O32.4 — Maternal care for high head at term
Is O32.4 billable?
No — O32.4 is a non-billable header code. O32.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 7 billable codes beneath O32.4.
Billable codes under this header
- O32.4XX0Maternal care for high head at term, not applicable or unspecified
- O32.4XX1Maternal care for high head at term, fetus 1
- O32.4XX2Maternal care for high head at term, fetus 2
- O32.4XX3Maternal care for high head at term, fetus 3
- O32.4XX4Maternal care for high head at term, fetus 4
- O32.4XX5Maternal care for high head at term, fetus 5
- O32.4XX9Maternal care for high head at term, other fetus
O32.4 at a glance
| Code | O32.4 |
|---|---|
| Description | Maternal care for high head at term |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is O32.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O32.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Failure, failed › descent of head
- Failure, failed › engagement of head
- High › head at term
- Nonengagement › head NEC
- Delivery › cesarean › high head at term (childbirth) (labor)
- Pregnancy › complicated by › high › head at term (single) (uterine)
- Delivery › complicated › by › malposition, malpresentation › without obstruction › high head (childbirth) (labor)
Inclusion terms
Alternative wording in documentation that is classified to O32.4.
- Maternal care for failure of head to enter pelvic brim
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O32.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Excludes1 — never code together — inherited from O32
The conditions below can never be reported together with O32.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- malpresentation of fetus with obstructed labor (O64.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O32.4 to fully describe the condition. O32.4 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O32.4, but a patient may have both at the same time. When documentation supports it, O32.4 and the excluded code may both be reported.
What codes fall under O32.4? (7)
- O32.4XX0Maternal care for high head at term, not applicable or unspecified
- O32.4XX1Maternal care for high head at term, fetus 1
- O32.4XX2Maternal care for high head at term, fetus 2
- O32.4XX3Maternal care for high head at term, fetus 3
- O32.4XX4Maternal care for high head at term, fetus 4
- O32.4XX5Maternal care for high head at term, fetus 5
- O32.4XX9Maternal care for high head at term, other fetus
How long has O32.4 existed?
O32.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the O32 family? (7)
- O32.0Maternal care for unstable lienot billable
- O32.1Maternal care for breech presentationnot billable
- O32.2Maternal care for transverse and oblique lienot billable
- O32.3Maternal care for face, brow and chin presentationnot billable
- O32.6Maternal care for compound presentationnot billable
- O32.8Maternal care for other malpresentation of fetusnot billable
- O32.9Maternal care for malpresentation of fetus, unspecifiednot billable