Pre-existing hypertension with pre-eclampsia, second trimester
ICD-10 O11.2 is a billable code used to indicate a diagnosis of pre-existing hypertension with pre-eclampsia, second trimester.
Pre-existing hypertension with superimposed pre-eclampsia is a serious condition that occurs when a woman with chronic hypertension develops new-onset proteinuria and/or hypertension after 20 weeks of gestation. This condition is particularly concerning during the second trimester, as it can lead to significant maternal and fetal complications. The management of this condition requires careful monitoring of blood pressure, urine protein levels, and fetal well-being. Treatment may include lifestyle modifications, antihypertensive medications, and close surveillance for signs of worsening pre-eclampsia, such as severe headaches, visual disturbances, or abdominal pain. The goal is to prevent progression to severe pre-eclampsia or eclampsia, which can have life-threatening consequences for both mother and baby. Regular follow-up visits and possibly hospitalization may be necessary to ensure optimal outcomes.
Detailed records of blood pressure measurements, proteinuria tests, and any symptoms experienced by the patient.
Management of a patient with chronic hypertension who presents with elevated blood pressure readings and proteinuria during routine prenatal visits.
Ensure that all relevant clinical findings are documented to support the diagnosis and management plan.
Comprehensive assessments of maternal and fetal health, including ultrasound findings and laboratory results.
Consultation for a high-risk pregnancy due to pre-existing hypertension and new-onset pre-eclampsia.
Focus on the multidisciplinary approach to managing high-risk pregnancies, including potential interventions.
Used for follow-up visits for patients with pre-existing hypertension and pre-eclampsia.
Document blood pressure readings, symptoms, and treatment plans.
Ensure that the visit reflects the complexity of managing a high-risk pregnancy.
Pre-existing hypertension is a chronic condition that exists before pregnancy, while gestational hypertension develops after 20 weeks of pregnancy in women who previously had normal blood pressure. Accurate coding is essential to reflect the patient's history and current condition.
