Papyraceous fetus, third trimester, fetus 2

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, specifically occurring during the third trimester. This condition is typically associated with the demise of one twin or triplet while the other(s) continue to develop.

This code is used when documentation clearly indicates the diagnosis of a papyraceous fetus in a multiple gestation pregnancy that has reached the third trimester. It is specifically assigned when the papyraceous fetus is identified as the second fetus in the pregnancy. Documentation should specify the trimester and the fetal order.

• Ensure documentation specifies "third trimester" and identifies the papyraceous fetus as "fetus 2" in a multiple gestation.
• Do not confuse with other complications of multiple gestation, such as vanishing twin syndrome, unless the fetus is distinctly described as papyraceous.
• Always sequence this code after the primary code for the multiple gestation pregnancy (e.g., O30.-).