Is O32.8 a billable ICD-10-CM code?

No. O32.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O32.8 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).

O32.8

O32.8 — Maternal care for other malpresentation of fetus

Non-billable headerICD-10-CM

O32.8 is a non-billable header ICD-10-CM code for maternal care for other malpresentation of fetus. 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 footling presentation
Maternal care for incomplete breech

Other codes that can never be billed with O32.8

These codes carry an Excludes1 note pointing at O32.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O32.8 alone.

O32.1Maternal care for breech presentation
O32.1XX0Maternal care for breech presentation, not applicable or unspecified
O32.1XX1Maternal care for breech presentation, fetus 1
O32.1XX2Maternal care for breech presentation, fetus 2
O32.1XX3Maternal care for breech presentation, fetus 3
O32.1XX4Maternal care for breech presentation, fetus 4
O32.1XX5Maternal care for breech presentation, fetus 5
O32.1XX9Maternal care for breech presentation, other fetus

Risk adjustment

O32.8 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 O32.8 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 O32.8.

Breech presentation›footling
Breech presentation›incomplete
Delivery›cesarean›breech presentation›incomplete
Delivery›complicated›by›prolapse›foot or leg
Delivery›complicated›by›malposition, malpresentation›without obstruction›footling
Delivery›complicated›by›malposition, malpresentation›without obstruction›specified NEC

Code to one of these instead O32.8

7 child codes. Green means billable.

Related codes at this level

Codes that share O32. If O32.8 is not quite right, the correct code is usually one of these.

Questions about O32.8

Is O32.8 a billable ICD-10-CM code?: No. O32.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O32.8 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).