Papyraceous fetus, first trimester, other fetus

This code indicates the presence of a papyraceous fetus, a mummified fetal demise, in a multiple gestation pregnancy where the pregnancy is in the first trimester and the papyraceous fetus is not the primary fetus. It signifies the reabsorption of one fetus in a multifetal pregnancy, leaving behind a flattened, parchment-like remnant.

Apply this code when documentation confirms a papyraceous fetus identified in a multiple gestation during the first trimester. The medical record must clearly specify that this is not the primary fetus. Ultrasound reports and physician notes detailing the demise and characteristics of the affected fetus support its use.

• Ensure the documentation specifies "first trimester" and "other fetus" to differentiate from other trimesters or the primary fetus.
• Do not confuse with codes for fetal death of a single fetus or fetal death of the primary fetus in a multiple gestation.
• Sequence this code after the primary code for the ongoing multiple gestation pregnancy (e.g., O30.0-).