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

This code signifies antenatal surveillance and management for a pregnancy in the third trimester where the fetus is exhibiting accelerated growth, exceeding expected parameters for gestational age. This condition, often referred to as macrosomia or large for gestational age (LGA), can lead to complications for both mother and fetus during delivery.

Apply this code when documentation indicates maternal care specifically addressing excessive fetal growth during the third trimester for the fifth fetus in a multiple gestation. This includes monitoring, counseling, and planning for delivery in cases of suspected or confirmed macrosomia. Documentation should clearly state "excessive fetal growth" or "macrosomia" and specify the third trimester and the fifth fetus.

• Ensure the documentation explicitly identifies the fifth fetus in a multiple gestation. If the fetus number is not specified, use the unspecified fetus code.
• Do not confuse with codes for fetal growth restriction (IUGR) or other fetal conditions; this code is specific to excessive growth.
• Always sequence this code as a secondary diagnosis when the primary reason for the encounter is related to the management of the pregnancy.