Supervision of elderly multigravida, third trimester

This code signifies the medical management and oversight of a pregnant patient who is 35 years of age or older (elderly multigravida) and is currently in her third trimester of pregnancy. It indicates that the pregnancy is being monitored due to the increased risks associated with advanced maternal age in a woman who has had previous pregnancies.

This code is appropriate for encounters where an elderly multigravida patient in her third trimester is receiving routine or specialized antenatal care. Documentation should clearly indicate the patient's age (35 or older), her gravidity status (multigravida), and the current trimester of pregnancy.

• Ensure documentation specifies "elderly" (35 years or older) and "multigravida" to support code assignment.
• This code is for supervision only; if complications arise, additional codes for those complications should be reported.
• Confirm the patient is specifically in the third trimester; codes for first and second trimesters are distinct.