Suprvsn of pregnancy w grand multiparity, first trimester

This code signifies the medical management and oversight of a pregnant patient who has experienced five or more previous pregnancies that progressed to at least 20 weeks gestation, and is currently in her first trimester. Grand multiparity is a risk factor for various maternal and fetal complications.

Apply this code when a patient presents for prenatal care during the first trimester and her obstetric history clearly indicates five or more prior pregnancies reaching viability. Documentation should explicitly state grand multiparity and the current gestational age.

• Ensure the patient's obstetrical history confirms five or more prior pregnancies (live births, stillbirths, or miscarriages after 20 weeks).
• Verify the current pregnancy is definitively in the first trimester (up to 13 weeks and 6 days gestation).
• Do not use this code if the patient is in her second or third trimester; specific codes exist for those periods.