AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 2; Ask the Editor

Direct Occiput Posterior Presentation

A patient was admitted in active labor at 39 weeks of gestation. The prenatal course was remarkable for macrosomia. Labor was complicated by the arrest of dilation and fetal malpresentation. The patient underwent a primary low transverse cesarean section, and a viable infant was delivered from direct occiput posterior presentation. What is the appropriate code for malpresentation due to direct occiput posterior presentation? Would it be appropriate to classify the direct occiput posterior presentation as an obstructed labor? ...

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