October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O64 Obstructed labor due to malposition and malpresentation of fetus

All 56 codes in the O64 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

56

Can lead a claim

0

Cannot lead a claim

56

What CMS assigns to O64

None of the 56 codes is assigned a clinical group. None of the 56 is assigned a comorbidity subgroup. None can lead a claim.

Every code in O64

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O64.0 Obstructed labor due to incomplete rotation of fetal head
O64.0XX0Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecifiedCMS: Obstructed labor due to incmpl rotation of fetal head, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX1Obstructed labor due to incomplete rotation of fetal head, fetus 1CMS: Obst labor due to incmpl rotation of fetal head, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX2Obstructed labor due to incomplete rotation of fetal head, fetus 2CMS: Obst labor due to incmpl rotation of fetal head, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX3Obstructed labor due to incomplete rotation of fetal head, fetus 3CMS: Obst labor due to incmpl rotation of fetal head, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX4Obstructed labor due to incomplete rotation of fetal head, fetus 4CMS: Obst labor due to incmpl rotation of fetal head, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX5Obstructed labor due to incomplete rotation of fetal head, fetus 5CMS: Obst labor due to incmpl rotation of fetal head, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.0XX9Obstructed labor due to incomplete rotation of fetal head, other fetusCMS: Obstructed labor due to incmpl rotation of fetal head, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1 Obstructed labor due to breech presentation
O64.1XX0Obstructed labor due to breech presentation, not applicable or unspecifiedCMS: Obstructed labor due to breech presentation, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX1Obstructed labor due to breech presentation, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX2Obstructed labor due to breech presentation, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX3Obstructed labor due to breech presentation, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX4Obstructed labor due to breech presentation, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX5Obstructed labor due to breech presentation, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.1XX9Obstructed labor due to breech presentation, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2 Obstructed labor due to face presentation
O64.2XX0Obstructed labor due to face presentation, not applicable or unspecifiedCMS: Obstructed labor due to face presentation, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX1Obstructed labor due to face presentation, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX2Obstructed labor due to face presentation, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX3Obstructed labor due to face presentation, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX4Obstructed labor due to face presentation, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX5Obstructed labor due to face presentation, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.2XX9Obstructed labor due to face presentation, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3 Obstructed labor due to brow presentation
O64.3XX0Obstructed labor due to brow presentation, not applicable or unspecifiedCMS: Obstructed labor due to brow presentation, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX1Obstructed labor due to brow presentation, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX2Obstructed labor due to brow presentation, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX3Obstructed labor due to brow presentation, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX4Obstructed labor due to brow presentation, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX5Obstructed labor due to brow presentation, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.3XX9Obstructed labor due to brow presentation, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4 Obstructed labor due to shoulder presentation
O64.4XX0Obstructed labor due to shoulder presentation, not applicable or unspecifiedCMS: Obstructed labor due to shoulder presentation, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX1Obstructed labor due to shoulder presentation, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX2Obstructed labor due to shoulder presentation, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX3Obstructed labor due to shoulder presentation, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX4Obstructed labor due to shoulder presentation, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX5Obstructed labor due to shoulder presentation, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.4XX9Obstructed labor due to shoulder presentation, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5 Obstructed labor due to compound presentation
O64.5XX0Obstructed labor due to compound presentation, not applicable or unspecifiedCMS: Obstructed labor due to compound presentation, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX1Obstructed labor due to compound presentation, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX2Obstructed labor due to compound presentation, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX3Obstructed labor due to compound presentation, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX4Obstructed labor due to compound presentation, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX5Obstructed labor due to compound presentation, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.5XX9Obstructed labor due to compound presentation, other fetusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8 Obstructed labor due to other malposition and malpresentation
O64.8XX0Obstructed labor due to other malposition and malpresentation, not applicable or unspecifiedCMS: Obstructed labor due to oth malposition and malpresent, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX1Obstructed labor due to other malposition and malpresentation, fetus 1CMS: Obstructed labor due to oth malpos and malpresent, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX2Obstructed labor due to other malposition and malpresentation, fetus 2CMS: Obstructed labor due to oth malpos and malpresent, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX3Obstructed labor due to other malposition and malpresentation, fetus 3CMS: Obstructed labor due to oth malpos and malpresent, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX4Obstructed labor due to other malposition and malpresentation, fetus 4CMS: Obstructed labor due to oth malpos and malpresent, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX5Obstructed labor due to other malposition and malpresentation, fetus 5CMS: Obstructed labor due to oth malpos and malpresent, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.8XX9Obstructed labor due to other malposition and malpresentation, other fetusCMS: Obstructed labor due to oth malposition and malpresent, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9 Obstructed labor due to malposition and malpresentation, unspecified
O64.9XX0Obstructed labor due to malposition and malpresentation, unspecified, not applicable or unspecifiedCMS: Obstructed labor due to malpos and malpresent, unsp, unspCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX1Obstructed labor due to malposition and malpresentation, unspecified, fetus 1CMS: Obstructed labor due to malpos and malpresent, unsp, fetus 1Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX2Obstructed labor due to malposition and malpresentation, unspecified, fetus 2CMS: Obstructed labor due to malpos and malpresent, unsp, fetus 2Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX3Obstructed labor due to malposition and malpresentation, unspecified, fetus 3CMS: Obstructed labor due to malpos and malpresent, unsp, fetus 3Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX4Obstructed labor due to malposition and malpresentation, unspecified, fetus 4CMS: Obstructed labor due to malpos and malpresent, unsp, fetus 4Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX5Obstructed labor due to malposition and malpresentation, unspecified, fetus 5CMS: Obstructed labor due to malpos and malpresent, unsp, fetus 5Cannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
O64.9XX9Obstructed labor due to malposition and malpresentation, unspecified, other fetusCMS: Obstructed labor due to malpos and malpresent, unsp, othCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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