MCMedicalCodingSoftware
O64.9

O64.9: Obstructed labor due to malposition and malpresentation, unspecified

Non-billable headerICD-10-CM

O64.9 is a non-billable header ICD-10-CM code for obstructed labor due to malposition and malpresentation, unspecified. 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

Other codes that can never be billed with O64.9

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

  • Dystocia›positional
  • Delivery›complicated›by›obstructed labor›due to›malposition
  • Delivery›complicated›by›obstructed labor›due to›malpresentation

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead O64.9

7 child codes. Green means billable.

Other codes under O64

ICD-10-CMFY2027· effective October 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.