Maternal care for excess fetal growth, second tri, fetus 4

This code signifies a pregnancy complicated by a fetus that is growing larger than expected during the second trimester, specifically for the fourth fetus in a multiple gestation. This condition, often termed macrosomia or large for gestational age, can lead to complications such as difficult delivery, birth trauma, and neonatal hypoglycemia.

This code is appropriate when a pregnant patient in her second trimester is receiving medical attention due to concerns about excessive fetal growth for the fourth fetus. Documentation supporting its use would include ultrasound reports indicating fetal biometric measurements above the 90th percentile for gestational age, clinical assessments of fundal height, and physician notes detailing the management plan for this condition.

• Always confirm the trimester of pregnancy and the specific fetus number (if multiple gestation) from the medical record.
• Do not confuse this with codes for normal fetal growth or other fetal conditions.
• Sequence this code as a secondary diagnosis following the primary obstetric code indicating the reason for the encounter.