O66.41 Failed attempted vaginal birth after previous cesarean delivery

The ICD-10-CM code for Failed attempted vaginal birth after previous cesarean delivery is O66.41 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

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

Section

O60-O77: Complications of labor and delivery (O60-O77)

Category O66

12 codes (10 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to O66.41:

• Failure, failed › trial of labor (with subsequent cesarean delivery) › following previous cesarean delivery
• Delivery (childbirth) (labor) › complicated › by › failed › attempted vaginal birth after previous cesarean delivery
• Delivery (childbirth) (labor) › cesarean (for) › failed › trial of labor NOS › following previous cesarean delivery

U.S. Hospital Utilization

• An estimated 10,095 U.S. inpatient stays in 2023 included O66.41 among the documented diagnoses.
• 775 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)