Obstructed labor due to breech presentation, fetus 3

This code signifies a delivery complication where the fetus is positioned feet- or buttocks-first, and this abnormal presentation is preventing the normal progression of labor. The obstruction necessitates intervention due to the inability of the fetus to descend through the birth canal. This specific code identifies the third fetus in a multiple gestation.

Apply this code when documentation clearly states obstructed labor due to breech presentation for the third fetus. This typically occurs in scenarios where a vaginal delivery is attempted but fails to progress due to the fetal position, often leading to a Cesarean section. Documentation should specify the fetal presentation and the resulting obstruction.

• Ensure documentation explicitly identifies the third fetus in a multiple gestation.
• Distinguish from other malpresentations (e.g., transverse lie) which have different codes.
• Always code the outcome of delivery (Z37.x) and any associated procedures (e.g., C-section) in conjunction with this code.