O64.4
ICD-10Non-billable categoryObstructed labor due to shoulder presentation
Official ICD-10-CM descriptor (FY2026)
Obstructed labor due to shoulder presentation
O64.4 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.
Inclusion terms
- Prolapsed arm
Excludes1
Not coded here. An Excludes1 code should never be reported at the same time as the code above it.
- impacted shoulders (O66.0)
- shoulder dystocia (O66.0)
Related codes in O64
- O64.0Obstructed labor due to incomplete rotation of fetal headcategory
- O64.1Obstructed labor due to breech presentationcategory
- O64.2Obstructed labor due to face presentationcategory
- O64.3Obstructed labor due to brow presentationcategory
- O64.5Obstructed labor due to compound presentationcategory
- O64.8Obstructed labor due to oth malposition and malpresentationcategory
- O64.9Obstructed labor due to malposition and malpresent, unspcategory
Where this code sits
- Parent code
- O64
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ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.