2025 ICD-10-CM code O62.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Abnormalities of forces of labor Chapter 15: Pregnancy, childbirth and the puerperium Feed
This code signifies hypertonic, incoordinate, and prolonged uterine contractions during labor.
Modifiers may be applicable depending on the specific circumstances and services rendered.Consult the most recent CPT and modifier guidelines.
The medical necessity for coding O62.4 is established when there is clinical evidence of prolonged, hypertonic, or uncoordinated uterine contractions that impede labor progress and require intervention.
Obstetrician/Gynecologist
In simple words: This code describes problems with the contractions of the uterus during labor.The contractions may be too strong, irregular, or last too long, making it difficult for the baby to be born.
O62.4, Hypertonic, incoordinate, and prolonged uterine contractions, encompasses various conditions characterized by abnormal uterine contractions during labor.These include hypertonic uterine dysfunction, incoordinate uterine action, tetanic contractions, uterine spasm, cervical spasm, contraction ring dystocia, and hour-glass contraction of the uterus.It excludes dystocia (fetal) (maternal) NOS (O66.9).
Example 1: A 35-year-old G2P1 at 39 weeks gestation presents in active labor with prolonged and intense contractions, but minimal cervical change.Diagnosis: O62.4 - Hypertonic, incoordinate, and prolonged uterine contractions.The patient requires augmentation of labor. , A 28-year-old G1P0 at 41 weeks gestation is in labor with contractions that are uncoordinated and ineffective.The cervix is not progressing.Diagnosis: O62.4.A Cesarean Section is performed due to failure to progress., A 22-year-old G1P0 at 38 weeks gestation presents with frequent and very painful uterine contractions, but the cervix is not dilating.This is her first pregnancy.She is diagnosed with O62.4.Pain management is implemented, followed by close monitoring and possible medical intervention.
Complete obstetrical history, including gestational age, fetal monitoring strips, details of uterine contractions (frequency, duration, intensity), cervical examination findings, and any interventions undertaken (e.g., pain management, augmentation of labor, cesarean delivery).
** Accurate coding requires a thorough understanding of the nuances of labor abnormalities and the use of additional codes to fully represent the clinical picture.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center