Obstructed labor due to brow presentation, fetus 4

This code signifies a complication during labor where the fetus presents with its brow (forehead) as the leading part, and this abnormal presentation is causing an obstruction to the birthing process. This specific code indicates that it is the fourth fetus in a multiple gestation pregnancy experiencing this issue.

Apply this code when documentation clearly states obstructed labor due to a brow presentation in the fourth fetus of a multiple gestation. This typically occurs when the fetal head is deflexed, preventing engagement and descent through the birth canal. Supporting documentation would include physician notes detailing the fetal presentation, the obstructive nature of the presentation, and the fetal number.

• Ensure the documentation explicitly states "brow presentation" and not another type of malpresentation (e.g., face, vertex).
• Verify that the obstruction is attributed to the brow presentation, not another cause of obstructed labor.
• Confirm that the fetus in question is specifically identified as the fourth fetus in a multiple gestation.