Obstructed labor due to face presentation, fetus 2

This code signifies a complication during childbirth where the fetal head presents with the face as the leading part, and this abnormal presentation is causing an obstruction to the labor process. Specifically, it indicates that this condition applies to the second fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly states obstructed labor due to a face presentation for the second twin or multiple. This diagnosis is typically made during the intrapartum period when vaginal delivery is hindered by the fetal position. Supporting documentation includes physician notes detailing the fetal presentation, labor dystocia, and identification of the affected fetus.

• Ensure the documentation specifies "obstructed labor" and not just "face presentation" to use this code.
• Verify that the face presentation is explicitly identified as the cause of the obstruction.
• Confirm that the affected fetus is indeed the second one in a multiple gestation; otherwise, a different character for the fetus number would be required.