Unspecified maternal hypertension, third trimester
ICD-10 O16.3 is a billable code used to indicate a diagnosis of unspecified maternal hypertension, third trimester.
Unspecified maternal hypertension in the third trimester refers to elevated blood pressure readings in pregnant women during the late stages of pregnancy, typically after 28 weeks gestation. This condition is characterized by systolic blood pressure readings of 140 mmHg or higher and/or diastolic readings of 90 mmHg or higher, without a clear diagnosis of preeclampsia or gestational hypertension. The condition may arise due to various factors, including pre-existing hypertension, obesity, or other underlying health issues. It is crucial for healthcare providers to monitor the mother closely, as uncontrolled hypertension can lead to serious complications such as placental abruption, fetal growth restriction, and increased risk of cesarean delivery. Diagnostic workup may include regular blood pressure monitoring, urinalysis to check for proteinuria, and blood tests to assess liver and kidney function. Management strategies often involve lifestyle modifications, medication adjustments, and careful monitoring of both maternal and fetal well-being.
Detailed records of blood pressure readings, treatment plans, and follow-up assessments.
Routine prenatal visits where hypertension is identified, management of hypertensive crises.
Consideration of maternal history and risk factors for hypertension.
Comprehensive assessments of maternal and fetal health, including ultrasound findings and laboratory results.
Management of high-risk pregnancies with pre-existing hypertension or complications.
In-depth monitoring and intervention strategies for both mother and fetus.
Used during routine prenatal visits for monitoring hypertension.
Document blood pressure readings and any changes in management.
Obstetricians should ensure thorough documentation of maternal health status.
Unspecified maternal hypertension refers to elevated blood pressure without a clear diagnosis of gestational hypertension or preeclampsia, while gestational hypertension is specifically diagnosed when hypertension develops after 20 weeks of pregnancy without proteinuria.
