Twins, one liveborn and one stillborn

This code signifies a multiple gestation pregnancy where one twin is born alive, and the other twin is stillborn. It specifically addresses the outcome of a twin pregnancy where there is a disparity in viability at birth.

Apply this code when documentation clearly indicates a twin delivery resulting in one live birth and one fetal demise. This scenario often arises in cases of intrauterine fetal death of one twin, followed by the live birth of the co-twin.

• Always confirm the number of fetuses and the individual outcome for each.
• Ensure documentation specifies "stillborn" for the deceased twin, not just "fetal demise."
• Code this in conjunction with other relevant codes for the pregnancy, delivery, and any maternal or fetal complications.