What do you do when you take a positive pregnancy test?
What are types of high blood pressure conditions before, during, and after pregnancy?
The elevated blood pressure is mild and typically occurs in the later stages of pregnancy. Gestational hypertension can lead to preeclampsia. Assign code 642.3x for gestational hypertension. Code 642.3x also includes documentation of transient hypertension in pregnancy and pregnancy-induced hypertension.
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.
019: Pre-existing essential hypertension complicating pregnancy, unspecified trimester.
ICD-10 code Z36 for Encounter for antenatal screening of mother is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
R03. 0: Elevated blood-pressure reading, without diagnosis of hypertension.
R03. 0 - Elevated blood-pressure reading, without diagnosis of hypertension. ICD-10-CM.
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.
Pregnancy-induced hypertension (PIH) complicates 6-10% of pregnancies. It is defined as systolic blood pressure (SBP) >140 mmHg and diastolic blood pressure (DBP) >90 mmHg. It is classified as mild (SBP 140-149 and DBP 90-99 mmHg), moderate (SBP 150-159 and DBP 100-109 mmHg) and severe (SBP ≥ 160 and DBP ≥ 110 mmHg).
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.
9: Antenatal screening, unspecified.
9.
Pregnancy Test: CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed.
Gestational [pregnancy-induced] hypertension without significant proteinuria O13- 1 A condition in pregnant women with elevated systolic (>140 mm hg) and diastolic (>90 mm hg) blood pressure on at least two occasions 6 h apart. Hypertension complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. Gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as edema; proteinuria; seizures; abnormalities in blood coagulation and liver functions. 2 The most common complication of pregnancy. It may appear as chronic hypertension or preeclampsia. It may cause brain hemorrhage, pulmonary edema, abruptio placentae, gestational diabetes mellitus, renal failure, premature delivery and fetal growth abnormalities.
Hypertension complicates 8-10% of all pregnancies, generally after 20 weeks of gestation. Gestational hypertension can be divided into several broad categories according to the complexity and associated symptoms, such as edema; proteinuria; seizures; abnormalities in blood coagulation and liver functions.
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.
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.
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.
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.
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.
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.
Coding for Pregnancy is sometimes difficult as there are multiple factors that need to be taken into consideration like the trimester, fetus identification, whether it is a high risk pregnancy or a normal pregnancy and other additional code like the code for the weeks of gestation from chapter 22.
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:
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 ...
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.