Preterm labor second tri w preterm del second tri, fetus 2

This code signifies the onset of labor and subsequent delivery of a fetus during the second trimester of pregnancy, specifically for the second fetus in a multiple gestation. It indicates that the labor began prematurely and resulted in a preterm birth between 14 weeks 0 days and 27 weeks 6 days of gestation.

Apply this code when documentation clearly states preterm labor leading to a preterm delivery of the second fetus in a multiple pregnancy during the second trimester. This typically occurs in scenarios such as premature rupture of membranes (PROM) or cervical insufficiency resulting in early labor and delivery. Supporting documentation should include gestational age at delivery, confirmation of preterm labor, and the specific fetus being delivered.

• Ensure the gestational age at delivery falls within the second trimester (14 weeks 0 days to 27 weeks 6 days).
• Verify that the documentation specifies "fetus 2" to differentiate from other fetuses in a multiple gestation.
• Sequence this code as a principal diagnosis when the reason for admission is preterm labor with delivery.