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ICD-10-CM 2027

ICD-10 code for Engagement of head failure

O32.4

Maternal care for high head at term

Header — needs a more specific code

From the official ICD-10-CM alphabetic index entry “Failure, failed › engagement of head (term of pregnancy) (mother)”. Page updated September 29, 2026.

About coding Engagement of head failure

The ICD-10-CM code for Engagement of head failure is O32.4 (Maternal care for high head at term).

Within O32 (maternal care for malpresentation of fetus), O32.4 is specifically for maternal care for high head at term. Related codes cover unstable lie (O32.0), breech presentation (O32.1), transverse and oblique lie (O32.2), face, brow and chin presentation (O32.3), compound presentation (O32.6), other malpresentation of fetus (O32.8) and unspecified (O32.9).

Codes in this range require a 7th character: 0 for not applicable or unspecified, 1 for fetus 1, 2 for fetus 2, 3 for fetus 3, 4 for fetus 4, 5 for fetus 5 and 1 more. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Common questions about Engagement of head failure ICD-10 codes

What is the ICD-10 code for Engagement of head failure?

O32.4 — Maternal care for high head at term (a header code; report a more specific subcode).

Is O32.4 billable?

No. O32.4 is a header code. Report one of its more specific subcodes instead.