Labor and delivery complicated by vasa previa, fetus 4

This code signifies a pregnancy and childbirth where the fetal blood vessels (vasa previa) are positioned across or near the internal opening of the cervix, below the presenting fetal part, specifically affecting the fourth fetus in a multiple gestation. This condition carries a high risk of fetal hemorrhage and demise if the membranes rupture.

This code is used when vasa previa is documented as a complication of labor and delivery for the fourth fetus in a multifetal pregnancy. Documentation must clearly indicate the presence of vasa previa and its impact on the labor and delivery process for the specified fetus.

• Ensure documentation specifies "fetus 4" to accurately assign this code for multiple gestations.
• Distinguish from placenta previa or vasa previa affecting other fetuses in a multiple gestation.
• Code also any associated fetal conditions or outcomes resulting from the vasa previa.