Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4

This code signifies an ongoing pregnancy in the third trimester following a procedure where one or more fetuses were electively reduced. It specifically applies when the pregnancy initially involved four fetuses and continues with the remaining fetus(es) after the reduction.

Apply this code when documentation clearly indicates an elective fetal reduction was performed on a quadruplet pregnancy, and the patient is now in her third trimester with the remaining gestation. This code requires explicit documentation of the initial number of fetuses, the elective reduction, and the current gestational stage.

• Ensure documentation specifies "elective" fetal reduction to differentiate from spontaneous loss.
• Verify the initial number of fetuses was four, as indicated by the 7th character "4".
• Confirm the patient is in the third trimester of the continuing pregnancy.