O33.7XX5 ICD-10-CM Code: Maternal care for disproportion due to other fetal deformities, fetus 5
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 817 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 818 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 819 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
- MS-DRG 831 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 832 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 833 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O33.7XX5 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Inclusion Terms
Alternative terms the tabular list files under this code.
- Maternal care for disproportion due to fetal ascites
- Maternal care for disproportion due to fetal hydrops
- Maternal care for disproportion due to fetal meningomyelocele
- Maternal care for disproportion due to fetal sacral teratoma
- Maternal care for disproportion due to fetal tumor
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- obstructed labor due to other fetal deformities (O66.3) Compare O33.7XX5 vs O66.3 →
- disproportion with obstructed labor (O65-O66) Compare O33.7XX5 vs O65 →
Change history
- FY2017 — 2016-10-01Added to the code setMaternal care for disproportion due to other fetal deformities, fetus 5FY2017 changes
Verify Before Coding
- Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of O33.7XX5 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
- O30-O48 — Maternal care related to the fetus and amniotic cavity and possible delivery problems [Hierarchy]
- O33 — Clinical Diagnosis [Hierarchy]
- O33.7 — Clinical Diagnosis [Hierarchy]
- O33.7X — Clinical Diagnosis [Hierarchy]
- O33.7XX — Clinical Diagnosis [Hierarchy]
Referenced by Excludes1 notes
- M95.5 — Acquired deformity of pelvis [Excludes1](via O33.-): “maternal care for known or suspected disproportion (O33.-)” · check together
Clinical classification (CCSR)
- PRG024 — Malposition, disproportion or other labor complications [CCSR]
Potential MS-DRG
- DRG 817 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC (MDC 14)”
- DRG 818 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC (MDC 14)”
- DRG 819 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)”
- DRG 831 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC (MDC 14)”
- DRG 832 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC (MDC 14)”
- DRG 833 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)”
MDC crossing · procedures (94)
- MDC 14 — Pregnancy, Childbirth and the Puerperium [MDC crossing]: “Pregnancy, Childbirth and the Puerperium — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 0U570ZZ — Destruction of Bilateral Fallopian Tubes, Open Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Open Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
- 0U573ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Percutaneous Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
- 0U574ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach — grouped in MDC 14, the procedure side of this code's crossing.” · check together
- 0U577ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening — grouped in MDC 14, the procedure side of this code's crossing.” · check together
- 0U578ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic [Same-MDC procedure]: “Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic — grouped in MDC 14, the procedure side of this code's crossing.” · check together
- and 89 more
Nearest codes (40)
- O33 — Maternal care for disproportion [Sibling]
- O33.3XX0 — Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecified [Sibling]
- O33.3XX1 — Maternal care for disproportion due to outlet contraction of pelvis, fetus 1 [Sibling]
- O33.3XX2 — Maternal care for disproportion due to outlet contraction of pelvis, fetus 2 [Sibling]
- O33.3XX3 — Maternal care for disproportion due to outlet contraction of pelvis, fetus 3 [Sibling]
- O33.3XX4 — Maternal care for disproportion due to outlet contraction of pelvis, fetus 4 [Sibling]
- O33.3XX5 — Maternal care for disproportion due to outlet contraction of pelvis, fetus 5 [Sibling]
- O33.3XX9 — Maternal care for disproportion due to outlet contraction of pelvis, other fetus [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):PRG024 — Malposition, disproportion or other labor complications (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 6 MS-DRGs: DRG 817 (MDC 14), DRG 818 (MDC 14), DRG 819 (MDC 14), DRG 831 (MDC 14), DRG 832 (MDC 14), DRG 833 (MDC 14).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name O33.7XX5 or its code family.
1 Excludes1 notes: M95.5 (via O33.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does O33.7XX5 require a 7th character?
Yes. One of the following 7th characters is to be assigned to code O33.7. 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 code O33.7 with a 7th character of 1 through 9..
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O33.7XX5 in its code family, with their registry titles.
- O33.6XX5 — Maternal care for disproportion due to hydrocephalic fetus, fetus 5
- O33.6XX9 — Maternal care for disproportion due to hydrocephalic fetus, other fetus
- O33.7 — Maternal care for disproportion due to other fetal deformities
- O33.7XX0 — Maternal care for disproportion due to other fetal deformities, not applicable or unspecified
- O33.7XX1 — Maternal care for disproportion due to other fetal deformities, fetus 1
- O33.7XX2 — Maternal care for disproportion due to other fetal deformities, fetus 2
- O33.7XX3 — Maternal care for disproportion due to other fetal deformities, fetus 3
- O33.7XX4 — Maternal care for disproportion due to other fetal deformities, fetus 4
- O33.7XX9 — Maternal care for disproportion due to other fetal deformities, other fetus
- O33.8 — Maternal care for disproportion of other origin