Delayed delivery of second twin, triplet, etc.

This code signifies a delay in the delivery of a subsequent fetus (e.g., second twin, triplet) after the birth of the preceding fetus in a multiple gestation pregnancy. It indicates a prolonged interval between the births of multiple infants, which can pose risks to the undelivered fetuses.

Apply this code when documentation clearly states a delayed delivery of a subsequent fetus in a multiple gestation. This typically involves a significant time interval (e.g., hours) between the birth of the first and subsequent infants. Supporting documentation should include the time of birth for each fetus and the reason for the delay.

• Ensure the medical record specifies a multiple gestation pregnancy and the sequence of births.
• Do not confuse this with prolonged labor for the first twin or a single gestation.
• Always sequence this code after the primary obstetric code indicating the type of delivery and the outcome of the delivery.