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O62.4

O62.4Hypertonic, incoordinate, and prolonged uterine contractions

Billable / specific codeICD-10-CM

O62.4 is a billable, specific ICD-10-CM code for hypertonic, incoordinate, and prolonged uterine contractions. It is valid for submission on a claim.

Excludes1 — never code together

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

  • dystocia (fetal) (maternal) NOS (O66.9)

Inclusion terms

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

  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm

Risk adjustment

O62.4 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 O62.4 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 O62.4.

  • Bandl's ring, complicating delivery(contraction)
  • Constrictionring dystocia(uterus)
  • Contraction, contracture, contractedring(Bandl's) (complicating delivery)
  • Dystociacontraction ring
  • Dystociauterine NEC
  • Hypertony, hypertonia, hypertonicityuterus, uterine(contractions) (complicating delivery)
  • Incoordinate, incoordinationuterus(action) (contractions) (complicating delivery)
  • Prolonged, prolongationuterine contractions in labor
  • Retractionring, uterus(Bandl's) (pathological)
  • RingBandl's
  • Ringcontraction, complicating delivery
  • Ringretraction, uterus, pathological

Related codes at this level

Codes that share O62. If O62.4 is not quite right, the correct code is usually one of these.

Questions about O62.4

Is O62.4 a billable ICD-10-CM code?
Yes. O62.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O62.4 sit in the tabular list?
Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).
What cannot be coded together with O62.4?
O62.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.