Preterm labor second tri w preterm del third tri, fetus 5

This code signifies a pregnancy complicated by the onset of labor during the second trimester (weeks 14 0/7 through 27 6/7) that results in a live birth occurring in the third trimester (weeks 28 0/7 through 40 6/7). It specifically indicates that the fifth fetus in a multiple gestation pregnancy was delivered under these circumstances.

Apply this code when documentation clearly states preterm labor initiated in the second trimester, but the actual delivery of the fifth fetus occurred after 28 weeks of gestation. Supporting documentation should include gestational age at onset of labor, gestational age at delivery, and the specific fetal number involved in a multifetal pregnancy.

• Ensure the delivery of the specified fetus (fifth) actually occurred in the third trimester, despite labor onset in the second.
• Verify that the documentation explicitly identifies the fetus number (e.g., "fetus E," "fifth fetus") for accurate assignment.
• Do not confuse with codes for preterm labor without delivery, or preterm delivery occurring in the second trimester.