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

This code signifies antenatal surveillance and management for a pregnancy in the third trimester where the fetus is exhibiting excessive growth, such as macrosomia or large for gestational age. This condition can lead to complications for both the mother (e.g., shoulder dystocia, C-section) and the fetus (e.g., birth trauma, hypoglycemia). The "2" indicates this applies to the second fetus in a multiple gestation.

Apply this code when documentation specifies maternal care for a fetus with suspected or confirmed excessive growth (e.g., estimated fetal weight >90th percentile, fundal height inconsistent with gestational age) during the third trimester. Supporting documentation includes ultrasound reports, physician notes detailing growth concerns, and management plans.

• Ensure the documentation clearly specifies "third trimester" and identifies the second fetus in a multiple gestation.
• Do not confuse this with codes for fetal growth restriction (IUGR), which describes insufficient growth.
• Sequence this code as a secondary diagnosis following the primary reason for the encounter if the excessive growth is not the sole reason for the visit.