Term delivery with preterm labor, third trimester, fetus 5

This code signifies a delivery that occurs at term (37+ weeks gestation) following the onset of preterm labor during the third trimester. It specifically indicates that the pregnancy involved a fifth fetus, implying a multiple gestation scenario. The key aspect is the occurrence of preterm labor symptoms or contractions that resolved, and the delivery ultimately happened at term.

Use this code when documentation clearly states a patient experienced preterm labor in the third trimester, but the delivery of the fifth fetus (in a multiple gestation) ultimately occurred at or after 37 weeks gestation. This scenario requires explicit mention of both preterm labor and a term delivery. Supporting documentation would include physician notes detailing preterm labor symptoms, subsequent resolution, and the gestational age at the time of delivery.

• Ensure documentation specifies "fetus 5" in a multiple gestation to justify the fifth character.
• Do not use this code if the delivery was actually preterm; this code is for term delivery following preterm labor.
• Sequence this code as a secondary diagnosis following the primary code for the outcome of delivery (e.g., Z37.x for liveborn infant).