Maternal care for excess fetal growth, second tri, fetus 2

This code signifies medical supervision and management provided to a pregnant patient in her second trimester due to concerns about a fetus (specifically, the second fetus in a multiple gestation) growing larger than expected for its gestational age. This condition, often termed macrosomia or large for gestational age (LGA), can lead to complications for both the mother and the fetus.

Apply this code when documentation indicates maternal care for a singleton pregnancy or, in this specific case, the second fetus in a multiple gestation, where there is a diagnosis of excessive fetal growth during the second trimester. Supporting documentation would include ultrasound reports showing fetal biometry exceeding established growth curves, physician notes detailing concerns about macrosomia, and a clear indication of the gestational trimester.

• Ensure the documentation specifies "second trimester" and clearly identifies the second fetus in a multiple gestation.
• Do not confuse with codes for fetal growth restriction (IUGR); this code is for excessive growth.
• Always sequence this code as a secondary diagnosis following the primary obstetric code indicating the pregnancy status.