Gestational [pregnancy-induced] hypertension without significant proteinuria
Chapter 15:Pregnancy, childbirth and the puerperium
ICD-10 O13 is a billable code used to indicate a diagnosis of gestational [pregnancy-induced] hypertension without significant proteinuria.
Gestational hypertension, also known as pregnancy-induced hypertension, is a condition characterized by elevated blood pressure that develops after 20 weeks of gestation in a previously normotensive woman. It is defined as a systolic blood pressure of 140 mmHg or higher, or a diastolic blood pressure of 90 mmHg or higher, without the presence of significant proteinuria (≥300 mg in a 24-hour urine collection). This condition can lead to complications for both the mother and fetus if not monitored and managed appropriately. Regular blood pressure monitoring is essential to detect any progression to more severe forms of hypertension, such as preeclampsia. Management typically includes lifestyle modifications, close monitoring, and, in some cases, antihypertensive medications. The absence of significant proteinuria differentiates this condition from preeclampsia, which is characterized by hypertension and protein in the urine. Understanding the nuances of gestational hypertension is crucial for ensuring appropriate care and coding.
Documentation must include detailed blood pressure readings, the absence of proteinuria, and any management strategies employed.
A patient presents with elevated blood pressure at a routine prenatal visit; monitoring and lifestyle modifications are discussed.
Coders should ensure that all relevant clinical notes are reviewed to capture the full context of the patient's condition.
High-risk pregnancy documentation must include comprehensive assessments of maternal and fetal well-being, including blood pressure trends.
A high-risk patient with gestational hypertension is monitored closely for signs of progression to preeclampsia.
Special attention should be given to the management plan and any interventions that may affect coding.
Used for routine follow-up visits for patients with gestational hypertension.
Documentation must include blood pressure readings and management plans.
Obstetricians should ensure that all relevant clinical information is captured.
Gestational hypertension is characterized by high blood pressure without significant proteinuria, while preeclampsia involves both high blood pressure and protein in the urine, indicating a more severe condition that requires different management.
