mother)
- Failure, failed›engagement of head(term of pregnancy) (mother)
- High›head at term
- Nonengagement›head NEC
- Delivery›cesarean›high head at term
- Pregnancy›complicated by›high›head at term
- Delivery›complicated›by›malposition, malpresentation›without obstruction›high head
Code to one of these instead O32.4
7 child codes. Green means billable.
- O32.4XX0Maternal care for high head at term, not applicable or unspecified
- O32.4XX1Maternal care for high head at term, fetus 1
- O32.4XX2Maternal care for high head at term, fetus 2
- O32.4XX3Maternal care for high head at term, fetus 3
- O32.4XX4Maternal care for high head at term, fetus 4
- O32.4XX5Maternal care for high head at term, fetus 5
- O32.4XX9Maternal care for high head at term, other fetus
Related codes at this level
Codes that share O32. If O32.4 is not quite right, the correct code is usually one of these.
- O32.0Maternal care for unstable lie
- O32.1Maternal care for breech presentation
- O32.2Maternal care for transverse and oblique lie
- O32.3Maternal care for face, brow and chin presentation
- O32.6Maternal care for compound presentation
- O32.8Maternal care for other malpresentation of fetus
- O32.9Maternal care for malpresentation of fetus, unspecified
Questions about O32.4
- Is O32.4 a billable ICD-10-CM code?
- No. O32.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O32.4 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).