Obstructed labor due to shoulder presentation, fetus 1

This code signifies a delivery complication where the fetus is presenting shoulder-first, and this abnormal presentation is actively preventing the progress of labor. It specifically applies to the first fetus in a multiple gestation or the only fetus in a singleton pregnancy. This obstruction can lead to prolonged labor, fetal distress, or necessitate operative delivery.

Assign this code when documentation clearly indicates labor is obstructed due to a shoulder presentation of the first or only fetus. This typically occurs when the fetal shoulder is positioned over the maternal pelvis, preventing descent. Documentation should specify "obstructed labor" and "shoulder presentation."

• Ensure documentation explicitly states "obstructed labor" due to the shoulder presentation, not just a shoulder presentation itself.
• Verify this code is for the first fetus (or singleton). For subsequent fetuses, different codes apply.
• Sequence this code as the principal diagnosis when it is the reason for the admission or the primary condition treated.