Term delivery with preterm labor, second trimester, fetus 5

This code describes a delivery occurring at term (37+ weeks gestation) in a patient who experienced preterm labor during the second trimester (14 0/7 weeks through 27 6/7 weeks gestation). This indicates a history of preterm labor that was successfully arrested, allowing the pregnancy to continue to term. The "X5" specifies that this is for the fifth fetus in a multiple gestation pregnancy.

This code is used when a patient delivers at term, but her medical history clearly documents an episode of preterm labor that occurred between 14 0/7 and 27 6/7 weeks of gestation. Documentation should confirm the successful management of the preterm labor and the subsequent term delivery. This code is specifically for the fifth fetus in a multifetal pregnancy.

• Always confirm the gestational age at the time of the preterm labor episode and the gestational age at delivery.
• Ensure documentation specifies "fetus 5" for accurate assignment in multiple gestations.
• Do not confuse with codes for actual preterm delivery; this code is for a term delivery following preterm labor.