Obst labor due to incmpl rotation of fetal head, fetus 4

This code signifies a delivery complication where the fetal head fails to complete its normal rotation within the maternal pelvis, leading to an obstruction of labor. This incomplete rotation prevents the fetal head from properly engaging or descending, necessitating intervention. The "4" in the code indicates this is the fourth fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly states obstructed labor due to an unrotated fetal head, specifically identifying it as the fourth fetus. This typically occurs when the occiput fails to rotate anteriorly from a posterior or transverse position. Supporting documentation includes physician notes detailing the malposition, failed progress of labor, and the specific fetal identification.

• Ensure the documentation explicitly identifies the fourth fetus in a multiple gestation.
• Do not confuse with other malpositions or presentations; this code is specific to incomplete rotation of the fetal head.
• Sequence this code as a primary diagnosis when it is the reason for the obstetric encounter or intervention.