AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2012 Issue 4; Ask the Editor - ICD-10-CM/PCS

Seventh Character for Fetus Identification

Physicians often document twins as fetus A and fetus B. However, the fetal extensions in chapter 15, Pregnancy, childbirth and the puerperium, for codes related to complications of multiple gestation (e.g., O31, O32, etc.) refer to fetus 1, fetus 2, and so on. For the purposes of selecting the seventh character for these codes, is it appropriate to assume that fetus A is fetus 1 and B is 2, etc.? ...

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