Sexual abuse complicating pregnancy, second trimester

This code identifies a diagnosis of sexual abuse occurring during the second trimester of pregnancy. It signifies that the abuse is a complicating factor in the current pregnancy, potentially impacting maternal and fetal health outcomes. This diagnosis focuses on the direct impact of the abuse on the pregnancy itself.

This code is used when documentation clearly indicates that a pregnant patient in her second trimester has experienced sexual abuse, and this abuse is considered a complication of the pregnancy. This may include scenarios where the abuse leads to physical injury, psychological distress impacting prenatal care, or other adverse effects directly related to the pregnancy. Supporting documentation would include physician notes detailing the abuse and its impact on the pregnancy.

• Always sequence this code after the primary obstetric code (e.g., O99.89 for other specified conditions complicating pregnancy).
• Ensure the documentation explicitly links the sexual abuse to the pregnancy as a complication, not just a co-occurring event.
• Do not use this code for sexual abuse occurring outside of pregnancy or when the abuse is not documented as complicating the pregnancy.