Is O63.1 a billable ICD-10-CM code?

Yes. O63.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O63.1 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).

O63.1

O63.1 — Prolonged second stage (of labor)

Billable / specific codeICD-10-CM

O63.1 is a billable, specific ICD-10-CM code for prolonged second stage (of labor). It is valid for submission on a claim.

Risk adjustment

O63.1 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 O63.1 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 O63.1.

Long›labor›second stage
Prolonged, prolongation›labor›second stage
Delivery›complicated›by›prolonged labor›second stage

Related codes at this level

Codes that share O63. If O63.1 is not quite right, the correct code is usually one of these.

Questions about O63.1

Is O63.1 a billable ICD-10-CM code?: Yes. O63.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O63.1 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).