Papyraceous fetus, third trimester, other fetus

This code signifies the presence of a papyraceous fetus in a multifetal pregnancy during the third trimester, specifically when it refers to a fetus other than the one designated as the "first" or "primary" fetus. A papyraceous fetus is a deceased fetus that has been compressed and mummified by the growth of a co-twin, often appearing flattened and parchment-like.

Use this code when documentation confirms a multifetal pregnancy in the third trimester where one or more fetuses have undergone papyraceous changes, and the specific fetus being described is not the primary fetus. This diagnosis is typically made via ultrasound and confirmed by the pathologist after delivery.

• Ensure the documentation clearly specifies "third trimester" and identifies the affected fetus as "other" (e.g., fetus B, C, etc.).
• Do not confuse with codes for fetal death in utero without papyraceous changes or codes for single gestations.
• Sequence this code after the primary code for the multifetal pregnancy (e.g., O30.-).