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O64.4

Obstructed labor due to shoulder presentation

Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 7 never code together
O64.4code
Excludes1
O00-O9Achapter
Excludes1
  • supervision of normal pregnancy (Z34.-)Z34.-
Excludes2
  • mental and behavioral disorders associated with the puerperium (F53.-)F53.-
  • obstetrical tetanus (A34)A34
  • postpartum necrosis of pituitary gland (E23.0)E23.0
  • puerperal osteomalacia (M83.0)M83.0

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 7
0 not applicable or unspecified
1 fetus 1
2 fetus 2
3 fetus 3
4 fetus 4
5 fetus 5
9 other fetus
Instructional notes 8
O64.4code
Inclusion terms
  • Prolapsed arm
O00-O9Achapter
Notes
  • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • 1st trimester- less than 14 weeks 0 days
  • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • 3rd trimester- 28 weeks 0 days until delivery
Use additional code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.Z3A
Index entries leading here 2
  • Prolapse, prolapsed
    • arm or hand O32.2
      • causing obstructed labor O64.4
  • Delivery (childbirth) (labor)
    • complicated O75.9
      • by
        • obstructed labor
          • due to
        • shoulder presentation O64.4
Alongside this code 7 same parent — O64
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
no
Code set
FY2026
Parent
O64
Block
O60-O77
Siblings
7

Present FY2024–FY2027.