Is O65.5 a billable ICD-10-CM code?

Yes. O65.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O65.5 sit in the tabular list?

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

O65.5

O65.5 — Obstructed labor due to abnormality of maternal pelvic organs

Billable / specific codeICD-10-CM

O65.5 is a billable, specific ICD-10-CM code for obstructed labor due to abnormality of maternal pelvic organs. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

code to identify abnormality of pelvic organs O34.-

Inclusion terms

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

Obstructed labor due to conditions listed in O34.-

Other codes that can never be billed with O65.5

These codes carry an Excludes1 note pointing at O65.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O65.5 alone.

N85.4Malposition of uterus
N88.2Stricture and stenosis of cervix uteri

Risk adjustment

O65.5 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 O65.5 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 O65.5.

Bicornate or bicornis uterus›in pregnancy or childbirth›causing obstructed labor
Cystocele›in pregnancy or childbirth›causing obstructed labor
Fibroid›in pregnancy or childbirth›causing obstructed labor
Fibrosis, fibrotic›perineum, in pregnancy or childbirth›causing obstructed labor
Prolapse, prolapsed›cervix, cervical›anterior lip, obstructing labor
Tumor›vulva or perineum, in pregnancy or childbirth›causing obstructed labor
Atresia, atretic›cervix›in pregnancy or childbirth›causing obstructed labor
Cyst›ovary, ovarian›in pregnancy or childbirth›with obstructed labor
Cyst›pelvis, female›in pregnancy or childbirth›causing obstructed labor
Deformity›soft parts, organs or tissues›in pregnancy or childbirth NEC›causing obstructed labor
Delivery›cesarean›polyp, cervix›causing obstructed labor
Delivery›complicated›by›female genital mutilation

Related codes at this level

Codes that share O65. If O65.5 is not quite right, the correct code is usually one of these.

Questions about O65.5

Is O65.5 a billable ICD-10-CM code?: Yes. O65.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O65.5 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).