ICD-10/O64.4XX1

O64.4XX1 ICD 2026 Code: Obstructed labor due to shoulder presentation, fetus 1

O64.4XX1 is the authoritative medical code for Obstructed labor due to shoulder presentation, fetus 1. This classification is used in medical billing and clinical recording to specify the clinical criteria for obstructed labor due to shoulder presentation, fetus 1 (ICD-10-CM O64.4XX1), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Official Registry Overview & Definition

Obstructed labor due to shoulder presentation, fetus 1 is a billable ICD-10-CM diagnosis code O64.41. Inclusion terms: Prolapsed arm. Excludes1 (not coded here): impacted shoulders O66.0; shoulder dystocia O66.0. 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 O64.4XX1 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Prolapsed arm

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Does O64.4XX1 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 can't be coded together with O64.4XX1?

Per Excludes1 instructions, O64.4XX1 must not be reported with: impacted shoulders (O66.0); shoulder dystocia (O66.0).

What conditions are included under O64.4XX1?

Obstructed labor due to shoulder presentation, fetus 1 includes: Prolapsed arm.

Codes in This Family (7)

Official ICD-10-CM classifications in the same code family as O64.4XX1, with their registry titles.

  • O64 — Obstructed labor due to malposition and malpresentation of fetus
  • O64.0 — Obstructed labor due to incomplete rotation of fetal head
  • O64.1 — Obstructed labor due to breech presentation
  • O64.2 — Obstructed labor due to face presentation
  • O64.3 — Obstructed labor due to brow presentation
  • O64.4 — Obstructed labor due to shoulder presentation
  • O64.5 — Obstructed labor due to compound presentation

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

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ICD Code O61.4XX1 ICD-10 Clinical Diagnosis (O61.4XX1)
ICD Code O62.4XX1 ICD-10 Clinical Diagnosis (O62.4XX1)
ICD Code O63.4XX1 ICD-10 Clinical Diagnosis (O63.4XX1)
ICD Code O65.4XX1 ICD-10 Clinical Diagnosis (O65.4XX1)
ICD Code O66.4XX1 ICD-10 Clinical Diagnosis (O66.4XX1)
ICD Code O67.4XX1 ICD-10 Clinical Diagnosis (O67.4XX1)
ICD Code O68.4XX1 ICD-10 Clinical Diagnosis (O68.4XX1)
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