Twins, both stillborn

This code signifies a twin pregnancy where both fetuses were stillborn. It indicates a complete fetal demise of both twins prior to the complete expulsion or extraction from the mother, regardless of gestational age.

This code is appropriate for cases where a twin gestation results in the intrauterine death of both fetuses. It should be assigned when documentation clearly states that both twins were delivered stillborn, confirming no signs of life at birth for either.

• Always ensure documentation explicitly states "both" twins were stillborn.
• Do not use this code if one twin was liveborn and the other stillborn; a different code would apply.
• This code is typically a secondary diagnosis, often accompanying codes for the outcome of delivery (e.g., O42.112 for premature rupture of membranes with delivery, second trimester).