Severe pre-eclampsia
ICD-10 O14.1 is a billable code used to indicate a diagnosis of severe pre-eclampsia.
Severe pre-eclampsia is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. It typically occurs after the 20th week of gestation and can lead to significant maternal and fetal morbidity if not managed appropriately. The condition is defined by a blood pressure reading of 160/110 mmHg or higher, along with the presence of proteinuria (excess protein in urine) or other severe features such as elevated liver enzymes, low platelet count, or severe headaches. HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count, is a severe manifestation of pre-eclampsia that requires immediate medical intervention. Management often includes the administration of magnesium sulfate to prevent seizures, antihypertensive medications to control blood pressure, and timely delivery of the baby, which is the only definitive cure for pre-eclampsia. Close monitoring of both maternal and fetal well-being is essential during this critical period.
Detailed records of blood pressure readings, proteinuria tests, and any signs of organ dysfunction.
Management of severe pre-eclampsia in a patient with a history of hypertension.
Ensure that all clinical features are documented to support the diagnosis of severe pre-eclampsia.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and laboratory results.
Monitoring a high-risk pregnancy with severe pre-eclampsia and potential HELLP syndrome.
Focus on the management plan and outcomes to ensure accurate coding.
Used for follow-up visits in patients with severe pre-eclampsia.
Document the patient's clinical status, blood pressure readings, and any interventions.
Ensure that the visit is clearly linked to the management of severe pre-eclampsia.
Key indicators include blood pressure readings of 160/110 mmHg or higher, proteinuria, and signs of organ dysfunction such as elevated liver enzymes or low platelet counts.
