Supervision of high-risk pregnancy with insufficient prenatal care

This code identifies a high-risk pregnancy where the patient has not received adequate prenatal care. This insufficiency could be due to late initiation of care, infrequent visits, or a lack of comprehensive assessments during the pregnancy, potentially increasing risks for both mother and fetus.

Apply this code when a pregnant patient presents with known high-risk factors (e.g., advanced maternal age, pre-existing medical conditions, multiple gestation) and the medical record clearly indicates a deficiency in the quantity or quality of prenatal care received. It is often used in conjunction with codes specifying the particular high-risk condition.

• Always sequence this code after the primary code identifying the specific high-risk condition(s) of the pregnancy.
• Ensure documentation explicitly supports both the high-risk nature of the pregnancy and the inadequacy of prenatal care.
• Do not use this code if the patient is receiving appropriate and timely prenatal care, regardless of high-risk status.