O64.4

O64.4: Obstructed labor due to shoulder presentation

Non-billable headerICD-10-CM

O64.4 is a non-billable header ICD-10-CM code for obstructed labor due to shoulder presentation. 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

Excludes1: never code together

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

impacted shoulders (O66.0)
shoulder dystocia (O66.0)

Inclusion terms

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

Prolapsed arm

Other codes that can never be billed with O64.4

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

Prolapse, prolapsed›arm or hand›causing obstructed labor
Delivery›complicated›by›shoulder presentation
Delivery›complicated›by›obstructed labor›due to›prolapsed arm
Delivery›complicated›by›obstructed labor›due to›shoulder presentation

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O64.4

7 child codes. Green means billable.