Gestational edema, third trimester
ICD-10 O12.03 is a billable code used to indicate a diagnosis of gestational edema, third trimester.
Gestational edema refers to the accumulation of excess fluid in the tissues during pregnancy, particularly in the third trimester. This condition is characterized by swelling, primarily in the lower extremities, and can also affect the hands and face. It is important to note that gestational edema can occur without the presence of hypertension or proteinuria, distinguishing it from conditions such as preeclampsia. The pathophysiology of gestational edema is often related to increased blood volume and hormonal changes that occur during pregnancy, leading to fluid retention. Clinically, it is essential to monitor the extent of edema and differentiate it from more serious conditions that may require intervention. Management typically involves lifestyle modifications, such as elevating the legs, reducing salt intake, and ensuring adequate hydration. Regular follow-up is crucial to ensure that the edema does not progress to more severe complications.
Detailed patient history, physical examination findings, and any relevant lab results.
Routine prenatal visits where edema is assessed, and management strategies are discussed.
Ensure clear documentation of the absence of hypertension and proteinuria to avoid misdiagnosis.
Comprehensive documentation of maternal and fetal health, including any high-risk factors.
Management of high-risk pregnancies where edema may be a concern.
Close monitoring for signs of progression to preeclampsia or other complications.
Used during routine prenatal visits where gestational edema is assessed.
Document the visit details, including patient history and physical examination findings.
Obstetricians should ensure that the visit reflects the complexity of managing gestational edema.
Gestational edema is characterized by swelling without hypertension or proteinuria, while preeclampsia involves elevated blood pressure and protein in the urine, indicating a more serious condition.
