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2025 ICD-10-CM code O32.6

Maternal care for compound presentation.

Codes from Chapter 15 (Pregnancy, childbirth and the puerperium) are for maternal records only, never for newborn records.Additional codes may be necessary to capture associated maternal conditions or complications.

Medical necessity for O32.6 is established by the presence of a compound presentation, which poses a risk to both the mother and the fetus. The complexity of the presentation dictates the level and type of maternal care required. Cesarean section may be medically necessary to ensure a safe delivery.

Obstetricians and other healthcare professionals involved in maternal care during pregnancy and delivery are responsible for assessing and managing pregnancies with compound presentations. This includes monitoring fetal well-being, determining the optimal delivery method, and providing necessary interventions during and after delivery.

IMPORTANT:O32.8 (Maternal care for other malpresentation of fetus) may be used if the malpresentation isn't compound. O32.9 (Maternal care for malpresentation of fetus, unspecified) is used when the specific malpresentation is unknown.Consider additional codes from category Z3A (Weeks of gestation) to specify the week of pregnancy.

In simple words: This code describes the medical care a mother receives when her baby is positioned in the womb with a body part (like an arm or leg) coming out before the head. This often requires special medical attention, like extra monitoring, a hospital stay, or a C-section.

This code signifies maternal medical care necessitated by a compound presentation during pregnancy or childbirth.A compound presentation refers to a fetal presentation where one or more fetal extremities protrude alongside the presenting part (usually the head). This necessitates specialized obstetric care, potentially including observation, hospitalization, or cesarean delivery to manage the risks associated with this presentation. The code encompasses the mother's care related to the compound presentation, not the newborn's condition.

Example 1: A 38-year-old G2P1 woman at 39 weeks gestation presents with a compound presentation (head and hand).She undergoes a cesarean section. Code O32.6 is used to report the maternal care related to the compound presentation., A 25-year-old G1P0 woman at 37 weeks gestation is admitted for observation due to a suspected compound presentation. After close monitoring, the baby is delivered vaginally without complications. Code O32.6 is used to reflect the maternal care provided., A 40-year-old G3P2 woman presents at 36 weeks with a compound presentation, requiring immediate cesarean section due to fetal distress. The maternal care related to the compound presentation and the emergency C-section is coded with O32.6.

Detailed documentation should include the gestational age at presentation, the type of compound presentation (e.g., head and arm, head and foot), the reason for maternal care (e.g., observation, hospitalization, cesarean section), and any complications encountered.Ultrasound findings confirming the compound presentation should be documented.

** This code should only be used if the compound presentation is the reason for maternal care. If the compound presentation is incidental and not the reason for care, it should not be coded.

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