Maternal care for excess fetal growth, second tri, fetus 5

This code signifies antenatal care provided to a pregnant patient in her second trimester due to concerns of a fetus exhibiting excessive growth, specifically for the fifth fetus in a multiple gestation. This condition, often referred to as macrosomia or large for gestational age, can lead to complications for both mother and baby.

Apply this code when documentation indicates maternal care for a singleton or one of multiple fetuses (specifically the fifth) that is growing larger than expected during the second trimester. This typically involves monitoring, diagnostic tests, and management strategies aimed at preventing complications associated with fetal macrosomia. Documentation should clearly state "excessive fetal growth" or "large for gestational age" and specify the second trimester and the affected fetus.

• Ensure the documentation explicitly identifies the second trimester and the specific fetus (fifth) when coding for multiple gestations.
• Do not use this code if the excessive growth is due to a maternal condition like gestational diabetes; instead, code the maternal condition first, followed by a code from category O36.4.
• This code is for maternal care for the condition, not the condition itself in the fetus.