Supervision of elderly multigravida, second trimester

This code signifies the medical oversight provided to an older pregnant individual who has had two or more previous pregnancies, specifically during the second trimester of her current gestation. It indicates that the patient's advanced maternal age and prior pregnancies necessitate closer monitoring and management throughout this stage of pregnancy.

Apply this code when documentation clearly indicates a pregnant patient is an "elderly multigravida" (typically 35 years or older at the time of delivery) and is currently in her second trimester, receiving routine or enhanced prenatal care. Supporting documentation should specify the patient's age, gravidity, and the current trimester of pregnancy.

• Do not use this code if the patient is a primigravida (first pregnancy) or in a different trimester.
• Ensure the patient's age at delivery meets the "elderly" criteria as defined by payer guidelines or clinical practice (generally 35 years or older).
• This code is for supervision only; additional codes for complications or specific conditions encountered during the pregnancy should be reported separately.