O66 ICD-10-CM Code: Other obstructed labor
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coder workflow for O66
MedCoder structured workflow — derived from this code’s own official record
Before you code O66
- O66 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewO66.0, O66.1, O66.2, O66.3, O66.4, O66.5, O66.6, O66.8, O66.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on O66; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Confirm the condition is documented as complicating the pregnancy, childbirth, or the puerperium, and check the trimester where the code carries one and the fetus character where the category requires it. Chapter 15 codes belong on the maternal record only and take sequencing priority over codes from other chapters. It is the provider’s responsibility to state that a condition is not affecting the pregnancy; the trimester is assigned from the documentation (Guidelines I.C.15.a, I.C.15.a.1, I.C.15.a.3).
Choose the right path
- Does the documentation support one of the more specific codes beneath O66?
Yes → Select that code and continue the checks below on its own page.
No → O66 cannot be reported as written; query for the specificity its subcategory needs.ReviewO66.0, O66.1, O66.2, O66.3, O66.4, O66.5, O66.6, O66.8, O66.9
Consider O66. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Trimester
- Assigned from the documented trimester at the encounter, or the trimester in which the condition developed for inpatient stays (Guidelines I.C.15.a.3).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name O66 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: O33 — Maternal care for disproportion.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Contextual Map
Every relationship of O66 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.
Run O66 with this related code in Claim Check
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O60-O77 — Complications of labor and delivery[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- O33 — Maternal care for disproportion[Excludes1]: “disproportion with obstructed labor (O65-O66)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (11)
- O66.0 — Obstructed labor due to shoulder dystocia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.1 — Obstructed labor due to locked twins[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.2 — Obstructed labor due to unusually large fetus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.3 — Obstructed labor due to other abnormalities of fetus[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.4 — Failed trial of labor[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.40 — Failed trial of labor, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.41 — Failed attempted vaginal birth after previous cesarean delivery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- O66.5 — Attempted application of vacuum extractor and forceps[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 3 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can O66 be billed directly?
No. O66 (Other obstructed labor) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "O66 — Other obstructed labor." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/o66-other-obstructed-labor
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionOther obstructed labor
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O66 in its code family, with their registry titles.
- O66.0 — Obstructed labor due to shoulder dystocia
- O66.1 — Obstructed labor due to locked twins
- O66.2 — Obstructed labor due to unusually large fetus
- O66.3 — Obstructed labor due to other abnormalities of fetus
- O66.4 — Failed trial of labor
- O66.40 — Failed trial of labor, unspecified
- O66.41 — Failed attempted vaginal birth after previous cesarean delivery
- O66.5 — Attempted application of vacuum extractor and forceps
- O66.6 — Obstructed labor due to other multiple fetuses
- O66.8 — Other specified obstructed labor
- O66.9 — Obstructed labor, unspecified