2019 ICD-10-CM Diagnosis Code O65.5

Obstructed labor due to abnormality of maternal pelvic organs

    2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O65.5 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 abnlt of maternal pelvic organs
  • The 2019 edition of ICD-10-CM O65.5 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O65.5 - other international versions of ICD-10 O65.5 may differ.
ICD-10-CM Coding Rules
  • O65.5 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O65.5 is applicable to female patients.
Applicable To
  • Obstructed labor due to conditions listed in
    ICD-10-CM Diagnosis Code O34
    • O34 Maternal care for abnormality of pelvic organ...
      • O34.0 Maternal care for congenital malformation of ...
        • O34.00 Maternal care for unspecified congenital malf...
        • O34.01 Maternal care for unspecified congenital malf...
        • O34.02 Maternal care for unspecified congenital malf...
        • O34.03 Maternal care for unspecified congenital malf...
      • O34.1 Maternal care for benign tumor of corpus uter...
        • O34.10 Maternal care for benign tumor of corpus uter...
        • O34.11 Maternal care for benign tumor of corpus uter...
        • O34.12 Maternal care for benign tumor of corpus uter...
        • O34.13 Maternal care for benign tumor of corpus uter...
      • O34.2 Maternal care due to uterine scar from previo...
        • O34.21 Maternal care for scar from previous cesarean...
          • O34.211 Maternal care for low transverse scar from pr...
          • O34.212 Maternal care for vertical scar from previous...
          • O34.219 Maternal care for unspecified type scar from ...
        • O34.29 Maternal care due to uterine scar from other ...
      • O34.3 Maternal care for cervical incompetence
        • O34.30 Maternal care for cervical incompetence, unsp...
        • O34.31 Maternal care for cervical incompetence, firs...
        • O34.32 Maternal care for cervical incompetence, seco...
        • O34.33 Maternal care for cervical incompetence, thir...
      • O34.4 Maternal care for other abnormalities of cerv...
        • O34.40 Maternal care for other abnormalities of cerv...
        • O34.41 Maternal care for other abnormalities of cerv...
        • O34.42 Maternal care for other abnormalities of cerv...
        • O34.43 Maternal care for other abnormalities of cerv...
      • O34.5 Maternal care for other abnormalities of grav...
        • O34.51 Maternal care for incarceration of gravid ute...
          • O34.511 Maternal care for incarceration of gravid ute...
          • O34.512 Maternal care for incarceration of gravid ute...
          • O34.513 Maternal care for incarceration of gravid ute...
          • O34.519 Maternal care for incarceration of gravid ute...
        • O34.52 Maternal care for prolapse of gravid uterus
          • O34.521 Maternal care for prolapse of gravid uterus, ...
          • O34.522 Maternal care for prolapse of gravid uterus, ...
          • O34.523 Maternal care for prolapse of gravid uterus, ...
          • O34.529 Maternal care for prolapse of gravid uterus, ...
        • O34.53 Maternal care for retroversion of gravid uter...
          • O34.531 Maternal care for retroversion of gravid uter...
          • O34.532 Maternal care for retroversion of gravid uter...
          • O34.533 Maternal care for retroversion of gravid uter...
          • O34.539 Maternal care for retroversion of gravid uter...
        • O34.59 Maternal care for other abnormalities of grav...
          • O34.591 Maternal care for other abnormalities of grav...
          • O34.592 Maternal care for other abnormalities of grav...
          • O34.593 Maternal care for other abnormalities of grav...
          • O34.599 Maternal care for other abnormalities of grav...
      • O34.6 Maternal care for abnormality of vagina
        • O34.60 Maternal care for abnormality of vagina, unsp...
        • O34.61 Maternal care for abnormality of vagina, firs...
        • O34.62 Maternal care for abnormality of vagina, seco...
        • O34.63 Maternal care for abnormality of vagina, thir...
      • O34.7 Maternal care for abnormality of vulva and pe...
        • O34.70 Maternal care for abnormality of vulva and pe...
        • O34.71 Maternal care for abnormality of vulva and pe...
        • O34.72 Maternal care for abnormality of vulva and pe...
        • O34.73 Maternal care for abnormality of vulva and pe...
      • O34.8 Maternal care for other abnormalities of pelv...
        • O34.80 Maternal care for other abnormalities of pelv...
        • O34.81 Maternal care for other abnormalities of pelv...
        • O34.82 Maternal care for other abnormalities of pelv...
        • O34.83 Maternal care for other abnormalities of pelv...
      • O34.9 Maternal care for abnormality of pelvic organ...
        • O34.90 Maternal care for abnormality of pelvic organ...
        • O34.91 Maternal care for abnormality of pelvic organ...
        • O34.92 Maternal care for abnormality of pelvic organ...
        • O34.93 Maternal care for abnormality of pelvic organ...
    O34.-
