Preterm labor with preterm delivery, unsp trimester, fetus 5

This code signifies the onset of labor before 37 completed weeks of gestation, resulting in the birth of the fifth fetus in a multiple gestation pregnancy. The specific trimester of the preterm labor and delivery is not documented or specified. It indicates a live birth or stillbirth of the fifth fetus due to premature labor.

Use this code when documentation clearly states preterm labor leading to preterm delivery of the fifth fetus, and the trimester is not specified. This applies to scenarios where the patient experiences contractions causing cervical changes before 37 weeks, culminating in the birth of the fifth infant. Supporting documentation includes delivery notes, labor and delivery records, and physician notes confirming preterm labor and delivery of the fifth fetus.

• Ensure documentation specifies "fetus 5" to differentiate from other fetuses in a multiple gestation.
• Do not use if the trimester of preterm labor and delivery is clearly documented; instead, select a more specific code (e.g., O60.12X5 or O60.13X5).
• Always sequence this code as a primary diagnosis when it is the reason for the encounter, followed by codes for any associated conditions or complications.