Papyraceous fetus, third trimester, fetus 1

This code signifies the presence of a papyraceous fetus, a mummified fetal twin that has been compressed and flattened due to the death of one fetus in a multiple gestation pregnancy. This specific code applies when the papyraceous fetus is identified during the third trimester and refers to the first fetus in the pregnancy.

Use this code when documentation clearly indicates a papyraceous fetus discovered in a multiple gestation pregnancy during the third trimester. The medical record must specify that this finding pertains to "fetus 1" to accurately assign this code. This diagnosis is typically made via ultrasound or pathological examination after delivery.

• Ensure the documentation specifies "fetus 1" to differentiate from other fetuses in a multiple gestation.
• Verify the trimester of diagnosis; this code is specific to the third trimester.
• Do not confuse with other complications of multiple gestation where fetal demise occurs but does not result in a papyraceous fetus.