Labor and delivery complicated by prolapse of cord, fetus 2

This code signifies a complication during labor and delivery where the umbilical cord presents before the fetal head or other presenting part, specifically for the second fetus in a multiple gestation pregnancy. This condition poses a significant risk of fetal hypoxia due to compression of the cord.

Assign this code when documentation clearly indicates umbilical cord prolapse occurring during labor or delivery for the second twin or subsequent fetus. This diagnosis is supported by physician notes detailing the prolapse, fetal distress, and interventions taken.

• Always specify the fetus number (e.g., "2" for second fetus) when coding complications in multiple gestations.
• Code any associated fetal distress or hypoxia separately if documented.
• Ensure documentation differentiates between occult prolapse, funic presentation, and overt cord prolapse.