Decreased fetal movements, second trimester, fetus 4

This code signifies a reduction in the frequency or strength of fetal movements experienced by the mother during the second trimester of pregnancy, specifically when monitoring a fourth fetus in a multiple gestation. It indicates a potential concern for fetal well-being requiring further evaluation.

Apply this code when a pregnant patient in her second trimester reports decreased fetal activity, and the medical record clearly identifies this as occurring with the fourth fetus in a multifetal pregnancy. Documentation should include the gestational age, the patient's report of symptoms, and any initial assessment findings.

• Ensure the documentation explicitly states "fourth fetus" for accurate assignment in multifetal gestations.
• Do not use this code if the decreased movements are noted in the first or third trimester; specific codes exist for those periods.
• This code is typically a primary diagnosis or a secondary diagnosis indicating a complication of pregnancy requiring monitoring.