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2025 ICD-10-CM code O64.5XX4

Obstructed labor due to compound presentation, fetus 4.

This code is to be used only on the maternal record, not the newborn record. An additional code from category Z3A (Weeks of gestation) should be used to specify the week of pregnancy. Do not use this code for supervision of normal pregnancy (Z34.-), mental and behavioral disorders associated with the puerperium (F53.-), obstetrical tetanus (A34), postpartum necrosis of pituitary gland (E23.0), or puerperal osteomalacia (M83.0).

Medical necessity for interventions related to this code would be supported by documentation of obstructed labor due to the compound presentation, posing a risk to the mother and/or fetus.

Obstetricians and other healthcare professionals managing childbirth are responsible for diagnosing and managing obstructed labor due to compound presentation.

In simple words: Difficult labor due to the baby's arm or leg presenting alongside the head or buttocks, specifically for the fourth baby in a multiple pregnancy.

Obstructed labor due to compound presentation, fetus 4.A compound presentation occurs when a fetal extremity presents alongside the fetal head or breech.

Example 1: A pregnant woman carrying quadruplets experiences obstructed labor because the fourth baby's hand is presenting alongside its head., During labor with triplets, the third baby presents with its foot alongside its breech, leading to an obstruction., A woman pregnant with twins has a delayed labor due to the second twin's arm being prolapsed along with the head.

Documentation should include details of the fetal presentation (compound presentation of the fourth fetus), confirmation of obstruction, and any procedures performed to resolve the obstruction.

** The "XX" in the code represents the placeholder for the 7th character, which specifies the episode of care.

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