Twin birth, mate stillborn, born before admission to hospital

This code describes a twin birth where one twin was stillborn, and the birth occurred outside of a hospital setting. It specifically indicates that the stillbirth of the co-twin happened before the mother or the live twin arrived at the hospital.

This code is appropriate when documenting a twin delivery where one twin was stillborn prior to hospital admission, and the other twin was born alive. It would be used in cases of out-of-hospital deliveries or transfers where the stillbirth of one twin is confirmed to have occurred before the hospital encounter.

• Ensure documentation clearly states that one twin was stillborn and that the birth (or stillbirth) occurred pre-admission.
• This code is for the mother's record, indicating a complication of delivery.
• Do not use if both twins were stillborn or if the stillbirth occurred after admission.