2020 ICD-10-CM Diagnosis Code O65.4

Obstructed labor due to fetopelvic disproportion, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • O65.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Obstructed labor due to fetopelvic disproportion, unsp
  • The 2020 edition of ICD-10-CM O65.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O65.4 - other international versions of ICD-10 O65.4 may differ.
ICD-10-CM Coding Rules
  • O65.4 is applicable to maternity patients aged 12 - 55 years inclusive.
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 O65.4. 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 due to abnormality of fetus (
    ICD-10-CM Diagnosis Code O66.2

    Obstructed labor due to unusually large fetus

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    O66.2-
    ICD-10-CM Diagnosis Code O66.3

    Obstructed labor due to other abnormalities of fetus

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Dystocia due to fetal ascites
    • Dystocia due to fetal hydrops
    • Dystocia due to fetal meningomyelocele
    • Dystocia due to fetal sacral teratoma
    • Dystocia due to fetal tumor
    • Dystocia due to hydrocephalic fetus
    Use Additional
    • code to identify cause of obstruction
    O66.3
    )
The following code(s) above O65.4 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 O65.4:
  • O00-O9A
    2020 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
  • Obstructed labor due to fetopelvic disproportion
ICD-10-CM O65.4 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 817 Other antepartum diagnoses with o.r. Procedure with mcc
  • 818 Other antepartum diagnoses with o.r. Procedure with cc
  • 819 Other antepartum diagnoses with o.r. Procedure without cc/mcc
  • 831 Other antepartum diagnoses without o.r. Procedure with mcc
  • 832 Other antepartum diagnoses without o.r. Procedure with cc
  • 833 Other antepartum diagnoses without o.r. Procedure without cc/mcc

Convert O65.4 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

Diagnosis Index entries containing back-references to O65.4:
  • Delivery (childbirth) (labor)
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)

ICD-10-CM Codes Adjacent To O65.4
O64.9XX2 …… fetus 2
O64.9XX3 …… fetus 3
O64.9XX4 …… fetus 4
O64.9XX5 …… fetus 5
O64.9XX9 …… other fetus
O65 Obstructed labor due to maternal pelvic abnormality
O65.0 Obstructed labor due to deformed pelvis
O65.1 Obstructed labor due to generally contracted pelvis
O65.2 Obstructed labor due to pelvic inlet contraction
O65.3 Obstructed labor due to pelvic outlet and mid-cavity contraction
O65.4 Obstructed labor due to fetopelvic disproportion, unspecified
O65.5 Obstructed labor due to abnormality of maternal pelvic organs
O65.8 Obstructed labor due to other maternal pelvic abnormalities
O65.9 Obstructed labor due to maternal pelvic abnormality, unspecified
O66 Other obstructed labor
O66.0 Obstructed labor due to shoulder dystocia
O66.1 Obstructed labor due to locked twins
O66.2 Obstructed labor due to unusually large fetus
O66.3 Obstructed labor due to other abnormalities of fetus
O66.4 Failed trial of labor
O66.40 …… unspecified

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