ICD-10-CM Code O64.4
Obstructed labor due to shoulder presentation
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code O64.4 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'obstructed labor due to shoulder presentation' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| 0 | O64.4XX0 | not applicable or unspecified |
| 1 | O64.4XX1 | fetus 1 |
| 2 | O64.4XX2 | fetus 2 |
| 3 | O64.4XX3 | fetus 3 |
| 4 | O64.4XX4 | fetus 4 |
| 5 | O64.4XX5 | fetus 5 |
| 9 | O64.4XX9 | other fetus |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoThe ICD code O644 is used to code Shoulder presentation
A shoulder presentation refers to a malpresentation at childbirth where the baby is in a transverse lie (its vertebral column is perpendicular to that of the mother), thus the leading part (the part that enters first the birth canal) is an arm, shoulder, or the trunk. While a baby can be delivered vaginally when either the head or the feet/buttocks are the leading part, it usually cannot be expected to be delivered successfully with a shoulder presentation unless a cesarean section (C/S) is performed.
| Specialty: | Obstetrics |
| ICD 9 Code: | 660.01 |
A shoulder presentation with a prolapsed arm, by William Smellie
Coding Notes for O64.4 Info for medical coders on how to properly use this ICD-10 code
-
Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Prolapsed arm
-
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Impacted shoulders - instead, use code O66.0
- Shoulder dystocia - instead, use code O66.0
ICD-10-CM Alphabetical Index References for 'O64.4 - Obstructed labor due to shoulder presentation'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code O64.4. Click on any term below to browse the alphabetical index.
Parent Code: O64 - Obstructed labor due to malposition and malpresentation of fetus