Suprvsn of preg w poor reprodctv or obstet hx, second tri

This code signifies the medical oversight of a pregnancy in its second trimester when the patient has a documented history of adverse reproductive or obstetric outcomes not specifically categorized elsewhere. This includes conditions like recurrent miscarriages, stillbirths, or other complications in previous pregnancies that necessitate closer monitoring.

Apply this code when a pregnant patient in her second trimester is receiving specialized care due to a past history of reproductive challenges or complications that increase the risk for the current pregnancy. Documentation should clearly state the "other poor reproductive or obstetric history" and the current gestational age.

• Ensure the medical record specifies "second trimester" and the nature of the "other poor reproductive or obstetric history."
• Do not use for specific, separately classifiable high-risk conditions (e.g., previous ectopic pregnancy, grand multiparity) which have their own O09 subcategories.
• Sequence as a secondary diagnosis following the primary reason for the encounter, if applicable, or as the primary diagnosis for routine high-risk pregnancy supervision.