Mat care cnsl malf/damag fts, encephaloc, fetus 2

This code describes maternal care for a fetus diagnosed with, or suspected of having, an encephalocele. An encephalocele is a neural tube defect characterized by a sac-like protrusion of the brain and the membranes that cover it through an opening in the skull. This specific code is for a second fetus in a multiple gestation pregnancy.

Use this code when the maternal record indicates surveillance, monitoring, or management due to a confirmed or suspected encephalocele in the second fetus. Documentation should clearly state the fetal anomaly and specify "fetus 2" or equivalent identification in multiple gestations. This code is applicable throughout the pregnancy once the condition is identified or suspected.

• Always specify the fetus number (e.g., fetus 1, fetus 2, etc.) when coding for multiple gestations.
• Do not use this code if the central nervous system malformation is definitively identified as something other than an encephalocele (e.g., anencephaly, spina bifida).
• Sequence this code as the primary diagnosis when the reason for the encounter is directly related to the management of the fetal encephalocele.