Cont preg aft uterin dth of one fts or more, first tri, fts2

This code signifies a multifetal pregnancy where at least one fetus has demised in the first trimester, but the remaining fetus(es) continue to develop. It specifically identifies the second fetus in such a scenario. This condition can lead to complications for the continuing pregnancy and requires close monitoring.

Apply this code when documentation clearly indicates a multifetal pregnancy with a confirmed intrauterine fetal demise of one or more fetuses during the first trimester, and the pregnancy is ongoing. This code is used to specify the status of the second fetus, which is still viable. Documentation should include ultrasound reports confirming fetal demise and the viability of the remaining fetus(es), along with the gestational age.

• Ensure the documentation specifies "first trimester" for the fetal demise.
• Confirm the code is applied to the second fetus; use other O31.2 codes for different fetal positions.
• Sequence this code as a secondary diagnosis, following the code for the ongoing multifetal pregnancy (e.g., O30.0-).