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ICD-10-CM Coding for Malposition/Malpresentation of Fetus
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Mar 27, 2024
Fetal positioning within the uterus is not of much concern until the third trimester which is when most fetuses assume a head down position in preparation for descent into the birth canal. Optimal fetal positioning makes labor and delivery faster, easier and safer for both the fetus and the mother. Fetal malposition or malpresentation may lead to difficulties with labor and delivery and can be an indication for as assisted vaginal birth or delivery by cesarean section. Proper code assignment for malposition and malpresentation is necessary to support performance of these procedures for these conditions.
What is Fetal Presentation, Position and Lie?
Fetal presentation, position and lie describe the fetus in relation to the uterus, cervix and maternal pelvis.
- Fetal presentation refers to the part of the fetus that is lined up to enter the maternal pelvis first/lead the fetus through the cervix (e.g., occiput, chin, shoulder, foot).
- Fetal position refers to the position of the fetal head as it exits the birth canal. This indicates the direction the fetus is facing (anterior, posterior, transverse).
- Fetal lie refers to how the long axis of the fetus (think spinal column) lines up in relation to the uterus. The lie can be longitudinal (straight up and down), oblique (diagonal) or transverse (sideways).
Normal or optimal presentation, position and lie for vaginal obstetric delivery is:
- Presentation: Vertex/cephalic (the crown of the head) with chin tucked to chest and arms crossed over the chest
- Position: Occiput anterior (the baby is facing toward the mother’s spine)
- Lie: Longitudinal (straight up and down).
What is Malpresentation/Malposition?
Malpresentations and malpositions result when one or a combination of the fetal presentation, position or lie deviates from the normal/optimal status. Below are examples of malpresentations, malpositions, and abnormal lie.
Malpresentation
- Frank breech: Buttocks down with feet near the head
- Complete breech: Knees bent with feet near the buttocks
- Incomplete breech: One knee bent with one foot near the buttocks
- Footling breech: One or both feet are the presenting part
- Face/Brow/Chin (mentum): The fetus’ neck is hyperextended (arched) making the face, brow or chin the presenting fetal part. The degree of hyperextension determines which part is presenting. Greater extension presents the face/chin, less extension presents the brow.
- Shoulder/arm: The shoulder or arm is the presenting part of the fetus
- High head at term: The fetal head does not engage in the pelvis
- Compound: A fetal extremity presents alongside the part of the fetus closest to the birth canal (e.g., hand/arm presents alongside the head)
Malposition
- Occipitoposterior: The fetus’ occiput (back of the head) is against the posterior (spinal) side of the mother and the fetus is facing toward the mother’s abdomen. This is sometimes referred to as “sunny side up”.
- Occipitotransverse: This position is halfway between an anterior and a posterior position. The side of the fetus is perpendicular to the mother’s spine and the fetus is facing outward toward the mother’s right or left thigh.
Abnormal Lie
- Oblique: The fetus is lying diagonally.
- Transverse: The fetus is lying sideways.
- Unstable: The fetus does not maintain a fixed longitudinal lie after 36 weeks gestation.
How is Malpresentation/Malposition Coded in ICD-10-CM?
Codes for malpresentation and/or malposition of fetus are found in category O32 Maternal care for malpresentation of fetus. Notice that the description of each code specifies that the code is used to report maternal care for a specific type of malpresentation/malposition.
032.0 Maternal care for unstable lie
032.1 Maternal care for breech presentation
- Maternal care for buttocks presentation
- Maternal care for complete breech
- Maternal care for frank breech
- Excludes 1: footling presentation (032.8); incomplete breech (032.8)
032.2 Maternal care for transverse and oblique lie
- Maternal care for oblique presentation
- Maternal care for transverse presentation
032.3 Maternal care for face, brow and chin presentation
032.4 Maternal care for high head at term
- Maternal care for failure of head to enter pelvic brim
032.6 Maternal care for compound presentation
032.8 Maternal care for other malpresentation of fetus
- Maternal care for footling presentation
- Maternal care for incomplete breech
032.9 Maternal care for malpresentation of fetus, unspecified
Assignment of codes is determined by a applying a combination of direction found in the Alphabetic Index, the Tabular List and the ICD-10-CM official guidelines to the documentation in the medical record.
