Papyraceous fetus, third trimester, fetus 4

This code indicates the presence of a papyraceous fetus, which is a mummified, flattened fetus resulting from the demise of one fetus in a multiple gestation pregnancy, specifically occurring in the third trimester. This condition implies that the demised fetus has been compressed by the surviving fetus(es) and uterine wall.

Use this code when documentation clearly identifies a papyraceous fetus in a multifetal pregnancy during the third trimester, and the affected fetus is specifically identified as fetus 4. This diagnosis is typically made via ultrasound imaging or pathological examination after delivery.

• Ensure the documentation specifies "papyraceous fetus" and not just "fetal demise" in a multiple gestation.
• Verify the trimester (third) and the specific fetus number (4) are clearly documented.
• This code is for the maternal record; additional codes for the outcome of the surviving fetus(es) or other maternal complications may be necessary.