icd-10 code for hypertension in pregnancy

by Prof. Gladys Lindgren I 4 min read

Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester. O13. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for obesity in pregnancy?

  • E66.0 Obesity due to excess calories E66.01 Morbid (severe) obesity due to excess calories E66.09 Other obesity due to excess calories
  • E66.1 Drug-induced obesity
  • E66.2 Morbid (severe) obesity with alveolar hypoventilation
  • E66.3 Overweight
  • E66.8 Other obesity
  • E66.9 Obesity, unspecified

How to manage pregnancy induced hypertension?

  • Main categories of hypertensive disease in pregnancy: chronic, gestational, pre-eclampsia
  • Pre-eclampsia remains an important cause of maternal death in the UK
  • No antihypertensive has been shown to be teratogenic, but angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are fetotoxic

More items...

What is the ICD 10 code for high risk pregnancy?

  • O00–O08, Pregnancy with abortive outcome
  • O09, Supervision of high-risk pregnancy
  • O10–O16, Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and the puerperium
  • O20–O29, Other maternal disorders predominantly related to pregnancy
  • O30–O48, Maternal care related to the fetus and amniotic cavity and possible delivery problems

More items...

How to code renal disease in pregnancy?

  • renal disease aetiology and mechanisms of disease progression
  • factors influencing outcomes in women with dialysis, transplantation
  • optimal schedule of care in pregnancy
  • optimal management of hypertension, proteinuria, medications, anaemia, vitamin D concentrations
  • impact of kidney donation on pregnancy and renal outcomes

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What is the ICD-10 code for gestational hypertension?

O13. 9 - Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester | ICD-10-CM.

What are the four different types of hypertension in pregnancy?

What are the types of high blood pressure during pregnancy?Gestational hypertension. Women with gestational hypertension have high blood pressure that develops after 20 weeks of pregnancy. ... Chronic hypertension. ... Chronic hypertension with superimposed preeclampsia. ... Preeclampsia.

What is the ICD-10 code for high risk pregnancy?

O09. 90 - Supervision of high risk pregnancy, unspecified, unspecified trimester. ICD-10-CM.

What is pregnancy included hypertension?

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).

What is the difference between preeclampsia and gestational hypertension?

Gestational hypertension is diagnosed when blood pressure readings are higher than 140/90 mm Hg in a woman who had normal blood pressure prior to 20 weeks and has no proteinuria (excess protein in the urine). Preeclampsia is diagnosed when a woman with gestational hypertension also has increased protein in her urine.

What is the difference between chronic hypertension and gestational hypertension?

Chronic Hypertension– Women who have high blood pressure (over 140/90) before pregnancy, early in pregnancy (before 20 weeks), or continue to have it after delivery. Gestational Hypertension– High blood pressure that develops after week 20 in pregnancy and goes away after delivery.

What does high risk mean in pregnancy?

A high-risk pregnancy is a pregnancy that involves increased health risks for the pregnant person, unborn baby or both. Certain health conditions and your age (being over 35 or under 17 when pregnant) can make a pregnancy high risk. These pregnancies require close monitoring to reduce the chance of complications.

What qualifies high risk pregnancy?

You may be considered high-risk if you have a history of miscarriage, preterm labor, or cesarean delivery. Likewise, if you've already had one child with a birth defect, any subsequent pregnancies may be treated as high-risk.

How do you code pregnancy?

OB Diagnoses Coding with ICD-10-CM. Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, “Pregnancy, Childbirth, and the Puerperium.” It includes categories O00–O9A arranged in the following blocks: O00–O08, Pregnancy with abortive outcome. O09, Supervision of high-risk pregnancy.

What is the difference between eclampsia and preeclampsia?

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.

How is gestational hypertension diagnosed?

How is gestational hypertension diagnosed?Blood pressure readings.Urine testing to check for protein, which is a sign that your kidneys aren't working well.Checking for swelling.Checking your weight more often.Liver and kidney function tests.Blood clotting tests.

When will the ICD-10-CM O13.9 be released?

The 2022 edition of ICD-10-CM O13.9 became effective on October 1, 2021.

How many weeks are in the first trimester?

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.-)

What chapter is ICD 10 for 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.

What is the code for pre-existing hypertension?

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.

What chapter does the Puerperium code?

The chapter 15- Pregnancy, Childbirth, and the Puerperium codes can be used only to code the maternal records and never the newborn records.

What is high risk pregnancy?

A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.

What is the code for complications following termination of pregnancy?

Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.

What is the code for hydatidiform mole?

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.

What is the code for ectopic pregnancy?

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.

What is the ICd 10 code for hypertension?

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.

What does "pre-existing" mean in ICd 10?

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).

Why do you need to code for pre-existing heart disease?

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:

Is hypertension a common diagnosis?

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.

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