Gestational edema with proteinuria
ICD-10 O12.2 is a billable code used to indicate a diagnosis of gestational edema with proteinuria.
Gestational edema with proteinuria refers to the accumulation of excess fluid in the tissues of a pregnant woman, accompanied by the presence of protein in the urine, without the presence of hypertension. This condition typically arises during the second or third trimester of pregnancy and can be indicative of underlying issues such as preeclampsia or gestational hypertension, although in this specific code, hypertension is not present. The edema may manifest as swelling in the legs, feet, and hands, while proteinuria is detected through routine urinalysis. It is essential for healthcare providers to monitor these symptoms closely, as they can lead to more severe complications if left unaddressed. Proper management includes regular monitoring of the patient's weight, blood pressure, and urine protein levels, along with lifestyle modifications and, in some cases, medication to manage symptoms and prevent progression to more serious conditions.
Documentation should include detailed notes on the patient's symptoms, urinalysis results, and any interventions taken.
A pregnant patient presenting with swelling in the extremities and a positive urine dipstick for protein during a routine prenatal visit.
Coders must ensure that the absence of hypertension is clearly documented to avoid misclassification.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and laboratory results.
A high-risk pregnancy where the patient exhibits gestational edema and proteinuria, requiring close monitoring.
High-risk factors must be documented to justify the complexity of care and coding.
Used during routine prenatal visits to check for proteinuria.
Document the results of the urinalysis and any follow-up actions taken.
Ensure that the urinalysis is linked to the diagnosis of gestational edema.
Proteinuria in gestational edema can indicate kidney stress and requires monitoring to prevent complications. It is essential to differentiate this condition from preeclampsia, which involves hypertension.