2025 ICD-10-CM code O32.4XX2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care for malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium Feed
This code signifies maternal care provided for a high head at term presentation in a twin pregnancy, specifically for the second fetus.
Medical necessity is established by the risk of complications associated with a high head at term presentation, such as prolonged labor, fetal distress, or the need for operative delivery.Appropriate documentation is crucial to demonstrate the clinical justification for the provided care.
The clinical responsibility lies with the obstetrician or other qualified healthcare professional managing the pregnancy and providing care for the mother based on the fetal malpresentation.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O32 Maternal care for malpresentation of fetus > O32.4 Maternal care for high head at term > O32.4XX2 Maternal care for high head at term, fetus 2
In simple words: This code is used when a mother is receiving medical care during her pregnancy because the baby's head isn't positioned correctly in her pelvis. This is specifically for situations involving twins, and this code only describes care given to the second twin.The mother might need extra monitoring, possibly a hospital stay, or even a C-section.
O32.4XX2, from the ICD-10-CM classification system, represents maternal care rendered due to a high head at term presentation (cephalic presentation where the fetal head is not engaged in the pelvis) in a twin pregnancy, specifically focusing on the second fetus.This code is applicable when the high head presentation necessitates observation, hospitalization, other obstetric care for the mother, or a cesarean delivery before the onset of labor.The code's application is limited to maternal records; it should never be used for newborn records.The use of this code implies that the condition is related to or aggravated by the pregnancy, childbirth, or the puerperium.Additional codes from category Z3A (Weeks of gestation) may be used to specify the gestational week, if known.
Example 1: A pregnant woman carrying twins is admitted to the hospital at 38 weeks gestation because the head of the second twin is not engaged.The physician orders continuous fetal monitoring, and the patient is observed for several days to assess fetal well-being and consider potential intervention., A mother carrying twins presents to her obstetrician for a routine checkup at 39 weeks. Upon examination, it's found that the second twin's head is not engaged, and a decision is made to schedule a Cesarean section to prevent prolonged labor or complications., During labor, it is noted that the first twin is delivered vaginally. After an assessment the second twin is determined to have a high head at term, and a Cesarean Section is performed to deliver the second twin.
Documentation should include a detailed prenatal history, results of physical examinations, fetal monitoring tracings (if applicable), ultrasound reports showing the fetal position, and physician's notes justifying the medical management (observation, hospital stay, or cesarean section).
** The "XX" in the code represents the additional character that specifies the type of encounter or the place of service.This code is only applicable to twin pregnancies or higher-order multiple pregnancies.
- Payment Status: Active
- Specialties:Obstetrics, Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office