Papyraceous fetus, second trimester
ICD-10 O31.02 is a billable code used to indicate a diagnosis of papyraceous fetus, second trimester.
Papyraceous fetus refers to a condition where a fetus is found to be flattened and parchment-like, typically due to the loss of amniotic fluid or the presence of multiple gestations. This condition is most commonly identified during the second trimester of pregnancy. In cases of multiple gestation, the risk of developing a papyraceous fetus increases due to complications such as twin-to-twin transfusion syndrome (TTTS), where blood flow is unevenly distributed between twins. This can lead to one twin becoming anemic and underdeveloped, while the other may become overdeveloped and at risk for complications. The diagnosis of a papyraceous fetus often requires careful ultrasound examination and monitoring of the remaining viable fetus or fetuses. Management may involve close observation, potential intervention for TTTS, and counseling regarding the prognosis and potential outcomes for the pregnancy.
Detailed ultrasound reports, maternal history, and management plans.
Monitoring of multiple gestations, management of TTTS, and counseling regarding fetal outcomes.
Accurate coding requires understanding of the implications of papyraceous fetus in the context of multiple gestations.
Comprehensive records of high-risk assessments, interventions, and outcomes.
Management of high-risk pregnancies with TTTS and monitoring of fetal growth and development.
Requires a focus on the complexities of multiple gestations and the potential for severe complications.
Used for monitoring multiple gestations and assessing fetal conditions.
Detailed ultrasound findings and follow-up assessments.
Obstetric specialists should ensure comprehensive documentation of findings related to papyraceous fetus.
Coding O31.02 is crucial in multiple gestations as it indicates the presence of a papyraceous fetus, which can have significant implications for the management of the pregnancy and the health of the remaining fetuses. Accurate coding ensures appropriate monitoring and intervention strategies are implemented.
