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ICD-10 Guide
ICD-10 CodesO26.52

O26.52

Billable

Maternal hypotension syndrome, second trimester

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

Code Description

ICD-10 O26.52 is a billable code used to indicate a diagnosis of maternal hypotension syndrome, second trimester.

Key Diagnostic Point:

Maternal hypotension syndrome during the second trimester of pregnancy is characterized by a significant drop in blood pressure that can lead to inadequate blood flow to vital organs, including the placenta. This condition can arise due to various factors, including hormonal changes, increased blood volume, and the physiological adaptations of pregnancy. Symptoms may include dizziness, fainting, and fatigue, which can complicate maternal care. It is crucial for healthcare providers to monitor blood pressure regularly and assess for any signs of fetal distress. Management may involve lifestyle modifications, hydration, and in some cases, medication to stabilize blood pressure. Close monitoring is essential, especially in patients with pre-existing conditions such as renal, cardiac, or respiratory issues, as these can exacerbate hypotension and lead to further complications. Understanding the implications of maternal hypotension syndrome is vital for ensuring both maternal and fetal health during this critical period of pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of hypotension (orthostatic vs. chronic)
  • Understanding the impact of co-existing conditions (renal, cardiac, respiratory)
  • Monitoring and documenting symptoms accurately
  • Interpreting blood pressure readings in the context of pregnancy

Audit Risk Factors

  • Inadequate documentation of blood pressure readings
  • Failure to note co-existing conditions that may complicate hypotension
  • Misclassification of hypotension type
  • Lack of follow-up documentation on management strategies

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of maternal symptoms, blood pressure readings, and any interventions taken.

Common Clinical Scenarios

A pregnant patient presenting with dizziness and low blood pressure during a routine check-up.

Billing Considerations

Consideration of the patient's overall health, including any pre-existing conditions that may affect management.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal history and fetal monitoring.

Common Clinical Scenarios

Management of a high-risk pregnancy where maternal hypotension is exacerbated by cardiac issues.

Billing Considerations

In-depth assessment of fetal well-being and maternal health, with a focus on potential interventions.

Coding Guidelines

Inclusion Criteria

Use O26.52 When
  • According to the ICD
  • CM coding guidelines, O26
  • 52 should be used when documenting maternal hypotension syndrome specifically during the second trimester
  • Coders must ensure that the condition is clearly documented in the medical record, including any relevant symptoms and treatment plans

Exclusion Criteria

Do NOT use O26.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for monitoring maternal hypotension.

Documentation Requirements

Document blood pressure readings, symptoms, and any interventions.

Specialty Considerations

Obstetricians should ensure that all relevant maternal health factors are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including maternal hypotension syndrome. This specificity aids in better tracking of maternal health outcomes and improves the quality of care provided.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including maternal hypotension syndrome. This specificity aids in better tracking of maternal health outcomes and improves the quality of care provided.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including maternal hypotension syndrome. This specificity aids in better tracking of maternal health outcomes and improves the quality of care provided.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of maternal hypotension syndrome?

Common symptoms include dizziness, fainting, fatigue, and lightheadedness. It is important for pregnant women to report these symptoms to their healthcare provider for proper evaluation and management.