When is ICD-10 code O65.4 used?

Doctors, hospitals, and insurers may use ICD-10 code O65.4 when recording obstructed labor due to fetopelvic disproportion, unspecified in a standardized format.

Does ICD-10 code O65.4 confirm a diagnosis?

No. A code helps standardize documentation and claims, but it should not be read as a substitute for a clinician's full assessment.

ICD10BillableValid for clinical use

ICD-10 Code O65.4: Obstructed labor due to fetopelvic disproportion, unspecified

Name: ICD-10 Code O65.4: Obstructed labor due to fetopelvic disproportion, unspecified
Creator: HealthAssure Clinical Team
Published: 2026-05-26T05:25:39.445Z

O65.4 is a billable ICD-10 diagnosis code used to classify Obstructed labor due to fetopelvic disproportion, unspecified in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

When is it used?

May be used when a clinician documents obstructed labor due to fetopelvic disproportion, unspecified in a patient's medical record.
May appear in hospital records, claims, referrals, and clinical documentation.
This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

A code alone does not explain severity, treatment plan, or outcome.
A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter

15Pregnancy, childbirth and the puerperium (O00-O9A)

block

O60-O77Complications of labor and delivery

Official coding notes

Excludes1 (do not code together)

dystocia due to abnormality of fetus (O66.2-O66.3)

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

ObstetricianGynecologist

Sibling codes

O65.0Obstructed labor due to deformed pelvisbillable O65.1Obstructed labor due to generally contracted pelvisbillable O65.2Obstructed labor due to pelvic inlet contractionbillable O65.3Obstructed labor due to pelvic outlet and mid-cavity contractionbillable O65.5Obstructed labor due to abnormality of maternal pelvic organsbillable O65.8Obstructed labor due to other maternal pelvic abnormalitiesbillable O65.9Obstructed labor due to maternal pelvic abnormality, unspecifiedbillable

Mapped diagnoses and classifications

SNOMED_CT 10751581000119104high

Obstructed labour due to disproportion between fetus and pelvis

Source: SNOMED International ICD-10 map

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.

Legacy codes

O65.4

Common synonyms

Obstructed labor due to fetopelvic disproportion, unspecifiedObstructed labor due to fetopelvic disproportion

Frequently asked questions

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.