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2025 ICD-10-CM code O32.4XX0

Maternal care for high head at term, not applicable or unspecified.

This code should be used on the maternal record only, not the newborn's record. The appropriate 7th character should be used to indicate if the pregnancy is single or multiple gestation.If the specific week of gestation is known, an additional code from category Z3A should be used.

Medical necessity for using this code is established by the clinical findings of a high fetal head at term, requiring additional monitoring, intervention, or a change in the delivery plan.

The obstetrician or other healthcare provider managing the pregnancy is responsible for assessing the fetal position, determining the need for interventions, and providing appropriate care.

In simple words: The baby's head is not yet engaged in the pelvis at the end of pregnancy. The mother needs monitoring or care for this.

This code indicates that the mother is receiving care due to the fetal head being high or unengaged at term.The 7th character extension specifies whether the condition relates to a single or multiple gestation, or is unspecified.

Example 1: A 39-week pregnant woman presents for a routine check-up.Ultrasound reveals that the fetal head is high and not engaged in the pelvis. The physician documents O32.4XX0 as the reason for continued monitoring., A 40-week pregnant woman with a high fetal head is scheduled for a cesarean section due to concerns about cephalopelvic disproportion.O32.4XX0 is coded as an indication for the surgery., A patient at 38 weeks presents with high unengaged fetal head. She is admitted for observation and to potentially induce labor. O32.4XX0 is used to describe the reason for admission.

Documentation should include details of the fetal presentation (high head), gestational age (at term), and any associated complications or interventions, such as planned cesarean section or induction of labor.

** This code specifically refers to a high head at term.Different codes are used for malpresentation and obstructed labor.

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