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ICD-10 Guide
ICD-10 CodesO14.24

O14.24

Billable

HELLP syndrome, complicating childbirth

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O14.24 is a billable code used to indicate a diagnosis of hellp syndrome, complicating childbirth.

Key Diagnostic Point:

HELLP syndrome is a severe form of pre-eclampsia characterized by hemolysis, elevated liver enzymes, and low platelet count. It typically occurs in the third trimester of pregnancy or shortly after delivery. The condition can lead to serious complications for both the mother and the fetus, including liver rupture, placental abruption, and fetal distress. Diagnosis is based on clinical symptoms such as abdominal pain, nausea, vomiting, and hypertension, along with laboratory findings. Management often involves the administration of magnesium sulfate to prevent seizures, as well as timely delivery of the fetus, which is the definitive treatment. The condition requires careful monitoring and may necessitate intensive care for the mother and newborn. Accurate coding is essential to reflect the severity and complications associated with HELLP syndrome during childbirth.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between pre-eclampsia and HELLP syndrome
  • Understanding the severity of features in coding
  • Documentation of laboratory findings and clinical symptoms
  • Management protocols including magnesium sulfate administration

Audit Risk Factors

  • Inadequate documentation of clinical symptoms
  • Failure to document laboratory results
  • Incorrect coding of severity features
  • Misunderstanding of the timing of HELLP syndrome onset

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal symptoms, laboratory results, and treatment protocols are essential for accurate coding.

Common Clinical Scenarios

Management of a patient presenting with severe hypertension and elevated liver enzymes during labor.

Billing Considerations

Ensure that all clinical features of HELLP syndrome are documented, including any interventions performed.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, fetal monitoring, and maternal health status is critical.

Common Clinical Scenarios

Monitoring a patient with HELLP syndrome in a high-risk pregnancy setting, including potential transfer to a higher level of care.

Billing Considerations

Focus on the multidisciplinary approach to care and the need for timely interventions.

Coding Guidelines

Inclusion Criteria

Use O14.24 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring that the code reflects the severity and complications of the condition
  • Documentation must support the diagnosis and any associated treatments

Exclusion Criteria

Do NOT use O14.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99233CPT Code

Subsequent hospital care, typically 15-29 minutes

Clinical Scenario

Used for follow-up care of a patient diagnosed with HELLP syndrome in the hospital.

Documentation Requirements

Document the patient's clinical status, treatment response, and any changes in management.

Specialty Considerations

Ensure that the care plan reflects the complexity of managing HELLP syndrome.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like HELLP syndrome, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of clinical features and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like HELLP syndrome, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation of clinical features and management.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation of clinical features and management.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What are the key symptoms of HELLP syndrome?

Key symptoms include severe headache, abdominal pain, nausea, vomiting, and visual disturbances, alongside laboratory findings of hemolysis, elevated liver enzymes, and low platelet count.