Severe pre-eclampsia complicating childbirth
ICD-10 O14.14 is a billable code used to indicate a diagnosis of severe pre-eclampsia complicating childbirth.
Severe pre-eclampsia is a serious condition that occurs during pregnancy, characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. It typically arises after the 20th week of gestation and can lead to significant maternal and fetal complications if not managed appropriately. Severe features include blood pressure readings of 160/110 mmHg or higher, proteinuria, elevated liver enzymes, and low platelet counts, which may indicate the development of HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets). This condition can complicate childbirth, necessitating careful monitoring and management. Magnesium sulfate is often administered to prevent seizures in women with severe pre-eclampsia. The management of severe pre-eclampsia may require early delivery, especially if the condition worsens or if there are signs of fetal distress. The clinical team must document all findings meticulously, including blood pressure readings, laboratory results, and treatment protocols, to ensure accurate coding and billing.
Detailed documentation of maternal vital signs, laboratory results, and treatment plans.
Management of severe pre-eclampsia during labor, administration of magnesium sulfate, and planning for delivery.
Ensure accurate coding of both the condition and any interventions performed.
Comprehensive records of high-risk assessments, fetal monitoring, and multidisciplinary care plans.
Monitoring and managing severe pre-eclampsia in high-risk pregnancies, including potential transfer to a higher level of care.
Focus on the implications of severe pre-eclampsia on fetal health and delivery timing.
Used when a patient with severe pre-eclampsia undergoes vaginal delivery.
Document the indication for delivery and any complications encountered.
Obstetricians should note the severity of pre-eclampsia in the delivery notes.
Severe pre-eclampsia is characterized by significantly elevated blood pressure (≥160/110 mmHg), severe headache, visual disturbances, and signs of end-organ dysfunction such as elevated liver enzymes or low platelet counts. In contrast, mild pre-eclampsia typically presents with lower blood pressure and less severe symptoms.
