Papyraceous fetus, unspecified trimester, fetus 4

This code signifies the presence of a papyraceous fetus, which is a mummified, flattened fetus resulting from the death of one fetus in a multiple gestation pregnancy. The condition is characterized by the absorption of amniotic fluid and compression of the deceased fetus against the uterine wall by the surviving fetus(es). This specific code applies when the trimester of gestation is not documented and refers to the fourth fetus in a multifetal pregnancy.

Use this code when documentation confirms the diagnosis of a papyraceous fetus in a multifetal pregnancy, and the specific trimester of gestation is not specified. This code is appropriate for the fourth fetus when there are at least four fetuses present. Supporting documentation would include ultrasound reports or physician notes detailing the demise and mummification of one fetus in a multiple gestation, specifically identifying it as the fourth fetus.

• Ensure the documentation clearly identifies the affected fetus as the fourth in a multiple gestation.
• Do not use this code if the trimester is known; instead, select the appropriate O31.0x_ code specifying the trimester.
• This code should be sequenced as a secondary diagnosis, with the primary diagnosis reflecting the reason for the encounter (e.g., routine prenatal care for multiple gestation).