Unspecified maternal hypertension, complicating childbirth
ICD-10 O16.4 is a billable code used to indicate a diagnosis of unspecified maternal hypertension, complicating childbirth.
Unspecified maternal hypertension complicating childbirth refers to elevated blood pressure in a pregnant woman that does not meet the criteria for specific hypertensive disorders such as gestational hypertension or preeclampsia. This condition can arise during labor and delivery, posing risks to both the mother and the fetus. Maternal hypertension can lead to complications such as placental abruption, fetal growth restriction, and increased risk of cesarean delivery. The diagnosis is often made based on blood pressure readings taken during prenatal visits or at the time of delivery. Management may include monitoring blood pressure, administering antihypertensive medications, and ensuring close observation of both maternal and fetal well-being. Accurate coding is essential to reflect the complexity of care provided and to ensure appropriate reimbursement for services rendered.
Detailed records of blood pressure measurements, treatment plans, and maternal-fetal assessments.
A patient presenting with elevated blood pressure during labor requiring monitoring and possible intervention.
Ensure that all relevant clinical findings are documented to support the diagnosis of unspecified maternal hypertension.
Comprehensive documentation of high-risk factors, including previous hypertensive disorders and current management strategies.
Management of a high-risk pregnancy with a history of hypertension requiring specialized care.
Close monitoring of both maternal and fetal health is critical, and documentation should reflect the complexity of care.
Used when a patient presents for a routine prenatal visit with elevated blood pressure.
Document blood pressure readings, assessment of maternal and fetal health, and any interventions.
Obstetricians should ensure that all relevant clinical information is captured to support the visit.
To support the diagnosis of unspecified maternal hypertension, it is essential to document blood pressure readings, any symptoms experienced by the patient, treatment plans, and the monitoring of both maternal and fetal health throughout the pregnancy and delivery.
