O33.4 — Maternal care for disproportion of mixed maternal and fetal origin
Is O33.4 billable?
No — O33.4 is a non-billable header code. O33.4 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 O33.4.
Billable codes under this header
- O33.4XX0Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified
- O33.4XX1Maternal care for disproportion of mixed maternal and fetal origin, fetus 1
- O33.4XX2Maternal care for disproportion of mixed maternal and fetal origin, fetus 2
- O33.4XX3Maternal care for disproportion of mixed maternal and fetal origin, fetus 3
- O33.4XX4Maternal care for disproportion of mixed maternal and fetal origin, fetus 4
- O33.4XX5Maternal care for disproportion of mixed maternal and fetal origin, fetus 5
- O33.4XX9Maternal care for disproportion of mixed maternal and fetal origin, other fetus
O33.4 at a glance
| Code | O33.4 |
|---|---|
| Description | Maternal care for disproportion of mixed maternal and fetal origin |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is O33.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O33.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pregnancy › complicated by › disproportion › mixed maternal and fetal origin (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O33.4 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 O33
The conditions below can never be reported together with O33.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- disproportion with obstructed labor (O65-O66)
Use additional code — inherited from Chapter 15
Report an additional code alongside O33.4 to fully describe the condition. O33.4 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 O33.4, but a patient may have both at the same time. When documentation supports it, O33.4 and the excluded code may both be reported.
What codes fall under O33.4? (7)
- O33.4XX0Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified
- O33.4XX1Maternal care for disproportion of mixed maternal and fetal origin, fetus 1
- O33.4XX2Maternal care for disproportion of mixed maternal and fetal origin, fetus 2
- O33.4XX3Maternal care for disproportion of mixed maternal and fetal origin, fetus 3
- O33.4XX4Maternal care for disproportion of mixed maternal and fetal origin, fetus 4
- O33.4XX5Maternal care for disproportion of mixed maternal and fetal origin, fetus 5
- O33.4XX9Maternal care for disproportion of mixed maternal and fetal origin, other fetus
How long has O33.4 existed?
O33.4 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 O33 family? (9)
- O33.0Maternal care for disproportion due to deformity of maternal pelvic bones
- O33.1Maternal care for disproportion due to generally contracted pelvis
- O33.2Maternal care for disproportion due to inlet contraction of pelvis
- O33.3Maternal care for disproportion due to outlet contraction of pelvisnot billable
- O33.5Maternal care for disproportion due to unusually large fetusnot billable
- O33.6Maternal care for disproportion due to hydrocephalic fetusnot billable
- O33.7Maternal care for disproportion due to other fetal deformitiesnot billable
- O33.8Maternal care for disproportion of other origin
- O33.9Maternal care for disproportion, unspecified