O64.4 Obstructed labor due to shoulder presentation

Non-billable ICD-10-CM code.

Applicable to

• Prolapsed arm

Excludes1 (never code together)

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

Applies from O64 Obstructed labor due to malposition and malpresentation of fetus

7th character note

• One of the following 7th characters is to be assigned to each code under category O64. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O64 that has a 7th character of 1 through 9.

7th character required

• 0 — not applicable or unspecified
• 1 — fetus 1
• 2 — fetus 2
• 3 — fetus 3
• 4 — fetus 4
• 5 — fetus 5
• 9 — other fetus

Code annotations containing back-references to O64.4

Back-references to O64

• Type 1 Excludes: O32 Maternal care for malpresentation of fetus ("malpresentation of fetus with obstructed labor (O64.-)")

Diagnosis Index entries for O64.4

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

Nearby codes

• O64.3XX2 Obstructed labor due to brow presentation, fetus 2
• O64.3XX3 Obstructed labor due to brow presentation, fetus 3
• O64.3XX4 Obstructed labor due to brow presentation, fetus 4
• O64.3XX5 Obstructed labor due to brow presentation, fetus 5
• O64.3XX9 Obstructed labor due to brow presentation, other fetus
• O64.4 Obstructed labor due to shoulder presentation (this code)
• O64.4XX0 Obstructed labor due to shoulder presentation, not applicable or unspecified
• O64.4XX1 Obstructed labor due to shoulder presentation, fetus 1
• O64.4XX2 Obstructed labor due to shoulder presentation, fetus 2
• O64.4XX3 Obstructed labor due to shoulder presentation, fetus 3
• O64.4XX4 Obstructed labor due to shoulder presentation, fetus 4