O64.4XX5 is the authoritative medical code for Obstructed labor due to shoulder presentation, fetus 5. This classification is used in medical billing and clinical recording to specify the clinical criteria for obstructed labor due to shoulder presentation, fetus 5 (ICD-10-CM O64.4XX5), 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 5 is a billable ICD-10-CM diagnosis code O64.45. 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 O64.4XX5 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
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 O64.4XX5 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 O64.4XX5?
Per Excludes1 instructions, O64.4XX5 must not be reported with: impacted shoulders (O66.0); shoulder dystocia (O66.0).
What conditions are included under O64.4XX5?
Obstructed labor due to shoulder presentation, fetus 5 includes: Prolapsed arm.
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as O64.4XX5, 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
- O64.0XX0 — Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
- O64.0XX1 — Obstructed labor due to incomplete rotation of fetal head, fetus 1
- O64.0XX2 — Obstructed labor due to incomplete rotation of fetal head, fetus 2
- O64.0XX3 — Obstructed labor due to incomplete rotation of fetal head, fetus 3
- O64.0XX4 — Obstructed labor due to incomplete rotation of fetal head, fetus 4
- O64.0XX5 — Obstructed labor due to incomplete rotation of fetal head, fetus 5
- O64.0XX9 — Obstructed labor due to incomplete rotation of fetal head, other fetus
- O64.1 — Obstructed labor due to breech presentation
- O64.1XX0 — Obstructed labor due to breech presentation, not applicable or unspecified
- O64.1XX1 — Obstructed labor due to breech presentation, fetus 1
- O64.1XX2 — Obstructed labor due to breech presentation, fetus 2
- O64.1XX3 — Obstructed labor due to breech presentation, fetus 3
- O64.1XX4 — Obstructed labor due to breech presentation, fetus 4
- O64.1XX5 — Obstructed labor due to breech presentation, fetus 5
- O64.1XX9 — Obstructed labor due to breech presentation, other fetus
- 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
- O64.2XX4 — Obstructed labor due to face presentation, fetus 4
- 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
- O64.3XX2 — Obstructed labor due to brow presentation, fetus 2
- O64.3XX3 — Obstructed labor due to brow presentation, fetus 3
- O64.3XX4 — Obstructed labor due to brow presentation, fetus 4
- O64.3XX5 — Obstructed labor due to brow presentation, fetus 5
- O64.3XX9 — Obstructed labor due to brow presentation, other fetus
- O64.4 — Obstructed labor due to shoulder presentation
- O64.4XX0 — Obstructed labor due to shoulder presentation, not applicable or unspecified
- O64.4XX1 — Obstructed labor due to shoulder presentation, fetus 1
- O64.4XX2 — Obstructed labor due to shoulder presentation, fetus 2
- O64.4XX3 — Obstructed labor due to shoulder presentation, fetus 3
- O64.4XX4 — Obstructed labor due to shoulder presentation, fetus 4
- O64.4XX9 — Obstructed labor due to shoulder presentation, other fetus
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: