Unspecified pre-eclampsia, second trimester
ICD-10 O14.92 is a billable code used to indicate a diagnosis of unspecified pre-eclampsia, second trimester.
Unspecified pre-eclampsia is a condition characterized by hypertension and proteinuria that occurs after 20 weeks of gestation. In the second trimester, it is crucial to monitor the mother and fetus closely, as pre-eclampsia can progress to severe features, including elevated liver enzymes, low platelet counts, and neurological symptoms. The condition can lead to serious complications such as HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), which poses significant risks to both maternal and fetal health. Management often includes the administration of magnesium sulfate to prevent seizures, especially in cases with severe features. Regular monitoring of blood pressure, urine protein levels, and fetal well-being is essential. The diagnosis of unspecified pre-eclampsia requires careful clinical evaluation, as symptoms may vary, and timely intervention can significantly improve outcomes.
Detailed records of blood pressure, proteinuria, and any symptoms indicating progression.
Routine prenatal visits where hypertension is noted, or when a patient presents with symptoms such as headaches or visual disturbances.
Ensure that all relevant clinical findings are documented to support the diagnosis and management plan.
Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and laboratory results.
Management of high-risk pregnancies with pre-eclampsia, including monitoring for progression to severe features.
Focus on the multidisciplinary approach to care, including consultations with specialists as needed.
Used for routine follow-up visits for patients with pre-eclampsia.
Document blood pressure readings, proteinuria results, and any symptoms.
Ensure that the visit reflects the complexity of managing a patient with pre-eclampsia.
Key symptoms include high blood pressure, proteinuria, swelling, headaches, and visual disturbances. It is important for patients to report any sudden changes in their health.
