Preterm labor second tri w preterm delivery second tri, oth

This code signifies the occurrence of labor leading to delivery between 14 weeks 0 days and 27 weeks 6 days of gestation, specifically when the delivery of one or more fetuses occurs during this period. It is used when the preterm labor and subsequent preterm delivery affect a fetus other than the one being specifically identified or if there are multiple fetuses and this code applies to one of the "other" fetuses.

Apply this code when documentation clearly states preterm labor resulting in a preterm delivery during the second trimester (14+0 to 27+6 weeks gestation) for a fetus that is not the primary focus of other specific codes. This code is appropriate when the medical record specifies "other fetus" in a multifetal pregnancy or when the specific fetus is not otherwise identified.

• Ensure documentation specifies both preterm labor and preterm delivery occurring within the second trimester.
• This code is for use when the delivery is of an "other fetus" in a multifetal pregnancy; do not use for the primary fetus if separately identified.
• Always sequence this code as a primary diagnosis when it represents the reason for the encounter, followed by codes for the outcome of delivery and any associated conditions.