Obstructed labor due to face presentation, fetus 5

This code signifies a complication during 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 malpresentation can lead to prolonged labor, dystocia, and potentially require operative delivery. The "5" in the fifth character indicates this is the fifth fetus in a multiple gestation pregnancy.

Use this code when documentation clearly states obstructed labor due to a face presentation in the fifth fetus of a multiple gestation. This typically occurs when the fetal head is hyperextended, preventing engagement and descent through the birth canal. Supporting documentation would include physician notes detailing the fetal presentation, the obstruction, and the specific fetal number.

• Ensure documentation specifies "obstructed labor" and not just "face presentation" (O32.3XX5 for face presentation without obstruction).
• Verify the fetal number (fifth fetus) for accurate coding in multiple gestations.
• Sequence this code as the principal diagnosis when it is the primary reason for the encounter and delivery.