2025 ICD-10-CM code O32.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth and the puerperium - Maternal care for malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Maternal care for other malpresentations of the fetus, excluding those specified elsewhere.
Modifiers may be applicable depending on the circumstances of the service provided,such as location or type of service. Consult the latest coding guidelines for appropriate modifier use.
The medical necessity is established when the fetal malpresentation poses a risk to the mother's or the baby's health and warrants medical intervention.The risk assessment would be documented in the medical record.
Obstetrical care, including monitoring, potential hospitalization, and interventions based on the specific malpresentation and maternal condition. This may involve consultation with other specialists depending on the complexity.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O32 Maternal care for known or suspected malpresentation of fetus
In simple words: This code describes a mother's medical care due to the baby's unusual position in the womb before birth.This might involve extra monitoring, a hospital stay, or other medical help, potentially including a Cesarean section if needed.
This code is used to report maternal care provided for any fetal malpresentation not specifically listed in other codes within the O32 category.It encompasses various scenarios where the fetus's position or presentation poses challenges to delivery, requiring observation, hospitalization, or other obstetric interventions, including cesarean delivery before the onset of labor.The malpresentation must be the reason for the maternal care provided.
Example 1: A pregnant woman at 38 weeks gestation is admitted to the hospital due to a persistent footling breech presentation (baby's feet are positioned to come out first).The obstetrician closely monitors the mother and fetus, and a cesarean section is planned due to the risk of complications., A pregnant patient at 36 weeks gestation presents with an oblique fetal lie.The obstetrician decides to hospitalize the patient to monitor fetal well-being and determine the best course of action. The patient's malpresentation requires maternal care., During a routine ultrasound at 39 weeks gestation, an unusual fetal position is detected; the baby's head is positioned high, causing concern about cephalopelvic disproportion.The physician decides on a scheduled cesarean section before the onset of labor due to the malpresentation.
Detailed obstetric history, ultrasound reports showing fetal presentation and position, physician's notes documenting the decision-making process for maternal care and any intervention (e.g., cesarean section), and any relevant lab results.
** Always confirm that the malpresentation is the reason for the maternal care rendered. Ensure that the specific type of malpresentation is not already coded elsewhere within the O32 code range. This code should not be used if the malpresentation is associated with obstructed labor (O64.-).
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office