Maternal care for malpresentation of fetus
In Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48), chapter 15: Pregnancy, Childbirth and the Puerperium
56 billable codes under O32: none are a CC or MCC; none map to an HCC.
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Instructional notes
Includes: conditions that are coded here
- the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Excludes1: not coded here, use a different code
- malpresentation of fetus with obstructed labor (O64.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O32
O32 can't be used on a claim. Pick a billable code below; grey headings group them.
- O32.0Maternal care for unstable lie
- O32.0XX0Maternal care for unstable lie, not applicable or unspecified
- O32.0XX1Maternal care for unstable lie, fetus 1
- O32.0XX2Maternal care for unstable lie, fetus 2
- O32.0XX3Maternal care for unstable lie, fetus 3
- O32.0XX4Maternal care for unstable lie, fetus 4
- O32.0XX5Maternal care for unstable lie, fetus 5
- O32.0XX9Maternal care for unstable lie, other fetus
- O32.1Maternal care for breech presentation
- O32.1XX0Maternal care for breech presentation, not applicable or unspecified
- O32.1XX1Maternal care for breech presentation, fetus 1
- O32.1XX2Maternal care for breech presentation, fetus 2
- O32.1XX3Maternal care for breech presentation, fetus 3
- O32.1XX4Maternal care for breech presentation, fetus 4
- O32.1XX5Maternal care for breech presentation, fetus 5
- O32.1XX9Maternal care for breech presentation, other fetus
- O32.2Maternal care for transverse and oblique lie
- O32.2XX0Maternal care for transverse and oblique lie, not applicable or unspecified
- O32.2XX1Maternal care for transverse and oblique lie, fetus 1
- O32.2XX2Maternal care for transverse and oblique lie, fetus 2
- O32.2XX3Maternal care for transverse and oblique lie, fetus 3
- O32.2XX4Maternal care for transverse and oblique lie, fetus 4
- O32.2XX5Maternal care for transverse and oblique lie, fetus 5
- O32.2XX9Maternal care for transverse and oblique lie, other fetus
- O32.3Maternal care for face, brow and chin presentation
- O32.3XX0Maternal care for face, brow and chin presentation, not applicable or unspecified
- O32.3XX1Maternal care for face, brow and chin presentation, fetus 1
- O32.3XX2Maternal care for face, brow and chin presentation, fetus 2
- O32.3XX3Maternal care for face, brow and chin presentation, fetus 3
- O32.3XX4Maternal care for face, brow and chin presentation, fetus 4
- O32.3XX5Maternal care for face, brow and chin presentation, fetus 5
- O32.3XX9Maternal care for face, brow and chin presentation, other fetus
- O32.4Maternal care for high head at term
- O32.4XX0Maternal care for high head at term, not applicable or unspecified
- O32.4XX1Maternal care for high head at term, fetus 1
- O32.4XX2Maternal care for high head at term, fetus 2
- O32.4XX3Maternal care for high head at term, fetus 3
- O32.4XX4Maternal care for high head at term, fetus 4
- O32.4XX5Maternal care for high head at term, fetus 5
- O32.4XX9Maternal care for high head at term, other fetus
- O32.6Maternal care for compound presentation
- O32.6XX0Maternal care for compound presentation, not applicable or unspecified
- O32.6XX1Maternal care for compound presentation, fetus 1
- O32.6XX2Maternal care for compound presentation, fetus 2
- O32.6XX3Maternal care for compound presentation, fetus 3
- O32.6XX4Maternal care for compound presentation, fetus 4
- O32.6XX5Maternal care for compound presentation, fetus 5
- O32.6XX9Maternal care for compound presentation, other fetus
- O32.8Maternal care for other malpresentation of fetus
- O32.8XX0Maternal care for other malpresentation of fetus, not applicable or unspecified
- O32.8XX1Maternal care for other malpresentation of fetus, fetus 1
- O32.8XX2Maternal care for other malpresentation of fetus, fetus 2
- O32.8XX3Maternal care for other malpresentation of fetus, fetus 3
- O32.8XX4Maternal care for other malpresentation of fetus, fetus 4
- O32.8XX5Maternal care for other malpresentation of fetus, fetus 5
- O32.8XX9Maternal care for other malpresentation of fetus, other fetus
- O32.9Maternal care for malpresentation of fetus, unspecified
- O32.9XX0Maternal care for malpresentation of fetus, unspecified, not applicable or unspecified
- O32.9XX1Maternal care for malpresentation of fetus, unspecified, fetus 1
- O32.9XX2Maternal care for malpresentation of fetus, unspecified, fetus 2
- O32.9XX3Maternal care for malpresentation of fetus, unspecified, fetus 3
- O32.9XX4Maternal care for malpresentation of fetus, unspecified, fetus 4
- O32.9XX5Maternal care for malpresentation of fetus, unspecified, fetus 5
- O32.9XX9Maternal care for malpresentation of fetus, unspecified, other fetus
O32 MS-DRGs
As the principal diagnosis, all 56 billable codes under O32 group to MS-DRG 817, 818, 819, 831, 832, or 833 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read more about childbirth problems on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
