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

This code signifies a multifetal pregnancy where one or more fetuses have demised in the first trimester, but at least one other fetus remains viable and the pregnancy is ongoing. It specifically identifies the fourth fetus as the one that has demised.

Apply this code when documentation clearly indicates a multiple gestation with a confirmed intrauterine fetal demise (IUFD) of one or more fetuses during the first trimester, and the pregnancy is continuing with at least one live fetus. This code is used when the specific fetus that demised is identified as the fourth fetus. Documentation should include ultrasound reports confirming fetal viability and demise, gestational age, and the number of fetuses.

• Ensure the documentation specifies "first trimester" for the demise; otherwise, a different trimester code is required.
• Verify the specific fetus (e.g., fetus 1, 2, 3, 4, or other) that demised is clearly identified in the medical record.
• This code is for the demised fetus in a continuing multifetal pregnancy; do not confuse with codes for all fetuses being demised or for a singleton pregnancy.