2025 ICD-10-CM code O32.8XX2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Obstetrics - Maternal care for other malpresentation of fetus Chapter 15: Pregnancy, childbirth and the puerperium Feed
Maternal care for other malpresentation of the fetus, specifically for the second fetus in a multiple gestation pregnancy.
Not applicable to ICD-10 codes.
Medical necessity is established by the presence of a fetal malpresentation that poses a risk to the mother or the fetus.This risk might involve increased chance of obstructed labor, fetal distress, or other complications necessitating medical intervention.
The clinical responsibility lies with the obstetrician or other qualified healthcare professional providing prenatal, intrapartum, or postpartum care to the mother in managing the malpresentation of the fetus. This might involve monitoring, consultations with specialists (like a perinatologist), and decisions regarding the mode of delivery (vaginal or cesarean).
- Chapter 15: Pregnancy, childbirth and the puerperium
- O32.8XX (Maternal care for other malpresentation of fetus)
In simple words: This code is used when a mother is receiving medical care during pregnancy or childbirth because of a problem with the position of one of her babies (in a multiple pregnancy like twins or triplets), and that problem isn't one of the usual types of problems.The doctor will use this code to describe the mother’s care, not the care for the baby.
This ICD-10-CM code, O32.8XX2, signifies maternal care provided due to a malpresentation of the fetus that doesn't fit into other specified categories within chapter 15.The 'XX' represents the additional character needed for more specific coding, such as specifying the type of malpresentation. The '2' indicates this is the second fetus in a multiple gestation pregnancy (e.g., twins, triplets).This code is used when the malpresentation necessitates medical attention or intervention during pregnancy, labor, or delivery.It encompasses various reasons for observation, hospitalization, or other obstetric care of the mother, or for a cesarean delivery.It's crucial to note that this code is for maternal records only, and is not to be used for newborn records.
Example 1: A mother carrying twins is diagnosed with a breech presentation of the second twin at 36 weeks gestation.The obstetrician monitors the pregnancy closely and decides to schedule a cesarean section at 38 weeks., A mother carrying triplets is found to have a transverse lie of the second fetus.The physician closely monitors the pregnancy and decides to perform a cesarean section at 37 weeks gestation to avoid potential complications., A patient carrying twins experiences a sudden change in fetal position. This malpresentation of the second fetus requires emergency intervention leading to a C-section.
Comprehensive documentation should include: prenatal records showing the initial diagnosis and the progression of the pregnancy; ultrasound reports confirming the malpresentation; notes from any consultations with specialists; records of any monitoring or interventions performed; and the final delivery record specifying the method of delivery and any related events.
** This code is part of a broader system for classifying maternal conditions related to pregnancy, childbirth, and the puerperium.Accurate coding depends on thorough clinical documentation and a clear understanding of the specific malpresentation and the reasons for medical intervention.Incorrect coding can lead to delays in reimbursement or denials of claims.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer. Consult your payer's guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, which are coded using CPT or HCPCS codes, and these have associated RVUs.
- Global Days: Not applicable to ICD-10 codes. Global periods are associated with surgical procedures (CPT codes).
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office