2025 ICD-10-CM code O32.4XX4
(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 due to a high head presentation at term in the fourth fetus of a multiple pregnancy.
Medical necessity is established by the presence of a high head presentation at term in a multiple gestation pregnancy.This malpresentation may increase the risk of complications during labor and delivery and require specific maternal care, including observation, induction attempts, and potential Cesarean delivery. Documentation should demonstrate the clinical reasoning for the chosen intervention and its link to the specific risk profile of the patient.
Obstetrician-gynecologists (OB-GYNs) and other healthcare professionals involved in maternal care during pregnancy and delivery are responsible for the clinical management indicated by this code.Their responsibilities encompass assessment, monitoring, and appropriate interventions to manage the high head presentation, considering potential risks and complications. This could include regular checkups, ultrasounds, and the decision-making for delivery methods (vaginal or Cesarean).
In simple words: This medical code is used when a mother is receiving care because her baby's head is high up in her uterus at the end of her pregnancy (full-term). This code is specifically for pregnancies with more than one baby, where this is the fourth baby.
ICD-10-CM code O32.4XX4, "Maternal care for high head at term, fetus 4," is used to classify maternal care associated with a high fetal head position at term (full-term pregnancy) in the context of a multiple gestation pregnancy involving at least four fetuses.The code encompasses various obstetric interventions and monitoring activities undertaken to manage this presentation, which might include observation, hospitalization, or interventions leading up to Cesarean delivery.This code is specifically for maternal records and should not be applied to newborn records. The 'X' in the code allows for additional character specification if needed, and the '4' indicates that this is the fourth fetus of the pregnancy.
Example 1: A woman pregnant with quadruplets is undergoing routine prenatal care at 38 weeks gestation.An ultrasound reveals that the head of the fourth fetus is high up and not engaged.Code O32.4XX4 is used to reflect the maternal care provided concerning this malpresentation., A patient carrying quadruplets presents at 39 weeks with symptoms of labor, but the head of the fourth fetus remains high.The physician decides on a Cesarean section. Code O32.4XX4 will be used to document maternal care related to this decision., A mother carrying quadruplets is admitted to the hospital at 40 weeks for observation due to high head presentation of the fourth fetus.Following several days of monitoring and attempting to induce labor without success, a Cesarean section is ultimately performed. This scenario will use code O32.4XX4 to reflect the observation and eventual intervention.
Documentation should include a description of the fetal head position (high head), gestational age, type of pregnancy (multiple gestation), and details regarding the obstetric management.Ultrasound reports showing the malpresentation are essential.Physician notes justifying the chosen management approach (e.g., observation, induction, or Cesarean section) are also required.
** The code O32.4XX4 is part of a broader family of codes within the O32 category that address maternal care for various fetal malpresentations.Accurate code selection requires precise documentation of the specific fetal position at the time of the maternal encounter.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office