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify abnormality of pelvic organs
    ICD-10-CM Diagnosis Code O34
    • O34 Maternal care for abnormality of pelvic organ...
      • O34.0 Maternal care for congenital malformation of ...
        • O34.00 Maternal care for unspecified congenital malf...
        • O34.01 Maternal care for unspecified congenital malf...
        • O34.02 Maternal care for unspecified congenital malf...
        • O34.03 Maternal care for unspecified congenital malf...
      • O34.1 Maternal care for benign tumor of corpus uter...
        • O34.10 Maternal care for benign tumor of corpus uter...
        • O34.11 Maternal care for benign tumor of corpus uter...
        • O34.12 Maternal care for benign tumor of corpus uter...
        • O34.13 Maternal care for benign tumor of corpus uter...
      • O34.2 Maternal care due to uterine scar from previo...
        • O34.21 Maternal care for scar from previous cesarean...
          • O34.211 Maternal care for low transverse scar from pr...
          • O34.212 Maternal care for vertical scar from previous...
          • O34.219 Maternal care for unspecified type scar from ...
        • O34.29 Maternal care due to uterine scar from other ...
      • O34.3 Maternal care for cervical incompetence
        • O34.30 Maternal care for cervical incompetence, unsp...
        • O34.31 Maternal care for cervical incompetence, firs...
        • O34.32 Maternal care for cervical incompetence, seco...
        • O34.33 Maternal care for cervical incompetence, thir...
      • O34.4 Maternal care for other abnormalities of cerv...
        • O34.40 Maternal care for other abnormalities of cerv...
        • O34.41 Maternal care for other abnormalities of cerv...
        • O34.42 Maternal care for other abnormalities of cerv...
        • O34.43 Maternal care for other abnormalities of cerv...
      • O34.5 Maternal care for other abnormalities of grav...
        • O34.51 Maternal care for incarceration of gravid ute...
          • O34.511 Maternal care for incarceration of gravid ute...
          • O34.512 Maternal care for incarceration of gravid ute...
          • O34.513 Maternal care for incarceration of gravid ute...
          • O34.519 Maternal care for incarceration of gravid ute...
        • O34.52 Maternal care for prolapse of gravid uterus
          • O34.521 Maternal care for prolapse of gravid uterus, ...
          • O34.522 Maternal care for prolapse of gravid uterus, ...
          • O34.523 Maternal care for prolapse of gravid uterus, ...
          • O34.529 Maternal care for prolapse of gravid uterus, ...
        • O34.53 Maternal care for retroversion of gravid uter...
          • O34.531 Maternal care for retroversion of gravid uter...
          • O34.532 Maternal care for retroversion of gravid uter...
          • O34.533 Maternal care for retroversion of gravid uter...
          • O34.539 Maternal care for retroversion of gravid uter...
        • O34.59 Maternal care for other abnormalities of grav...
          • O34.591 Maternal care for other abnormalities of grav...
          • O34.592 Maternal care for other abnormalities of grav...
          • O34.593 Maternal care for other abnormalities of grav...
          • O34.599 Maternal care for other abnormalities of grav...
      • O34.6 Maternal care for abnormality of vagina
        • O34.60 Maternal care for abnormality of vagina, unsp...
        • O34.61 Maternal care for abnormality of vagina, firs...
        • O34.62 Maternal care for abnormality of vagina, seco...
        • O34.63 Maternal care for abnormality of vagina, thir...
      • O34.7 Maternal care for abnormality of vulva and pe...
        • O34.70 Maternal care for abnormality of vulva and pe...
        • O34.71 Maternal care for abnormality of vulva and pe...
        • O34.72 Maternal care for abnormality of vulva and pe...
        • O34.73 Maternal care for abnormality of vulva and pe...
      • O34.8 Maternal care for other abnormalities of pelv...
        • O34.80 Maternal care for other abnormalities of pelv...
        • O34.81 Maternal care for other abnormalities of pelv...
        • O34.82 Maternal care for other abnormalities of pelv...
        • O34.83 Maternal care for other abnormalities of pelv...
      • O34.9 Maternal care for abnormality of pelvic organ...
        • O34.90 Maternal care for abnormality of pelvic organ...
        • O34.91 Maternal care for abnormality of pelvic organ...
        • O34.92 Maternal care for abnormality of pelvic organ...
        • O34.93 Maternal care for abnormality of pelvic organ...
    O34.-
The following code(s) above O65.5 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 O65.5:
  • 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
Approximate Synonyms
  • Obstructed labor due to abnormality of maternal pelvic organ
ICD-10-CM O65.5 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 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 O65.5 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
Code annotations containing back-references to O65.5:
  • Code First: O34
    ICD-10-CM Diagnosis Code O34

