Matern care for disproprtn d/t outlet contrctn of pelv, fts2

This code signifies maternal care for a pregnancy complicated by cephalopelvic disproportion (CPD) specifically due to an anatomical narrowing of the pelvic outlet. This condition prevents the fetus from passing through the birth canal, necessitating close monitoring and often intervention. The "2" in the seventh character indicates that this is the second fetus in a multiple gestation pregnancy.

Use this code when documentation clearly indicates a diagnosis of outlet contraction of the pelvis causing disproportion, and the patient is receiving maternal care for this condition. This applies to the second fetus in a multiple gestation. Supporting documentation would include obstetrician notes detailing pelvic measurements, clinical assessment of disproportion, and the plan for management.

• Ensure documentation specifies "outlet contraction" as the cause of disproportion, not other types of pelvic contraction.
• Verify that the patient is pregnant with twins or higher-order multiples and this code applies to the second fetus.
• Sequence this code as a principal or secondary diagnosis depending on the reason for the encounter and the specific circumstances of care.