Liver and biliary tract disorders in pregnancy, first trimester
ICD-10 O26.611 is a billable code used to indicate a diagnosis of liver and biliary tract disorders in pregnancy, first trimester.
Liver and biliary tract disorders during the first trimester of pregnancy can significantly complicate maternal health and fetal development. Conditions such as intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and gallbladder disease may arise. These disorders can lead to symptoms such as jaundice, pruritus, and abdominal pain, which require careful monitoring and management. The first trimester is a critical period for fetal organogenesis, and any hepatic dysfunction can impact maternal metabolism and fetal nutrient delivery. Early diagnosis and intervention are essential to mitigate risks such as preterm labor, fetal distress, and maternal morbidity. Management often involves a multidisciplinary approach, including obstetricians, hepatologists, and nutritionists, to ensure optimal outcomes for both mother and child. Regular follow-ups and appropriate laboratory tests, such as liver function tests and ultrasound, are crucial for monitoring the progression of these conditions.
Detailed documentation of maternal symptoms, laboratory results, and treatment plans is essential. Providers should document the onset of symptoms, any interventions performed, and the patient's response to treatment.
Common scenarios include a pregnant patient presenting with jaundice, pruritus, or abdominal pain, necessitating evaluation for liver disorders.
Consideration must be given to the potential impact of liver disorders on fetal health, requiring close monitoring and possible referral to specialists.
High-risk pregnancy documentation must include detailed assessments of liver function, fetal monitoring results, and any interventions undertaken.
Complex maternal-fetal scenarios may involve managing a patient with acute fatty liver of pregnancy, requiring multidisciplinary care.
High-risk coding requires careful attention to detail, particularly in documenting the severity of liver dysfunction and its implications for both mother and fetus.
Used for follow-up visits for patients with liver disorders during pregnancy.
Documentation must include a review of symptoms, liver function tests, and any changes in treatment.
Obstetricians should ensure that all relevant liver-related symptoms are documented to support the visit level.
Common liver disorders during the first trimester include intrahepatic cholestasis of pregnancy, acute fatty liver of pregnancy, and gallbladder disease. Each condition presents unique symptoms and requires specific management strategies.
