2025 ICD-10-CM code O32.0XX1
Maternal care for unstable lie, fetus 1.
Medical necessity for this code is based on the potential complications associated with unstable lie, such as difficult labor, cord prolapse, and the need for cesarean delivery. The physician's documentation should justify the need for additional care, interventions, or hospitalization related to the unstable lie.
The obstetrician or other healthcare provider managing the pregnancy is responsible for monitoring the fetal lie, assessing any potential complications related to unstable lie, and determining the appropriate course of action which may involve expectant management, external cephalic version, or cesarean delivery.
In simple words: The baby is not in a head-down or breech position and keeps changing positions, requiring extra care.
This code is used to describe the care provided to a pregnant woman carrying a single fetus in an unstable lie.An unstable lie refers to a fetal position that is not longitudinal (head down or breech) and may change frequently, such as oblique or transverse lie. This condition may necessitate increased monitoring or intervention.
Example 1: A pregnant woman at 30 weeks gestation presents for a routine check-up. Ultrasound reveals the fetus is in an oblique lie. The physician documents O32.0XX1 as the reason for ongoing monitoring and potential interventions., A woman at 36 weeks gestation is admitted to the hospital because her fetus has changed from a breech presentation to a transverse lie. The code O32.0XX1 is used to document the reason for admission., A pregnant woman at 38 weeks' gestation with a persistently unstable fetal lie undergoes a cesarean section. The code O32.0XX1 is documented as an indication for the surgical intervention.
Documentation should include the trimester of pregnancy, the details of the unstable fetal lie (oblique, transverse, etc.), the frequency of position changes, any associated symptoms or complications, and the planned management.
** It is important to note that code O32.0XX1 is specific to a singleton pregnancy with one fetus in an unstable lie. For multiple gestations with an unstable lie, the corresponding code from the O32.0XX2-O32.0XX5 series should be used, depending on which fetus is in the unstable lie.
- Payment Status: Active
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital