O62.4

Hypertonic, incoordinate, and prolonged uterine contractions

Billable / specific

O62.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm

Includes (from O62)

  • Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Note: Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Note: Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • Note: 1st trimester- less than 14 weeks 0 days
  • Note: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • Note: 3rd trimester- 28 weeks 0 days until delivery

Excludes1

Not coded here — never report together with this code.

  • dystocia (fetal) (maternal) NOS (O66.9)
  • supervision of normal pregnancy (Z34.-) (from O62)

Excludes2

Not included here — may be reported together when both conditions exist.

  • mental and behavioral disorders associated with the puerperium (F53.-) (from O62)
  • obstetrical tetanus (A34) (from O62)
  • postpartum necrosis of pituitary gland (E23.0) (from O62)
  • puerperal osteomalacia (M83.0) (from O62)

Use additional code

Add a code to identify the following, if applicable.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. (from O62)

Also known as

  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm
  • Bandl's ring, complicating delivery
  • Constriction, ring dystocia
  • Contraction, contracture, contracted, hourglass, uterus
  • Contraction, contracture, contracted, ring
  • Contraction, contracture, contracted, uterus, clonic
  • Contraction, contracture, contracted, uterus, dyscoordinate
  • Contraction, contracture, contracted, uterus, hourglass
  • Contraction, contracture, contracted, uterus, hypertonic
  • Contraction, contracture, contracted, uterus, incoordinate
  • Contraction, contracture, contracted, uterus, tetanic
  • Delivery, cesarean, incoordinate uterine action
  • Delivery, complicated, by Bandl's ring
  • Delivery, complicated, by contraction, contracted ring
  • Delivery, complicated, by hourglass contraction, uterus
  • Delivery, complicated, by incoordinate uterus contractions

Parent code

  • O62Abnormalities of forces of laborHeader

Related codes

  • O62.0Primary inadequate contractionsBillable
  • O62.1Secondary uterine inertiaBillable
  • O62.2Other uterine inertiaBillable
  • O62.3Precipitate laborBillable
  • O62.8Other abnormalities of forces of laborBillable
  • O62.9Abnormality of forces of labor, unspecifiedBillable

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