Obstructed labor due to face presentation, fetus 4

This code signifies a complication of labor where the fetus presents with its face as the leading part, and this presentation is causing an obstruction to the normal progress of labor. This malposition can prevent vaginal delivery due to the inability of the fetal head to properly engage and descend through the birth canal. The "4" in the fourth character indicates this is the fourth fetus in a multiple gestation pregnancy.

Use this code when documentation clearly indicates obstructed labor due to a face presentation in the fourth fetus of a multiple gestation. This typically occurs when the fetal head is hyperextended, and the chin is not flexed, preventing engagement or descent. Documentation should specify both the face presentation and the resulting obstruction of labor.

• Ensure documentation explicitly states "obstructed labor" and "face presentation" for the fourth fetus.
• Do not confuse with other malpresentations (e.g., brow, breech) or non-obstructive face presentations.
• Sequence this code as a principal diagnosis when it is the primary reason for the encounter, followed by codes for the outcome of delivery and other relevant conditions.