The Alphabetic Index
Selection of the correct code to report malpresentation/malposition is directed by a valid search of the Index to Diseases and Injuries. There are several ways the index can be searched to arrive at codes for malpresentation/malposition depending on the terminology used in the documentation.
Successful searches include:
Delivery cesarean (for) breech presentation O32.1 chin presentation O32.3 high head at term O32.4 Etc.
Delivery complicated by malposition, malpresentation without obstruction breech O32.1 compound O32.6 face (brow) (chin) O32.3 footling O32.8 high head O32.4 oblique O32.2 specified NEC O32.8 transverse O32.2 unstable lie O32.0
Delivery complicated by prolapse arm or hand O32.2 foot or leg O32.8
Failure descent of head (at term) of pregnancy (mother) O32.4 engagement of head (term of pregnancy) (mother) O32.4
Pregnancy Complicated by mentum presentation O32.3 oblique lie or presentation O32.2 transverse lie or presentation O32.2 unstable lie O32.0 Etc.
Pregnancy Complicated by presentation, fetal -see Delivery, complicated by, malposition
Breech presentation (mother) O32.1
Transverse lie (mother) O32.2
Unstable lie (mother) O32.0
Presentation, fetal -see Delivery , complicated by, malposition
The Tabular List
There are notes at the beginning of category O32 that provide important direction that must be followed when assigning codes from this category. For example:
- Codes from this category are assigned when malpresentation/malposition is the reason for maternal care
- When malpresentation causes obstructed labor, a code from category O64 is assigned rather than from category O32
- A 7 th character that reports the affected fetus is assigned to codes for malpresentation/malposition
O32 Maternal care for malpresentation of fetus
- Includes: the listed conditions as a reason for observation, hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Excludes1: malpresentation of fetus with obstructed labor (064.-)
One of the following 7th characters is to be assigned to each code under category 032. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category 030, Multiple gestation, must also be assigned when assigning a code from category O32 that has a 7th character of 1 through 9.
- 0 - not applicable or unspecified
- 1 - fetus 1
- 2 - fetus 2
- 3 - fetus 3
- 4 - fetus 4
- 5 - fetus 5
- 9 - other fetus
Note: Codes from category O32 only have 4 characters, so a placeholder character of “X” is needed in the 5 th and 6 th character places to ensure the character value assigned to indicate the affected fetus is in the 7 th character place.
The ICD-10-CM Coding Guidelines
According to ICD-10-CM Official Guideline I.C.15.b.4 Selection of OB Principal or First-listed Diagnosis When a Delivery Occurs , malpresentation/malposition is sequenced as the principal diagnosis when:
- Malpresentation/malposition is the reason for admission.
- Malpresentation/malposition and another condition prompt the admission but malpresentation/malposition is most related to the delivery (e.g., it leads to instrumental vaginal delivery or is the reason for admission for cesarean section)
- The patient is admitted with no other complications of pregnancy and develops malpresentation/malposition post admission and malpresentation/malposition necessitates maternal care including, but not limited to: repositioning of the patient, rotation of fetal head, internal/external version, instrumental vaginal delivery (forceps/vacuum extraction).
In a small number of cases, how the fetus is situated may be a malpresentation/malposition but the malpresentation/malposition does not require maternal care. If this is the case, a code from category O32 is not assigned.
Example: A patient is admitted in advanced premature labor. The fetus is in vertex presentation, but in occiput posterior position (sunny side up). Due to the small size of the fetus, it is delivered via a normal, spontaneous vaginal delivery in the occiput posterior position.
Since the malposition of the fetus did not necessitate maternal care a code from category O32 is not assigned. This is consistent with the coding guidelines for selection of additional or other diagnoses.
Section III. Reporting Additional Diagnoses
GENERAL RULES FOR OTHER (ADDITIONAL) DIAGNOSES
For reporting purposes, the definition for “other diagnoses ” is interpreted as additional clinically significant conditions that affect patient care in terms of requiring:
clinical evaluation; or
therapeutic treatment; or
diagnostic procedures; or
extended length of hospital stay; or
increased nursing care and/or monitoring
Malpresentation/Malposition as an Indication for Cesarean Section
In cases where vaginal delivery is contraindicated because of malpresentation, malposition or abnormal lie, a cesarean section may need to be performed to deliver the fetus safely.
