Supervision of high-risk pregnancy with grand multiparity

This code identifies the specialized medical oversight provided to a pregnant individual who has experienced four or more previous live births or stillbirths at 20 weeks or greater gestation. Grand multiparity is considered a high-risk factor due to increased potential for complications such as hemorrhage, placental abnormalities, and uterine dysfunction.

Apply this code when a patient with a history of grand multiparity is receiving antenatal care that is specifically tailored to address the elevated risks associated with her obstetric history. This includes routine prenatal visits where the grand multiparous status is a primary focus of the supervision.

• Always sequence this code as a secondary diagnosis, following the code for the current pregnancy (e.g., V22.0, V22.1).
• Ensure documentation clearly indicates the patient's grand multiparous status and that the supervision is specifically due to this high-risk factor.
• Do not use this code if the grand multiparity is merely an incidental finding and not actively influencing the management of the current pregnancy.