2025 ICD-10-CM code O32.4XX3
(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 (O00-O9A) Feed
This code signifies maternal care for a high head presentation at term, specifically for the third fetus in a multiple gestation pregnancy.
Medical necessity is established by the clinical findings demonstrating a high head presentation at term which poses a risk to the mother or the third fetus, necessitating close monitoring or intervention such as a cesarean section.
The clinical responsibility for this code rests with the obstetrician or other qualified healthcare professional managing the pregnancy.Their duties include monitoring the mother's health, assessing the fetal position, performing examinations, ordering additional tests (e.g., ultrasound), and determining the appropriate method of delivery to ensure both the mother and the fetus have the best possible outcome.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O32: Maternal care for malpresentation of fetus > O32.4: Maternal care for high head at term
In simple words: This code is used by doctors to record the care given to a mother during pregnancy when the baby's head is high up and hasn't settled into the pelvis at the end of the pregnancy, and it's the third baby in a multiple birth. This might include extra checkups, tests, or decisions about how to deliver the baby.
ICD-10-CM code O32.4XX3 denotes maternal care provided for a high head presentation (cephalic presentation where the fetal head is not engaged in the pelvis) at term (37-40 weeks gestation) in a multiple gestation pregnancy, with this specific code indicating the third fetus.This code is applied when the high head presentation necessitates observation, hospitalization, or other obstetric interventions.It excludes cases of obstructed labor due to malpresentation.The code is used only for maternal records, not for newborn records.Additional codes from category Z3A (Weeks of gestation) may be used to specify gestational age if known.
Example 1: A 39-week pregnant woman carrying triplets is seen for a routine prenatal visit. Ultrasound reveals the third fetus is in a high head presentation. The obstetrician orders additional monitoring and plans for a cesarean section due to the malpresentation., A patient at 38 weeks gestation with twins is hospitalized for observation due to a high head presentation in the third fetus.Continuous fetal monitoring and regular assessments are conducted. The decision to deliver is based on the clinical condition of the mother and fetus., A pregnant woman with triplets at 40 weeks arrives at the hospital in labor.The first two fetuses are delivered vaginally, but the third fetus is in a high head presentation, requiring a cesarean section for delivery.
Documentation should include the gestational age, ultrasound findings confirming the high head presentation, any maternal or fetal risk factors, and the method of delivery.A detailed medical record documenting the rationale for the management of the high head presentation, the need for intervention (if any), and the clinical course should also be present.
** This code specifically applies to the third fetus in a multiple gestation pregnancy.Variations of this code exist for other fetuses in multiple gestations (O32.4XX1, O32.4XX2, etc.).The specific selection depends on the number and order of delivery of the fetuses.
- Payment Status: Active
- Specialties:Obstetrics, Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center