Continuing pregnancy after intrauterine death of one fetus or more, first trimester
ICD-10 O31.21 is a billable code used to indicate a diagnosis of continuing pregnancy after intrauterine death of one fetus or more, first trimester.
This code is used to indicate a continuing pregnancy after the intrauterine death of one or more fetuses during the first trimester. In cases of multiple gestation, the loss of one fetus can lead to significant complications, including the risk of twin-to-twin transfusion syndrome (TTTS), where blood flow between the fetuses becomes imbalanced. This condition can result in one twin receiving too much blood while the other receives too little, leading to serious health issues for both. The management of such pregnancies requires careful monitoring and may involve interventions such as amnioreduction or laser therapy to correct the blood flow imbalance. Clinicians must document the status of the remaining viable fetus or fetuses, any interventions performed, and the ongoing management plan to ensure accurate coding and billing.
Detailed documentation of fetal demise, ongoing pregnancy status, and management plans.
Management of pregnancies with intrauterine fetal demise, monitoring for complications in multiple gestation.
Consideration of psychological support for the patient and family, as well as the need for follow-up care.
Comprehensive documentation of high-risk factors, including TTTS and other complications.
Management of high-risk pregnancies with intrauterine death and monitoring for TTTS.
Coordination of care among specialists and detailed tracking of fetal health.
Used for monitoring the status of the remaining fetus in cases of intrauterine death.
Document the reason for the ultrasound and findings related to the remaining fetus.
Obstetricians should ensure that the ultrasound report includes details about the viability of the remaining fetus.
Documentation must include the gestational age at the time of fetal demise, the status of the remaining fetus or fetuses, any complications such as TTTS, and the management plan. Detailed ultrasound findings and any interventions performed should also be documented.
