Unspecified pre-eclampsia, unspecified trimester
ICD-10 O14.90 is a billable code used to indicate a diagnosis of unspecified pre-eclampsia, unspecified trimester.
Unspecified pre-eclampsia is a condition characterized by hypertension and proteinuria that occurs after 20 weeks of gestation. It is a significant complication of pregnancy that can lead to severe maternal and fetal morbidity if not managed appropriately. The diagnosis of pre-eclampsia is made when a pregnant woman presents with elevated blood pressure (≥140/90 mmHg) and protein in the urine (≥300 mg in a 24-hour urine collection). The unspecified trimester designation indicates that the exact timing of the onset of pre-eclampsia is not documented, which can complicate management and coding. Pre-eclampsia can progress to severe features, which include symptoms such as severe headaches, visual disturbances, and elevated liver enzymes, and may lead to HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a life-threatening condition. Magnesium sulfate is often administered to prevent seizures in women with severe pre-eclampsia or eclampsia. Accurate coding requires thorough documentation of the patient's clinical status, treatment protocols, and any complications that arise during the course of care.
Documentation must include blood pressure readings, proteinuria results, and any symptoms indicative of severe pre-eclampsia.
A patient presenting with elevated blood pressure and proteinuria during a routine prenatal visit.
Consideration of the patient's history and risk factors for pre-eclampsia, such as obesity or previous hypertensive disorders.
Detailed documentation of maternal and fetal monitoring, including ultrasound findings and laboratory tests.
Management of a high-risk pregnancy with pre-eclampsia and monitoring for progression to severe features.
Focus on the management of complications and coordination of care between obstetricians and maternal-fetal specialists.
Used when a patient with pre-eclampsia is admitted for monitoring and management.
Documentation must include the patient's clinical status, treatment plan, and any complications.
Obstetricians should ensure that all relevant details of the patient's condition are documented.
Pre-eclampsia is characterized by hypertension and proteinuria, while gestational hypertension involves elevated blood pressure without proteinuria. Accurate coding requires clear documentation of these distinctions.
