O64.4XX9 ICD-10-CM Code: Obstructed labor due to shoulder presentation, other fetus
O64.4XX9 is the authoritative medical code for Obstructed labor due to shoulder presentation, other fetus. This classification is used in medical billing and clinical recording to specify the clinical criteria for obstructed labor due to shoulder presentation, other fetus (ICD-10-CM O64.4XX9), 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O64.4XX9 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 O64.4XX9 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 O64.4XX9?
Per official ICD-10-CM Excludes1 instructions, O64.4XX9 must not be reported together with: impacted shoulders (O66.0); shoulder dystocia (O66.0).
What conditions are included under O64.4XX9?
Obstructed labor due to shoulder presentation, other fetus includes: Prolapsed arm.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O64.4XX9 in its code family, with their registry titles.
- 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
- O64.4XX5 — Obstructed labor due to shoulder presentation, fetus 5
- O64.5 — Obstructed labor due to compound presentation
- O64.5XX0 — Obstructed labor due to compound presentation, not applicable or unspecified
- O64.5XX1 — Obstructed labor due to compound presentation, fetus 1
- O64.5XX2 — Obstructed labor due to compound presentation, fetus 2
- O64.5XX3 — Obstructed labor due to compound presentation, fetus 3