In simple words: This code is used when a mother is receiving medical care during pregnancy because her baby is in a breech position (bottom or feet first, not head first) and it's a triplet or higher-order multiple pregnancy (three or more babies). The code tracks the mother's care, not the baby's. It covers things like monitoring and potential procedures to help deliver the baby safely. This information is for the mother's medical records.

O32.1XX3, from the ICD-10-CM classification system, denotes maternal care provided for a breech presentation (where the baby's buttocks or feet are positioned to be delivered first instead of the head) in the context of a multiple pregnancy involving three or more fetuses.This code is applied to the maternal record, not to the newborn's. The code encompasses the medical management and observation of the mother to address the breech presentation and its associated risks, which may include interventions such as external cephalic version, monitoring, and potential cesarean delivery.It's crucial that the week of gestation is documented using a supplementary code from category Z3A.This code does not include malpresentation of the fetus resulting in obstructed labor.The conditions listed are considered reasons for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before the onset of labor.

Example 1: A pregnant woman carrying triplets is admitted to the hospital at 36 weeks gestation for monitoring due to a breech presentation of the third fetus.Ultrasound confirms the breech position.The obstetrician closely monitors the mother's condition and fetal well-being. This scenario would utilize O32.1XX3., During a routine antenatal checkup at 32 weeks gestation, a mother expecting triplets is found to have one fetus in breech.The doctor opts for external cephalic version (ECV) to attempt to turn the baby. This procedure is documented and coded using O32.1XX3 along with codes reflecting the ECV procedure., A woman pregnant with quadruplets is scheduled for a cesarean section at 38 weeks due to a breech position of the third fetus. The cesarean delivery is performed, and O32.1XX3 is included in the coding along with the relevant procedural codes for the delivery itself. This code would be used in addition to the codes describing the delivery method.

Detailed prenatal records, including ultrasound reports confirming the breech presentation of at least one fetus.Documentation of all maternal care provided (e.g., monitoring, consultation, interventions such as ECV attempts), any complications noted, and the delivery method.Records of the week of gestation using a supplementary code from category Z3A.

** This code is highly specific to the number of fetuses involved in a multiple pregnancy.Incorrect application could lead to inaccurate billing and reporting.