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ICD-10/O64.2XX4

O64.2XX4 ICD-10-CM Code: Obstructed labor due to face presentation, fetus 4

O64.2XX4 is the authoritative medical code for Obstructed labor due to face presentation, fetus 4. This classification is used in medical billing and clinical recording to specify the clinical criteria for obstructed labor due to face presentation, fetus 4 (ICD-10-CM O64.2XX4), ensuring healthcare documentation aligns with current federal coding standards.

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 (FY2026), 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.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Obstructed labor due to face presentation, fetus 4 is a billable ICD-10-CM diagnosis code (O64.24). Inclusion terms: Obstructed labor due to chin presentation. 7th character: 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..

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for O64.2XX4 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Obstructed labor due to chin presentation

Frequently Asked Questions (FAQ) & Clinical Guidance

Does O64.2XX4 require a 7th character?

Yes. 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..

What conditions are included under O64.2XX4?

Obstructed labor due to face presentation, fetus 4 includes: Obstructed labor due to chin presentation.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O64.2XX4 in its code family, with their registry titles.

  • O64.2 — Obstructed labor due to face presentation
  • O64.2XX0 — Obstructed labor due to face presentation, not applicable or unspecified
  • O64.2XX1 — Obstructed labor due to face presentation, fetus 1
  • O64.2XX2 — Obstructed labor due to face presentation, fetus 2
  • O64.2XX3 — Obstructed labor due to face presentation, fetus 3
  • O64.2XX5 — Obstructed labor due to face presentation, fetus 5
  • O64.2XX9 — Obstructed labor due to face presentation, other fetus
  • O64.3 — Obstructed labor due to brow presentation
  • O64.3XX0 — Obstructed labor due to brow presentation, not applicable or unspecified
  • O64.3XX1 — Obstructed labor due to brow presentation, fetus 1

View all codes in the O64 family