Liver and biliary tract disorders in pregnancy
ICD-10 O26.61 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in pregnancy.
Liver and biliary tract disorders during pregnancy can significantly complicate maternal care. Conditions such as intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and hepatitis can lead to severe maternal and fetal outcomes. Intrahepatic cholestasis is characterized by pruritus and elevated bile acids, which can increase the risk of preterm labor and fetal distress. Acute fatty liver of pregnancy is a rare but serious condition that typically occurs in the third trimester and can lead to liver failure, coagulopathy, and even maternal death if not managed promptly. Hepatitis, whether viral or autoimmune, can also complicate pregnancy, necessitating careful monitoring and management to prevent transmission to the fetus and ensure maternal health. The management of these conditions often requires a multidisciplinary approach, including obstetricians, hepatologists, and neonatologists, to optimize outcomes for both mother and child.
Detailed documentation of maternal symptoms, liver function tests, and any imaging studies performed.
Management of intrahepatic cholestasis with pruritus, monitoring of acute fatty liver with elevated liver enzymes.
Consideration of timing for delivery in cases of severe liver dysfunction.
Comprehensive documentation of maternal and fetal monitoring, including any interventions required.
High-risk pregnancies with liver disorders requiring close surveillance and potential early delivery.
Coordination with hepatology for management of liver conditions.
Used for initial evaluation of a pregnant patient with liver disorder.
Document history, examination findings, and any lab results.
Ensure coordination with specialists for comprehensive care.
Common liver disorders include intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and viral hepatitis. Each condition has specific management protocols and potential complications that must be monitored closely.
