Supervision of elderly multigravida, first trimester

This code signifies the ongoing medical management and monitoring of an older pregnant patient who has had at least one previous pregnancy, specifically during her first trimester. It indicates that the patient's advanced maternal age and prior pregnancies necessitate closer supervision to ensure a healthy pregnancy outcome.

Apply this code when a multigravida patient, identified as elderly (typically 35 years or older at the time of delivery), is receiving routine prenatal care during her first trimester. Documentation should clearly state the patient's age, gravidity, and the current trimester of pregnancy, along with the provision of supervisory care.

• Ensure the patient's age meets the "elderly" criteria (usually 35+ at expected delivery) and is documented.
• Verify that the patient is a multigravida (G2 or higher) and that the encounter occurs within the first trimester.
• Do not use for primigravida patients; refer to codes in the O09.51- series for elderly primigravida supervision.