Maternal care for high head at term, fetus 5

This code signifies antenatal care provided to a pregnant patient at term (37+ weeks gestation) where the fetal head remains high in the pelvis, failing to engage. This presentation suggests a potential cephalopelvic disproportion or other factors preventing descent, which could complicate vaginal delivery.

Use this code when documentation indicates a diagnosis of "high head at term" for a singleton pregnancy identified as fetus 5. This typically occurs during the third trimester or at the onset of labor when a pelvic exam reveals the fetal head is not engaged. Supporting documentation includes physician notes detailing the fetal position, gestational age, and the specific fetus number if multiple gestations are present.

• Ensure the documentation explicitly states "at term" and identifies the specific fetus number (e.g., "fetus 5").
• Do not confuse with codes for malpresentation or other fetal abnormalities unless specifically documented in addition to high head.
• This code is for maternal care; additional codes may be needed for any interventions or complications arising from the high head.