Psychological abuse complicating pregnancy, first trimester

This code signifies the presence of psychological abuse experienced by a pregnant patient during her first trimester. It indicates that the abuse is actively impacting or complicating the current pregnancy, potentially affecting maternal mental health, prenatal care adherence, or fetal well-being.

Apply this code when documentation clearly states psychological abuse is occurring and is identified as a complicating factor in a first-trimester pregnancy. Supporting documentation includes physician notes detailing the abuse, its impact on the patient, and the gestational age at the time of identification.

• Always sequence this code after the primary obstetric code (e.g., O09.- for supervision of normal pregnancy).
• Ensure the documentation explicitly links the psychological abuse to the pregnancy as a complication, not just a co-occurring condition.
• Verify the trimester is clearly documented as the first trimester to ensure accurate code selection.