Pre-eclampsia
Chapter 15:Pregnancy, childbirth and the puerperium
ICD-10 O14 is a billable code used to indicate a diagnosis of pre-eclampsia.
Pre-eclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. It typically occurs after the 20th week of pregnancy and can lead to serious, even fatal, complications for both mother and baby if left untreated. Severe features of pre-eclampsia include significantly elevated blood pressure (≥160/110 mmHg), proteinuria, and symptoms such as severe headaches, visual disturbances, and upper abdominal pain. HELLP syndrome, a severe form of pre-eclampsia, involves hemolysis, elevated liver enzymes, and low platelet count, requiring immediate medical intervention. Magnesium sulfate is often administered to prevent seizures in women with severe pre-eclampsia or eclampsia. Monitoring and management of pre-eclampsia are critical, as timely delivery may be necessary to protect the health of both mother and child.
Detailed documentation of blood pressure readings, proteinuria, and any symptoms indicative of severe features.
Management of pre-eclampsia in outpatient settings, inpatient monitoring, and delivery planning.
Accurate coding requires clear documentation of the patient's clinical status and treatment plan.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and laboratory results.
High-risk consultations for severe pre-eclampsia and HELLP syndrome management.
Focus on the management of complications and the need for potential early delivery.
Used for inpatient management of severe pre-eclampsia.
Document clinical findings, treatment plans, and response to therapy.
Obstetricians should ensure comprehensive documentation of maternal and fetal assessments.
Signs of severe pre-eclampsia include severe headaches, visual disturbances, upper abdominal pain, and significantly elevated blood pressure (≥160/110 mmHg).
