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BETA v.3.0

2025 ICD-10-CM code O32.1

Maternal care for breech presentation.

This code is to be used only on the maternal record, never on the newborn record. The 7th character should be used to specify the fetus in the case of multiple gestations.

Medical necessity for the use of this code is established by the diagnosis of a breech presentation, which poses risks to both mother and baby during delivery. The type of delivery, whether vaginal or cesarean, is determined by several factors, including the type of breech, the gestational age, and the mother's health status.Documentation should support the chosen delivery method.

The physician is responsible for managing the pregnancy and making decisions regarding delivery with the mother. This includes diagnosing the breech presentation (through physical exam, ultrasound, or other imaging), discussing the risks and benefits of various delivery options with the mother, attempting external cephalic version if appropriate, and performing or referring for a cesarean section if vaginal delivery is deemed unsafe.

IMPORTANT:Excludes1: footling presentation (O32.8) incomplete breech (O32.8)Use additional code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

In simple words: This code indicates that a pregnant woman is receiving care because her baby is in a breech position (bottom or feet first instead of head first).

This code is used for maternal care related to a breech presentation of the fetus.Breech presentation means the fetus is positioned to be born buttocks or feet first instead of head first.This includes complete breech (buttocks first with flexed hips and knees), frank breech (buttocks first with extended hips and knees), and buttocks presentation.It excludes footling presentation and incomplete breech, which are coded separately.

Example 1: A pregnant woman at 36 weeks gestation is found to have a frank breech presentation on ultrasound. She is admitted for an external cephalic version, which is unsuccessful. She is scheduled for a cesarean section., A woman in labor presents to the hospital with a complete breech presentation. She opts for a cesarean section due to the increased risk of complications with vaginal delivery., A pregnant woman at 39 weeks is diagnosed with a breech presentation. She desires a vaginal birth and meets the criteria for a trial of vaginal breech delivery. She is closely monitored throughout labor, and a cesarean delivery is performed due to slow progress.

Documentation should include the type of breech presentation, the week of gestation at diagnosis, any attempted interventions (e.g., external cephalic version), the method of delivery, and associated complications.

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