2025 ICD-10-CM code O32.8XX1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Maternal care for other malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Maternal care for other malpresentation of fetus, first fetus.
Modifiers are not applicable to ICD-10-CM codes. Modifiers are used in conjunction with CPT or HCPCS codes.
Medical necessity is established when the fetal malpresentation poses a risk to the mother or the fetus, necessitating specialized obstetrical care, or a Cesarean section to ensure a safe delivery.The documentation should justify the chosen delivery method and the need for observation or hospitalization.
The clinical responsibility includes the obstetrician's or other qualified healthcare professional's assessment of the fetal presentation,monitoring the mother and fetus,planning and execution of the delivery method (vaginal or Cesarean), and managing any complications arising from the malpresentation.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O32 Maternal care for malpresentation of fetus
In simple words: This code is used when a mother receives medical care because of an unusual position of her baby in the womb (first baby if more than one). This might lead to extra monitoring, a hospital stay, special care during delivery, or a C-section before labor starts.
This ICD-10-CM code signifies maternal care provided due to a malpresentation of the fetus that doesn't fall under other specified categories within Chapter 15.The code specifically addresses the first fetus in multiple gestation pregnancies.The malpresentation necessitates observation, hospitalization, other obstetric care, or a Cesarean delivery before the onset of labor.This code is exclusively used for maternal records, not those of the newborn.
Example 1: A pregnant woman at 38 weeks gestation presents with a breech presentation (buttocks first).The physician recommends and performs a Cesarean section. Code O32.8XX1 is used to document the maternal care and the reason for the Cesarean delivery., A mother with twins at 36 weeks gestation is found to have one fetus in a transverse lie. The physician elects to deliver the mother via a Cesarean delivery to ensure the safety of the fetuses.Code O32.8XX1 is used for the first fetus while O32.8XX2 is used for the second., A patient is admitted for observation due to a suspected malpresentation and to determine the appropriate delivery method, but the exact nature of the malpresentation is not identified at that time.Code O32.8XX1 is used for initial documentation of maternal care and the malpresentation, with further codes added based on any findings.
Detailed prenatal records including ultrasound images showing fetal presentation, physician notes explaining the decision-making process, operative notes from the Cesarean section (if performed), and postpartum care records.
** This code is used for maternal care related to the malpresentation, and not for the malpresentation itself.The code should be used in conjunction with procedural codes (CPT/HCPCS) that reflect the services rendered.
- Revenue Code: Revenue codes will vary based on the specific services rendered and payer guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement depends on the procedures and services provided, using appropriate CPT or HCPCS codes, and the payer's fee schedule.
- Global Days: The global period will depend on the procedures performed.Refer to the associated CPT or HCPCS codes for guidance.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10-CM codes.
- Fee Schedule: Not applicable to ICD-10-CM codes. Reimbursement depends on the procedures and services rendered (CPT/HCPCS codes), payer, and associated fee schedules.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center