The Includes note under category O32 in the Tabular List indicates codes from this category are intended to be reported when the decision to deliver a patient via cesarean section, secondary to malpresentation or malposition of the fetus, is made before the onset of labor .
This distinction is important because when a patient presents in labor with the intent to delivery vaginally and malpresentation/malposition results in the decision to deliver the patient via cesarean this is typically because the malpresentation/malposition of the fetus has resulted in obstructed labor that precludes vaginal delivery. These circumstances are reported with a code from category O64 Obstructed labor due to malposition and malpresentation of fetus rather than with a code from category O32 .
Malpresentations and malpositions result when one or a combination of the fetal presentation, position or lie deviates from the normal/optimal status. ICD-10-CM codes to report malpresentation/malposition are assigned from category O32 Maternal care for malpresentation of fetus when the malpresentation/malposition is the reason for maternal care. Code selection is guided by documentation in the medical record and a valid search of the Index to Diseases and Injuries. The ICD-10-CM Tabular List and coding guidelines provide significant direction regarding the requirements and structure for assigning a valid code and sequencing of codes from category O32 as the principal diagnosis.
References ICD-10-CM Index to Diseases and Injuries ICD-10-CM Official Guidelines for Coding and Reporting ICD-10-CM Tabular List
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Fetal Presentation, Position, and Lie (Including Breech Presentation)
- Key Points |
Abnormal fetal lie or presentation may occur due to fetal size, fetal anomalies, uterine structural abnormalities, multiple gestation, or other factors. Diagnosis is by examination or ultrasonography. Management is with physical maneuvers to reposition the fetus, operative vaginal delivery , or cesarean delivery .
Terms that describe the fetus in relation to the uterus, cervix, and maternal pelvis are
Fetal presentation: Fetal part that overlies the maternal pelvic inlet; vertex (cephalic), face, brow, breech, shoulder, funic (umbilical cord), or compound (more than one part, eg, shoulder and hand)
Fetal position: Relation of the presenting part to an anatomic axis; for vertex presentation, occiput anterior, occiput posterior, occiput transverse
Fetal lie: Relation of the fetus to the long axis of the uterus; longitudinal, oblique, or transverse
Normal fetal lie is longitudinal, normal presentation is vertex, and occiput anterior is the most common position.
Abnormal fetal lie, presentation, or position may occur with
Fetopelvic disproportion (fetus too large for the pelvic inlet)
Fetal congenital anomalies
Uterine structural abnormalities (eg, fibroids, synechiae)
Multiple gestation
Several common types of abnormal lie or presentation are discussed here.
Transverse lie
Fetal position is transverse, with the fetal long axis oblique or perpendicular rather than parallel to the maternal long axis. Transverse lie is often accompanied by shoulder presentation, which requires cesarean delivery.
Breech presentation
There are several types of breech presentation.
Frank breech: The fetal hips are flexed, and the knees extended (pike position).
Complete breech: The fetus seems to be sitting with hips and knees flexed.
Single or double footling presentation: One or both legs are completely extended and present before the buttocks.
Types of breech presentations
|
Breech presentation makes delivery difficult ,primarily because the presenting part is a poor dilating wedge. Having a poor dilating wedge can lead to incomplete cervical dilation, because the presenting part is narrower than the head that follows. The head, which is the part with the largest diameter, can then be trapped during delivery.
Additionally, the trapped fetal head can compress the umbilical cord if the fetal umbilicus is visible at the introitus, particularly in primiparas whose pelvic tissues have not been dilated by previous deliveries. Umbilical cord compression may cause fetal hypoxemia.
Predisposing factors for breech presentation include
Preterm labor
Uterine abnormalities
Fetal anomalies
If delivery is vaginal, breech presentation may increase risk of
Umbilical cord prolapse
Birth trauma
Perinatal death
Face or brow presentation
In face presentation, the head is hyperextended, and position is designated by the position of the chin (mentum). When the chin is posterior, the head is less likely to rotate and less likely to deliver vaginally, necessitating cesarean delivery.
Brow presentation usually converts spontaneously to vertex or face presentation.
Occiput posterior position
The most common abnormal position is occiput posterior.
The fetal neck is usually somewhat deflexed; thus, a larger diameter of the head must pass through the pelvis.
Progress may arrest in the second phase of labor. Operative vaginal delivery or cesarean delivery is often required.
