Liver and biliary tract disorders in pregnancy, childbirth and the puerperium
ICD-10 O26.6 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in pregnancy, childbirth and the puerperium.
Liver and biliary tract disorders during pregnancy can significantly complicate maternal health and fetal development. Conditions such as intrahepatic cholestasis of pregnancy (ICP), acute fatty liver of pregnancy (AFLP), and gestational liver disease can lead to severe outcomes if not properly managed. ICP is characterized by pruritus and elevated bile acids, often leading to preterm labor and fetal distress. AFLP is a rare but serious condition that can cause liver failure and requires immediate intervention. These disorders can also exacerbate existing maternal conditions, such as hypertension or diabetes, complicating the clinical picture. Management typically involves close monitoring of liver function tests, fetal assessments, and potentially early delivery if the health of the mother or fetus is at risk. Understanding the nuances of these conditions is crucial for accurate coding and appropriate care.
Detailed documentation of symptoms, lab results, and treatment plans is essential for accurate coding.
Management of a pregnant patient presenting with jaundice and elevated liver enzymes.
Consider the implications of liver disorders on delivery methods and postpartum care.
Comprehensive documentation of high-risk factors and multidisciplinary care plans.
Monitoring a patient with ICP and planning for potential early delivery.
Focus on the fetal implications of maternal liver disorders and the need for specialized care.
Used for initial evaluation of a pregnant patient with liver dysfunction.
Document history, physical exam findings, and treatment plan.
Ensure that the visit is linked to the management of liver disorders.
Common liver disorders include intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and gestational liver disease. Each has unique symptoms and management strategies.
