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ICD-10 Guide
ICD-10 CodesChapter 15: Pregnancy, childbirth and the puerperiumO64

O64

Non-billable

Obstructed labor due to malposition and malpresentation of fetus

Chapter 15:Pregnancy, childbirth and the puerperium

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 O64 is a used to indicate a diagnosis of obstructed labor due to malposition and malpresentation of fetus.

Key Diagnostic Point:

Obstructed labor due to malposition and malpresentation of the fetus, classified under ICD-10 code O64, refers to labor complications arising when the fetus is positioned in a way that obstructs the birth canal. This can include various malpositions such as breech or transverse lie, and malpresentations like face or brow presentation. These conditions can lead to prolonged labor, increased risk of cesarean delivery, and potential harm to both the mother and the fetus. Understanding these conditions is crucial for healthcare providers to manage labor effectively and ensure safe delivery outcomes.

  • The clinical significance of O64 lies in its implications for maternal and fetal health. Obstructed labor can lead to severe complications, including uterine rupture, fetal distress, and maternal hemorrhage. Proper identification and coding of these conditions are essential for appropriate management and intervention. Usage guidelines recommend that O64 be utilized when there is clear documentation of obstructed labor due to fetal malposition or malpresentation, ensuring that healthcare providers can track and address these complications in clinical settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fetal presentation
  • Potential for emergency interventions
  • Need for multidisciplinary care

Audit Risk Factors

  • Inadequate documentation of fetal position
  • Failure to specify type of malpresentation
  • Misuse of related codes for labor complications

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the O64 code category is significant, as it directly relates to maternal and fetal safety during labor. Accurate coding of obstructed labor due to malposition and malpresentation can help healthcare providers identify trends in labor complications, leading to improved clinical practices and outcomes. Furthermore, tracking these cases can contribute to quality measures aimed at reducing cesarean delivery rates and enhancing overall maternal care.
Administratively, the use of O64 codes can influence population health strategies by highlighting areas where interventions may be needed to prevent obstructed labor complications. As healthcare systems increasingly focus on quality improvement and patient safety, understanding the implications of O64 will be vital for healthcare providers and administrators alike, ensuring that they can respond effectively to the needs of their patient populations.

ICD-9 vs ICD-10

The clinical impact of the O64 code category is significant, as it directly relates to maternal and fetal safety during labor. Accurate coding of obstructed labor due to malposition and malpresentation can help healthcare providers identify trends in labor complications, leading to improved clinical practices and outcomes. Furthermore, tracking these cases can contribute to quality measures aimed at reducing cesarean delivery rates and enhancing overall maternal care. Administratively, the use of O64 codes can influence population health strategies by highlighting areas where interventions may be needed to prevent obstructed labor complications. As healthcare systems increasingly focus on quality improvement and patient safety, understanding the implications of O64 will be vital for healthcare providers and administrators alike, ensuring that they can respond effectively to the needs of their patient populations.

Reimbursement & Billing Impact

reimbursement and can affect the overall billing process, especially if surgical intervention such as cesarean delivery is required.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for O64

Coding & Billing References

  • •
    Official ICD-10 Guidelines for O64

Frequently Asked Questions

What conditions are included in O64?

O64 includes obstructed labor due to various malpositions such as breech, transverse lie, and malpresentations like face or brow presentation.

When should I use O64 codes?

O64 codes should be used when there is documented obstructed labor specifically attributed to fetal malposition or malpresentation during labor.

What documentation is required for O64?

Documentation must include details on the fetal position, any interventions taken, and the outcomes of the labor process to support the use of O64 codes.