Is O65.4 a billable ICD-10-CM code?

Yes. O65.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O65.4 sit in the tabular list?

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

What cannot be coded together with O65.4?

O65.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O65.4

O65.4 — Obstructed labor due to fetopelvic disproportion, unspecified

Billable / specific codeICD-10-CM

O65.4 is a billable, specific ICD-10-CM code for obstructed labor due to fetopelvic disproportion, unspecified. It is valid for submission on a claim.

Excludes1 — never code together

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

dystocia due to abnormality of fetus (O66.2-O66.3)

Risk adjustment

O65.4 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 O65.4 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 O65.4.

Delivery›complicated›by›obstructed labor›due to›fetopelvic disproportion

Related codes at this level

Codes that share O65. If O65.4 is not quite right, the correct code is usually one of these.

Questions about O65.4

Is O65.4 a billable ICD-10-CM code?: Yes. O65.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O65.4 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).
What cannot be coded together with O65.4?: O65.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.