    Maternal care for abnormality of pelvic organs

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    • any associated obstructed labor (O65.5)
    Includes
    • the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
    Use Additional
    • code for specific condition
  • Type 1 Excludes: N85.4
    , N88.2
    ICD-10-CM Diagnosis Code N85.4

    Malposition of uterus

      2016 2017 2018 2019 Billable/Specific Code Female Dx
    Applicable To
    • Anteversion of uterus
    • Retroflexion of uterus
    • Retroversion of uterus
    Type 1 Excludes
    • malposition of uterus complicating pregnancy, labor or delivery (O34.5-, O65.5)
    ICD-10-CM Diagnosis Code N88.2

    Stricture and stenosis of cervix uteri

      2016 2017 2018 2019 Billable/Specific Code Female Dx
    Type 1 Excludes
    • stricture and stenosis of cervix uteri complicating labor (O65.5)

Diagnosis Index entries containing back-references to O65.5:
  • Atresia, atretic
  • Bicornate or bicornis uterus Q51.3
    ICD-10-CM Diagnosis Code Q51.3

    Bicornate uterus

      2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
    Applicable To
    • Bicornate uterus, complete or partial
    • in pregnancy or childbirth O34.00
      ICD-10-CM Diagnosis Code O34.00

      Maternal care for unspecified congenital malformation of uterus, unspecified trimester

        2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      • causing obstructed labor O65.5
  • Cyst (colloid) (mucous) (simple) (retention)
    • ovary, ovarian (twisted) N83.20-
      ICD-10-CM Diagnosis Code N83.20-

      Unspecified ovarian cysts

        2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code
      • in pregnancy or childbirth O34.8-
        ICD-10-CM Diagnosis Code O34.8-

        Maternal care for other abnormalities of pelvic organs

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • with obstructed labor O65.5
    • pelvis, female N94.89
      ICD-10-CM Diagnosis Code N94.89

      Other specified conditions associated with female genital organs and menstrual cycle

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      • in pregnancy or childbirth O34.8-
        ICD-10-CM Diagnosis Code O34.8-

        Maternal care for other abnormalities of pelvic organs

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
  • Cystocele (-urethrocele)
    • in pregnancy or childbirth O34.8-
      ICD-10-CM Diagnosis Code O34.8-

      Maternal care for other abnormalities of pelvic organs

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • causing obstructed labor O65.5
  • Deformity Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS
  • Delivery (childbirth) (labor)
    • cesarean (for)
      • polyp, cervix O34.4-
        ICD-10-CM Diagnosis Code O34.4-

        Maternal care for other abnormalities of cervix

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
    • 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
        • malposition, malpresentation
          • uterus or cervix O65.5
        • obstructed labor
          • due to
            • pelvic
              • abnormality (maternal) O65.9
                ICD-10-CM Diagnosis Code O65.9

                Obstructed labor due to maternal pelvic abnormality, unspecified

                  2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
                • organ O65.5
        • female genital mutilation O65.5
        • stenosis or stricture, cervix O65.5
        • tumor, pelvic organs or tissues NEC O65.5
  • Double
    • uterus Q51.20
      ICD-10-CM Diagnosis Code Q51.20

      Other doubling of uterus, unspecified

        2019 - New Code Billable/Specific Code Female Dx POA Exempt
      Applicable To
      • Septate uterus, unspecified
      • in pregnancy or childbirth O34.59-
        ICD-10-CM Diagnosis Code O34.59-

        Maternal care for other abnormalities of gravid uterus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
  • Fibroid (tumor) - see also Neoplasm, connective tissue, benign
    • in pregnancy or childbirth O34.1-
      ICD-10-CM Diagnosis Code O34.1-

      Maternal care for benign tumor of corpus uteri

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Type 2 Excludes
      • maternal care for benign tumor of cervix (O34.4-)
      • maternal care for malignant neoplasm of uterus (O9A.1-)
      • causing obstructed labor O65.5
  • Fibromyoma - see also Neoplasm, connective tissue, benign
  • Fibrosis, fibrotic
    • perineum, in pregnancy or childbirth O34.7-
      ICD-10-CM Diagnosis Code O34.7-

