O65.3 Obstructed labor due to pelvic outlet and mid-cavity contraction

Billable ICD-10-CM code, FY2026.

MS-DRG index

Defines the logic of DRG(s) 817-819 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 653.31 Outlet contraction of pelvis, delivered, with or without mention of antepartum condition (approximate)
• 660.11 Obstruction by bony pelvis during labor, delivered, with or without mention of antepartum condition (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O65.3

Back-references to O65

• Type 1 Excludes: O33 Maternal care for disproportion ("disproportion with obstructed labor (O65-O66)")

Diagnosis Index entries for O65.3

• Android pelvis › with disproportion (fetopelvic) › causing obstructed labor
• Delivery (childbirth) (labor) › complicated › by › obstructed labor › due to › pelvic › contraction › mid-cavity
• Delivery (childbirth) (labor) › complicated › by › obstructed labor › due to › pelvic › contraction › outlet
• Funnel › pelvis (acquired) › with disproportion (fetopelvic) › causing obstructed labor
• Male type pelvis › with disproportion (fetopelvic) › causing obstructed labor

Nearby codes

• O65 Obstructed labor due to maternal pelvic abnormality
• O65.0 Obstructed labor due to deformed pelvis
• O65.1 Obstructed labor due to generally contracted pelvis
• O65.2 Obstructed labor due to pelvic inlet contraction
• O65.3 Obstructed labor due to pelvic outlet and mid-cavity contraction (this code)
• O65.4 Obstructed labor due to fetopelvic disproportion, unspecified
• O65.5 Obstructed labor due to abnormality of maternal pelvic organs
• O65.8 Obstructed labor due to other maternal pelvic abnormalities
• O65.9 Obstructed labor due to maternal pelvic abnormality, unspecified