Preterm labor second tri w preterm del second tri, fetus 1

This code signifies the onset of labor and subsequent delivery occurring between 14 weeks 0 days and 27 weeks 6 days of gestation. It specifically indicates that the delivery of the first fetus in a multiple gestation pregnancy occurred during this timeframe due to preterm labor.

Apply this code when documentation confirms preterm labor leading to a preterm delivery in the second trimester for the first fetus. This typically involves a patient presenting with regular uterine contractions and cervical changes before 28 weeks of gestation, resulting in the birth of the infant.

• Ensure the documentation clearly specifies "preterm labor" and "preterm delivery" within the second trimester.
• Verify that this code is used for the first fetus in a multiple gestation; subsequent fetuses will have different codes.
• Do not use this code for threatened preterm labor without actual delivery, or for deliveries occurring in the first or third trimesters.