Suprvsn of high risk preg due to social problems, second tri

This code signifies the ongoing medical oversight of a pregnant patient in her second trimester who faces elevated risks due to social determinants of health. These social problems can encompass a range of factors such as homelessness, domestic violence, substance abuse, lack of social support, or extreme poverty, which complicate the pregnancy and may adversely affect maternal and fetal outcomes.

Apply this code when a pregnant patient in her second trimester requires specialized monitoring and management due to documented social issues impacting her pregnancy. Documentation should clearly outline the specific social problems identified and the physician's plan for increased supervision or intervention related to these factors.

• Always sequence this code as a secondary diagnosis, following the primary code for the specific social problem if applicable (e.g., Z59.0 for homelessness).
• Ensure the medical record explicitly states "second trimester" to support the specificity of this code.
• Do not use this code for general social work referrals without documented medical supervision directly related to the high-risk nature of the pregnancy.