Maternal care for transverse and oblique lie, fetus 2

This code signifies a pregnancy complicated by an abnormal fetal presentation where the fetus is positioned horizontally (transverse lie) or diagonally (oblique lie) within the uterus, specifically for the second fetus in a multiple gestation. This malposition prevents a vaginal birth and often necessitates a Cesarean section.

Apply this code when documentation confirms a transverse or oblique lie for the second fetus in a twin or higher-order multiple pregnancy. This typically occurs during the third trimester or at the onset of labor. Supporting documentation includes ultrasound reports, physician notes describing fetal presentation, and delivery records.

• Ensure the documentation clearly specifies "fetus 2" or the second fetus in a multiple gestation.
• Do not confuse with O32.2XX0 or O32.2XX1, which are for unspecified fetus or fetus 1, respectively.
• This code is typically a secondary diagnosis, with a code from category O30 (Multiple gestation) as the primary.