Labor and delivery complicated by prolapse of cord, fetus 4

This code signifies a complication during labor and delivery where the umbilical cord descends in front of or alongside the presenting fetal part, specifically when the fourth fetus in a multiple gestation is affected. This condition can lead to compression of the umbilical cord, compromising fetal oxygen supply.

Apply this code when documentation clearly indicates a prolapsed umbilical cord occurring during labor or delivery, and the specific fetus affected is identified as the fourth in a multiple pregnancy. Supporting documentation would include physician notes detailing the cord prolapse, fetal monitoring abnormalities, and the number and order of fetuses.

• Ensure the documentation explicitly identifies the prolapse as occurring during labor and delivery, not antenatally.
• Verify that the affected fetus is indeed the fourth in a multiple gestation; do not assume.
• Code also any associated fetal distress or interventions performed due to the cord prolapse.