ICD-10 O13.9 is a billable code used to specify a medical diagnosis of gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.
Chronic Hypertension preexisting hypertension in pregnancy. Code 642.1x includes hypertension secondary to renal disease complicating pregnancy. A code from category 405 will be assigned as a secondary diagnosis to identify the type of secondary hypertension present.
O10. 1- Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium.
Essential hypertension is a factor in approximately one percent of pregnancies. To be classed as essential hypertension, the high blood pressure must be pre-existing and have no identifiable cause. Some women develop hypertension during pregnancy; this is a seperate condition called gestational high blood pressure.
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).
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).
When people talk about chronic high blood pressure, they're most often referring to primary hypertension. That's because primary hypertension, also referred to as essential hypertension, accounts for about 95% of hypertension.
Primary Hypertension (Formerly Known as Essential Hypertension) Essential (primary) hypertension occurs when you have abnormally high blood pressure that's not the result of a medical condition. This form of high blood pressure is often due to obesity, family history and an unhealthy diet.
Essential hypertension is high blood pressure that doesn't have a known secondary cause. It's also referred to as primary hypertension. Blood pressure is the force of blood against your artery walls as your heart pumps blood through your body.
It's a condition that can be treated. High blood pressure that doesn't have a known cause is called essential or primary hypertension. In contrast, secondary hypertension has a known cause.
Gestational hypertension, formerly known as pregnancy-induced hypertension or PIH, is the new onset of hypertension after 20 weeks of gestation. The diagnosis requires that the patient have: Elevated blood pressure (systolic ≥ 140 or diastolic ≥ 90 mm Hg, the latter measured using the fifth Korotkoff sound)
Pregnancy-induced hypertension is a rise in blood pressure, without proteinuria, during the second half of pregnancy. Pre-eclampsia is a multisystem disorder, unique to pregnancy, that is usually associated with raised blood pressure and proteinuria. It rarely presents before 20 weeks' gestation.
The 4 categories of hypertensive disorders of pregnancy are chronic hypertension, gestational hypertension, preeclampsia-eclampsia, and chronic hypertension with superimposed preeclampsia. These disorders are among the leading causes of maternal and fetal morbidity and mortality.
ICD-10 Codes for Abortion and High Risk Pregnancy 1 O10–O16, Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and the puerperium. 2 O20–O29, Other maternal disorders predominantly related to pregnancy. 3 O30–O48, Maternal care related to the fetus and amniotic cavity and possible delivery problems. 4 O60–O77, Complications of labor and delivery. 5 O80, O82, Encounter for delivery. 6 O85–O92, Complications predominantly related to the puerperium. 7 O94–O9A, Other obstetric conditions, not elsewhere classified.
Z38.1 is an ICD-10 code that has been mandated with the responsibility of reporting any single live born infant that is born outside the hospital. There are situations where a mother might continue to use alcohol during the periods leading to child birth, during this period a baby may be affected by alcohol.
The major difference that is evident between ICD-10 codes for pregnancy In ICD-9 and ICD-10 is that, ICD-9 obstetrics are mainly classified depending on whether a patient delivered during the encounter While ICD-10 are classified depending on the trimester of 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.
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.
Galactorrhea. Other obstetric conditions, not elsewhere classified (Code range O94-O9A) Sequelae (Late effects) of complication of pregnancy, childbirth, and the puerperium (O94)- Includes conditions or late effects that may occur any time after the puerperium.
Morbidly adherent placenta (Placenta accrete, Placenta increta, Placenta percreta) Placental infarction. Placenta previa (Code range O44.00- O44.53)- Condition in which the placenta is implanted in the lower parts of the uterus.
HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome – (Code range O14.20- O14.25) – A very rare condition seen in pregnant patients mostly with pre-eclampsia usually before the 37 th week of pregnancy.
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.
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.
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:
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 ...
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 essential hypertension complicating pregnancy, 1 O10.01 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 O10.01 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of O10.01 - other international versions of ICD-10 O10.01 may differ.
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.