O62.4 — Hypertonic, incoordinate, and prolonged uterine contractions
Is O62.4 billable?
Yes — O62.4 is billable for FY2027. O62.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O62.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O62.4 at a glance
| Code | O62.4 |
|---|---|
| Description | Hypertonic, incoordinate, and prolonged uterine contractions |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O62.4 group to?
O62.4 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O62.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O62.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Bandl's ring, complicating delivery (contraction)
- Constriction › ring dystocia
- Contraction, contracture, contracted › ring (s)
- Dystocia › contraction ring
- Dystocia › uterine NEC
- Hypertony, hypertonia, hypertonicity › uterus, uterine
- Incoordinate, incoordination › uterus
- Prolonged, prolongation › uterine contractions in labor (of)
- Retraction › ring, uterus
- Ring › Bandl's (s)
- Ring › contraction, complicating delivery (s)
- Ring › retraction, uterus, pathological (s)
Excludes1 — never code together
The conditions below can never be reported together with O62.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- dystocia (fetal) (maternal) NOS (O66.9)
Inclusion terms
Alternative wording in documentation that is classified to O62.4.
- Cervical spasm
- Contraction ring dystocia
- Dyscoordinate labor
- Hour-glass contraction of uterus
- Hypertonic uterine dysfunction
- Incoordinate uterine action
- Tetanic contractions
- Uterine dystocia NOS
- Uterine spasm
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O62.4 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.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O62.4 to fully describe the condition. O62.4 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 O62.4, but a patient may have both at the same time. When documentation supports it, O62.4 and the excluded code may both be reported.
How long has O62.4 existed?
O62.4 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.
Which codes are confused with O62.4?
ICD-10-CM declares these codes mutually exclusive with O62.4 — exactly one of each pair can be correct for a given encounter.