Cont preg aft uterin dth of one fts or more, first tri, fts5

This code signifies a multifetal pregnancy where at least one fetus has demised within the first trimester, but the remaining fetus(es) continue to develop. It specifically identifies the fifth fetus as the one that has died, while the pregnancy itself is ongoing. This condition is often referred to as a "vanishing twin" or "vanishing triplet" phenomenon when one or more fetuses are reabsorbed after early demise.

Apply this code when documentation confirms a multifetal gestation with the intrauterine death of one or more fetuses during the first trimester (up to 13 weeks 6 days gestation), and the pregnancy is still viable with at least one living fetus. The medical record must clearly specify that the fifth fetus is the one that demised. This is typically supported by ultrasound reports detailing the presence of both live and demised fetuses.

• Ensure the documentation explicitly states "first trimester" for the fetal demise.
• Verify the specific fetus number (e.g., fetus 5) that demised, as later characters in the code specify this.
• Do not use this code if all fetuses have demised; instead, use codes for missed abortion or other types of fetal death.