2025 ICD-10-CM code O32.0
Maternal care for unstable lie.
This code can be used with a 7th character extension to specify the fetus in a multiple gestation pregnancy.
Medical necessity for the use of this code is established by the presence of an unstable fetal lie, confirmed by physical examination or imaging studies, that poses a risk to the mother or fetus.The documentation should clearly support the need for increased monitoring, intervention, or a change in the delivery plan.
The obstetrician or other healthcare provider managing the pregnancy is responsible for assessing the fetal lie, determining the appropriate course of treatment, and providing the necessary care.
- O00-O9A 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's position in the womb is unstable or shifting, requiring monitoring and care.
This code is used for the care of a pregnant woman with an unstable fetal lie, which refers to the longitudinal axis of the fetus's body not being parallel with that of the mother's body.It is used for observation, hospitalization, or other obstetric care, or for cesarean delivery before the onset of labor.
Example 1: A pregnant woman in her third trimester presents with an unstable lie, meaning the baby's position keeps changing.The physician recommends increased monitoring and potential intervention if the lie doesn't stabilize., A pregnant woman at 30 weeks gestation is found to have an unstable lie during a routine ultrasound.She is admitted to the hospital for observation and to determine the best course of action for delivery., A pregnant woman with an unstable lie goes into labor prematurely.Due to the unstable lie, a cesarean delivery is performed.
Documentation should include the details of the unstable lie, such as the specific positions the fetus has been in, the frequency of changes, any associated complications, and the plan of care.Ultrasound reports confirming the unstable lie should be included.Weeks of gestation should also be documented.
** This code excludes supervision of normal pregnancy (Z34.-) and mental and behavioral disorders associated with the puerperium (F53.-).
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Birthing Center