Hydrops fetalis — or hydrops — is a condition in which large amounts of fluid build up in a baby's tissues and organs, causing extensive swelling (edema).
Immune hydrops is caused by an incompatibility of red blood cells between the mother and her unborn baby. That incompatibility leads to the destruction of a large number of the baby's red blood cells (also known as hemolytic disease).
ICD-10-CM Code for Gestational edema O12. 0.
Immune pathophysiology Erythroblastosis fetalis, also known as Rh disease, is the only immune cause of hydrops fetalis. Rh disease is a hemolytic disease of newborns.
Hydrops due to chromosomal abnormalities is usually detected during early pregnancy, whereas cardiac causes are detected in the second or third trimester. Hence, a detailed prenatal workup should be done in suspected cases.
Hydrops fetalis is severe swelling (edema) in an unborn baby or a newborn baby. It is a life-threatening problem. Hydrops develops when too much fluid leaves the baby's bloodstream and goes into the tissues. Treatment of hydrops depends on the cause.
Pregnancy related conditions, unspecified, unspecified trimester. O26. 90 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 O26.
Z34. 90 - Encounter for supervision of normal pregnancy, unspecified, unspecified trimester. ICD-10-CM.
Swelling is caused by your body holding more water than usual when you're pregnant. Throughout the day the extra water tends to gather in the lowest parts of the body, especially if the weather is hot or you have been standing a lot. The pressure of your growing womb can also affect the blood flow in your legs.
Prenatal diagnosis of hydrops fetalis Doctors diagnose hydrops prenatally using an ultrasound. If there is abnormal or increased fluid collection in at least two fetal body spaces, the diagnosis can be made. If fluid accumulation only occurs in one area, doctors cannot make the diagnosis of hydrops.
Sonographic features can be similar for both immune and non-immune hydrops and include: increased amniotic fluid volumes. increased nuchal translucency (especially 1st trimester 5) larger placental size (placentomegaly) / increased placental thickness (placental edema)
All pregnancies with nonimmune hydrops resulted in abortion, intrauterine fetal death, or termination of the pregnancy. Conclusion: Fetal hydrops diagnosed in the first trimester of gestation is associated with a higher incidence of aneuploidy, and it has a high mortality, even in fetuses with normal chromosomes.
The outlook for hydrops fetalis depends on the underlying condition, but even with treatment, the survival rate for the baby is low. Only about 20 percent of babies diagnosed with hydrops fetalis before birth will survive to delivery, and of those babies, only half will survive after delivery.
A series of 1790 fetal and neonatal autopsies performed between 1976 and 1988 were retrospectively investigated for the presence of hydrops. Thirty (5.5%) and 35 (2.8%) cases of hydrops were found in the groups of fetal and neonatal autopsies, respectively. Genetic causes accounted for 35%.
Sonographic features can be similar for both immune and non-immune hydrops and include: increased amniotic fluid volumes. increased nuchal translucency (especially 1st trimester 5) larger placental size (placentomegaly) / increased placental thickness (placental edema)
the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
NEC Not elsewhere classifiable This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
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.
The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records.
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.
Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.
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.