Maternal care for oth abnlt of gravid uterus, second tri

This code signifies antenatal care provided to a pregnant patient during her second trimester due to an identified abnormality of the gravid uterus that is not otherwise specified or classified elsewhere. This includes conditions such as uterine malformations, uterine fibroids impacting the pregnancy, or other structural uterine issues requiring monitoring.

Apply this code when documentation specifies maternal care for a uterine abnormality during the second trimester, and a more specific code for the condition (e.g., specific uterine malformation) is unavailable. Supporting documentation would include ultrasound reports detailing the uterine anomaly and physician notes indicating ongoing management related to this finding.

• Ensure the documentation clearly states the abnormality is of the gravid uterus and not a pre-existing, non-complicating condition.
• Always search for a more specific code first if the type of uterine abnormality is detailed (e.g., bicornuate uterus).
• Confirm the trimester of care; this code is specific to the second trimester.