In simple words: This code indicates that a pregnant woman is receiving care during her second trimester because she is carrying her fifth baby in a pregnancy located outside the uterus, in the abdomen.

Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5.This code is used only on the maternal record, not the newborn record. It captures the need for maternal care due to the abdominal pregnancy impacting the mother's health during the second trimester (14 weeks 0 days to less than 28 weeks 0 days). The 'X' is a placeholder, and the '5' indicates that this is for the fifth fetus.Use additional code Z3A to identify the specific week of pregnancy.

Example 1: A pregnant woman in her 16th week of pregnancy is confirmed to have an abdominal pregnancy with quintuplets. The physician provides care focused on supporting the mother's health and the viability of the fifth fetus., A pregnant woman with a known abdominal pregnancy of quintuplets presents for her 20-week check-up. The physician assesses maternal well-being and the status of the fifth fetus, adjusting the care plan as needed., A woman in her 25th week of pregnancy with an abdominal pregnancy of quintuplets experiences complications. The physician manages these complications while preserving the health of the mother and fifth fetus.

Documentation should confirm the diagnosis of abdominal pregnancy, viability of the fetus, the current gestational age (second trimester, the number of fetuses (5), and any associated complications.Any maternal symptoms or conditions should also be documented. Ultrasound findings, consultations, and treatment plans should be included in the record.

** ICD-9-CM equivalent codes: 656.81, 656.83.