icd-10-cm code for pregnant with history of benign hypertension

by Dr. Jevon Towne V 7 min read

Gestational [pregnancy-induced] hypertension
pregnancy-induced] hypertension
Gestational hypertension. Gestational hypertension is usually defined as having a blood pressure higher than 140/90 measured on two separate occasions, more than 6 hours apart, without the presence of protein in the urine and diagnosed after 20 weeks of gestation.
https://en.wikipedia.orgwiki › Gestational_hypertension
without significant proteinuria, unspecified trimester. O13. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O13.

Full Answer

What is the ICD 10 code for hypertension in pregnancy?

2021 ICD-10-CM Diagnosis Code O16.9 Unspecified maternal hypertension, unspecified trimester 2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years) O16.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for pre-existing HTN?

O10.019 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Pre-existing essential htn comp pregnancy, unsp trimester The 2021 edition of ICD-10-CM O10.019 became effective on October 1, 2020.

What is the ICD-10-CM relationship between hypertension and heart involvement?

According to the ICD-10-CM Official Coding Guidelines Section 1;C.9.a, a causal relationship is presumed between hypertension and heart involvement as well as hypertension and kidney involvement, even when the provider has not specifically linked the two conditions together in the documentation (unless they are specifically noted as “unrelated”).

What are the general rules to be followed while coding pregnancy ICD 10?

General rules to be followed while coding pregnancy ICD 10 visits- The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records. Any complications or conditions arising due to pregnancy, childbirth or puerperium should be coded using the codes from this chapter.

What is the code for benign essential hypertension?

In ICD-9, essential hypertension was coded using 401.0 (malignant), 401.1 (benign), or 401.9 (unspecified). ICD-10 uses only a single code for individuals who meet criteria for hypertension and do not have comorbid heart or kidney disease. That code is I10, Essential (primary) hypertension.

How do you code pre-existing blood pressure in pregnancy?

Hypertension in Pregnancy Codes (ICD 10)Pre-existing hypertension complicating pregnancy, childbirth and the puerperium. O10.011. O10.012. ... Pre-Existing hypertension with Pre-Eclampsia. O11.1. O11.2. ... Pre-Eclampsia. O14.00. O14.02. ... Eclampsia. O15.00. O15.02. ... Unspecified Maternal Hypertension. O16.1. O16.2. ... Gestational HTN: O13.1. O13.2.

What is pre-existing hypertension in pregnancy?

In pregnant women, chronic hypertension (also called preexisting hypertension) can be defined as hypertension known to be present before conception or first recognized before 20 weeks of gestation.

What code is assigned for pre-existing essential hypertension complicating childbirth?

O10. 1- Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium.

What is the ICD-10 code for elevated blood pressure in pregnancy?

3: Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester.

What is the ICD-10 code for gestational hypertension?

ICD-10 Code for Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester- O13. 3- Codify by AAPC.

What are the four different types of hypertension in pregnancy?

What are the types of high blood pressure during pregnancy?Gestational hypertension. Women with gestational hypertension have high blood pressure that develops after 20 weeks of pregnancy. ... Chronic hypertension. ... Chronic hypertension with superimposed preeclampsia. ... Preeclampsia.

Is pregnancy-induced hypertension the same as gestational hypertension?

Gestational hypertension, formerly known as pregnancy-induced hypertension or PIH, is the new onset of hypertension after 20 weeks of gestation. The diagnosis requires that the patient have: Elevated blood pressure (systolic ≥ 140 or diastolic ≥ 90 mm Hg, the latter measured using the fifth Korotkoff sound)

What is considered chronic hypertension in pregnancy?

Chronic hypertension in pregnancy is defined by the American College of Obstetrics and Gynecology (ACOG) as blood pressure ≥140 mm Hg systolic and/or 90 mm Hg diastolic before pregnancy or, in recognition that many women seek medical care only once pregnant, before 20 weeks of gestation, use of antihypertensive ...

What is maternal hypertension?

Gestational hypertension is a form of high blood pressure in pregnancy. It occurs in about 6 percent of all pregnancies. Another type of high blood pressure is chronic hypertension--high blood pressure that is present before pregnancy begins.

Is chronic hypertension the same as essential hypertension?

When people talk about chronic high blood pressure, they're most often referring to primary hypertension. That's because primary hypertension, also referred to as essential hypertension, accounts for about 95% of hypertension.

When do you code incidental in pregnancy?

The only exception to this is if a pregnant woman is seen for an unrelated condition. In such cases, code Z33. 1 Pregnant State, Incidental should be used after the primary reason for the visit.

Why do you need to code for pre-existing heart disease?

Just like in non-obstetric cases, coding for pre-existing hypertensive heart disease and kidney disease in pregnancy requires some extra care because you have to identify the type of heart or kidney disease. Check out these subcategories and the “use additional code” notes that accompany them:

What is pre-existing hypertension?

Pre-existing hypertension complicating pregnancy, childbirth and the puerperium and O11. – Pre-existing hypertension with pre-eclampsia are both specific to pre-existing hypertension. Term tips: Pre-existing means that the mother had the condition prior to pregnancy. If you like sources for your terms, you’ll find that definition ...

Is hypertension a common diagnosis?

Hypertension is a common diagnosis, so a lot of specialties have to understand the rules for coding this condition. Obstetrics coders have to go one step further for hypertension and learn the specific rules for coding pre-existing hypertension in pregnancy, which is our focus today.

What is the I10 code for hypertension?

Essential hypertension, also known as arterial, benign, idiopathic, primary, or malignant hypertension, has no known or identified cause and is reported with code I10 as long as there are no associated and/or related causal relationships (e.g, heart disease).

What is considered hypertensive blood pressure?

A patient may be considered hypertensive if either of the systolic or diastolic pressure is elevated while the other is normal or both are elevated. Blood pressure is measured using a sphygmomanometer (blood pressure cuff with an attached gauge) and a stethoscope. Blood pressure is measured in millimeters of mercury ...

What is the measurement of blood pressure when the heart contracts?

Hypertension Definitions . Blood pressure is the measurement of blood pressing on the blood vessel walls when the heart contracts, pushing blood through the arteries (systolic pressure) and when the heart is at rest between heart contractions when it is refilling with oxygenated blood (diastolic pressure).

What are the factors that contribute to high blood pressure?

There are many factors that can contribute to or cause high blood pressure and hypertension (e.g., tobacco use or exposure, obesity, stress, pregnancy) and several ICD-10-CM code categories to report them. Documentation is important for code selection in identifying these additional factors.

Is hypertension a causal relationship?

According to the ICD-10-CM Official Coding Guidelines Section 1;C.9.a, a causal relationship is presumed between hypertension and heart involvement as well as hypertension and kidney involvement, even when the provider has not specifically linked the two conditions together in the documentation (unless they are specifically noted as “unrelated”).

What chapter is ICD 10 for pregnancy?

The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.

What is the code for a hospital visit that is not pregnancy related?

If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.

What is the code for Galactorrhea?

Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.

What is the code for velamentous insertion of the umbilical cord?

Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.

What is the code for hydatidiform mole?

Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.

What is the code for ectopic pregnancy?

Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.

When should the code for a C section be sequenced first?

If the patient is admitted with a pregnancy complication which necessitated a Cesarean delivery, the code for the complication should be sequenced first. But if the reason for admission was different from the reason for the C-section, the reason for the admission will be sequenced first.