Pre-existing hypertension with pre-eclampsia, first trimester
ICD-10 O11.1 is a billable code used to indicate a diagnosis of pre-existing hypertension with pre-eclampsia, first trimester.
Pre-existing hypertension with superimposed pre-eclampsia is a serious condition that occurs when a woman with chronic hypertension develops new-onset hypertension and proteinuria after 20 weeks of gestation. In the first trimester, the diagnosis of O11.1 indicates that the patient has a history of hypertension prior to pregnancy, which complicates her pregnancy management. This condition requires careful monitoring and management to prevent progression to severe pre-eclampsia or eclampsia, which can pose significant risks to both the mother and fetus. Management strategies may include lifestyle modifications, medication adjustments, and close surveillance of maternal and fetal well-being. The healthcare team must ensure that blood pressure is controlled and assess for signs of end-organ dysfunction, as well as fetal growth and well-being through ultrasound and other diagnostic tools. Early intervention is crucial to mitigate risks associated with this condition.
Detailed history of hypertension, current blood pressure readings, and treatment plans.
Management of a pregnant patient with a history of hypertension presenting with elevated blood pressure readings.
Ensure that all relevant clinical findings are documented, including any changes in medication or lifestyle recommendations.
Comprehensive assessment of maternal and fetal health, including ultrasound findings and laboratory results.
High-risk consultations for patients with chronic hypertension and new-onset pre-eclampsia.
Focus on the potential for complications and the need for multidisciplinary care.
Used for routine follow-up visits for patients with chronic hypertension during pregnancy.
Document blood pressure readings, medication adjustments, and any new symptoms.
Ensure that the visit reflects the complexity of managing a high-risk pregnancy.
Pre-existing hypertension is diagnosed before pregnancy or before 20 weeks of gestation, while gestational hypertension occurs after 20 weeks without prior history. Accurate coding is essential to reflect the patient's condition and management needs.
