Obstructed labor due to shoulder presentation, unsp

This code signifies a complication during childbirth where the baby's shoulder is presenting first, preventing a normal vaginal delivery. This malpresentation leads to an obstructed labor, requiring intervention to safely deliver the infant.

Apply this code when documentation clearly indicates obstructed labor due to a shoulder presentation. This diagnosis is typically made during the active phase of labor when the fetal presentation is identified as transverse or oblique, and progress ceases despite adequate contractions.

• Ensure documentation specifies "shoulder presentation" as the cause of obstruction, not just a general malpresentation.
• Do not use this code if the shoulder presentation is noted but labor is not obstructed (e.g., successful external cephalic version).
• Sequence this code as the principal diagnosis when it is the reason for the admission or the primary condition treated.