pre-existing hypertension with pre-eclampsia (. ICD-10-CM Diagnosis Code O11. Pre-existing hypertension with pre-eclampsia. 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code. Includes. conditions in Ol0 complicated by pre-eclampsia. pre-eclampsia superimposed pre-existing hypertension. Use Additional.
2022 ICD-10-CM Codes O11*: Pre-existing hypertension with pre-eclampsia. ICD-10-CM Codes. ›. O00-O9A Pregnancy, childbirth and the puerperium. ›. O10-O16 Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium. ›. Pre-existing hypertension with pre-eclampsia O11.
pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium (. ICD-10-CM Diagnosis Code O11. O11 Pre-existing hypertension with pre-eclampsia. O11.1 Pre-existing hypertension with pre-eclampsia,... O11.2 Pre-existing hypertension with pre-eclampsia,...
2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) pre-existing hypertension with superimposed pre-eclampsia complicating pregnancy, childbirth and the puerperium ( O11 .-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Pre-existing hypertension with pre-eclampsia 1 O11 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM O11 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of O11 - other international versions of ICD-10 O11 may differ.
The 2022 edition of ICD-10-CM O11 became effective on October 1, 2021.
Preeclampsia is a sudden increase in blood pressure after the 20th week of pregnancy. It usually happens in the last trimester. In rare cases, symptoms may not start until after delivery. This is called postpartum preeclampsia.
Many women with mild preeclampsia do not feel ill, and the condition is often first detected through blood pressure and urine testing in their doctor's office. In addition to hypertension and proteinuria, signs and symptoms of preeclampsia can include excessive swelling (edema) of the face or hands and a weight gain of more than 3 to 5 pounds in a week due to fluid retention. Affected women may also experience headaches, dizziness, irritability, shortness of breath, a decrease in urination, upper abdominal pain, and nausea or vomiting. Vision changes may develop, including flashing lights or spots, increased sensitivity to light (photophobia), blurry vision, or temporary blindness.
O11 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pre-existing hypertension with pre-eclampsia. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
You usually don't have any other symptoms. In many cases, it does not harm you or your baby, and it goes away within 12 weeks after childbirth. But it does raise your risk of high blood pressure in the future. It sometimes can be severe, which may lead to low birth weight or preterm birth. Some women with gestational hypertension do go on to develop preeclampsia.
Vision changes may develop, including flashing lights or spots, increased sensitivity to light (photophobia), blurry vision, or temporary blindness.In many cases, symptoms of preeclampsia go away within a few days after the baby is born .
Pregnancy, childbirth and the puerperium ( O00–O99) Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium ( O10-O16) Pre-existing hypertension with pre-eclampsia ( O11)
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
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 of pre-existing in section I.C.15.c of the ICD-10-CM Official Guidelines for Coding and Reporting (FY 2019).
You’ll find the obstetrics codes for hypertensive disorders in the O10–O16 range of ICD-10-CM. Categories O10.- Pre-existing hypertension complicating pregnancy, childbirth and the puerperium and O11. – Pre-existing hypertension with pre-eclampsia are both specific to pre-existing hypertension.
Eclampsia, and O16.-. Unspecified maternal hypertension. Pre-eclampsia and eclampsia are disorders of pregnancy involving high blood pressure and organ damage. Kidney damage is often detected after testing for proteinuria, or urine in the blood. Eclampsia also involves seizures.
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:
Category O11.- applies when the patient has pre-existing hypertension with pre-eclampsia. When you report a code from O11.-, you should use an additional code from O10.- to identify the type of hypertension.
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.