Position and Presentation of the Fetus
Toward the end of pregnancy, the fetus moves into position for delivery. Normally, the presentation is vertex (head first), and the position is occiput anterior (facing toward the pregnant patient's spine) with the face and body angled to one side and the neck flexed. Abnormal presentations include face, brow, breech, and shoulder. Occiput posterior position (facing toward the pregnant patient's pubic bone) is less common than occiput anterior position. |
If a fetus is in the occiput posterior position, operative vaginal delivery or cesarean delivery is often required.
In breech presentation, the presenting part is a poor dilating wedge, which can cause the head to be trapped during delivery, often compressing the umbilical cord.
For breech presentation, usually do cesarean delivery at 39 weeks or during labor, but external cephalic version is sometimes successful before labor, usually at 37 or 38 weeks.
Copyright © 2024 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. All rights reserved.
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15. Pregnancy, childbirth and the puerperium (O00-O9A)
O30-o48 maternal care related to the fetus and amniotic cavity and possible delivery problems, o32 maternal care for malpresentation of fetus, o32.1 maternal care for breech presentation, o32.1xx1 maternal care for breech presentation, fetus 1....
ICD-10-CM Diagnosis Codes
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 Fetal Presentation, Position, and Lie (Including Breech Presentation)
During pregnancy, the fetus can be positioned in many different ways inside the mother's uterus. The fetus may be head up or down or facing the mother's back or front. At first, the fetus can move around easily or shift position as the mother moves. Toward the end of the pregnancy the fetus is larger, has less room to move, and stays in one position. How the fetus is positioned has an important effect on delivery and, for certain positions, a cesarean delivery is necessary. There are medical terms that describe precisely how the fetus is positioned, and identifying the fetal position helps doctors to anticipate potential difficulties during labor and delivery. Presentation refers to the part of the fetus’s body that leads the way out through the birth canal (called the presenting part). Usually, the head leads the way, but sometimes the buttocks (breech presentation), shoulder, or face leads the way. Position refers to whether the fetus is facing backward (occiput anterior) or forward (occiput posterior). The occiput is a bone at the back of the baby's head. Therefore, facing backward is called occiput anterior (facing the mother’s back and facing down when the mother lies on her back). Facing forward is called occiput posterior (facing toward the mother's pubic bone and facing up when the mother lies on her back). Lie refers to the angle of the fetus in relation to the mother and the uterus. Up-and-down (with the baby's spine parallel to mother's spine, called longitudinal) is normal, but sometimes the lie is sideways (transverse) or at an angle (oblique). For these aspects of fetal positioning, the combination that is the most common, safest, and easiest for the mother to deliver is the following: Head first (called vertex or cephalic presentation) Facing backward (occiput anterior position) Spine parallel to mother's spine (longitudinal lie) Neck bent forward with chin tucked Arms folded across the chest If the fetus is in a different position, lie, or presentation, labor may be more difficult, and a normal vaginal delivery may not be possible. Variations in fetal presentation, position, or lie may occur when The fetus is too large for the mother's pelvis (fetopelvic disproportion). The uterus is abnormally shaped or contains growths such as fibroids . The fetus has a birth defect . There is more than one fetus (multiple gestation).  Position and Presentation of the Fetus
Variations in Fetal Position and PresentationSome variations in position and presentation that make delivery difficult occur frequently. Occiput posterior positionIn occiput posterior position (sometimes called sunny-side up), the fetus is head first (vertex presentation) but is facing forward (toward the mother's pubic bone—that is, facing up when the mother lies on her back). This is a very common position that is not abnormal, but it makes delivery more difficult than when the fetus is in the occiput anterior position (facing toward the mother's spine—that is facing down when the mother lies on her back). When a fetus faces up, the neck is often straightened rather than bent,which requires more room for the head to pass through the birth canal. Delivery assisted by a vacuum device or forceps or cesarean delivery may be necessary. Breech presentationIn breech presentation, the baby's buttocks or sometimes the feet are positioned to deliver first (before the head). When delivered vaginally, babies that present buttocks first are more at risk of injury or even death than those that present head first. The reason for the risks to babies in breech presentation is that the baby's hips and buttocks are not as wide as the head. Therefore, when the hips and buttocks pass through the cervix first, the passageway may not be wide enough for the head to pass through. In addition, when