Papyraceous fetus, second 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. This specific code applies when the fetal demise occurs during the second trimester and identifies the fourth fetus in the pregnancy.

Use this code when documentation clearly indicates the demise of one fetus in a multiple gestation, specifically identified as the fourth fetus, and the demise occurred between 14 weeks 0 days and 27 weeks 6 days gestation. Supporting documentation should include ultrasound reports confirming the papyraceous appearance and the gestational age at the time of demise.

• Ensure the documentation specifies "fetus 4" to accurately assign this code.
• Verify the trimester of fetal demise; this code is specific to the second trimester.
• Do not confuse with codes for other fetal complications or demises in different trimesters or for different fetal positions.