      Maternal care for abnormality of vulva and perineum

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Type 2 Excludes
      • maternal care for perineal and vulval varices in pregnancy (O22.1-)
      • causing obstructed labor O65.5
  • Incarceration, incarcerated
    • uterus N85.8
      ICD-10-CM Diagnosis Code N85.8

      Other specified noninflammatory disorders of uterus

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      Applicable To
      • Atrophy of uterus, acquired
      • Fibrosis of uterus NOS
      • gravid O34.51-
        ICD-10-CM Diagnosis Code O34.51-

        Maternal care for incarceration of gravid uterus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
  • Malformation (congenital) - see also Anomaly
  • Pregnancy (single) (uterine) - see also Delivery and Puerperal
    • complicated by (care of) (management affected by)
      • abnormal, abnormality
        • cervix O34.4-
          ICD-10-CM Diagnosis Code O34.4-

          Maternal care for other abnormalities of cervix

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • causing obstructed labor O65.5
        • pelvic organs O34.9-
          ICD-10-CM Diagnosis Code O34.9-

          Maternal care for abnormality of pelvic organ, unspecified

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • specified NEC O34.8-
            ICD-10-CM Diagnosis Code O34.8-

            Maternal care for other abnormalities of pelvic organs

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            • causing obstructed labor O65.5
        • uterus O34.59-
          ICD-10-CM Diagnosis Code O34.59-

          Maternal care for other abnormalities of gravid uterus

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • causing obstructed labor O65.5
        • vagina O34.6-
          ICD-10-CM Diagnosis Code O34.6-

          Maternal care for abnormality of vagina

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 2 Excludes
          • maternal care for vaginal varices in pregnancy (O22.1-)
          • causing obstructed labor O65.5
        • vulva O34.7-
          ICD-10-CM Diagnosis Code O34.7-

          Maternal care for abnormality of vulva and perineum

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Type 2 Excludes
          • maternal care for perineal and vulval varices in pregnancy (O22.1-)
          • causing obstructed labor O65.5
      • displacement, uterus NEC O34.59-
        ICD-10-CM Diagnosis Code O34.59-

        Maternal care for other abnormalities of gravid uterus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • causing obstructed labor O65.5
      • double uterus O34.0-
        ICD-10-CM Diagnosis Code O34.0-

        Maternal care for congenital malformation of uterus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Maternal care for double uterus
        • Maternal care for uterus bicornis
        • causing obstructed labor O65.5
  • Prolapse, prolapsed
    • cervix, cervical (hypertrophied) N81.2
      ICD-10-CM Diagnosis Code N81.2

      Incomplete uterovaginal prolapse

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      Applicable To
      • First degree uterine prolapse
      • Prolapse of cervix NOS
      • Second degree uterine prolapse
      Type 1 Excludes
      • cervical stump prolapse (N81.85)
      • anterior lip, obstructing labor O65.5
  • Septum, septate (congenital) - see also Anomaly, by site
    • vagina Q52.10
      ICD-10-CM Diagnosis Code Q52.10

      Doubling of vagina, unspecified

        2016 2017 2018 2019 Billable/Specific Code Female Dx POA Exempt
      Applicable To
      • Septate vagina NOS
      • in pregnancy - see Pregnancy, complicated by, abnormal vagina
        • causing obstructed labor O65.5
  • Stenosis, stenotic (cicatricial) - see also Stricture
    • vagina N89.5
      ICD-10-CM Diagnosis Code N89.5

      Stricture and atresia of vagina

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      Applicable To
      • Vaginal adhesions
      • Vaginal stenosis
      Type 1 Excludes
      • congenital atresia or stricture (Q52.4)
      • postprocedural adhesions of vagina (N99.2)
      • in pregnancy - see Pregnancy, complicated by, abnormal vagina
        • causing obstructed labor O65.5
  • Stricture - see also Stenosis
    • cervix, cervical (canal) N88.2
      ICD-10-CM Diagnosis Code N88.2

      Stricture and stenosis of cervix uteri

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      Type 1 Excludes
      • stricture and stenosis of cervix uteri complicating labor (O65.5)
      • in pregnancy - see Pregnancy, complicated by, abnormal cervix
        • causing obstructed labor O65.5
  • Tumor - see also Neoplasm, unspecified behavior, by site

ICD-10-CM Codes Adjacent To O65.5
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
O66.41 Failed attempted vaginal birth after previous cesarean delivery

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