the head follows the buttocks, the neck may be bent slightly backwards. The neck being bent backward increases the width required for delivery as compared to when the head is angled forward with the chin tucked, which is the position that is easiest for delivery. Thus, the baby’s body may be delivered and then the head may get caught and not be able to pass through the birth canal. When the baby’s head is caught, this puts pressure on the umbilical cord in the birth canal, so that very little oxygen can reach the baby. Brain damage due to lack of oxygen is more common among breech babies than among those presenting head first. In a first delivery, these problems may occur more frequently because a woman’s tissues have not been stretched by previous deliveries. Because of risk of injury or even death to the baby, cesarean delivery is preferred when the fetus is in breech presentation, unless the doctor is very experienced with and skilled at delivering breech babies or there is not an adequate facility or equipment to safely perform a cesarean delivery. Breech presentation is more likely to occur in the following circumstances: Labor starts too soon (preterm labor). The uterus is abnormally shaped or contains abnormal growths such as fibroids . Other presentationsIn face presentation, the baby's neck arches back so that the face presents first rather than the top of the head. In brow presentation, the neck is moderately arched so that the brow presents first. Usually, fetuses do not stay in a face or brow presentation. These presentations often change to a vertex (top of the head) presentation before or during labor. If they do not, a cesarean delivery is usually recommended. In transverse lie, the fetus lies horizontally across the birth canal and presents shoulder first. A cesarean delivery is done, unless the fetus is the second in a set of twins. In such a case, the fetus may be turned to be delivered through the vagina. Copyright © 2024 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. All rights reserved.
 Read common questions on the coronavirus and ACOG’s evidence-based answers. If Your Baby Is BreechURL has been copied to the clipboard Frequently Asked Questions Expand AllIn the last weeks of pregnancy, a fetus usually moves so his or her head is positioned to come out of the vagina first during birth. This is called a vertex presentation . A breech presentation occurs when the fetus’s buttocks, feet, or both are in place to come out first during birth. This happens in 3–4% of full-term births. It is not always known why a fetus is breech. Some factors that may contribute to a fetus being in a breech presentation include the following: You have been pregnant before. There is more than one fetus in the uterus (twins or more). There is too much or too little amniotic fluid . The uterus is not normal in shape or has abnormal growths such as fibroids . The placenta covers all or part of the opening of the uterus ( placenta previa ) The fetus is preterm . Occasionally fetuses with certain birth defects will not turn into the head-down position before birth. However, most fetuses in a breech presentation are otherwise normal. Your health care professional may be able to tell which way your fetus is facing by placing his or her hands at certain points on your abdomen. By feeling where the fetus's head, back, and buttocks are, it may be possible to find out what part of the fetus is presenting first. An ultrasound exam or pelvic exam may be used to confirm it. External cephalic version (ECV) is an attempt to turn the fetus so that he or she is head down. ECV can improve your chance of having a vaginal birth. If the fetus is breech and your pregnancy is greater than 36 weeks your health care professional may suggest ECV. ECV will not be tried if: You are carrying more than one fetus There are concerns about the health of the fetus You have certain abnormalities of the reproductive system The placenta is in the wrong place The placenta has come away from the wall of the uterus ( placental abruption ) ECV can be considered if you have had a previous cesarean delivery . The health care professional performs ECV by placing his or her hands on your abdomen. Firm pressure is applied to the abdomen so that the fetus rolls into a head-down position. Two people may be needed to perform ECV. Ultrasound also may be used to help guide the turning. The fetus's heart rate is checked with fetal monitoring before and after ECV. If any problems arise with you or the fetus, ECV will be stopped right away. ECV usually is done near a delivery room. If a problem occurs, a cesarean delivery can be performed quickly, if necessary. Complications may include the following: Prelabor rupture of membranes Changes in the fetus's heart rate Placental abruption Preterm labor More than one half of attempts at ECV succeed. However, some fetuses who are successfully turned with ECV move back into a breech presentation. If this happens, ECV may be tried again. ECV tends to be harder to do as the time for birth gets closer. As the fetus grows bigger, there is less room for him or her to move. Most fetuses that are breech are born by planned cesarean delivery. A planned vaginal birth of a single breech fetus may be considered in some situations. Both vaginal birth and cesarean birth carry certain