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2025 ICD-10-CM code O32.1XX0

Maternal care for breech presentation where the fetus's identity is not applicable or unspecified.

Always use this code only on maternal records, and never on newborn records.If obstructed labor is a factor, also use the appropriate code from category O64.Use additional code from Z3A (Weeks of gestation), if known, to indicate the pregnancy week.

Medical necessity for maternal care related to breech presentation is established by the presence of the breech presentation itself, which increases the risk of complications during labor and delivery.This necessitates monitoring, potential interventions, and preparation for different delivery strategies, thus making the maternal care medically necessary.The degree of medical necessity will vary depending on gestational age and other risk factors.

The clinical responsibility rests with the obstetrician or other qualified healthcare professional managing the pregnancy and delivery.This includes assessing fetal position, monitoring the mother's condition, planning for potential delivery methods (vaginal delivery or Cesarean section), and providing any necessary medical intervention to ensure both maternal and fetal well-being.

IMPORTANT:Related codes may include those specifying the particular fetus involved in multiple gestations (O32.1XX1, O32.1XX2, etc.), or codes for other malpresentations (e.g., O32.2XX0 for transverse lie, O32.3XX0 for face presentation).If obstructed labor is a factor, O64.1XX0 (Obstructed labor due to breech presentation) may be used in addition to this code.

In simple words: This code describes the medical care a mother receives because her baby is positioned bottom-first (breech) in her womb.It's used when doctors don't know or it's not important to specify which baby (in cases of twins or higher-order multiples) has the breech position. This code is only for the mother's medical record.

This ICD-10-CM code, O32.1XX0, signifies maternal care provided due to a breech presentation during pregnancy.The "XX0"indicates that either the fetus's identity is not applicable (e.g., in cases of miscarriage or stillbirth where fetal information isn't available) or it is unspecified for some reason. This code is solely for maternal records and should never be used for newborn records.The code encompasses any medical care given to the mother related to the breech presentation, including observation, hospitalization, or interventions to manage the breech presentation or related maternal complications.

Example 1: A mother is admitted to the hospital for observation due to a breech presentation detected during a routine ultrasound at 36 weeks gestation.She has no other complications. O32.1XX0 is used to report the maternal care provided., A mother carrying twins is undergoing regular antenatal checks, and one twin is identified as breech.The code O32.1XX0 is used since it is not specified which twin has the breech presentation., In a case of a stillbirth where a breech presentation was noted during autopsy, O32.1XX0 would be applicable to the maternal record to reflect care given related to the breech.

Documentation should include the gestational age at which the breech presentation was diagnosed, the method of diagnosis (ultrasound, vaginal examination), any interventions undertaken to manage the breech (e.g., external cephalic version attempts), and details of maternal and fetal monitoring. For multiple gestations, specific fetal identification should be noted if possible.

** The seventh character in this code (the '0') is significant, indicating the fetus' identity is not applicable or unspecified.This distinction is crucial to differentiate between this code and others in the O32 series that identify the specific fetus in a multiple gestation.

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