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

Persistent Occiput Posterior Position

A patient was admitted for elective induction of labor at 40 weeks gestation. The patient’s labor progressed throughout the day; however, the fetus was found to be in a persistent occiput posterior position. Due to arrest of descent, maternal exhaustion/poor maternal effort, and persistent occiput posterior position, it was decided to perform forceps rotation and assisted forceps delivery. How is the diagnosis of persistent occiput posterior position coded? Would it be appropriate to code persistent occiput posterior position as an obstructed labor? ...

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