Supervision of elderly primigravida, second trimester

This code signifies the medical oversight provided to a pregnant individual who is 35 years of age or older, experiencing their first pregnancy, and is currently in the second trimester. It indicates that the pregnancy is being managed with special attention due to the advanced maternal age and nulliparity.

Use this code when a patient who is 35 years or older and pregnant for the first time is receiving prenatal care during her second trimester. Documentation should clearly state the patient's age, gravidity (G1), and the current trimester of pregnancy.

• Always confirm the patient's age (35 or older) and primigravida status from the medical record.
• Ensure the documentation specifies the second trimester; codes exist for other trimesters.
• This code is for supervision only; additional codes for complications or specific procedures should be reported separately.