Obstructed labor due to shoulder presentation, other fetus

This code signifies a complication during childbirth where the fetus is presenting shoulder-first, and this abnormal presentation is causing an obstruction to the labor process. This specific code is used when the shoulder presentation is identified in a fetus other than the first-born in a multiple gestation pregnancy.

Apply this code when documentation clearly indicates obstructed labor due to a shoulder presentation in a subsequent fetus during a multiple gestation delivery. This typically involves a physician's note detailing the fetal presentation, the obstruction to labor progression, and the identification of the affected fetus.

• Ensure documentation specifies "obstructed labor" and "shoulder presentation" for a fetus other than the first.
• Distinguish from other malpresentations (e.g., breech, transverse lie) that may also cause obstructed labor.
• Sequence this code after the primary obstetric complication if applicable, and consider additional codes for the outcome of delivery.