Obstructed labor due to breech presentation, fetus 4

This code signifies a delivery complication where the baby is positioned feet or buttocks first (breech presentation), and this abnormal positioning is causing an obstruction that prevents normal progression of labor. It specifically identifies the fourth fetus in a multiple gestation pregnancy experiencing this issue.

Apply this code when documentation clearly indicates obstructed labor directly attributed to a breech presentation for the fourth fetus. This would typically be supported by physician notes detailing the fetal presentation, the failure of labor to progress despite adequate contractions, and the identification of the specific fetus involved in a quadruplet or higher-order multiple pregnancy.

• Ensure the documentation specifies "obstructed labor" and not just "breech presentation" (O32.1XX_).
• Verify the fetal number (4) is accurately documented for multiple gestations.
• Sequence this code as a principal diagnosis when it is the reason for admission or the primary condition treated.