2025 ICD-10-CM code O32.8XX0
Maternal care for other malpresentation of fetus, not applicable or unspecified.
The medical necessity for this code is established by the presence of a fetal malpresentation requiring additional maternal care and/or intervention. This could include increased surveillance, attempts at version, or a cesarean delivery. The documentation should clearly support the medical necessity of the services provided.
The obstetrician or other healthcare provider managing the pregnancy is responsible for the care described by this code.This includes diagnosing the malpresentation, discussing management options with the patient, and providing any necessary interventions or monitoring.
- 15 Pregnancy, childbirth and the puerperium
- O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
In simple words: This code indicates that the baby was not in a head-down position during the pregnancy and that the mother received care for this.
This code is used to describe the maternal care provided when the fetus presents in a position other than the normal vertex (head-down) presentation.This includes presentations such as breech (feet or buttocks first), transverse lie (fetus lying horizontally), or compound presentation (more than one part of the fetus presenting simultaneously). The "not applicable or unspecified" indicates that the specific type of malpresentation is either not documented or not specified. This code is only applicable to the maternal record, not the newborn's.
Example 1: A pregnant woman at 36 weeks gestation is found to have a breech presentation on ultrasound.She is admitted for an external cephalic version (ECV), a procedure to attempt to turn the baby to a head-down position.The ECV is unsuccessful, and a cesarean delivery is scheduled. O32.8XX0 would be used to describe the maternal care related to the breech presentation., A woman presents to labor and delivery at term. On examination, the fetus is found to be in a transverse lie. Due to the inability for vaginal delivery in this position, a cesarean section is performed. O32.8XX0 is used to document the reason for the cesarean delivery on the maternal record., A woman in labor is found to have a compound presentation, with both the fetal head and an arm presenting. The healthcare provider performs maneuvers to reposition the arm, allowing for vaginal delivery. O32.8XX0 would be used to describe the maternal care associated with the compound presentation.
Documentation should include the type of malpresentation, any procedures performed (e.g., ECV), and the outcome of the pregnancy. Ultrasound reports confirming the malpresentation should also be included.
** This code should not be used for supervision of normal pregnancy (Z34.-), mental and behavioral disorders associated with the puerperium (F53.-), obstetrical tetanus (A34), postpartum necrosis of pituitary gland (E23.0), or puerperal osteomalacia (M83.0).
- Payment Status: Active
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, Birthing Center