2025 ICD-10-CM code O32.2XX1
(Active) Effective Date: N/A Revision Date: N/A Obstetrics - Maternal care for malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium Feed
This code signifies maternal care provided due to a transverse or oblique lie of the fetus (first fetus).
Modifiers may apply depending on the circumstances and the procedures performed.Consult the appropriate coding guidelines for guidance.
Medical necessity is established by the presence of a transverse or oblique fetal lie, which increases the risk of complications during labor and delivery, potentially necessitating intervention such as Cesarean section to ensure the safety of the mother and baby. The decision for Cesarean section, for example, needs to be documented based on clinical findings and risk assessment.
The clinical responsibility lies with the obstetrician or other qualified healthcare professional managing the pregnancy. This includes monitoring the fetal position, determining the appropriate mode of delivery, and providing necessary prenatal and intrapartum care to ensure maternal and fetal well-being.
In simple words: This code is used when a mother receives medical care because her baby isn't positioned head-down in her uterus.It's used only if it's the first baby in a multiple pregnancy.
ICD-10-CM code O32.2XX1, "Maternal care for transverse and oblique lie, fetus 1," is used to classify maternal care provided for a pregnancy where the fetus is positioned transversely or obliquely in the uterus.This code is specifically for the first fetus in multiple gestations.The care may involve observation, hospitalization, other obstetric interventions, or Cesarean delivery before the onset of labor.It indicates the malpresentation as the reason for the medical care given to the mother, not complications arising from the malpresentation itself.This code should only be applied to maternal records.
Example 1: A 35-year-old woman at 38 weeks gestation presents for a routine prenatal visit. Ultrasound reveals a transverse lie of the fetus.The patient is admitted for observation and preparation for a planned Cesarean section., A 28-year-old pregnant woman with twins at 36 weeks gestation is admitted to the hospital due to a transverse lie of the first fetus. The medical team monitors the fetal heart rates closely and performs a Cesarean delivery given the malpresentation., A 40-year-old woman at 39 weeks gestation with a previous history of Cesarean section, presents with a transverse lie of the first fetus during a routine ultrasound scan. The patient is scheduled for a repeat Cesarean section.
Complete obstetrical history, including previous pregnancies and deliveries.Ultrasound reports showing fetal position (transverse or oblique lie).Physician's notes documenting the decision for management strategy (observation, Cesarean section, etc.).Delivery records (if applicable).
** The "XX" in the code represents the unspecified additional character for laterality of the fetus.The '1' specifies it is the first fetus if multiple fetuses are present.Always verify that the chosen code aligns with the documentation to ensure accurate billing and coding practices.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code; it is a diagnostic code.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center