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BETA v.3.0

2025 ICD-10-CM code O32.1XX5

Maternal care for breech presentation, fetus 5.

This code is specifically for use on the maternal record, not the newborn record. An additional code from category Z3A (Weeks of gestation) should be used to specify the week of pregnancy if known.

Medical necessity for this code is established by the presence of a breech presentation in the fifth fetus of a multiple pregnancy. This condition may necessitate increased surveillance, interventions, or a cesarean delivery to ensure the safety of both the mother and the fetus.

In simple words: This code is used when a pregnant woman carrying five fetuses requires medical attention because one of the babies is positioned with its buttocks or feet down.

This code describes the maternal care provided when the fifth fetus presents in a breech position. Breech presentation refers to a fetus positioned with the buttocks or feet first, rather than the head, in the birth canal. This condition requires specialized maternal care.

Example 1: A pregnant woman, carrying quintuplets, is in her third trimester. Ultrasound reveals that fetus number five is in a breech presentation. She is admitted for observation and management of the breech presentation., A woman pregnant with quintuplets goes into labor. Fetus number five is in a breech presentation, necessitating a cesarean section., A pregnant woman with quintuplets is hospitalized in her second trimester because fetus number five is in a persistent breech presentation, requiring close monitoring.

Documentation should include ultrasound findings confirming the breech presentation of the fifth fetus, the trimester of pregnancy, and any associated complications. Details of the maternal care provided should also be documented.

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