2025 ICD-10-CM code O32.3XX9
Maternal care for face, brow, and chin presentation, other fetus. This code is used for the obstetric care of the mother when a fetus presents in a face, brow, or chin-first position during delivery, in cases involving multiple fetuses where the specific fetus is not identified.
The medical necessity for using this code is established by the potential complications arising from a malpresentation, including obstructed labor, fetal distress, and birth injuries. The need for increased monitoring, interventions, or a cesarean delivery due to the malpresentation justifies the use of this code.
The obstetrician or other healthcare professional managing the pregnancy is responsible for diagnosing and managing the malpresentation, deciding on the appropriate course of action (which may involve observation, interventions to attempt to turn the fetus, or cesarean delivery), and ensuring the safety of the mother and fetus(es).
- Pregnancy, childbirth and the puerperium (O00-O9A)
- Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
In simple words: This code indicates that the mother is receiving care because, in a multiple pregnancy, one of the babies (other than the first five) is positioned for delivery with their face, forehead, or chin first, rather than the usual head-first position.This situation may require special attention or interventions.
This ICD-10-CM code describes a situation where a pregnant woman requires care specifically due to the fetus presenting in a face, brow, or chin-first position instead of the normal head-first (vertex) position.The "other fetus" designation indicates this is used in multiple gestations where the affected fetus is not specified (i.e., not the first, second, third, fourth, or fifth fetus). This is a maternal code and is not used on the newborn's record.The code justifies observation, hospitalization, or other obstetric interventions for the mother related to this malpresentation.
Example 1: A woman pregnant with twins presents in labor, and ultrasound reveals that the second twin is in a brow presentation. This code (O32.3XX9) is used because the malpresentation requires specific management., A pregnant woman with triplets is admitted for observation at 36 weeks due to one of the fetuses, other than fetus 1, 2, 3, 4, or 5, being persistently in a face presentation. Code O32.3XX9 is applied as the reason for the antepartum admission., During a routine ultrasound at 32 weeks in a quadruplet pregnancy, one fetus (not the designated 1-5) is found to be in a chin presentation. This condition is documented using code O32.3XX9 to facilitate monitoring and planning for potential complications.
Documentation should include details of the ultrasound or clinical findings confirming the face, brow, or chin presentation. The number of fetuses and the presentation of each fetus should be clearly documented. The chosen management plan, including any attempted interventions or decisions regarding delivery method, should also be recorded.
** The "X" characters in the code act as placeholders for further specificity, which in this case are not needed and can remain as they are.
- Payment Status: Active
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Birthing Center, Office