Intrahepatic cholestasis of pregnancy, unspecified trimester
ICD-10 O26.649 is a billable code used to indicate a diagnosis of intrahepatic cholestasis of pregnancy, unspecified trimester.
Intrahepatic cholestasis of pregnancy (ICP) is a liver disorder that occurs during pregnancy, characterized by intense itching and elevated bile acids in the maternal bloodstream. It typically presents in the second or third trimester but can occur at any point during pregnancy. The condition is thought to be related to hormonal changes and genetic predisposition, leading to impaired bile flow. Maternal symptoms include pruritus, particularly on the palms and soles, and potential complications for the fetus, including preterm birth and fetal distress. Diagnosis is confirmed through clinical evaluation and laboratory tests showing elevated serum bile acids and liver function tests. Management often involves monitoring maternal and fetal well-being, and in some cases, early delivery may be indicated to reduce risks associated with prolonged cholestasis. Understanding the implications of ICP is crucial for obstetric care providers to ensure both maternal and fetal health.
Detailed documentation of maternal symptoms, laboratory results, and management plans is essential. Providers should note the timing of symptoms and any interventions taken.
Patients presenting with severe itching in the third trimester, elevated bile acids, and management decisions regarding delivery timing.
Consideration of the potential for fetal complications and the need for multidisciplinary care involving maternal-fetal medicine specialists.
High-risk pregnancy documentation must include detailed monitoring of both maternal liver function and fetal well-being, including ultrasound assessments.
Management of a patient with ICP requiring close monitoring for signs of fetal distress or preterm labor.
Coordination with obstetricians for timely interventions and potential early delivery based on maternal and fetal health.
Used for routine follow-up visits for patients diagnosed with ICP.
Documentation of symptoms, laboratory results, and management plans.
Obstetricians should ensure comprehensive documentation to support the visit level.
Common symptoms include intense itching, particularly on the palms and soles, and jaundice in some cases. Elevated bile acids and liver enzymes are key diagnostic indicators.
