2021 ICD-10-CM Diagnosis Code O62.4

Hypertonic, incoordinate, and prolonged uterine contractions

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
  • O62.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM O62.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of O62.4 - other international versions of ICD-10 O62.4 may differ.
ICD-10-CM Coding Rules
  • O62.4 is applicable to maternity patients aged 12 - 55 years inclusive.
Applicable To
  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O62.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dystocia (fetal) (maternal) NOS (
    ICD-10-CM Diagnosis Code O66.9

    Obstructed labor, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Dystocia NOS
    • Fetal dystocia NOS
    • Maternal dystocia NOS
    O66.9
    )
The following code(s) above O62.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O62.4:
  • O00-O9A
    2021 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
Approximate Synonyms
  • Dyscoordinate labor
  • Hypertonic contractions
  • Hypertonic uterine contractions in pregnancy
  • Incoordinate uterine contractions in pregnancy
  • Persistent uterine contraction
  • Prolonged uterine contractions in pregnancy
ICD-10-CM O62.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 817 Other antepartum diagnoses with o.r. Procedures with mcc
  • 818 Other antepartum diagnoses with o.r. Procedures with cc
  • 819 Other antepartum diagnoses with o.r. Procedures without cc/mcc
  • 831 Other antepartum diagnoses without o.r. Procedures with mcc
  • 832 Other antepartum diagnoses without o.r. Procedures with cc
  • 833 Other antepartum diagnoses without o.r. Procedures without cc/mcc

Convert O62.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to O62.4:
  • Bandl's ring O62.4 (contraction)
  • Constriction - see also Stricture
    • ring dystocia O62.4 (uterus)
  • Contraction(s)
    • hourglass
      • uterus O62.4 (complicating delivery)
    • uterus N85.8
      ICD-10-CM Diagnosis Code N85.8

      Other specified noninflammatory disorders of uterus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Atrophy of uterus, acquired
      • Fibrosis of uterus NOS
      • clonic O62.4 (complicating delivery)
      • dyscoordinate O62.4 (complicating delivery)
      • hourglass O62.4 (complicating delivery)
      • hypertonic O62.4
      • incoordinate O62.4 (complicating delivery)
      • tetanic O62.4 (complicating delivery)
    • ring O62.4 (Bandl's) (complicating delivery)
  • Delivery (childbirth) (labor)
    • cesarean (for)
      • incoordinate uterine action O62.4
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      • by
        • dysfunction, uterus NOS O62.9
          ICD-10-CM Diagnosis Code O62.9

          Abnormality of forces of labor, unspecified

            2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
          • hypertonic O62.4
          • incoordinate O62.4
        • Bandl's ring O62.4
        • contraction, contracted ring O62.4
        • hourglass contraction, uterus O62.4
        • incoordinate uterus contractions O62.4
        • pathological retraction ring, uterus O62.4
        • spasm, cervix O62.4
        • tetanic uterus O62.4
  • Dysfunction
    • uterus, complicating delivery O62.9
      ICD-10-CM Diagnosis Code O62.9

      Abnormality of forces of labor, unspecified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
      • hypertonic O62.4
  • Dystocia O66.9
    ICD-10-CM Diagnosis Code O66.9

    Obstructed labor, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Dystocia NOS
    • Fetal dystocia NOS
    • Maternal dystocia NOS
    • contraction ring O62.4
    • uterine NEC O62.4
  • Hypertony, hypertonia, hypertonicity
    • uterus, uterine O62.4 (contractions) (complicating delivery)
  • Incoordinate, incoordination
    • uterus O62.4 (action) (contractions) (complicating delivery)
  • Prolonged, prolongation (of)
    • uterine contractions in labor O62.4
  • Retraction
    • ring, uterus O62.4 (Bandl's) (pathological)
  • Ring(s)
    • Bandl's O62.4
    • contraction, complicating delivery O62.4
    • retraction, uterus, pathological O62.4
  • Spasm(s) R25.2
    - see also condition
    ICD-10-CM Diagnosis Code R25.2

    Cramp and spasm

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 2 Excludes
    • uterus N85.8
      ICD-10-CM Diagnosis Code N85.8

      Other specified noninflammatory disorders of uterus

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Atrophy of uterus, acquired
      • Fibrosis of uterus NOS
      • complicating labor O62.4
    • cervix, complicating delivery O62.4

ICD-10-CM Codes Adjacent To O62.4
O61 Failed induction of labor
O61.0 Failed medical induction of labor
O61.1 Failed instrumental induction of labor
O61.8 Other failed induction of labor
O61.9 Failed induction of labor, unspecified
O62 Abnormalities of forces of labor
O62.0 Primary inadequate contractions
O62.1 Secondary uterine inertia
O62.2 Other uterine inertia
O62.3 Precipitate labor
O62.4 Hypertonic, incoordinate, and prolonged uterine contractions
O62.8 Other abnormalities of forces of labor
O62.9 Abnormality of forces of labor, unspecified
O63 Long labor
O63.0 Prolonged first stage (of labor)
O63.1 Prolonged second stage (of labor)
O63.2 Delayed delivery of second twin, triplet, etc.
O63.9 Long labor, unspecified
O64 Obstructed labor due to malposition and malpresentation of fetus
O64.0 Obstructed labor due to incomplete rotation of fetal head
O64.0XX0 …… not applicable or unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.