In simple words: This code indicates that a pregnant woman carrying quadruplets needs special care because the fourth baby is positioned bottom or feet first.

This ICD-10-CM code describes a situation where a pregnant woman, carrying her fourth fetus in a multiple pregnancy, requires maternal care specifically due to the fetus presenting in a breech position. Breech presentation means the fetus is positioned with its buttocks or feet downward, instead of the usual head-first position.This condition necessitates specialized maternal care, which may include observation, hospitalization, external cephalic version (attempting to manually turn the baby), or cesarean delivery before the onset of labor.

Example 1: A pregnant woman carrying quadruplets is diagnosed with a breech presentation of her fourth fetus at 32 weeks of gestation and is admitted to the hospital for monitoring and possible intervention., A pregnant woman with quadruplets at 37 weeks presents for a scheduled cesarean delivery. The fourth fetus is noted to be in a persistent breech position, influencing the surgical approach., A pregnant woman expecting quadruplets undergoes an external cephalic version procedure at 36 weeks to try to turn the fourth fetus from a breech to a cephalic presentation.The procedure is successful, and she continues with routine prenatal care.

Documentation should include details about the presentation of each fetus in a multiple gestation pregnancy, confirmation of the breech presentation through ultrasound or physical examination, the week of gestation at diagnosis, any associated complications (such as fetal distress), and plans for management and delivery.

** This code highlights the importance of careful monitoring and management of multiple pregnancies, as each fetus can present unique challenges. The documentation should clearly specify the presentation of each fetus to facilitate appropriate care and coding.