2025 ICD-10-CM code O32.3XX1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care for malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium Feed
This code signifies maternal care provided for a face, brow, or chin presentation of the first fetus during pregnancy or delivery.
Modifiers may be necessary to indicate the place of service, type of service, or other relevant circumstances, depending on the payer's specific guidelines and the context of the care provided.
Medical necessity for the care provided under this code is established by the presence of a fetal malpresentation which poses an increased risk of complications such as fetal distress, prolonged labor, or birth injury. The physician must document the clinical indicators which support the decision for the specific care rendered.
The clinical responsibility for this code falls on the obstetrician or other qualified healthcare professional managing the pregnancy and delivery.This includes monitoring the fetal presentation, assessing potential risks and complications, and determining the appropriate management plan, which may involve interventions such as version or cesarean delivery.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O32 (Maternal care for malpresentation of fetus)
In simple words: This code is used when a mother receives medical care because her baby is positioned abnormally in the womb, with its face, forehead, or chin facing downward instead of its head.This requires special care during the pregnancy and birth.
ICD-10-CM code O32.3XX1, "Maternal care for face, brow, and chin presentation, fetus 1," is used to classify maternal care related to a malpresentation where the fetus presents with its face, brow, or chin first.This necessitates specialized monitoring and management during labor and delivery due to the potential for complications. The code is specifically for the first fetus in a multiple gestation pregnancy.Use of this code implies the need for observation, hospitalization, or other obstetric care, potentially including cesarean delivery before the onset of labor.It excludes cases of malpresentation with obstructed labor.Additional codes may be necessary to specify the week of gestation and any associated conditions.
Example 1: A pregnant woman at 38 weeks gestation presents with a face presentation.The obstetrician orders an ultrasound to confirm the presentation and discusses the potential risks with the patient, including the possibility of a cesarean section.Code O32.3XX1 is used to bill for the maternal care associated with this diagnosis., During labor, a woman's first fetus is determined to have a brow presentation. The obstetrician attempts external cephalic version to change the fetal position; however, it fails.A cesarean section is performed due to the malpresentation.The maternal care provided, including attempted version and the cesarean section, can be reported using O32.3XX1 along with other appropriate procedural codes., A pregnant woman is admitted to the hospital for observation due to a suspected face presentation confirmed by ultrasound at 36 weeks gestation. The mother is closely monitored for fetal well-being and potential complications.Code O32.3XX1 is used for the maternal care associated with the hospitalization and monitoring related to the malpresentation.
Documentation should include the gestational age, confirmation of fetal presentation (e.g., ultrasound report), documentation of any attempts at external cephalic version, and details regarding maternal and fetal monitoring.If a cesarean section was performed, the operative report should also be included.Any other maternal complications should be fully documented.
** This code is for maternal care related to the malpresentation; separate codes are used to report any surgical or procedural interventions.
- Payment Status: Active
- Modifier TC rule: Not applicable to this code.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office