2025 ICD-10-CM code O65.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Complications of labor and delivery - Obstructed labor due to maternal pelvic abnormality Chapter 15: Pregnancy, childbirth and the puerperium Feed
Obstructed labor due to other maternal pelvic abnormalities.
Obstructed labor is a serious condition that can lead to maternal and fetal morbidity and mortality.Medical intervention, such as a cesarean section, is often necessary to prevent these adverse outcomes.The documentation must clearly justify the medical necessity of the intervention.
Obstetricians and gynecologists are primarily responsible for managing obstructed labor.Anesthesiologists may be involved in pain management and potentially during cesarean delivery.Neonatologists may be involved if the infant experiences complications.
In simple words: This code describes a situation where the baby cannot pass through the mother's pelvis during labor because of an unusual shape or structure of the mother's pelvis. This requires medical help.
This code is used to classify cases of obstructed labor that are caused by pelvic abnormalities not specified elsewhere in the O65 code range.These may include rare or complex anatomical variations impacting the birthing process.The obstruction prevents the normal progression of labor, necessitating medical intervention.
Example 1: A 35-year-old woman presents for labor.Pelvic examination reveals a significantly contracted pelvis due to a prior fracture.She progresses to obstructed labor requiring a cesarean section. Code O65.8 is used to describe the reason for the obstructed labor., A 28-year-old primigravida presents in active labor.Her labor is arrested despite adequate contractions due to a rare congenital pelvic abnormality.A cesarean section is performed. Code O65.8 is used., A 40-year-old multiparous patient experiences obstructed labor secondary to a previously undiagnosed pelvic bone anomaly, requiring operative vaginal delivery with forceps.Code O65.8 is used.
Detailed obstetrical history, including prior pregnancies and deliveries.Complete physical examination documenting pelvic measurements and any relevant abnormalities.Documentation of the labor progression and the intervention(s) performed to resolve the obstructed labor (e.g., Cesarean section, forceps delivery, vacuum extraction).Maternal and fetal vital signs during the entire labor process.Any complications arising from the obstructed labor or the interventions.
** Always ensure accurate documentation to support the selection of O65.8.If possible, specify the exact nature of the pelvic abnormality in the clinical notes, even if the specific O65 code is not available. This improves data quality for research and clinical analysis.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center