Obstructed labor due to brow presentation, fetus 5

This code signifies a complication during childbirth where the fetus presents with its brow (forehead) leading the way through the birth canal, and this abnormal presentation is causing an obstruction to labor progression. This malposition prevents the normal descent and rotation of the fetal head, making vaginal delivery difficult or impossible without intervention. The "5" indicates this is the fifth fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly indicates obstructed labor due to a brow presentation in a multiple gestation pregnancy, specifically identifying the fifth fetus. Supporting documentation should include physician notes detailing the fetal presentation, the failure of labor to progress despite adequate contractions, and the identification of the specific fetus involved.

• Ensure documentation explicitly states "brow presentation" and confirms it is the cause of the obstructed labor, not just an incidental finding.
• Verify the fetal number (e.g., fetus 1, 2, 3, 4, 5, or 9 for unspecified) is accurately identified in the medical record for multiple gestations.
• Distinguish from other cephalic malpresentations like face presentation (O64.2) or occiput posterior (O64.0), as these have different code assignments.