O36.4XX2 Maternal care for intrauterine death, fetus 2

ICD10CM code

#### Name of the Condition
- Maternal Care for Intrauterine Death, Fetus 2
- O36.4XX2

#### Summary
Maternal care for intrauterine death, fetus 2, involves medical attention provided to the mother following the diagnosis of fetal demise of the second fetus during a multiple pregnancy. This condition is distressing, requiring both emotional and medical support to manage the loss effectively.

#### Causes
The causes of intrauterine death in one of the fetuses can vary and may include genetic abnormalities, maternal infections, or complications from multiple pregnancies such as twin-to-twin transfusion syndrome.

#### Risk Factors
- Multiple pregnancies (e.g., twins or triplets)
- Advanced maternal age
- Pre-existing medical conditions (e.g., hypertension, diabetes)
- Infections during pregnancy
- Poor prenatal care

#### Symptoms
- Absence of fetal movement
- Decreased fetal heart rate detected during prenatal visits
- Abnormal ultrasound findings

#### Diagnosis
- Ultrasound to confirm fetal death
- Non-stress tests and biophysical profiles can help evaluate the overall well-being of the pregnancy

#### Treatment Options
- Close monitoring of the mother's health and the surviving fetus
- Counseling and emotional support
- Delivery planning, which may include induction if it's in the best interest of the mother and/or surviving fetus

#### Prognosis and Follow-Up
- The prognosis depends on the health of the surviving fetus and any complications that arise
- Regular follow-up is necessary to monitor maternal health and the development of remaining fetuses if applicable
- Emotional support and counseling are recommended

#### Complications
- Possibility of coagulopathy (DIC) in the mother
- Premature labor
- Impact on the surviving fetus if not adequately monitored

#### Lifestyle & Prevention
- Comprehensive prenatal care to monitor fetal health
- Early detection and management of potential complications in multiple pregnancies

#### When to Seek Professional Help
- Sudden decrease in fetal movement
- Symptoms of preterm labor, such as contractions, back pain, or cramping

#### Additional Resources
- American Pregnancy Association (www.americanpregnancy.org)
- March of Dimes (www.marchofdimes.org)
- Support groups for pregnancy loss

#### Tips for Medical Coders
- Ensure specificity by noting the number of the fetus affected in cases of multiple pregnancies
- Be aware of documentation that distinguishes the care provided for intrauterine death from care for other pregnancy complications
- Avoid common errors such as confusing the diagnosis with complications that do not directly relate to intrauterine death

Similar Codes