Suprvsn of pregnancy w grand multiparity, second trimester

This code signifies the medical oversight of a pregnancy in a patient who has had five or more previous deliveries reaching viability, specifically during the second trimester. It indicates that the patient's high parity is a factor requiring special attention and management throughout the pregnancy.

Apply this code when a pregnant patient, known to be grand multiparous (gravida 5 or more), is receiving routine or specialized prenatal care during the second trimester (weeks 14-27). Documentation should clearly state the patient's parity and the current trimester of pregnancy.

• Ensure documentation explicitly states "grand multiparity" or a history of 5+ previous deliveries to term.
• Confirm the current trimester of pregnancy is the second; avoid using this code for first or third trimesters.
• This code is for supervision only; additional codes for complications or specific conditions should be reported separately.