Pre-existing hypertension with pre-eclampsia, third trimester
ICD-10 O11.3 is a billable code used to indicate a diagnosis of pre-existing hypertension with pre-eclampsia, third trimester.
Pre-existing hypertension with superimposed pre-eclampsia is a serious condition that occurs when a woman with chronic hypertension develops new-onset hypertension and proteinuria after 20 weeks of gestation. This condition is particularly concerning in the third trimester, where the risk of maternal and fetal complications increases significantly. Management of this condition often involves close monitoring of blood pressure, urine protein levels, and fetal well-being. Treatment may include antihypertensive medications, lifestyle modifications, and in some cases, early delivery if the health of the mother or fetus is at risk. The escalation of management may involve hospitalization for severe cases, where intravenous medications and continuous fetal monitoring are employed. The goal is to prevent progression to severe pre-eclampsia or eclampsia, which can lead to serious complications such as placental abruption, stroke, or maternal/fetal death.
Detailed history of hypertension, current blood pressure readings, and any medications prescribed.
A patient with a known history of hypertension presenting with elevated blood pressure and proteinuria in the third trimester.
Ensure accurate documentation of both chronic and acute conditions, including any changes in treatment.
Comprehensive assessment of maternal and fetal health, including ultrasound findings and laboratory results.
Management of a high-risk pregnancy with pre-existing hypertension and developing pre-eclampsia.
Focus on the implications of maternal health on fetal outcomes and the need for multidisciplinary care.
Used for initial prenatal visits where hypertension is assessed.
Document blood pressure readings, patient history, and any referrals.
Ensure that the visit reflects the complexity of managing a patient with pre-existing hypertension.
Pre-existing hypertension refers to high blood pressure that was present before pregnancy, while gestational hypertension develops after 20 weeks of pregnancy in women who previously had normal blood pressure. Accurate coding is essential to reflect the patient's history and current condition.
