O30.213
Quadruplet pregnancy with two or more monochorionic fetuses, third trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
A quadruplet pregnancy with monochorionic fetuses occurs when a woman carries four babies, at least two of whom share the same placenta. This situation is particularly complex when it happens in the third trimester, requiring specialized medical care. The ICD-10 code O30.213 specifically describes this rare and high-risk pregnancy scenario, emphasizing the importance of close monitoring and management for the health of both mother and babies.
Causes & Symptoms
Clinical Causes: Assisted reproductive technologies like in-vitro fertilization (IVF) Maternal age, especially advanced maternal age Genetic factors influencing multiple ovulations History of previous multiple pregnancies Certain hereditary or familial tendencies
Key Symptoms: Increased abdominal size and rapid weight gain due to larger-than-normal uterus Signs of preterm labor such as contractions or pelvic pressure Swelling of the ankles, feet, or hands (edema) High blood pressure or signs of preeclampsia, like severe headaches, visual disturbances, or upper abdominal pain Decreased fetal movements or irregular fetal activity Unusual bleeding or fluid leakage from the vagina
Diagnostic & Treatment
Diagnosis Path: Diagnosing a quadruplet monochorionic pregnancy in the third trimester involves a combination of ultrasound imaging and clinical evaluation. Ultrasound is used to confirm the number of fetuses, assess their growth, and evaluate placental sharing. Additional tests may monitor fetal well-being, including non-stress tests and biophysical profiles. In some cases, Doppler ultrasound evaluates blood flow in the umbilical arteries to detect any signs of fetal distress or complications related to shared placentas.
Treatment Protocols: Management of a quadruplet pregnancy with monochorionic fetuses is tailored to reduce risks and support healthy fetal development. Key strategies include:
Clinical Advice & FAQs
Billing Guidance
Is O30.213 a billable ICD-10 code?
Yes, O30.213 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O30.213?
Clinical documentation must specify the nature of Quadruplet pregnancy with two or more monochorionic fetuses, third trimester and any associated comorbidities for accurate reporting.
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