Preterm labor second tri w preterm del second tri, fetus 4

This code signifies the occurrence of labor leading to delivery during the second trimester of pregnancy (between 14 weeks 0 days and 27 weeks 6 days gestation), specifically identifying the fourth fetus in a multiple gestation. It indicates that the labor itself was preterm, resulting in a preterm birth.

Apply this code when documentation clearly states preterm labor and subsequent preterm delivery of the fourth fetus in a multiple pregnancy, occurring within the second trimester. This is used for the maternal record when the delivery event is being coded.

• Ensure the documentation specifies "second trimester" for both labor and delivery.
• Verify the fetal number (fourth fetus) is explicitly stated for accurate assignment in multiple gestations.
• This code is for the maternal chart; codes from the P07 category would be used for the newborn's record to indicate prematurity.