O36.5911 Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1

ICD10CM code

#### Name of the Condition
- Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1
- ICD-10 Code: O36.5911

#### Summary
- This condition involves the medical oversight of a pregnant individual during the first trimester when there is concern for suboptimal fetal growth. It specifically pertains to the care provided for the first fetus in a multiple-fetus pregnancy.

#### Causes
- Poor fetal growth may be due to genetic factors, maternal health conditions (e.g., hypertension, diabetes), inadequate nutrition, placenta issues, or lifestyle factors such as smoking or substance abuse.

#### Risk Factors
- Maternal age (especially under 20 or above 35)
- History of poor fetal growth in previous pregnancies
- Pre-existing medical conditions
- Insufficient prenatal care
- High-altitude living

#### Symptoms
- Often asymptomatic for the mother; the fetus may show signs via ultrasound such as lower-than-expected weight for gestational age.

#### Diagnosis
- Ultrasound is the primary tool for assessing fetal growth by measuring the size and weight of the fetus.
- Additional tests may include Doppler ultrasound to assess blood flow or maternal blood tests to identify underlying health issues.

#### Treatment Options
- Nutritional counseling and supplementation to ensure adequate maternal nutrition.
- Monitoring and management of maternal health conditions (e.g., controlling blood pressure or blood sugar levels).
- Bed rest or reduced activity to improve placental perfusion.

#### Prognosis and Follow-Up
- Early detection and management typically improve outcomes. Regular follow-ups, including ultrasounds and maternal health assessments, are crucial to ensure ongoing fetal health.

#### Complications
- If untreated, poor fetal growth can lead to preterm birth, low birth weight, and increased risk of neonatal complications.

#### Lifestyle & Prevention
- Balanced diet, proper prenatal vitamins, cessation of smoking, and avoidance of alcohol and drugs can help manage risk.
- Regular prenatal visits for early detection and management of potential issues.

#### When to Seek Professional Help
- Any noticeable decrease in fetal movements, unexplained weight loss or gain, or any significant changes in pregnancy symptoms require immediate medical attention.

#### Additional Resources
- March of Dimes [marchofdimes.org]
- American Pregnancy Association [americanpregnancy.org]
- Local prenatal support groups

#### Tips for Medical Coders
- Ensure accurate trimester documentation; code O36.5911 is specific to the first trimester, fetus 1.
- Be vigilant about correctly identifying the specific fetus in multi-gestational pregnancies to prevent errors.

Medical Policies and Guidelines for Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1

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