Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5

This code signifies a multifetal pregnancy that has undergone an elective reduction of one or more fetuses, and the remaining pregnancy has progressed into the third trimester. It specifically indicates that the fifth fetus in the original multifetal gestation is the one continuing.

Apply this code when documentation clearly states an elective fetal reduction was performed on a multifetal pregnancy, and the patient is now in her third trimester with the fifth fetus remaining. This typically occurs in cases of high-order multiple gestations where selective termination is chosen to improve outcomes for the remaining fetuses.

• Ensure the documentation explicitly states "elective" fetal reduction, as opposed to spontaneous loss.
• Verify the specific fetus number (fifth) is clearly identified as the continuing one in the medical record.
• Sequence this code as a secondary diagnosis following the primary code for the multifetal pregnancy (e.g., O30.-).