ICD-10-CM Codes
O00-O9A
O60-O77
O62-
2023 ICD-10-CM Diagnosis Code O62.4

2023 ICD-10-CM Diagnosis Code O62.4

Hypertonic, incoordinate, and prolonged uterine contractions

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

Maternity Dx (12-55 years)

Female Dx

O62.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM O62.4 became effective on October 1, 2022.
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.
O62.4 is applicable to female patients.

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
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
2023 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 v40.0):

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
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): 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 2022 2023 Billable/Specific Code Female Dx
  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 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - 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 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      - 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 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - hypertonic O62.4
Dystocia O66.9
ICD-10-CM Diagnosis Code O66.9
Obstructed labor, unspecified
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
Type 2 Excludes
carpopedal spasm (R29.0)
charley-horse (M62.831)
infantile spasms (G40.4-)
muscle spasm of back (M62.830)
muscle spasm of calf (M62.831)
- uterus N85.8
  ICD-10-CM Diagnosis Code N85.8
  Other specified noninflammatory disorders of uterus
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  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.

2023 ICD-10-CM Diagnosis Code O62.4

Hypertonic, incoordinate, and prolonged uterine contractions

Obstructed labor, unspecified

Pregnancy, childbirth and the puerperium

Other specified noninflammatory disorders of uterus

Complication of labor and delivery, unspecified

Abnormality of forces of labor, unspecified

Abnormality of forces of labor, unspecified

Obstructed labor, unspecified

Cramp and spasm

Other specified noninflammatory disorders of uterus