Matern care for disproprtn d/t outlet contrctn of pelv, fts4

This code signifies a pregnancy complicated by a maternal pelvis that is too small at the outlet to allow for safe vaginal delivery, specifically when the presenting fetus is identified as the fourth in a multiple gestation pregnancy. This disproportion creates a high risk for obstructed labor and potential fetal distress or injury.

Assign this code when documentation clearly indicates a diagnosis of cephalopelvic disproportion (CPD) or fetopelvic disproportion (FPD) due to an outlet contraction of the maternal pelvis, and the specific fetus affected is identified as the fourth. This typically necessitates a planned or emergent cesarean section.

• Ensure the documentation specifies "outlet contraction" and not another type of pelvic contraction (e.g., inlet, midplane).
• Verify that the fetus identified as the "fourth" is clearly documented in cases of multiple gestation.
• This code should be sequenced as a principal diagnosis when it is the reason for admission or the primary condition being managed.