Severe pre-eclampsia, second trimester
ICD-10 O14.12 is a billable code used to indicate a diagnosis of severe pre-eclampsia, second trimester.
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. In the second trimester, this condition can manifest with severe hypertension (blood pressure ≥160/110 mmHg), proteinuria, and symptoms such as severe headaches, visual disturbances, and upper abdominal pain. The presence of severe features may also indicate the development of HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), which can lead to significant maternal and fetal morbidity. Management typically involves close monitoring, antihypertensive medications, and the administration of magnesium sulfate to prevent seizures. The timing and mode of delivery are critical decisions that depend on the severity of the condition and gestational age. Prompt recognition and treatment are essential to improve outcomes for both the mother and the fetus.
Detailed records of blood pressure measurements, lab results for proteinuria, and any symptoms indicating severe features.
Management of a patient presenting with severe hypertension and proteinuria in the second trimester.
Ensure accurate coding of the condition's severity and associated complications.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and fetal monitoring.
Consultation for a high-risk pregnancy with severe pre-eclampsia and potential HELLP syndrome.
Focus on the multidisciplinary approach to managing severe pre-eclampsia.
Used for comprehensive care of a patient diagnosed with severe pre-eclampsia.
Document all visits, assessments, and treatments related to the management of pre-eclampsia.
Ensure coordination between obstetricians and maternal-fetal medicine specialists.
Severe pre-eclampsia is characterized by significantly elevated blood pressure (≥160/110 mmHg), severe symptoms such as headaches and visual disturbances, and potential organ dysfunction, including HELLP syndrome, whereas mild pre-eclampsia has lower blood pressure and fewer severe symptoms.
