Continuing pregnancy after intrauterine death of one fetus or more, second trimester
ICD-10 O31.22 is a billable code used to indicate a diagnosis of continuing pregnancy after intrauterine death of one fetus or more, second trimester.
This code is used to document cases where a pregnancy continues after the intrauterine death of one or more fetuses during the second trimester. In multiple gestations, the loss of one fetus can lead to significant complications for the remaining fetus(es), including the risk of twin-to-twin transfusion syndrome (TTTS), where blood flow is imbalanced between the twins. This condition can cause one twin to receive 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. The psychological impact on the mother and family must also be considered, as the loss of a fetus can lead to grief and anxiety during the continuation of the pregnancy.
Detailed records of fetal heart rates, ultrasound findings, and maternal assessments are essential.
Management of a twin pregnancy where one twin has died, requiring close monitoring of the surviving twin.
Coders must be aware of the emotional and psychological support provided to the mother and family.
Comprehensive documentation of high-risk factors, including maternal health and fetal assessments.
Interventions for TTTS, including laser therapy or amnioreduction.
High-risk pregnancies require meticulous documentation of all clinical decisions and outcomes.
Used for diagnostic purposes in pregnancies complicated by TTTS.
Document indications for the procedure and results.
Maternal-fetal medicine specialists often perform this procedure.
Coders must ensure that documentation includes details of the intrauterine death, ongoing fetal monitoring, any complications such as TTTS, and psychological support provided to the mother.
