O64.4⚠ Requires 7th Character

Obstructed labor due to shoulder presentation

⚠ 7th Character Required

One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.

This code is not valid for billing without a 7th character. Append one of the following to O64.4:

0not applicable or unspecifiedO64.4XX01fetus 1O64.4XX12fetus 2O64.4XX23fetus 3O64.4XX34fetus 4O64.4XX45fetus 5O64.4XX59other fetusO64.4XX9

Inclusion Terms

  • •Prolapsed arm

Also Indexed As(ICD-10-CM Alphabetic Index)

These clinical terms, synonyms, and manifestations all map to O64.4 in the official ICD-10-CM Alphabetic Index.

Delivery (childbirth) (labor), complicated, by, obstructed labor, due to, prolapsed armDelivery (childbirth) (labor), complicated, by, obstructed labor, due to, shoulder presentationDelivery (childbirth) (labor), complicated, by, shoulder presentationProlapse, prolapsed, arm or hand, causing obstructed labor

✗ Excludes 1(Not coded here)

  • •impacted shoulders (O66.0)
  • •shoulder dystocia (O66.0)

Code Hierarchy

┌15Pregnancy, childbirth and the puerperium (O00-O9A)├O60-O77Complications of labor and delivery (O60-O77)├O64Obstructed labor due to malposition and malpresentation of fetus
└O64.4Obstructed labor due to shoulder presentation

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