Papyraceous fetus, second trimester, fetus 5

This code signifies the presence of a papyraceous fetus, a mummified fetal demise, occurring during the second trimester of a multiple gestation pregnancy, specifically identifying the fifth fetus. This condition typically arises when one fetus in a multifetal pregnancy dies and is compressed by the growth of the surviving fetus(es).

Use this code when documentation clearly indicates a papyraceous fetus identified in the second trimester of a multiple gestation, and the specific fetus number (fifth) is documented. This is typically diagnosed via ultrasound imaging showing a flattened, desiccated fetal mass alongside a viable twin or higher-order multiple.

• Ensure the trimester of diagnosis (second) and the specific fetus number (fifth) are explicitly documented.
• This code is for the maternal record and should be sequenced as a secondary diagnosis following the primary obstetric condition.
• Do not confuse with codes for fetal demise without papyraceous changes or those occurring in a different trimester or for a different fetus number.