Multiple pregnancy affecting fetus or newborn

This code signifies any adverse impact on a fetus or newborn resulting from a multiple gestation (e.g., twins, triplets). This includes conditions such as prematurity, low birth weight, or other complications directly attributable to the presence of more than one fetus during pregnancy and delivery. It focuses on the effect on the offspring, not the multiple pregnancy itself.

Use this code when documentation clearly states a fetus or newborn experienced a complication or condition specifically due to being part of a multiple gestation. This is often seen in cases of preterm delivery, intrauterine growth restriction (IUGR), or respiratory distress syndrome in one or more infants from a multiple birth. Supporting documentation would include physician notes detailing the multiple gestation and the resulting adverse effect on the individual fetus/newborn.

• Always sequence this code after the specific condition affecting the fetus/newborn (e.g., prematurity, low birth weight).
• Do not confuse this with codes for the mother's multiple gestation complications (e.g., 651.x). This code is for the infant's record.
• Ensure the documentation explicitly links the fetal/newborn condition to the multiple pregnancy; a general complication without this linkage may not warrant this code.