2025 ICD-10-CM code O31.8X22
This code describes other complications specific to multiple gestation, occurring in the second trimester, affecting fetus 2.
Modifiers may be applicable depending on specific circumstances and the payer's requirements. Consult payer guidelines and official coding resources for appropriate modifier usage.
Medical necessity is established by the diagnosis of a specific complication affecting fetus 2 during the second trimester of a multiple pregnancy.The documentation should support the need for increased surveillance or intervention related to the identified complication.
The healthcare provider managing the multiple pregnancy is responsible for diagnosing and documenting the specific complication affecting fetus 2. This typically includes obstetricians, maternal-fetal medicine specialists, and other healthcare professionals involved in prenatal care.
In simple words: This code indicates a complication affecting the second baby in a twin (or higher-order multiple) pregnancy during the second trimester (weeks 14-27).
Other complications specific to multiple gestation, second trimester, fetus 2. This code is used to report complications affecting the second fetus in a multiple pregnancy during the second trimester (14 weeks 0 days to less than 28 weeks 0 days).It excludes delayed delivery of the second twin (O63.2), malpresentation (O32.9), and placental transfusion syndromes (O43.0-).
Example 1: A pregnant woman at 20 weeks gestation, carrying twins, is diagnosed with twin-to-twin transfusion syndrome (TTTS) affecting fetus 2. Fetus 1 appears unaffected. O31.8X22 is used along with O43.0., A woman pregnant with triplets at 16 weeks is found to have selective fetal growth restriction (sFGR) affecting fetus 2. The other two fetuses are growing appropriately.O31.8X22 is used in conjunction with O36.5X22., A pregnant woman at 24 weeks with twins presents with preterm labor.Ultrasound reveals that fetus 2 has premature rupture of membranes (PPROM).O31.8X22 and O42.9X22 are reported.
Documentation should clearly specify the complication affecting fetus 2, the gestational age (confirming second trimester), and that the complication is specific to the multiple gestation. Supporting diagnostic findings, such as ultrasound results, should also be included.
** Remember to always consult official coding guidelines and payer-specific policies for the most accurate and up-to-date information.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics, Maternal-Fetal Medicine, Family Medicine (if providing prenatal care)
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital