Maternal care for excess fetal growth, second tri, fetus 1

This code signifies a pregnancy complicated by a fetus exhibiting excessive growth (macrosomia or large for gestational age) during the second trimester. It indicates that the mother is receiving specific medical attention or monitoring due to the potential risks associated with an unusually large fetus, such as birth trauma, shoulder dystocia, or maternal complications like gestational diabetes.

Apply this code when a pregnant patient in her second trimester is being managed for a fetus diagnosed with or suspected of having excessive growth. Documentation should clearly state the gestational age, the finding of excessive fetal growth (e.g., estimated fetal weight above the 90th percentile for gestational age, fundal height significantly larger than expected), and the specific care being provided due to this condition.

• Ensure the documentation explicitly states "second trimester" for accurate code selection.
• This code requires an additional code to specify the type of excessive fetal growth (e.g., P08.0 for large for gestational age infant, P08.1 for other large for gestational age infant).
• Do not confuse with codes for fetal growth restriction (O36.5-).