Suprvsn of pregnancy w grand multiparity, third trimester

This code signifies the medical management and oversight of a pregnant patient who has previously delivered five or more viable infants, and is currently in her third trimester. It indicates the heightened surveillance and care required due to the increased risks associated with grand multiparity.

Apply this code when a pregnant patient, known to have had five or more prior live births, is receiving antenatal care during her third trimester. Documentation should clearly state the patient's gravidity/parity and the current gestational age falling within the third trimester.

• Always confirm the patient's parity (number of previous live births) from the medical record.
• Ensure the gestational age falls within the third trimester (typically beginning at 28 weeks).
• This code is for supervision only; additional codes for complications or specific conditions should be reported separately.