ICDcodes.org
FY2027

O64.4 — Obstructed labor due to shoulder presentation

Not billable

Is O64.4 billable?

No — O64.4 is a non-billable header code. O64.4 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 O64.4.

O64.4 at a glance

CodeO64.4
DescriptionObstructed labor due to shoulder presentation
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is O64.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to O64.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Prolapse, prolapsed › arm or hand › causing obstructed labor
  • Delivery › complicated › by › shoulder presentation (childbirth) (labor)
  • Delivery › complicated › by › obstructed labor › due to › prolapsed arm (childbirth) (labor)
  • Delivery › complicated › by › obstructed labor › due to › shoulder presentation (childbirth) (labor)

Excludes1 — never code together

The conditions below can never be reported together with O64.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • impacted shoulders (O66.0)
  • shoulder dystocia (O66.0)

Inclusion terms

Alternative wording in documentation that is classified to O64.4.

  • Prolapsed arm

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O64.4 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 O64.4 to fully describe the condition. O64.4 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 O64.4, but a patient may have both at the same time. When documentation supports it, O64.4 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

What codes fall under O64.4? (7)

How long has O64.4 existed?

O64.4 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 O64.4?

ICD-10-CM declares these codes mutually exclusive with O64.4 — exactly one of each pair can be correct for a given encounter.

What other codes are in the O64 family? (7)