risks when a fetus is breech. However, the risk of complications is higher with a planned vaginal delivery than with a planned cesarean delivery. In a breech presentation, the body comes out first, leaving the baby’s head to be delivered last. The baby’s body may not stretch the cervix enough to allow room for the baby’s head to come out easily. There is a risk that the baby’s head or shoulders may become wedged against the bones of the mother’s pelvis. Another problem that can happen during a vaginal breech birth is a prolapsed umbilical cord . It can slip into the vagina before the baby is delivered. If there is pressure put on the cord or it becomes pinched, it can decrease the flow of blood and oxygen through the cord to the baby. Although a planned cesarean birth is the most common way that breech fetuses are born, there may be reasons to try to avoid a cesarean birth. A cesarean delivery is major surgery. Complications may include infection, bleeding, or injury to internal organs. The type of anesthesia used sometimes causes problems. Having a cesarean delivery also can lead to serious problems in future pregnancies, such as rupture of the uterus and complications with the placenta. With each cesarean delivery, these risks increase. If you are thinking about having a vaginal birth and your fetus is breech, your health care professional will review the risks and benefits of vaginal birth and cesarean birth in detail. You usually need to meet certain guidelines specific to your hospital. The experience of your health care professional in delivering breech babies vaginally also is an important factor. Amniotic Fluid : Fluid in the sac that holds the fetus. Anesthesia : Relief of pain by loss of sensation. Breech Presentation : A position in which the feet or buttocks of the fetus would appear first during birth. Cervix : The lower, narrow end of the uterus at the top of the vagina. Cesarean Delivery : Delivery of a fetus from the uterus through an incision made in the woman’s abdomen. External Cephalic Version (ECV) : A technique, performed late in pregnancy, in which the doctor attempts to manually move a breech baby into the head-down position. Fetus : The stage of human development beyond 8 completed weeks after fertilization. Fibroids : Growths that form in the muscle of the uterus. Fibroids usually are noncancerous. Oxygen : An element that we breathe in to sustain life. Pelvic Exam : A physical examination of a woman’s pelvic organs. Placenta : Tissue that provides nourishment to and takes waste away from the fetus. Placenta Previa : A condition in which the placenta covers the opening of the uterus. Placental Abruption : A condition in which the placenta has begun to separate from the uterus before the fetus is born. Prelabor Rupture of Membranes : Rupture of the amniotic membranes that happens before labor begins. Also called premature rupture of membranes (PROM). Preterm : Less than 37 weeks of pregnancy. Ultrasound Exam : A test in which sound waves are used to examine inner parts of the body. During pregnancy, ultrasound can be used to check the fetus. Umbilical Cord : A cord-like structure containing blood vessels. It connects the fetus to the placenta. Uterus : A muscular organ in the female pelvis. During pregnancy, this organ holds and nourishes the fetus. Vagina : A tube-like structure surrounded by muscles. The vagina leads from the uterus to the outside of the body. Vertex Presentation : A presentation of the fetus where the head is positioned down. Article continues below Advertisement If you have further questions, contact your ob-gyn.Don't have an ob-gyn? Learn how to find a doctor near you . Published: January 2019 Last reviewed: August 2022 Copyright 2024 by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information . This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer . Clinicians: Subscribe to Digital PamphletsExplore ACOG's library of patient education pamphlets. A Guide to Pregnancy from Ob-GynsFor trusted, in-depth advice from ob-gyns, turn to Your Pregnancy and Childbirth: Month to Month. ACOG ExplainsA quick and easy way to learn more about your health. What to Read NextCesarean Birth Fetal Heart Rate Monitoring During Labor What is back labor? What is delayed cord clamping? |
IMAGES
COMMENTS
Short description: Maternal care for breech presentation, unsp; The 2024 edition of ICD-10-CM O32.1XX0 became effective on October 1, 2023. This is the American ICD-10-CM version of O32.1XX0 - other international versions of ICD-10 O32.1XX0 may differ.
descent of head (at term) of pregnancy (mother) O32.4 engagement of head (term of pregnancy) (mother) O32.4. Pregnancy Complicated by mentum presentation O32.3 oblique lie or presentation O32.2 transverse lie or presentation O32.2 unstable lie O32.0 Etc. Pregnancy Complicated by presentation, fetal -see Delivery, complicated by, malposition
O32.1XX0 is a billable diagnosis code used to specify a medical diagnosis of maternal care for breech presentation, not applicable or unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
ICD-10. ICD-10-CM Codes. Pregnancy, childbirth and the puerperium. Maternal care related to the fetus and amniotic cavity and possible delivery problems. Maternal care for malpresentation of fetus (O32) Maternal care for breech presentation (O32.1) O32.0XX9.
