Papyraceous fetus, first trimester, fetus 5

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

Use this code when documentation clearly indicates a papyraceous fetus identified in the first trimester of a multiple gestation. This diagnosis is often made via ultrasound imaging. The documentation must specify "fetus 5" to accurately assign this code.

• Ensure the documentation explicitly states "first trimester" and identifies the affected fetus as "fetus 5" in a multiple gestation.
• Do not use this code if the papyraceous fetus is identified in the second or third trimester; specific codes exist for those scenarios.
• Code any associated complications or maternal conditions separately, such as threatened abortion or other pregnancy complications.