O32.1 vs O32.8
O32.1 (Maternal care for breech presentation) compared with O32.8 (Maternal care for other malpresentation of fetus), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. O32.1 carries an Excludes1 note covering O32.8: “footling presentation (O32.8)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. O32.1 carries an Excludes1 note covering O32.8: “incomplete breech (O32.8)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O32.1Maternal care for breech presentation | O32.8Maternal care for other malpresentation of fetus | |
|---|---|---|
| Billing status | Non-billable header Report instead: O32.1XX0, O32.1XX1, O32.1XX2, O32.1XX3, O32.1XX4 | Non-billable header Report instead: O32.8XX0, O32.8XX1, O32.8XX2, O32.8XX3, O32.8XX4 |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Maternal care for breech presentation is a non-billable ICD-10-CM category code (O32.1). | Maternal care for other malpresentation of fetus is a non-billable ICD-10-CM category code (O32.8). |
| 7th character | One of the following 7th characters is to be assigned to each code under category O32. 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 O32 that has a 7th character of 1 through 9. | One of the following 7th characters is to be assigned to each code under category O32. 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 O32 that has a 7th character of 1 through 9. |
| Includes | the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor Maternal care for buttocks presentation Maternal care for complete breech Maternal care for frank breech | the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor Maternal care for footling presentation Maternal care for incomplete breech |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources