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2025 ICD-10-CM code O31.8X93

Other complications specific to multiple gestation, unspecified trimester, affecting the third fetus.

* This code is for maternal records only.* Use additional code from category Z3A to specify the week of gestation, if known.* Refer to the official ICD-10-CM coding guidelines for further clarification.

Modifiers may be applicable depending on the circumstances. Consult official coding guidelines.

The medical necessity for coding O31.8X93 is established by the presence of documented complications affecting the third fetus in a multiple gestation pregnancy. The specific nature of the complication and its impact on the maternal or fetal well-being must be clearly documented.Payer-specific guidelines should be consulted for additional criteria.

Obstetrician/Gynecologist

IMPORTANT:This code may be used in conjunction with other codes from chapter 10 to fully describe the maternal condition.Consider codes from category Z3A to specify the week of gestation if known.ICD-9-CM code 651.90 (Unspecified multiple gestation, unspecified as to episode of care) is an approximate equivalent.

In simple words: This code is for problems during a pregnancy with more than one baby (twins, triplets, etc.) that affect the third baby, and where the exact time in the pregnancy is unknown.

This code signifies other unspecified complications arising in a multiple gestation pregnancy (e.g., twins, triplets, etc.), specifically affecting the third fetus.The trimester of pregnancy is not specified.This code should only be used for maternal records and not for newborn records.Additional codes from category Z3A may be used to specify the gestational week.

Example 1: A pregnant woman carrying triplets experiences unexplained fetal distress in the third fetus, without clear identification of the trimester., A patient with a high-order multiple gestation pregnancy (e.g., quadruplets) presents with complications in the third fetus, but the gestational age is unknown at the time of coding., During routine ultrasound monitoring of a triplet pregnancy, abnormalities are detected in the third fetus, but the specifics of the complication are not fully determined and the trimester is not specified in the clinical documentation.

* Detailed obstetrical history including the number of fetuses.* Findings from any diagnostic tests, such as ultrasounds or fetal monitoring, showing complications in the third fetus.* Clinical notes documenting the assessment and management of the identified fetal distress.* Gestational age at the time the complication is identified (if known).

** This code is part of a broader range of codes for complications of multiple gestation.Specific documentation is crucial for accurate coding.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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