2025 ICD-10-CM code O66
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Complications of labor and delivery Pregnancy, childbirth and the puerperium Feed
Other obstructed labor, encompassing various causes not specified elsewhere.
Not applicable to ICD-10 codes.
The medical necessity is established by the presence of obstructed labor and the need for intervention to ensure maternal and fetal well-being.This would include evidence of failed progress in labor, fetal distress, or indications of maternal compromise. Documentation justifying the medical intervention (e.g.,cesarean section) is crucial.
Obstetrician/Gynecologist (OB/GYN), other healthcare professionals involved in labor and delivery
- Pregnancy, childbirth and the puerperium
- O00-O99 (Pregnancy, childbirth and the puerperium) > O60-O75 (Complications of labor and delivery)
In simple words: This code is used when a mother has trouble delivering her baby because something is blocking the baby's way down the birth canal. This could be due to many reasons, and the doctor will use a more specific code if they know the exact reason.
This ICD-10-CM code encompasses various instances of obstructed labor not specifically categorized under other codes within the O66 series.Obstructed labor refers to difficulties during childbirth where the baby's descent through the birth canal is impeded.This can stem from various fetal, maternal, or combined factors. The code O66 is a general category and further specification, such as O66.0 (shoulder dystocia), O66.1 (locked twins), O66.2 (macrosomia), etc., should be used when more precise details are available.
Example 1: A patient experiences prolonged labor with slow descent of the fetal head.Despite adequate contractions, the baby fails to progress, necessitating intervention.The cause is undetermined. Code O66 is assigned., A patient presents with cephalopelvic disproportion (CPD), a mismatch between the size of the baby's head and the mother's pelvis. The delivery is obstructed. Code O66 is used, with a more specific code if the cause of the CPD is identifiable., During labor, unexpected complications arise leading to obstructed labor. The specific cause cannot be immediately determined. Code O66 is used as a placeholder until further evaluation provides a more precise diagnosis.
Detailed documentation is needed, including the reason for obstructed labor if identifiable; the type of intervention used (e.g., cesarean section, forceps); and the outcome of the delivery.Clinical notes should accurately reflect the events and the challenges faced during the labor process.
** This code should be used cautiously. When possible, use a more specific code from the O66 series to improve data accuracy and reimbursement.
- Revenue Code: This will vary depending on the specific services rendered and the payer. Consult your payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.They are linked to procedures (CPT codes) and vary by location and payer.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active (payment depends on associated procedures and payer)
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Birthing Center, Ambulatory Surgical Center