Severe pre-eclampsia, unspecified trimester
ICD-10 O14.10 is a billable code used to indicate a diagnosis of severe pre-eclampsia, unspecified trimester.
Severe pre-eclampsia is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. It typically occurs after the 20th week of pregnancy and can lead to significant maternal and fetal morbidity if not managed appropriately. Severe features may include blood pressure readings of 160/110 mmHg or higher, elevated liver enzymes, low platelet counts, and symptoms such as severe headaches, visual disturbances, and upper abdominal pain. HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count, is a severe form of pre-eclampsia that can occur in conjunction with this condition. Management often involves the administration of magnesium sulfate to prevent seizures, antihypertensive medications to control blood pressure, and timely delivery of the baby, depending on gestational age and maternal-fetal status. Close monitoring and a multidisciplinary approach are essential for optimal outcomes.
Detailed documentation of blood pressure readings, laboratory results, and clinical symptoms is essential for accurate coding.
Patients presenting with severe hypertension, proteinuria, and symptoms indicative of severe pre-eclampsia.
Coders must ensure that all severe features are documented to justify the use of O14.10.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and fetal monitoring.
Management of high-risk pregnancies with severe pre-eclampsia and potential HELLP syndrome.
High-risk coding requires attention to detail in documenting the severity and management of the condition.
Used for comprehensive care of a patient diagnosed with severe pre-eclampsia.
Documentation must include details of prenatal visits, management of pre-eclampsia, and delivery notes.
Obstetricians must ensure that all aspects of care are documented to support billing.
Severe pre-eclampsia is defined by blood pressure readings of 160/110 mmHg or higher, significant proteinuria, and the presence of severe features such as elevated liver enzymes, low platelet counts, or neurological symptoms. Accurate documentation of these features is crucial for proper coding.
