Obstructed labor due to shoulder presentation, fetus 5

This code signifies a delivery complication where the fetus presents with a shoulder first, leading to an inability for the labor to progress normally. This malpresentation creates a physical barrier, preventing the natural descent and expulsion of the fetus through the birth canal. The "5" in the code indicates this is the fifth fetus in a multiple gestation pregnancy.

Apply this code when documentation clearly states obstructed labor due to a shoulder presentation, specifically for the fifth fetus in a multiple gestation. This scenario typically necessitates interventions such as a Cesarean section to safely deliver the infant. Supporting documentation would include operative reports, delivery notes, and physician progress notes detailing the fetal presentation and the obstruction.

• Ensure the documentation explicitly identifies the fetal presentation as shoulder and confirms the obstruction of labor.
• Verify that the fetus being coded is indeed the fifth in a multiple gestation; otherwise, a different final character would be required.
• This code is typically a principal diagnosis for the maternal record when the obstructed labor is the reason for admission or the primary reason for the C-section.