Obstructed labor due to compound presentation, fetus 3

This code signifies a complication during labor where the presenting part of the fetus includes more than just the head or buttocks, such as a hand or foot alongside the head, leading to an obstruction that prevents normal vaginal delivery. Specifically, it indicates that this obstructed labor is affecting the third fetus in a multiple gestation pregnancy.

Use this code when documentation clearly states obstructed labor due to a compound presentation in a multifetal pregnancy, and the specific fetus affected is identified as the third. This typically occurs when the presenting part of the fetus is not optimally positioned, requiring intervention. Documentation should specify "compound presentation" and "obstructed labor" for the third fetus.

• Ensure documentation explicitly identifies the fetus number (e.g., "fetus 3") when coding for multiple gestations.
• Distinguish from other types of obstructed labor due to malpresentation (e.g., O64.0-O64.4) or malposition (O64.8).
• Sequence this code as a principal diagnosis when it is the reason for the encounter, followed by codes for the outcome of delivery and any other relevant conditions.