O64.4XX3 — Obstructed labor due to shoulder presentation, fetus 3
Is O64.4XX3 billable?
Yes — O64.4XX3 is billable for FY2027. O64.4XX3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O64.4XX3 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O64.4XX3 at a glance
| Code | O64.4XX3 |
|---|---|
| Description | Obstructed labor due to shoulder presentation, fetus 3 |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "3" | fetus 3 |
What does the 7th character "3" mean in O64.4XX3?
In O64.4XX3, the 7th character 3 means fetus 3. The 7th character is required for O64.4XX3 to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does O64.4XX3 group to?
O64.4XX3 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 O64.4XX3 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O64.4, the nearest indexed parent of O64.4XX3. Use them to find the family, then select the specific code.
- 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 O64.4XX3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to O64.4XX3.
- Prolapsed arm
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O64.4XX3 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 O64.4
The conditions below can never be reported together with O64.4XX3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 15
Report an additional code alongside O64.4XX3 to fully describe the condition. O64.4XX3 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 O64.4XX3, but a patient may have both at the same time. When documentation supports it, O64.4XX3 and the excluded code may both be reported.
How long has O64.4XX3 existed?
O64.4XX3 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.