ICD-10-CM Codes
O00-O9A Pregnancy, childbirth and the puerperium
O60-O77 Complications of labor and delivery
O64- Obstructed labor due to malposition and malpresentation of fetus

2018/2019 ICD-10-CM Diagnosis Code O64.4

Obstructed labor due to shoulder presentation

2016

2017

2018

2019

Non-Billable/Non-Specific Code

O64.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018/2019 edition of ICD-10-CM O64.4 became effective on October 1, 2018.
This is the American ICD-10-CM version of O64.4 - other international versions of ICD-10 O64.4 may differ.

Applicable To

Prolapsed arm

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 O64.4. 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.

impacted shoulders (
ICD-10-CM Diagnosis Code O66.0
Obstructed labor due to shoulder dystocia
Applicable To
- Impacted shoulders
O66.0
)
shoulder dystocia (
ICD-10-CM Diagnosis Code O66.0
Obstructed labor due to shoulder dystocia
Applicable To
- Impacted shoulders
O66.0
)

The following code(s) above O64.4 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 O64.4:

O00-O9A
2019 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

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

Diagnosis Index entries containing back-references to O64.4:

Delivery (childbirth) (labor)
- complicated O75.9
  ICD-10-CM Diagnosis Code O75.9
  Complication of labor and delivery, unspecified
  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - by
    - obstructed labor
      - due to
        prolapsed arm O64.4
        shoulder presentation O64.4
    - shoulder presentation O64.4
Prolapse, prolapsed
- arm or hand O32.2
  ICD-10-CM Diagnosis Code O32.2
  Maternal care for transverse and oblique lie
  2016 2017 2018 2019 Non-Billable/Non-Specific Code
  Applicable To
  Maternal care for oblique presentation
  Maternal care for transverse presentation
  - causing obstructed labor O64.4

ICD-10-CM Codes Adjacent To O64.4

O64.2XX5 …… fetus 5

O64.2XX9 …… other fetus

O64.3 Obstructed labor due to brow presentation

O64.3XX0 …… not applicable or unspecified

O64.3XX1 …… fetus 1

O64.3XX2 …… fetus 2

O64.3XX3 …… fetus 3

O64.3XX4 …… fetus 4

O64.3XX5 …… fetus 5

O64.3XX9 …… other fetus

O64.4 Obstructed labor due to shoulder presentation

O64.4XX0 …… not applicable or unspecified

O64.4XX1 …… fetus 1

O64.4XX2 …… fetus 2

O64.4XX3 …… fetus 3

O64.4XX4 …… fetus 4

O64.4XX5 …… fetus 5

O64.4XX9 …… other fetus

O64.5 Obstructed labor due to compound presentation

O64.5XX0 …… not applicable or unspecified

O64.5XX1 …… fetus 1

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

2018/2019 ICD-10-CM Diagnosis Code O64.4

Obstructed labor due to shoulder presentation

Obstructed labor due to shoulder dystocia

Obstructed labor due to shoulder dystocia

Pregnancy, childbirth and the puerperium

Complication of labor and delivery, unspecified

Maternal care for transverse and oblique lie