Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp

This code signifies an ongoing pregnancy following a multifetal pregnancy reduction (MFPR) procedure performed during the second trimester. The reduction involved one or more fetuses, and the pregnancy is continuing with the remaining fetus(es). This code specifically indicates that the reduction was elective.

Apply this code when documentation clearly states an elective fetal reduction occurred in the second trimester, and the pregnancy is still viable. This is typically used in cases of higher-order multiple gestations where the patient chose to reduce the number of fetuses to improve outcomes for the remaining ones. Documentation should specify the trimester of the reduction and its elective nature.

• Ensure the documentation explicitly states "elective" fetal reduction; otherwise, consider O31.31X0 for spontaneous reduction.
• Verify the reduction occurred in the second trimester. Codes for first or third-trimester reductions exist.
• This code is a secondary diagnosis, always sequenced after the primary code for the ongoing pregnancy (e.g., O30.x for multiple gestation).