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

This code signifies a continuing multifetal pregnancy in the third trimester following a selective reduction procedure where at least one fetus was electively terminated. It specifically applies when the remaining fetus(es) continue to develop. This scenario typically arises in pregnancies with three or more fetuses where the risk of complications is high.

Apply this code when documentation clearly indicates a history of elective fetal reduction performed on one or more fetuses, and the ongoing pregnancy has progressed into the third trimester. The medical record must specify the reduction was elective and confirm the remaining fetus(es) are viable and continuing to gestate. This code is used to track the ongoing pregnancy after the procedure.

• Always sequence this code as a secondary diagnosis, following the code for the ongoing multifetal pregnancy (e.g., O30.1-).
• Ensure documentation specifies "elective" fetal reduction; do not use for spontaneous fetal demise.
• Verify the gestational age to confirm the third trimester (28 weeks 0 days to 40 weeks 6 days).