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2025 ICD-10-CM code O32.3

This code refers to maternal care provided for a fetus presenting in a face, brow, or chin position.

This code is to be used only on the maternal record, never on the newborn record. Use an additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. Do not use this code for obstructed labor due to malpresentation (O64.-).

Medical necessity for this code hinges on the fetal presentation and the potential risks associated with it. The presentation must pose a significant threat to the health of the mother or fetus to justify additional care, interventions, or cesarean delivery.

The physician is responsible for monitoring the mother's and fetus's health, determining the best course of action for delivery (vaginal or cesarean), managing any complications, and providing appropriate prenatal and postpartum care.

In simple words: This code indicates that a pregnant woman is receiving specialized care because her baby is positioned for delivery with its face, forehead, or chin first, instead of the usual head-down position.

This ICD-10-CM code is used to document maternal care specifically related to the fetus presenting in a face, brow, or chin position, rather than the normal vertex presentation (head down).It encompasses observation, hospitalization, and other obstetric care provided to the mother due to these presentations.It can also be used to justify cesarean delivery before the onset of labor if deemed necessary due to the presentation.

Example 1: A pregnant woman in her third trimester presents with an ultrasound confirming a brow presentation.The physician admits her for observation and to discuss delivery options., A woman in labor is discovered to have a persistent mentum anterior (chin-first) presentation. After careful consideration and failed attempts at manual rotation, the physician performs a cesarean section., A pregnant woman at 37 weeks gestation is diagnosed with a face presentation.The physician schedules a cesarean section delivery prior to the onset of labor to minimize potential risks.

Documentation should include details of the fetal presentation (face, brow, or chin), trimester of pregnancy, any associated complications, medical necessity for interventions, and a clear plan of care.Ultrasound or other imaging reports confirming the presentation should also be included.

** The specific type of face/brow/chin presentation should be clearly documented whenever possible (e.g., mentum anterior, mentum posterior, brow presentation).

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