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ICD-10-CM 2027

ICD-10 code for positional dystocia

O64.9

Obstructed labor due to malposition and malpresentation, unspecified

Header — needs a more specific code

From the official ICD-10-CM alphabetic index entry “Dystocia › positional”. Page updated September 29, 2026.

About coding positional dystocia

The ICD-10-CM code for positional dystocia is O64.9 (Obstructed labor due to malposition and malpresentation, unspecified).

Within O64, choose O64.9 (malposition and malpresentation, unspecified) only when documentation doesn't support a more specific option: incomplete rotation of fetal head (O64.0), breech presentation (O64.1), face presentation (O64.2), brow presentation (O64.3), shoulder presentation (O64.4), compound presentation (O64.5) and other malposition and malpresentation (O64.8).

Codes in this range require a 7th character: 0 for not applicable or unspecified, 1 for fetus 1, 2 for fetus 2, 3 for fetus 3, 4 for fetus 4, 5 for fetus 5 and 1 more. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Common questions about positional dystocia ICD-10 codes

What is the ICD-10 code for positional dystocia?

O64.9 — Obstructed labor due to malposition and malpresentation, unspecified (a header code; report a more specific subcode).

Is O64.9 billable?

No. O64.9 is a header code. Report one of its more specific subcodes instead.