Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4

This code describes a continuing multifetal pregnancy in the second trimester following a procedure where one or more fetuses were electively reduced. It specifically indicates that the pregnancy is ongoing and identifies the remaining fetus as the fourth in the original multiple gestation.

This code is used when a patient has undergone an elective fetal reduction during the second trimester of a multifetal pregnancy, and the pregnancy is continuing with the remaining fetuses. Documentation should clearly state the elective nature of the reduction, the gestational age at the time of the procedure, and identify the specific fetus (e.g., fetus 4) to which this code applies.

• Ensure the documentation specifies "elective" fetal reduction to differentiate from spontaneous loss.
• Confirm the gestational age falls within the second trimester (14 weeks 0 days to 27 weeks 6 days).
• Always use in conjunction with a code for the continuing multifetal pregnancy (e.g., O30.1- for twin pregnancy, O30.2- for triplet pregnancy, etc.) and codes for any other remaining fetuses.