Hyperemesis gravidarum with metabolic disturbance
ICD-10 O21.1 is a billable code used to indicate a diagnosis of hyperemesis gravidarum with metabolic disturbance.
Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy that can lead to significant dehydration, electrolyte imbalances, and nutritional deficiencies. This condition typically occurs in the first trimester but can persist throughout pregnancy. Patients may present with persistent vomiting, weight loss exceeding 5% of pre-pregnancy body weight, and signs of dehydration such as dry mucous membranes, decreased urine output, and hypotension. The metabolic disturbances associated with hyperemesis gravidarum often include hypokalemia, metabolic alkalosis, and ketosis due to prolonged fasting and inadequate caloric intake. Management may require hospitalization for intravenous fluid therapy, electrolyte replacement, and nutritional support, including enteral feeding or parenteral nutrition in severe cases. Early recognition and treatment are crucial to prevent complications for both the mother and fetus, including fetal growth restriction and preterm birth.
Detailed documentation of symptoms, treatment plans, and response to therapy is essential.
Patients presenting with severe vomiting, dehydration, and requiring hospitalization for IV fluids.
Consideration of co-existing conditions such as pre-existing hyperthyroidism or gastrointestinal disorders.
Thorough documentation of high-risk factors and fetal monitoring is critical.
Management of hyperemesis gravidarum in patients with multiple gestations or pre-existing medical conditions.
Close monitoring of fetal growth and development due to potential nutritional deficiencies.
Used when a patient with hyperemesis gravidarum is admitted for IV hydration and monitoring.
Document the patient's history, examination findings, and treatment plan.
Obstetricians should ensure that all relevant symptoms and treatments are documented to support the level of care.
O21.1 is used for cases of hyperemesis gravidarum with metabolic disturbance, while O21.0 is for less severe nausea and vomiting without metabolic complications.
