Papyraceous fetus, first trimester
ICD-10 O31.01 is a billable code used to indicate a diagnosis of papyraceous fetus, first trimester.
Papyraceous fetus refers to a condition where a fetus is found to be flattened and parchment-like, typically due to the resorption of amniotic fluid and the absence of adequate blood supply. This condition is most commonly observed in multiple gestations, where one fetus may be significantly smaller or underdeveloped compared to its siblings. In the first trimester, the presence of a papyraceous fetus can indicate complications such as twin-to-twin transfusion syndrome (TTTS), where one twin receives an excess of blood flow while the other is deprived, leading to growth discrepancies. The diagnosis of a papyraceous fetus often arises during routine ultrasounds, where the abnormal morphology of the fetus is noted. Clinicians must consider the implications of this condition on the overall health of the remaining viable fetus and the potential need for intervention. Management may involve close monitoring and, in some cases, procedures to alleviate complications arising from TTTS. Accurate coding of this condition is crucial for proper clinical management and for understanding the outcomes of multiple gestations.
Detailed ultrasound reports, maternal history, and clinical notes regarding fetal development.
Identifying a papyraceous fetus during routine scans, managing complications in multiple gestations.
Ensure that all fetal anomalies are documented and that the relationship between fetuses is clearly outlined.
Comprehensive records of maternal health, fetal monitoring, and any interventions performed.
Management of TTTS, monitoring growth discrepancies between twins.
Focus on high-risk factors and the need for potential surgical interventions.
Used during routine monitoring of multiple gestations to assess fetal development.
Detailed ultrasound reports indicating findings related to papyraceous fetus and other twins.
Obstetric specialists should ensure all findings are documented to support coding.
Coding O31.01 is crucial for accurately reflecting the complexities of multiple gestations and ensuring appropriate management of complications like TTTS. It helps in tracking outcomes and guiding clinical decisions.
