ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO14.94

O14.94

Billable

Unspecified pre-eclampsia, complicating childbirth

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

Code Description

ICD-10 O14.94 is a billable code used to indicate a diagnosis of unspecified pre-eclampsia, complicating childbirth.

Key Diagnostic Point:

Unspecified pre-eclampsia is a hypertensive disorder that occurs during pregnancy, characterized by high blood pressure and often proteinuria. It can complicate childbirth by increasing the risk of maternal and fetal morbidity and mortality. Pre-eclampsia can progress to severe features, which may include symptoms such as severe headaches, visual disturbances, and upper abdominal pain. In some cases, it can lead to HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a life-threatening condition requiring immediate medical intervention. Management often involves the administration of magnesium sulfate to prevent seizures, particularly in cases with severe features. The timing of delivery is crucial, as it is the only definitive cure for pre-eclampsia. Careful monitoring of both mother and fetus is essential during labor and delivery to manage any complications that may arise.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between unspecified pre-eclampsia and other hypertensive disorders in pregnancy.
  • Identifying severe features and HELLP syndrome for appropriate coding.
  • Understanding the implications of magnesium sulfate administration.
  • Navigating documentation requirements for high-risk pregnancies.

Audit Risk Factors

  • Inadequate documentation of blood pressure readings and proteinuria.
  • Failure to document the presence of severe features or HELLP syndrome.
  • Misclassification of pre-eclampsia severity.
  • Lack of clear treatment protocols followed, such as magnesium sulfate administration.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of blood pressure, protein levels, and symptoms must be maintained.

Common Clinical Scenarios

Management of labor in a patient with pre-eclampsia, monitoring for signs of progression.

Billing Considerations

Accurate coding requires understanding of the patient's clinical status and treatment protocols.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal assessments, including ultrasound findings.

Common Clinical Scenarios

High-risk pregnancies with pre-eclampsia requiring specialized monitoring.

Billing Considerations

Consideration of fetal well-being and potential interventions based on maternal condition.

Coding Guidelines

Inclusion Criteria

Use O14.94 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that all documentation supports the diagnosis of unspecified pre
  • eclampsia
  • Include relevant clinical indicators such as blood pressure readings and laboratory results

Exclusion Criteria

Do NOT use O14.94 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive care of a patient with pre-eclampsia.

Documentation Requirements

Document all visits, assessments, and interventions related to pre-eclampsia management.

Specialty Considerations

Obstetricians must ensure that all aspects of care are documented to support billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pre-eclampsia, improving the ability to track and manage this condition. It has also increased the need for detailed documentation to support the complexity of the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pre-eclampsia, improving the ability to track and manage this condition. It has also increased the need for detailed documentation to support the complexity of the diagnosis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pre-eclampsia, improving the ability to track and manage this condition. It has also increased the need for detailed documentation to support the complexity of the diagnosis.

Resources

Clinical References

  • •
    ACOG Practice Bulletin on Hypertension in Pregnancy

Coding & Billing References

  • •
    ACOG Practice Bulletin on Hypertension in Pregnancy

Frequently Asked Questions

What is the difference between pre-eclampsia and gestational hypertension?

Pre-eclampsia is characterized by high blood pressure and proteinuria, while gestational hypertension involves high blood pressure without proteinuria. Accurate coding requires careful documentation of these distinctions.