Unsp pre-existing hypertension complicating the puerperium; Pre-existing hypertension complicating and/or reason for care during puerperium; Preexisting high blood pressure, postpartum (after childbirth) ICD-10-CM Diagnosis Code I97.3 [convert to ICD-9-CM]
Hypertension in Pregnancy Codes (ICD 10) Pre-existing hypertension complicating pregnancy, childbirth and the puerperium O10.011 O10.012
Unspecified maternal hypertension, unspecified trimester. O16.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM O16.9 became effective on October 1, 2018.
Short description: Elevated blood-pressure reading, w/o diagnosis of htn. The 2019 edition of ICD-10-CM R03.0 became effective on October 1, 2018. This is the American ICD-10-CM version of R03.0 - other international versions of ICD-10 R03.0 may differ.
Z39ICD-10 code Z39 for Encounter for maternal postpartum care and examination is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Gestational [pregnancy-induced] hypertension without significant proteinuria, third trimester- O13. 3- Codify by AAPC.
O14. 15 - Severe pre-eclampsia, complicating the puerperium. ICD-10-CM.
You're at increased risk of postpartum preeclampsia if you developed high blood pressure after 20 weeks of pregnancy (gestational hypertension). Obesity. The risk of postpartum preeclampsia is higher if you're obese. Having multiples.
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).
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.
Preeclampsia and eclampsia are pregnancy-related high blood pressure disorders. Preeclampsia is a sudden spike in blood pressure. Eclampsia is more severe and can include seizures or coma.
Criteria for hypertension — During pregnancy, hypertension is defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg. Severe hypertension is defined as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg.
Essential (primary) hypertension: I10 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).
Postpartum hypertension may persist for several weeks Gestational hypertension and preeclampsia (two common causes of persisting postpartum hypertension) usually resolve by 12 weeks.
Postpartum preeclampsia may be treated with medication, including:Medication to lower high blood pressure. If your blood pressure is dangerously high, your health care provider might prescribe a medication to lower your blood pressure (antihypertensive medication).Medication to prevent seizures.
Sign and symptoms of preeclampsia most often go away within 6 weeks after delivery. However, the high blood pressure sometimes gets worse the first few days after delivery. You are still at risk for preeclampsia for up to 6 weeks after delivery. This postpartum preeclampsia carries a higher risk of death.
Unspecified maternal hypertension, complicating the puerperium 1 O16.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Unspecified maternal hypertension, comp the puerperium 3 The 2021 edition of ICD-10-CM O16.5 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of O16.5 - other international versions of ICD-10 O16.5 may differ.
The 2022 edition of ICD-10-CM O16.5 became effective on October 1, 2021.
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.
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).
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.
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.
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.
The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records.
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.
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.
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.