O64.4XX0

O64.4XX0: Obstructed labor due to shoulder presentation, not applicable or unspecified

Billable / specific codeICD-10-CM

O64.4XX0 is a billable, specific ICD-10-CM code for obstructed labor due to shoulder presentation, not applicable or unspecified. It is valid for submission on a claim.

Check O64.4XX0 with the rest of the claim: free scrubber

7th character "0": not applicable or unspecified

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

Excludes1 inherited from the categories above O64.4XX0

A category’s note binds every code beneath it.

Written on O64.4: Obstructed labor due to shoulder presentation

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

Other codes that can never be billed with O64.4XX0

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.

Code history

Unchanged in every release from FY2024 to FY2027.