2025 ICD-10-CM code O32.9
Maternal care for malpresentation of fetus, unspecified.
Medical necessity for the use of this code is established by the presence of a fetal malpresentation that requires monitoring or intervention to ensure a safe delivery for both mother and baby. The documentation should support the diagnosis of a malpresentation and the need for skilled care.
Obstetrician-gynecologists are responsible for diagnosing and managing fetal malpresentation. This includes determining the type of malpresentation, discussing risks and benefits of different delivery methods with the mother, and performing necessary interventions like external cephalic version or cesarean delivery.
In simple words: The pregnant woman is receiving care because her baby is not in the usual head-down position needed for birth. The exact position of the baby is unknown.
This code indicates that the mother is receiving care due to the fetus not being in the normal head-down position for delivery. The specific type of malpresentation is not specified.
Example 1: A pregnant woman at 36 weeks gestation is found to have a fetus in an unspecified abnormal position during a routine ultrasound. She is admitted for observation and management of the malpresentation., A woman in labor presents with a malpresentation. The type of malpresentation is unclear initially. After further assessment, it is determined to be a shoulder presentation and a C-section is performed., A pregnant woman with a history of prior C-sections is now pregnant with twins. One fetus is in breech presentation, and the other fetus’s presentation is not clearly visualized on ultrasound. She is admitted for maternal care due to the malpresentation(s) and risk of uterine rupture.
Documentation should include the type of malpresentation (if known), gestational age, fetal monitoring information, planned management (e.g., expectant management, external cephalic version, cesarean delivery), and any associated complications.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Birthing Center, Physician's Office