O66.41 Failed attempted vaginal birth after previous cesarean delivery

Billable ICD-10-CM code, FY2026.

Code first

• rupture of uterus, if applicable (O71.0-, O71.1)

MS-DRG index

Defines the logic of DRG(s) 998 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 660.61 Unspecified failed trial of 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 O66.41

Back-references to O66

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

Diagnosis Index entries for O66.41

• Delivery (childbirth) (labor) › cesarean (for) › failed › trial of labor NOS › following previous cesarean delivery
• Delivery (childbirth) (labor) › complicated › by › failed › attempted vaginal birth after previous cesarean delivery
• Failure, failed › trial of labor (with subsequent cesarean delivery) › following previous cesarean delivery

Nearby codes

• O66.1 Obstructed labor due to locked twins
• O66.2 Obstructed labor due to unusually large fetus
• O66.3 Obstructed labor due to other abnormalities of fetus
• O66.4 Failed trial of labor
• O66.40 Failed trial of labor, unspecified
• O66.41 Failed attempted vaginal birth after previous cesarean delivery (this code)
• O66.5 Attempted application of vacuum extractor and forceps
• O66.6 Obstructed labor due to other multiple fetuses
• O66.8 Other specified obstructed labor
• O66.9 Obstructed labor, unspecified