Papyraceous fetus, unspecified trimester, fetus 5

This code indicates the presence of a papyraceous fetus, also known as fetus compressus, in a multiple gestation pregnancy where one fetus has died in utero and been compressed by the growth of the surviving fetus(es). The specific fetus affected is identified as the fifth fetus.

Use this code when documentation confirms the diagnosis of a papyraceous fetus in a multiple gestation, and the affected fetus is explicitly identified as the fifth fetus. This typically occurs in cases of multifetal pregnancy reduction or spontaneous demise of one or more fetuses. Documentation should clearly state "papyraceous fetus" and specify the fetal number.

• Ensure the documentation clearly identifies the affected fetus as "fetus 5" in a multiple gestation.
• Do not use this code for a singleton pregnancy or when the specific fetus number is not documented.
• Code any associated complications of the pregnancy, such as preterm labor or hemorrhage, in addition to this code.