Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp

This code describes a multifetal pregnancy where one or more fetuses have demised during the second trimester, but at least one other fetus remains viable and the pregnancy is ongoing. It signifies a complex obstetric situation requiring careful monitoring of the surviving fetus(es) and the pregnant patient.

This code is appropriate when documentation clearly indicates a multifetal gestation with a confirmed intrauterine fetal demise (IUFD) of one or more fetuses occurring between 14 weeks 0 days and 27 weeks 6 days of gestation, and the pregnancy is continuing with at least one live fetus. Supporting documentation would include ultrasound reports confirming IUFD and viability of other fetuses, and physician notes detailing the ongoing pregnancy.

• Ensure the documentation specifies "second trimester" for the IUFD; otherwise, a different trimester code should be selected.
• Always sequence this code as a secondary diagnosis, following the code for the multifetal pregnancy (e.g., O30.-).
• Do not confuse this with codes for complete miscarriage or termination of pregnancy, as this code specifically indicates a continuing pregnancy.