Obstructed labor due to shoulder presentation, fetus 2

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 obstruction of the birth canal, requiring intervention. The "fetus 2" designation indicates this complication is occurring with the second fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly states obstructed labor due to a shoulder presentation for the second twin or multiple. This diagnosis is typically made during labor and delivery when a vaginal examination or ultrasound confirms the fetal lie and presentation. Supporting documentation would include physician notes detailing the malpresentation, failed progression of labor, and the specific fetus affected.

• Ensure documentation specifies "fetus 2" for accurate code assignment; otherwise, a different code for a single fetus or unspecified fetus would be appropriate.
• Always sequence this code as a principal diagnosis when it is the primary reason for the admission or encounter.
• Do not confuse with codes for other types of malpresentation (e.g., breech, transverse lie) or codes for obstructed labor due to other maternal or fetal factors.