Maternal care for intrauterine death, fetus 4

This code signifies a pregnancy complicated by the intrauterine demise of the fourth fetus in a multiple gestation. It indicates that the mother is receiving medical care specifically due to the death of this particular fetus, which occurred before birth.

This code is appropriate when documentation clearly states intrauterine fetal demise (IUFD) for the fourth fetus in a multifetal pregnancy. It should be used when the mother is under active management or surveillance related to this specific fetal loss. Documentation should specify the fetal number affected.

• Ensure the documentation explicitly identifies the fourth fetus as the one that has demised.
• Do not confuse with codes for other fetal numbers in a multiple gestation (e.g., O36.4XX0, O36.4XX1, etc.).
• Sequence this code as a primary diagnosis when the maternal care is solely for the IUFD of the fourth fetus, or as a secondary diagnosis when other complications are also being managed.