2025 ICD-10-CM code O32.1XX1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care related to the fetus and amniotic cavity and possible delivery problems Chapter 15: Pregnancy, childbirth, and the puerperium Feed
Maternal care for breech presentation in fetus 1.
Modifiers may be applicable depending on the circumstances of the care provided, such as the location of service or the type of visit.Consult current modifier guidelines for details.
Medical necessity is established by the presence of a breech presentation in the first fetus, requiring maternal care such as observation, interventions to attempt version or positioning, and the ultimate decision regarding delivery method (vaginal delivery or cesarean section). The clinical decision making related to the mode of delivery will also dictate medical necessity.
The clinical responsibility lies with the obstetrician or other qualified healthcare professional managing the pregnancy.This includes assessing the fetal position, determining the need for intervention, and providing appropriate care, which may involve monitoring, positioning techniques (external cephalic version), or surgical intervention (cesarean delivery).
- Chapter 15: Pregnancy, childbirth, and the puerperium
- O32.1XX1 falls under the broader category of maternal care related to fetal malpresentation within Chapter 15 of ICD-10-CM.
In simple words: This code is used when a pregnant woman needs medical care because her baby is positioned bottom-first (breech) instead of head-first.This code is only for the mother's medical records, not the baby's.
This code signifies maternal medical care necessitated by a breech presentation (feet or buttocks first) in the first fetus during pregnancy.The care may involve observation, hospitalization, or other obstetric interventions.This code is exclusively for maternal records and should not be used for newborn records.The seventh character '1' specifies that this pertains to the first fetus in multiple pregnancies.
Example 1: A pregnant woman at 37 weeks gestation presents for a routine prenatal visit.Ultrasound reveals a breech presentation of the first fetus in a twin pregnancy.The physician schedules a follow-up to attempt external cephalic version (ECV) and plans for a cesarean section if ECV is unsuccessful. Code O32.1XX1 is used to document the maternal care related to the breech presentation of the first fetus., A pregnant woman is admitted to the hospital at 39 weeks gestation due to a breech presentation. The mother is monitored closely and undergoes a planned cesarean delivery. Code O32.1XX1 is assigned to reflect the maternal care provided for the breech presentation., During a routine ultrasound at 36 weeks gestation, the pregnant woman is found to have a breech presentation of the first fetus.The physician explains the risks of vaginal delivery in this case and recommends a planned cesarean section. O32.1XX1 is used to represent the care given in anticipation of and related to the planned cesarean section to resolve the breech presentation.
Documentation should include the gestational age at which the breech presentation was identified, the method used to determine the presentation (e.g., Leopold's maneuvers, ultrasound), any attempts at external cephalic version (ECV),reasons for any decision to proceed with vaginal birth or a cesarean section, and all related clinical notes and findings.Documentation should specify that this code refers to the mother's care, not the newborn's.For multiple gestations, the fetus number should be clearly specified.
** Always refer to the most current ICD-10-CM coding guidelines for the most up-to-date information and any potential revisions.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center