Cont preg aft uterin dth of one fts or more, unsp tri, fts4

This code describes a multifetal pregnancy where at least one fetus has died in utero, but the pregnancy is continuing with one or more viable fetuses. The specific fetus identified as deceased is the fourth fetus in a multiple gestation. The gestational age at the time of intrauterine demise is not specified.

Use this code when documentation clearly indicates a multifetal pregnancy with intrauterine fetal demise (IUFD) of one or more fetuses, and the pregnancy is ongoing. This code is specifically for the fourth fetus in a multiple gestation. Documentation should specify the number of fetuses and which fetus experienced demise.

• This code requires an additional code to identify the outcome of the other viable fetus(es).
• Do not use this code if the entire pregnancy has terminated (e.g., spontaneous abortion or stillbirth of all fetuses).
• Ensure the documentation specifies "fetus 4" for accurate assignment; otherwise, an unspecified fetus code might be more appropriate.