Term delivery with preterm labor, second trimester, fetus 3

This code signifies a delivery that occurs at term (37+ weeks gestation) following an episode of preterm labor during the second trimester (14 weeks 0 days to 27 weeks 6 days). It specifically indicates that this is the third fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly states a history of preterm labor in the second trimester, but the actual delivery occurred at term. This code is used for the third fetus in a multifetal pregnancy. Supporting documentation includes physician notes detailing the preterm labor episode, gestational age at the time of labor, and the gestational age at delivery.

• Always sequence this code after the primary obstetric code indicating the type of delivery.
• Ensure documentation specifies "fetus 3" for accurate assignment in multiple gestations.
• Do not confuse with codes for actual preterm delivery (O60.0x, O60.1x) or term delivery without a history of preterm labor.