Gestational edema with proteinuria, third trimester
ICD-10 O12.23 is a billable code used to indicate a diagnosis of gestational edema with proteinuria, third trimester.
Gestational edema with proteinuria in the third trimester is a condition characterized by the accumulation of excess fluid in the tissues, leading to swelling, particularly in the lower extremities, and the presence of protein in the urine. This condition typically arises during the later stages of pregnancy and is often associated with physiological changes that occur as the body adapts to support the growing fetus. While edema can be a normal part of pregnancy, the presence of proteinuria indicates a potential complication that requires careful monitoring. It is crucial to differentiate this condition from gestational hypertension or preeclampsia, as the absence of hypertension is a key factor in this diagnosis. Management may involve lifestyle modifications, monitoring of symptoms, and regular follow-up to ensure the health of both the mother and the fetus. Accurate coding of this condition is essential for appropriate clinical management and reimbursement.
Documentation must include detailed notes on edema severity, proteinuria test results, and absence of hypertension.
Patients presenting with swelling in the legs and proteinuria during routine prenatal visits.
Consideration of the patient's overall health, previous pregnancy history, and any comorbid conditions.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and laboratory results.
High-risk pregnancies where monitoring for complications is critical.
In-depth evaluation of potential risks associated with gestational edema and proteinuria.
Used to assess protein levels in urine during routine prenatal visits.
Document the reason for urinalysis and results indicating proteinuria.
Ensure that the urinalysis is performed in accordance with obstetric protocols.
Proteinuria in gestational edema indicates potential kidney involvement and may signal the need for further evaluation to rule out conditions like preeclampsia. It is essential to monitor protein levels and manage the condition appropriately to ensure maternal and fetal health.