Severe pre-eclampsia, third trimester
ICD-10 O14.13 is a billable code used to indicate a diagnosis of severe pre-eclampsia, third trimester.
Severe pre-eclampsia is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, typically occurring after 20 weeks of gestation. In the third trimester, the condition can escalate rapidly, leading to severe maternal and fetal complications. Clinical features of severe pre-eclampsia include blood pressure readings of 160/110 mmHg or higher, significant 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, posing additional risks to both mother and fetus. Management often includes the administration of magnesium sulfate to prevent seizures, alongside antihypertensive medications to control blood pressure. Close monitoring of both maternal and fetal well-being is essential, and delivery is often the definitive treatment to mitigate risks associated with this condition.
Detailed records of blood pressure, proteinuria, and symptoms must be maintained.
Management of severe pre-eclampsia in a patient with a history of hypertension.
Ensure accurate coding of severity and associated conditions to avoid audit issues.
Comprehensive documentation of maternal and fetal monitoring, including lab results.
High-risk pregnancies with severe pre-eclampsia requiring multidisciplinary management.
Focus on the implications of HELLP syndrome and the need for potential early delivery.
Used for inpatient management of severe pre-eclampsia.
Document the patient's clinical status, treatment plan, and response to therapy.
Obstetricians should ensure that all aspects of care are documented to support the level of service billed.
Key symptoms include severe headaches, visual disturbances, upper abdominal pain, and significantly elevated blood pressure readings. Patients may also present with swelling and sudden weight gain.
