Papyraceous fetus, unspecified trimester, fetus 1

This code signifies the presence of a papyraceous fetus, which is a mummified, flattened fetal remnant resulting from the death of one fetus in a multiple gestation pregnancy. The surviving fetus continues to develop, while the deceased twin undergoes compression and dehydration. This specific code indicates that the trimester of fetal death is unspecified, and it refers to the first fetus identified.

Use this code when documentation confirms the diagnosis of a papyraceous fetus in a multiple gestation, and the specific trimester of fetal demise is not documented. This code is applicable when the papyraceous fetus is identified as "fetus 1" in the medical record. Supporting documentation would include ultrasound reports or pathology findings detailing the presence and characteristics of the papyraceous fetus.

• Ensure the documentation clearly identifies the papyraceous fetus as "fetus 1" to use this specific code.
• If the trimester of fetal demise is known, use a more specific code from the O31.0 series (e.g., O31.01X1, O31.02X1, O31.03X1).
• This code is typically a secondary diagnosis, with the primary diagnosis often related to the ongoing multiple gestation or any complications.