Abdominal pregnancy with intrauterine pregnancy

This code signifies a rare and complex obstetric condition where an ectopic pregnancy is located within the abdominal cavity, coexisting with a separate, viable or non-viable, intrauterine pregnancy. This represents a heterotopic pregnancy with a specific extrauterine implantation site.

Assign this code when diagnostic imaging (e.g., ultrasound, MRI) confirms the presence of both an abdominal pregnancy and an intrauterine pregnancy. Documentation should clearly identify the location of both gestations.

• Ensure documentation explicitly states "abdominal pregnancy" and "intrauterine pregnancy" to support this specific code.
• Do not confuse with other types of heterotopic pregnancies where the ectopic site is not abdominal (e.g., tubal, ovarian).
• Sequence this code as the primary diagnosis when it is the focus of the encounter, followed by codes for any associated complications.