Maternal care for transverse and oblique lie
ICD-10 O32.2 is a billable code used to indicate a diagnosis of maternal care for transverse and oblique lie.
Transverse and oblique lie refers to the abnormal positioning of the fetus in the uterus, where the fetus lies horizontally or at an angle rather than in the typical longitudinal position. This condition can complicate labor and delivery, as it may prevent the fetus from descending into the birth canal properly. The transverse lie is characterized by the fetus lying sideways, while the oblique lie indicates a diagonal position. These presentations can lead to increased risks during delivery, including the potential for cesarean section. Maternal care for transverse and oblique lie involves careful monitoring and planning for delivery, which may include attempts to manually turn the fetus (external cephalic version) or scheduling a cesarean delivery if the fetus does not turn to a more favorable position. Proper documentation of the fetal lie, maternal health status, and any interventions attempted is crucial for accurate coding and billing.
Documentation must include fetal position, maternal health status, and any interventions attempted.
A patient presents at 36 weeks with a transverse lie; the care team discusses options for delivery.
Consideration of maternal factors such as previous cesarean deliveries or uterine anomalies.
Detailed records of high-risk assessments and management plans for complex cases.
A high-risk patient with a transverse lie is monitored closely for signs of labor.
Involvement of multidisciplinary teams for high-risk pregnancies.
Used for comprehensive care of a patient with transverse lie.
Complete documentation of all prenatal visits, delivery, and postpartum care.
Obstetricians must ensure all aspects of care are documented for accurate billing.
Coding O32.2 is crucial for accurately reflecting the maternal care provided for abnormal fetal positioning, which can significantly impact delivery planning and outcomes.