Toward the end of pregnancy, the fetus moves into position for delivery. Normally, the presentation is vertex (head first), and the position is occiput anterior (facing toward the pregnant patient's spine) with the face and body angled to one side and the neck flexed. Abnormal presentations include face, brow, breech, and shoulder.
O32.1XX5. O32.1XX5 is a valid billable ICD-10 diagnosis code for Maternal care for breech presentation, fetus 5 . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . ↓ See below for any exclusions, inclusions or special notations.
Vertex presentation is just medical speak for "baby's head-down in the birth canal and rearing to go!". About 97 percent of all deliveries are headfirst, or vertex—and rare is the OB who will try to deliver any other way. Other, less common presentations include breech (when baby's head is near your ribs) and transverse (which means ...
ICD-10-CM Code for Maternal care for breech presentation, not applicable or unspecified O32.1XX0 ICD-10 code O32.1XX0 for Maternal care for breech presentation, not applicable or unspecified is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
O32.1XX1 Maternal care for breech presentation, fetus 1 - ICD-10-CM Diagnosis Codes codes diagnosis. ICD-10-CM; DRGs; HCCs; CDPS, CDPS+Rx, MRX ... ICD-10-CM 15. Pregnancy, childbirth and the puerperium (O00-O9A) ... AHA Coding Clinic ® for HCPCS - current + archives AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - current + archives AMA CPT ...
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) ... Transverse or oblique presentation of fetus; ICD-10-CM O32.2XX0 is grouped within Diagnostic Related Group(s) (MS-DRG v 41.0):
Toward the end of pregnancy, the fetus moves into position for delivery. Normally, the presentation is vertex (head first), and the position is occiput anterior (facing toward the pregnant person's spine) and with the face and body angled to one side and the neck flexed. Variations in fetal presentations include face, brow, breech, and shoulder.
In the last weeks of pregnancy, a fetus usually moves so his or her head is positioned to come out of the vagina first during birth. This is called a vertex presentation.A breech presentation occurs when the fetus's buttocks, feet, or both are in place to come out first during birth. This happens in 3-4% of full-term births.
breech O32.1. Pregnancy (single) (uterine) Z33.1 - see also Delivery and Puerperal. complicated by (care of) (management affected by) breech presentation O32.1. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. ICD 10 code for Maternal care for breech presentation.
O32.2XX1. O32.2XX1 is a valid billable ICD-10 diagnosis code for Maternal care for transverse and oblique lie, fetus 1 . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . ↓ See below for any exclusions, inclusions or special notations.
O32.1XX2. ICD-10 code O32.1XX2 for Maternal care for breech presentation, fetus 2 is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium . Fill out the form below to download your FREE ICD-10-CM whitepaper.
O32.8XX1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM O32.8XX1 became effective on October 1, 2023. This is the American ICD-10-CM version of O32.8XX1 - other international versions of ICD-10 O32.8XX1 may differ. O32.8XX1 is applicable to maternity ...
O80 is a billable diagnosis code used to specify a medical diagnosis of encounter for full-term uncomplicated delivery. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient ...
The 2024 edition of ICD-10-CM O32.4 became effective on October 1, 2023. This is the American ICD-10-CM version of O32.4 - other international versions of ICD-10 O32.4 may differ. Applicable To. Maternal care for failure of head to enter pelvic brim. The following code (s) above O32.4 contain annotation back-references.
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The 2024 edition of ICD-10-CM O32.1XX2 became effective on October 1, 2023. This is the American ICD-10-CM version of O32.1XX2 - other international versions of ICD-10 O32.1XX2 may differ. ICD-10-CM Coding Rules. O32.1XX2 is applicable to maternity patients aged 12 - 55 years inclusive. O32.1XX2 is applicable to female patients.
Short description: Maternal care for compound presentation, unsp; The 2024 edition of ICD-10-CM O32.6XX0 became effective on October 1, 2023. This is the American ICD-10-CM version of O32.6XX0 - other international versions of ICD-10 O32.6XX0 may differ.