2025 ICD-10-CM code O32.0XX3
This code refers to maternal care provided for an unstable lie of fetus 3.
Medical necessity for the use of this code is established when an unstable lie is documented in fetus 3 of a multiple pregnancy, and this condition necessitates observation, hospitalization, other obstetric care, or influences the decision for cesarean delivery before the onset of labor. The documentation should clearly support the need for medical intervention due to the unstable lie.
The obstetrician or other healthcare provider managing the pregnancy is responsible for diagnosing the unstable lie and determining the appropriate course of treatment.
- Chapter 15: 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 mother is receiving care because the third baby in a multiple pregnancy is in an unstable position in the womb. The baby's position keeps changing, requiring medical attention.
This ICD-10-CM code is used to document maternal care received due to an unstable lie of fetus 3.An unstable lie refers to a fetal position where the presenting part of the fetus is not fixed and may change. This can occur in multiple pregnancies. This code is specifically for the third fetus in a multiple pregnancy and should only be used on the maternal record, not the newborn record.It covers observation, hospitalization, other obstetric care, or cesarean delivery before the onset of labor due to this condition.
Example 1: A pregnant woman carrying triplets presents at 30 weeks gestation. Fetus 3 is found to be in an unstable lie, shifting between transverse and breech presentations. The physician recommends increased monitoring and discusses potential delivery options with the patient., A woman pregnant with triplets is admitted to the hospital at 36 weeks due to preterm labor.Fetus 3 is in an unstable lie, complicating the delivery plan.A cesarean section is performed to safely deliver the babies., During a routine ultrasound at 28 weeks in a triplet pregnancy, fetus 3 is noted to be in an unstable lie.The patient is advised to follow up with more frequent ultrasounds to monitor the fetal position.
Documentation should include details about the fetal presentation(s) observed, the frequency and methods used to assess the fetal position (e.g., physical exam, ultrasound), and any associated complications. The medical record should also clearly indicate that the unstable lie is the reason for the provided care.
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office