O32.1 vs O32.8
O32.1 and O32.8 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on O32.1
footling presentation (O32.8)
O32.1
Maternal care for breech presentation
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O30-O48
Use when the record says
- Maternal care for buttocks presentation
- Maternal care for complete breech
- Maternal care for frank breech
Indexed under
- Breech presentation (mother)
- Delivery › cesarean › breech presentation (childbirth) (labor)
- Pregnancy › complicated by › breech presentation (single) (uterine)
- Delivery › complicated › by › malposition, malpresentation › without obstruction › breech (childbirth) (labor)
O32.8
Maternal care for other malpresentation of fetus
Not billable
- Chapter 15
- Pregnancy, childbirth and the puerperium
- Section
- O30-O48
Use when the record says
- Maternal care for footling presentation
- Maternal care for incomplete breech
Indexed under
- Breech presentation › footling (mother)
- Breech presentation › incomplete (mother)
- Delivery › cesarean › breech presentation › incomplete (childbirth) (labor)
- Delivery › complicated › by › prolapse › foot or leg (childbirth) (labor)
- Delivery › complicated › by › malposition, malpresentation › without obstruction › footling (childbirth) (labor)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027