2025 ICD-10-CM code O32.4XX1
Maternal care for high head at term, fetus 1.
The medical necessity for using this code is based on the potential complications associated with a high head presentation at term, which can lead to difficulties during labor and delivery.This may necessitate closer monitoring, interventions, or a cesarean delivery.
The physician or other healthcare provider is responsible for monitoring the mother's condition, assessing the position of the fetus, and managing the pregnancy to ensure a safe delivery. This may involve additional ultrasounds, consultations, or discussions about delivery options, including cesarean section.
In simple words: This code is used when a pregnant woman needs care because the baby's head is high in the pelvis at full term. It applies to the first baby in cases of twins, triplets, etc.
This code indicates the need for maternal care due to the fetus's head being high in the pelvis at term, specifically for the first fetus in a multiple pregnancy.
Example 1: A pregnant woman at 39 weeks gestation, carrying twins, presents for a routine checkup.An ultrasound reveals that the head of the first twin is not engaged in the pelvis, indicating a high head presentation. The code O32.4XX1 is used to document the need for maternal care related to this condition for twin A. O32.4XX2 would be used for the second twin if they too presented with a high head., A 40-week pregnant woman, expecting triplets, is admitted to the hospital for observation due to the high head presentation of the first fetus. Code O32.4XX1 is used.The second and third fetuses are positioned correctly., A woman pregnant with twins at 38 weeks gestation undergoes an ultrasound that shows both fetuses are in a high head presentation. This indicates a potential difficulty during delivery. O32.4XX1 would be used to document this for the first twin, while O32.4XX2 would be used for the second twin.
Documentation should include details of the ultrasound findings confirming the high head presentation, the gestational age, the number of fetuses, and the management plan, including any decisions regarding the mode of delivery.
** It is crucial to distinguish this code (O32.4XX1) from the other codes under O32.4XX[number] which are specifically designated for each fetus when there are multiple gestations. Using O32.4XX1 implies issues with Fetus 1, not with all fetuses present.
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Birthing Center