Gestational Hypertension also referred to as Pregnancy-Induced Hypertension (PIH) is a condition characterized by high blood pressure during pregnancy. Gestational Hypertension can lead to a serious condition called Preeclampsia, also referred to as Toxemia.
Gestational hypertension is high blood pressure without protein in the urine or other organ damage during pregnancy. A percentage of women (10 to 25 percent) with gestational hypertension can progress to having preeclampsia.
"O13. 3 - Gestational [pregnancy-induced] Hypertension Without Significant Proteinuria, Third Trimester." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.
Superimposed preeclampsia (on chronic hypertension) is characterized by (1) new onset proteinuria (≥300 mg/24 h) in a woman with hypertension but no proteinuria before 20 weeks' gestation and (2) a sudden increase in proteinuria or BP, or a platelet count of less than 100,000/mm3, in a woman with hypertension and ...Nov 29, 2018
Gestational hypertension: High blood pressure is noted in the latter part of pregnancy, but no other signs or symptoms of preeclampsia are present. Some women will later develop preeclampsia, while others probably have high blood pressure (chronic hypertension) before the pregnancy.Jan 21, 2019
After 20 weeks of pregnancy, blood pressure that exceeds 140/90 mm Hg — documented on two or more occasions, at least four hours apart, without any other organ damage — is considered to be gestational hypertension.
Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester. O13. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
That code is I10, Essential (primary) hypertension. As in ICD-9, this code includes “high blood pressure” but does not include elevated blood pressure without a diagnosis of hypertension (that would be ICD-10 code R03. 0).
Risk factorsPreeclampsia in a previous pregnancy.Being pregnant with more than one baby.Chronic high blood pressure (hypertension)Type 1 or type 2 diabetes before pregnancy.Kidney disease.Autoimmune disorders.Use of in vitro fertilization.Apr 15, 2022
Superimposed preeclampsia is preeclampsia complicating hypertension of another cause, most commonly chronic or "essential" hypertension.
Superimposed preeclampsia refers to women with chronic arterial hypertension (primary or secondary) who develop preeclampsia (PE). Because hypertension affects 5-15 % of pregnancies, it is itself a matter of concern.
Preeclampsia: Lab abnormalitiesProteinuria of: >300 mg/24 h (mild preeclampsia) >5 g/24 h (severe preeclampsia) Urine dipstick >1+Protein/creatinine ratio >0.3.Serum uric acid >5.6 mg/dL.Serum creatinine >1.2 mg/dL.Low platelets/coagulopathy.Platelet count <100,000/mm3.Elevated PT or aPTT.Decreased fibrinogen.More items...
Gestational [pregnancy-induced] hypertension without significant proteinuria 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.
Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days. 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days. 3rd trimester- 28 weeks 0 days until delivery. Type 1 Excludes. supervision of normal pregnancy ( Z34.-)
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. O13 should not be used for reimbursement purposes as there are multiple code s below it that contain a greater level of detail. Short description: Gestational hypertension without significant proteinuria.
Gestational hypertension is high blood pressure that you develop while you are pregnant. It starts after you are 20 weeks pregnant. 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.
This is called postpartum preeclampsia. Preeclampsia also includes signs of damage to some of your organs, such as your liver or kidney. The signs may include protein in the urine and very high blood pressure. Preeclampsia can be serious or even life-threatening for both you and your baby.
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.
About 1 in 200 women with untreated preeclampsia develop eclampsia. Eclampsia can also develop without any obvious signs of preeclampsia.Between 10 and 20 percent of women with severe preeclampsia develop another potentially life-threatening complication called HELLP syndrome.
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)
Your health care provider will check your blood pressure and urine at each prenatal visit. If your blood pressure reading is high (140/90 or higher), especially after the 20th week of pregnancy, your provider will likely want to run some tests.
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 ...
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:
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.