2025 ICD-10-CM code O32.4XX5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Maternal care for high head at term, fetus 5.
Modifiers are not applicable to ICD-10 codes.
Medical necessity is established by the presence of a high fetal head presentation in the fifth fetus of a multiple gestation pregnancy at term.This condition can potentially result in obstructed labor or other complications, necessitating appropriate obstetric care and potentially intervention.
The clinical responsibility lies with the obstetrician or other qualified healthcare professional managing the pregnancy and delivery.This includes monitoring the mother's health, assessing the fetal presentation, and planning the mode of delivery.In cases of potential complications, consultation with other specialists might be necessary.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O32.4XX5 falls within the broader category of maternal care related to fetal presentation and potential delivery complications (O30-O48).
In simple words: This code is used when a mother is receiving medical care because the head of her fifth baby is high up in her uterus at the end of her pregnancy.The care could include monitoring the mother and baby, and taking steps to prepare for the birth.
This ICD-10-CM code signifies maternal care provided due to a high fetal head presentation at term, specifically for the fifth fetus in a multiple gestation pregnancy.The code encompasses the medical management and observation of the mother related to this fetal presentation, potentially including interventions necessary to address the condition and facilitate delivery.This code is used only on the maternal record, never on the newborn record.
Example 1: A mother carrying quintuplets presents at term with a high fetal head presentation in the fifth fetus. The obstetrician performs serial ultrasounds to monitor fetal position and growth, evaluates the mother's condition, and discusses various delivery options, including vaginal delivery or cesarean section., A mother of quintuplets is admitted for observation due to a high fetal head presentation at term in her fifth baby. The medical team provides continuous fetal monitoring, assesses the maternal response to interventions and monitors for potential complications like decelerations or other signs of fetal distress., A mother delivering quintuplets requires a cesarean section due to a persistent high head presentation in the fifth fetus. The code is used to represent the maternal care associated with the cesarean delivery, including preoperative assessment, perioperative care, and postoperative monitoring.
Detailed documentation should include the gestational age at the time of the encounter, the fetal presentation noted during examination, ultrasound reports confirming the high fetal head, any interventions performed, the mode of delivery (vaginal, cesarean), and any associated complications or maternal/fetal outcomes.
** This code specifically addresses maternal care for high head presentation in the context of a multiple gestation pregnancy involving five or more fetuses.The code is not used if the high head presentation is a component of a broader malpresentation, such as breech, which has its own coding.
- Revenue Code: Revenue codes will vary based on the specific services provided.Refer to your payer's guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is based on the procedures and services performed, which are coded using CPT or HCPCS codes, and those codes have associated RVUs.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center