Mild to moderate pre-eclampsia, third trimester
ICD-10 O14.03 is a billable code used to indicate a diagnosis of mild to moderate pre-eclampsia, third trimester.
Mild to moderate pre-eclampsia is a pregnancy complication characterized by hypertension and proteinuria occurring after 20 weeks of gestation. In the third trimester, it is crucial to monitor the mother and fetus closely due to the potential for progression to severe pre-eclampsia or eclampsia. Symptoms may include elevated blood pressure (systolic ≥ 140 mmHg or diastolic ≥ 90 mmHg), protein in the urine, and possible swelling. Management typically involves close monitoring, lifestyle modifications, and potentially the use of antihypertensive medications. Magnesium sulfate may be administered to prevent seizures, especially if there are signs of severe features. The condition requires careful documentation of blood pressure readings, urine protein levels, and any symptoms experienced by the patient to ensure appropriate coding and management.
Detailed records of blood pressure, proteinuria, and symptoms are essential. Regular assessments and treatment plans must be documented.
Patients presenting with elevated blood pressure and proteinuria during routine prenatal visits.
Ensure that all assessments are time-stamped and include the patient's gestational age.
Comprehensive documentation of high-risk factors, including previous history of pre-eclampsia and current maternal and fetal assessments.
Management of patients with a history of severe pre-eclampsia or those presenting with new-onset hypertension.
Close monitoring for signs of HELLP syndrome and timely intervention documentation.
Used for routine prenatal visits where mild pre-eclampsia is monitored.
Document blood pressure readings, urine protein levels, and any symptoms.
Obstetricians should ensure that all relevant assessments are included in the visit notes.
Signs include elevated blood pressure, proteinuria, swelling, headaches, and visual disturbances. Regular monitoring is essential for early detection and management.