Gestational edema, unspecified trimester
ICD-10 O12.00 is a billable code used to indicate a diagnosis of gestational edema, unspecified trimester.
Gestational edema refers to the accumulation of excess fluid in the tissues during pregnancy, which can occur in any trimester. This condition is characterized by swelling, particularly in the lower extremities, and is often benign. It is important to differentiate gestational edema from other conditions such as preeclampsia, which involves hypertension and proteinuria. In cases of gestational edema without hypertension, the swelling is typically not associated with significant health risks for the mother or fetus. However, it can be uncomfortable and may require monitoring. The presence of proteinuria without hypertension may indicate a need for further evaluation to rule out underlying conditions. Proper documentation should include the extent of edema, any associated symptoms, and the absence of hypertension to ensure accurate coding and management.
Documentation should include the patient's history, physical examination findings, and any relevant laboratory results, particularly regarding protein levels.
A patient presents with swelling in the legs during the third trimester without elevated blood pressure or proteinuria.
Coders should ensure that the edema is not confused with more serious conditions like preeclampsia.
Detailed documentation of maternal and fetal health, including any risk factors for complications.
A high-risk patient with a history of gestational hypertension presents with new-onset edema.
Close monitoring and documentation of any changes in the patient's condition are crucial.
Used for follow-up visits for patients with gestational edema.
Document the patient's symptoms, vital signs, and any relevant lab results.
Obstetricians should ensure that the visit is clearly related to the management of edema.
Documentation should include the patient's symptoms, the absence of hypertension, and any relevant lab results, particularly regarding protein levels.