Preg care for patient w recurrent preg loss, first trimester

This code signifies ongoing prenatal care for a pregnant patient who has a history of two or more consecutive spontaneous abortions. It specifically applies when this care is provided during the first trimester of the current pregnancy. The focus is on managing the current pregnancy with the understanding of the patient's increased risk due to past losses.

Apply this code when a pregnant patient with a documented history of recurrent pregnancy loss (RPL) is receiving routine or specialized prenatal care during weeks 0-13 of gestation. Documentation should clearly state the patient's history of RPL and the current gestational age. This code is used for the management of the current pregnancy, not for the diagnosis of RPL itself.

• Always sequence this code after the primary obstetric code (e.g., Z3A.xx for gestational age).
• Ensure the medical record explicitly states "recurrent pregnancy loss" or "recurrent spontaneous abortion" and the current trimester.
• Do not confuse with codes for threatened abortion or actual spontaneous abortion; this code is for ongoing pregnancy care.