O65
O65 — Obstructed labor due to maternal pelvic abnormality
Non-billable headerICD-10-CM
O65 is a non-billable header ICD-10-CM code for obstructed labor due to maternal pelvic abnormality. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with O65
These codes carry an Excludes1 note pointing at O65. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O65 alone.
Risk adjustment
O65 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead O65
8 child codes. Green means billable.
- O65.0Obstructed labor due to deformed pelvis
- O65.1Obstructed labor due to generally contracted pelvis
- O65.2Obstructed labor due to pelvic inlet contraction
- O65.3Obstructed labor due to pelvic outlet and mid-cavity contraction
- O65.4Obstructed labor due to fetopelvic disproportion, unspecified
- O65.5Obstructed labor due to abnormality of maternal pelvic organs
- O65.8Obstructed labor due to other maternal pelvic abnormalities
- O65.9Obstructed labor due to maternal pelvic abnormality, unspecified
Questions about O65
- Is O65 a billable ICD-10-CM code?
- No. O65 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O65 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).