Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5

This code describes a pregnancy where one or more fetuses have died in the second trimester, but the remaining fetus(es) are still viable and the pregnancy is continuing. It specifically identifies the fifth fetus in a multifetal gestation as the one that has demised. This condition presents significant risks to both the surviving fetus(es) and the pregnant patient.

Use this code when documentation clearly indicates the intrauterine demise of one or more fetuses during the second trimester (weeks 14 through 27+6 days) in a multifetal pregnancy that is still ongoing. The medical record must specify that the fifth fetus is the one that has demised. Supporting documentation includes ultrasound reports confirming fetal demise and viability of other fetuses, and physician notes detailing the gestational age at the time of demise.

• Ensure the documentation explicitly states "second trimester" and identifies the specific fetus (e.g., "fetus 5") that has demised.
• Do not use this code if the entire pregnancy has terminated or if the demise occurred in the first or third trimester.
• Always sequence this code as a secondary diagnosis, with the primary diagnosis reflecting the reason for the encounter (e.g., routine prenatal care, complications of multifetal pregnancy).