Pre-existing hypertension with pre-eclampsia, complicating childbirth
ICD-10 O11.4 is a billable code used to indicate a diagnosis of pre-existing hypertension with pre-eclampsia, complicating childbirth.
Pre-existing hypertension with superimposed pre-eclampsia is a significant obstetric condition that complicates pregnancy and childbirth. This condition occurs when a woman with chronic hypertension develops new-onset hypertension and proteinuria after 20 weeks of gestation. The presence of pre-eclampsia can lead to severe maternal and fetal complications, including placental abruption, fetal growth restriction, and increased risk of cesarean delivery. Management of this condition requires careful monitoring of blood pressure, regular assessment of fetal well-being, and potential pharmacological intervention to control hypertension. In severe cases, early delivery may be indicated to prevent further complications. The complexity of managing pre-existing hypertension with pre-eclampsia necessitates a multidisciplinary approach, often involving obstetricians, maternal-fetal medicine specialists, and nursing staff to ensure optimal outcomes for both mother and child.
Detailed documentation of maternal blood pressure readings, medication adjustments, and fetal monitoring results.
Management of a pregnant patient with a history of hypertension who presents with elevated blood pressure and proteinuria.
Ensure that all relevant clinical findings are documented to support the diagnosis of O11.4.
Comprehensive records of high-risk assessments, including ultrasound findings and laboratory results.
Consultation for a patient with pre-existing hypertension who develops severe pre-eclampsia requiring hospitalization.
Focus on the multidisciplinary approach to managing high-risk pregnancies and the need for detailed documentation of interventions.
Used for comprehensive care of a patient with O11.4 throughout pregnancy and delivery.
Complete documentation of all visits, assessments, and interventions related to the patient's hypertension and pre-eclampsia.
Obstetricians should ensure that all aspects of care are documented to support the complexity of the case.
Pre-existing hypertension is diagnosed before pregnancy or before 20 weeks of gestation, while gestational hypertension occurs after 20 weeks without prior history. Accurate documentation is crucial for proper coding.
