Pre-existing hypertension with pre-eclampsia
Chapter 15:Pregnancy, childbirth and the puerperium
ICD-10 O11 is a billable code used to indicate a diagnosis of pre-existing hypertension with pre-eclampsia.
Pre-existing hypertension with pre-eclampsia refers to a condition where a woman with chronic hypertension develops pre-eclampsia during her pregnancy. Pre-eclampsia is characterized by new-onset hypertension and proteinuria after 20 weeks of gestation. The presence of pre-existing hypertension complicates the management of pre-eclampsia, as these patients are at a higher risk for severe outcomes such as eclampsia, placental abruption, and fetal growth restriction. Management typically involves close monitoring of blood pressure, regular assessments of fetal well-being, and may require antihypertensive medications. In severe cases, hospitalization may be necessary for further management, including the potential for early delivery. The interplay between chronic hypertension and pre-eclampsia necessitates a multidisciplinary approach to care, often involving obstetricians and maternal-fetal medicine specialists to optimize outcomes for both mother and baby.
Detailed records of blood pressure readings, proteinuria tests, and treatment plans.
Management of a pregnant patient with a history of hypertension presenting with elevated blood pressure and proteinuria.
Ensure accurate coding of both chronic hypertension and pre-eclampsia, including any complications.
Comprehensive assessments of maternal and fetal health, including ultrasound findings and laboratory results.
High-risk pregnancies requiring close monitoring and potential intervention due to pre-eclampsia.
Focus on the implications of pre-existing conditions on pregnancy outcomes and management strategies.
Used for follow-up visits for patients with chronic hypertension and pre-eclampsia.
Document blood pressure readings, symptoms, and treatment adjustments.
Obstetricians should ensure that all relevant history and management plans are included.
Chronic hypertension is defined as hypertension present before pregnancy or diagnosed before 20 weeks of gestation, while gestational hypertension occurs after 20 weeks without prior history. Accurate coding is essential to reflect the patient's condition.
