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BETA v.3.0

2025 ICD-10-CM code O32.1XX9

Maternal care for breech presentation, other fetus.

This code should only be used on the maternal record and never on the newborn's record. An additional code from category Z3A (Weeks of gestation) should be used to identify the specific week of pregnancy, if known.The seventh character indicates the fetus affected (X9 specifically referring to other fetus, indicating it's not the 1st to 5th fetus). Do not use this code for footling or incomplete breech presentations (O32.8).

Medical necessity is established by the diagnosis of a breech presentation which poses increased risk for complications during delivery. The specific care provided (e.g., hospitalization, cesarean delivery) must be justified based on individual circumstances.

The physician is responsible for monitoring the mother's health, the fetal well-being, and managing the breech presentation. This may involve performing external cephalic version (ECV), planning a cesarean section, or closely monitoring a vaginal delivery if deemed safe.

In simple words: This code indicates that the baby is positioned bottom-first instead of head-first (breech) in a pregnancy other than the first five fetuses, and the mother requires special care.

This code describes the maternal care provided when a fetus (other than fetus 1-5) presents in a breech position, necessitating observation, hospitalization, or other obstetric care for the mother. This may also include cesarean delivery before the onset of labor.

Example 1: A pregnant woman with a triplet pregnancy is found to have one fetus in a breech position at 36 weeks of gestation. The physician monitors her closely and schedules a cesarean section., A pregnant woman expecting her sixth child is diagnosed with a breech presentation in the third trimester. She is admitted for observation and preparation for possible cesarean delivery., A pregnant woman with quadruplets has one fetus in breech position, requiring specialized ultrasound monitoring and consultation with a maternal-fetal medicine specialist to determine delivery method.

Documentation should include ultrasound findings confirming breech presentation, details of discussions with the patient regarding delivery options, fetal monitoring records, and any procedures performed (e.g., ECV).

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