O64.0: Obstructed labor due to incomplete rotation of fetal head
O64.0 is a non-billable header ICD-10-CM code for obstructed labor due to incomplete rotation of fetal head. 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 O64. 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 O64 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.
- Deep transverse arrest
- Obstructed labor due to persistent occipitoiliac (position)
- Obstructed labor due to persistent occipitoposterior (position)
- Obstructed labor due to persistent occipitosacral (position)
- Obstructed labor due to persistent occipitotransverse (position)
Other codes that can never be billed with O64.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- O32Maternal care for malpresentation of fetus
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Arrest, arrested›deep transverse
- Arrest, arrested›transverse(deep)
- Transverse›arrest, in labor(deep)
- Delivery›complicated›by›obstructed labor›due to›deep transverse arrest
- Delivery›complicated›by›obstructed labor›due to›incomplete rotation of fetal head
- Delivery›complicated›by›obstructed labor›due to›persistent›occipitoiliac
- Delivery›complicated›by›obstructed labor›due to›persistent›occipitoposterior
- Delivery›complicated›by›obstructed labor›due to›persistent›occipitosacral
- Delivery›complicated›by›obstructed labor›due to›persistent›occipitotransverse
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead O64.0
7 child codes. Green means billable.
- O64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
- O64.0XX1Obstructed labor due to incomplete rotation of fetal head, fetus 1
- O64.0XX2Obstructed labor due to incomplete rotation of fetal head, fetus 2
- O64.0XX3Obstructed labor due to incomplete rotation of fetal head, fetus 3
- O64.0XX4Obstructed labor due to incomplete rotation of fetal head, fetus 4
- O64.0XX5Obstructed labor due to incomplete rotation of fetal head, fetus 5
- O64.0XX9Obstructed labor due to incomplete rotation of fetal head, other fetus
Other codes under O64
- O64.1Obstructed labor due to breech presentation
- O64.2Obstructed labor due to face presentation
- O64.3Obstructed labor due to brow presentation
- O64.4Obstructed labor due to shoulder presentation
- O64.5Obstructed labor due to compound presentation
- O64.8Obstructed labor due to other malposition and malpresentation
- O64.9Obstructed labor due to malposition and malpresentation, unspecified