O66.5
O66.5 — Attempted application of vacuum extractor and forceps
Billable / specific codeICD-10-CMPOA exempt
O66.5 is a billable, specific ICD-10-CM code for attempted application of vacuum extractor and forceps. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
Risk adjustment
O66.5 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 O66.5 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 O66.5.
- Delivery›forceps, low following failed vacuum extraction
- Failure, failed›forceps NOS(with subsequent cesarean delivery)
- Failure, failed›vacuum extraction NOS(with subsequent cesarean delivery)
- Failure, failed›ventouse NOS(with subsequent cesarean delivery)
- Delivery›cesarean›failed›forceps
- Delivery›cesarean›failed›vacuum extraction
- Delivery›cesarean›failed›ventouse
- Delivery›complicated›by›attempted vacuum extraction and forceps
Related codes at this level
Codes that share O66. If O66.5 is not quite right, the correct code is usually one of these.
- O66.0Obstructed labor due to shoulder dystocia
- O66.1Obstructed labor due to locked twins
- O66.2Obstructed labor due to unusually large fetus
- O66.3Obstructed labor due to other abnormalities of fetus
- O66.4Failed trial of labor
- O66.6Obstructed labor due to other multiple fetuses
- O66.8Other specified obstructed labor
- O66.9Obstructed labor, unspecified
Questions about O66.5
- Is O66.5 a billable ICD-10-CM code?
- Yes. O66.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O66.5 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).