Obstructed labor due to compound presentation, fetus 4

This code signifies a delivery complication where the labor is obstructed because a fetal extremity (e.g., hand or foot) presents alongside the head or buttocks. This abnormal presentation prevents the normal progression of labor, often necessitating intervention. The "4" in the code indicates this is the fourth fetus in a multiple gestation pregnancy.

Assign this code when documentation clearly states obstructed labor due to a compound presentation in the fourth fetus of a multiple pregnancy. This typically occurs when the presenting part is not solely cephalic or podalic, but includes an additional fetal part. Supporting documentation would include physician notes detailing the presentation and the resulting obstruction.

• Ensure the documentation specifies "compound presentation" and not another type of malpresentation (e.g., transverse lie, breech).
• Verify that the obstruction is explicitly linked to the compound presentation.
• Confirm this is the fourth fetus in a multiple gestation; otherwise, a different final character would be used.