Obstructed labor due to breech presentation, fetus 5

This diagnosis code signifies a complication during labor where the baby is positioned feet- or buttocks-first (breech presentation) and this abnormal positioning is causing an obstruction that prevents normal vaginal delivery. The "5" in the fifth character indicates that this specific code applies to the fifth fetus in a multiple gestation pregnancy.

Assign this code when documentation clearly indicates obstructed labor directly attributable to a breech presentation of the fifth fetus. This typically occurs when the presenting part is not engaging or progressing through the birth canal due to the fetal lie. Supporting documentation would include physician notes detailing the obstructed labor, the fetal presentation, and the specific fetus involved in a multiple gestation.

• Ensure the documentation explicitly states "obstructed labor" and links it to the breech presentation of the fifth fetus.
• Do not use this code for uncomplicated breech presentation or for breech presentation without documented obstruction.
• Sequence this code as a principal diagnosis when it is the primary reason for the encounter, followed by codes for other related conditions.