Obstructed labor due to compound presentation, fetus 5

This code signifies a delivery complication where the labor is hindered because a fetal extremity (e.g., hand, foot) presents alongside the head or buttocks, or two fetal parts present simultaneously, making vaginal delivery difficult or impossible. This specific code identifies the fifth fetus in a multiple gestation pregnancy experiencing this obstruction.

Apply this code when documentation clearly indicates obstructed labor due to a compound presentation in the fifth fetus of a multiple gestation. Supporting documentation should detail the specific fetal part(s) presenting abnormally and the resulting obstruction to labor progress.

• Ensure the documentation explicitly states "compound presentation" and identifies the fifth fetus.
• Do not confuse with other malpresentations (e.g., breech, transverse lie) unless a compound presentation is also present.
• Always sequence this code after the primary obstetric complication if applicable, and alongside codes for the outcome of delivery.