Quadruplets, some liveborn

This code indicates a multiple gestation pregnancy resulting in quadruplets, where at least one of the quadruplets was born alive, but not all of them. It signifies a mixed outcome for a quadruplet birth, distinguishing it from all liveborn or all stillborn scenarios.

Use this code when documenting a delivery where four fetuses were present, and the outcome was a combination of live births and stillbirths among the quadruplets. This applies to the maternal record for the encounter where the delivery occurred.

• Always assign this code to the maternal record, not the infant's record.
• Ensure documentation clearly specifies quadruplets and the mixed liveborn/stillborn outcome.
• Do not use this code if all quadruplets were liveborn or all were stillborn; use the appropriate Z37 code for those scenarios.