Papyraceous fetus, first trimester, fetus 4

This code signifies the presence of a papyraceous fetus, which is a mummified, flattened fetal remnant, specifically identified in a multifetal pregnancy during the first trimester. This condition typically occurs when one fetus in a multiple gestation dies and is compressed by the growth of the surviving fetus(es).

Use this code when documentation clearly indicates the diagnosis of a papyraceous fetus in a multifetal pregnancy, with the gestational age falling within the first trimester. The "4" in the seventh character specifies that this finding pertains to the fourth fetus in a multiple gestation. Documentation should explicitly state the presence of a papyraceous fetus and the trimester of diagnosis.

• Ensure the documentation specifies "first trimester" for accurate code assignment.
• Verify the specific fetus affected (e.g., fetus 1, 2, 3, 4, etc.) as indicated by the seventh character.
• Do not confuse with other complications of multiple gestation where fetal demise occurs but without the specific "papyraceous" description.