2025 ICD-10-CM code O32.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care for known or suspected malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium Feed
Maternal care for high head at term, also known as failure of the fetal head to enter the pelvic brim.
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.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O30-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems)
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.
- Revenue Code: Revenue codes will vary depending on the specific services rendered.
- RVU: RVUs are not directly assigned to ICD-10 codes. Reimbursement is determined by the procedures and services provided, which are coded using CPT or HCPCS codes, which then have associated RVUs.
- Global Days: Not applicable to ICD-10 codes. Global surgical periods apply to CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules apply to CPT/HCPCS codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center