Gestational proteinuria, first trimester
ICD-10 O12.11 is a billable code used to indicate a diagnosis of gestational proteinuria, first trimester.
Gestational proteinuria in the first trimester refers to the presence of excess protein in the urine of a pregnant woman during the early stages of pregnancy, specifically before the 14th week of gestation. This condition is often associated with gestational edema, which is the swelling caused by fluid retention. Unlike preeclampsia, gestational proteinuria in this context occurs without hypertension, making it a distinct clinical entity. The presence of proteinuria can be indicative of underlying renal issues or may simply be a physiological response to pregnancy. It is crucial for healthcare providers to monitor protein levels and assess for any potential complications, ensuring that the condition does not progress to more severe forms of gestational hypertension or preeclampsia later in pregnancy. Proper documentation of symptoms, laboratory findings, and any interventions is essential for accurate coding and management of the condition.
Documentation must include urine protein levels, any associated symptoms, and absence of hypertension.
A patient presents with swelling and proteinuria in the first trimester without elevated blood pressure.
Coders should ensure that all relevant laboratory results are included in the medical record.
Detailed documentation of maternal and fetal health, including any risk factors for hypertension.
A high-risk patient with a history of renal issues presents with proteinuria in early pregnancy.
Consideration of potential complications and the need for close monitoring.
Used to assess protein levels in urine during routine prenatal visits.
Document the reason for urinalysis and results.
Ensure that the urinalysis is linked to the diagnosis of gestational proteinuria.
Accurate coding of O12.11 is crucial for proper patient management and to avoid misclassification of the condition, which can lead to inappropriate treatment and monitoring strategies.
