Obstructed labor due to breech presentation, other fetus

This code signifies a challenging labor where the baby is positioned feet- or buttocks-first (breech presentation), and this abnormal presentation is causing the labor to be stalled or difficult. It specifically applies when the obstruction is due to a breech presentation of a fetus other than the first-born in a multiple gestation pregnancy.

Assign this code when documentation clearly indicates obstructed labor due to a breech presentation in a multifetal pregnancy, and the specific fetus causing the obstruction is identified as "other" (e.g., the second twin, triplet, etc.). This code is supported by obstetrician notes detailing the presentation, labor progress, and the specific fetus involved in the obstruction.

• Ensure documentation specifies "other fetus" in a multiple gestation; otherwise, consider O64.1XX0 for a single fetus or unspecified fetus.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter or the primary complication of labor.
• Do not confuse with codes for malposition (e.g., O32.1XXx) which indicate the presentation but not necessarily an obstruction of labor.