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2025 ICD-10-CM code O32.4

Maternal care for high head at term, also known as failure of the fetal head to enter the pelvic brim.

Use additional code, if applicable, from category Z3A (Weeks of gestation) to identify the specific week of gestation.Code O32.4 is for maternal records only; never use this code on newborn records.

Modifiers are not applicable to ICD-10 codes.

Medical necessity is established when the failure of the fetal head to engage poses a risk to the mother or fetus, necessitating medical observation, interventions, or a Cesarean delivery.

The clinical responsibility depends on the specific services rendered.This might include obstetricians, midwives, nurses, and other healthcare professionals involved in managing the pregnancy and delivery.

IMPORTANT:May be used in conjunction with codes from category Z3A (Weeks of gestation) to specify the pregnancy week if known.Excludes malpresentation of the fetus with obstructed labor (O64.-).

In simple words: This code is used when a mother requires medical attention because the baby's head hasn't dropped down into the pelvis by the time she's full-term. This might mean extra monitoring, a hospital stay, or even a C-section.

This code signifies maternal care provided due to the fetal head's failure to engage in the maternal pelvis at term. This may necessitate observation, hospitalization, other obstetric interventions, or Cesarean delivery to manage the situation and ensure safe delivery.The condition is characterized by the head's inability to descend into the pelvic inlet before the onset of labor, necessitating clinical management to prevent potential complications.

Example 1: A 39-week pregnant woman is admitted for observation due to failure of the fetal head to enter the pelvic brim.The obstetrician monitors the mother and fetus closely for potential complications, and a Cesarean section is scheduled when labor begins., A pregnant patient at 40 weeks gestation presents with a high fetal head.Ultrasound confirms the head's high position, and the physician orders close monitoring and induces labor given the risk factors., A pregnant patient at 41 weeks gestation presents with a high fetal head and limited pelvic space.Due to the potential risks, a Cesarean section is performed to ensure the safety of the mother and the baby.

Complete obstetric history, including prior pregnancies and deliveries. Physical examination findings, including pelvic measurements and fetal position assessment. Ultrasound reports showing fetal head position and presentation.Laboratory results as needed (e.g., blood count, infection markers).Delivery records and notes. Documentation of all medical interventions, including medications, and rationale for any decisions made.

** This code should only be used when the high fetal head at term necessitates clinical management, such as observation, intervention, or Cesarean delivery. It should not be used for routine prenatal care.

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