Maternal care for breech presentation
ICD-10 O32.1 is a billable code used to indicate a diagnosis of maternal care for breech presentation.
Breech presentation refers to the position of the fetus in the uterus where the buttocks or feet are positioned to deliver first, rather than the head. This condition can complicate labor and delivery, as it poses risks for both the mother and the fetus. Maternal care for breech presentation involves careful monitoring and planning for delivery, which may include considerations for external cephalic version (ECV) to turn the fetus to a head-down position, or planning for a cesarean delivery if the breech presentation persists. The management of breech presentation requires a multidisciplinary approach, often involving obstetricians, midwives, and maternal-fetal medicine specialists. Documentation should include the type of breech presentation (complete, incomplete, or frank), gestational age, and any interventions attempted. The decision-making process regarding delivery method must be well-documented to ensure optimal outcomes for both mother and child.
Documentation must include fetal position, gestational age, and any interventions attempted. Clear notes on delivery planning and maternal consent are essential.
A patient presenting at term with a frank breech presentation, a patient undergoing ECV, and a patient scheduled for elective cesarean due to persistent breech.
Consideration of maternal factors such as previous cesarean deliveries, pelvic anatomy, and overall maternal health is crucial.
Detailed records of high-risk assessments, including ultrasound findings and maternal-fetal monitoring.
Management of a high-risk pregnancy with a breech presentation and associated conditions such as gestational diabetes or hypertension.
High-risk factors necessitate thorough documentation of the decision-making process for delivery method.
Used for a patient with breech presentation undergoing cesarean delivery.
Documentation must include details of the breech presentation and the delivery method.
Obstetricians should ensure that all aspects of care are documented, including any consultations.
Used when a cesarean delivery is performed due to breech presentation.
Detailed operative notes and indication for cesarean delivery must be included.
Maternal-fetal medicine specialists may be involved in high-risk cases.
Coding breech presentation accurately is crucial for understanding the risks associated with delivery methods and ensuring appropriate care planning. It also impacts reimbursement and quality metrics for obstetric care.
Documentation should include the type of breech presentation, gestational age, any interventions attempted (like ECV), and the planned delivery method. Clear notes on maternal consent and discussions about risks are also important.
