Mild hyperemesis gravidarum
ICD-10 O21.0 is a billable code used to indicate a diagnosis of mild hyperemesis gravidarum.
Mild hyperemesis gravidarum is characterized by persistent nausea and vomiting during pregnancy that is severe enough to cause dehydration and nutritional deficiencies but does not require hospitalization. It typically occurs in the first trimester and can lead to weight loss and electrolyte imbalances. Patients may experience symptoms such as excessive vomiting, inability to keep food down, and fatigue. Management often includes dietary modifications, hydration, and sometimes pharmacological interventions to alleviate symptoms. While mild hyperemesis gravidarum is less severe than its counterpart, severe hyperemesis gravidarum, it still requires careful monitoring to prevent complications for both the mother and fetus. Nutritional support is crucial, and healthcare providers may recommend small, frequent meals, hydration with electrolyte solutions, and, in some cases, vitamin supplementation to ensure adequate nutrition during this challenging period.
Documentation should include detailed accounts of symptoms, treatment plans, and any nutritional support provided.
Patients presenting with persistent nausea and vomiting, requiring outpatient management and dietary counseling.
Coders must ensure that the documentation clearly indicates the severity of symptoms to differentiate between mild and severe cases.
High-risk pregnancy documentation should include comprehensive assessments of maternal and fetal health, including hydration status and nutritional intake.
Complex cases involving patients with pre-existing conditions exacerbated by hyperemesis gravidarum.
Considerations for high-risk coding include monitoring for potential complications such as electrolyte imbalances and fetal growth restrictions.
Used for follow-up visits for patients with mild hyperemesis gravidarum.
Document the patient's symptoms, treatment plan, and any changes in condition.
Obstetricians should ensure that the visit notes reflect the ongoing management of hyperemesis.
Mild hyperemesis gravidarum involves persistent nausea and vomiting without the need for hospitalization, while severe hyperemesis gravidarum requires hospitalization due to significant dehydration and nutritional deficiencies.
