Obstructed labor due to brow presentation, fetus 1

This code signifies a labor dystocia caused by the fetal head presenting with the brow as the leading part, preventing normal vaginal delivery. This malpresentation results in an arrest of labor progression due to the largest diameter of the fetal head attempting to pass through the maternal pelvis.

Assign this code when documentation clearly indicates obstructed labor specifically due to a brow presentation of the first fetus. This typically requires intervention, such as a cesarean section, due to the inability of the fetus to descend. Documentation should specify the fetal presentation and the resulting obstruction of labor.

• Ensure documentation specifies "brow presentation" and not another malpresentation (e.g., face, occiput posterior) to avoid miscoding.
• Confirm that the obstruction is explicitly linked to the brow presentation, not other causes of labor dystocia.
• This code is for the first fetus; use appropriate codes for multiple gestations if applicable.