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 2020 for the submission of HIPAA-covered transactions.
ICD-9-CM diagnosis code | Description | Type of hypertensiona |
---|---|---|
642.3x | Transient hypertension of pregnancy | Gestational |
642.9x | Unspecified hypertension complicating pregnancy, childbirth, and the puerperium | Unspecified |
642.4x | Mild or unspecified pre-eclampsia | Preeclampsia/eclampsia |
642.5x | Severe pre-eclampsia |
High blood pressure can affect a pregnancy by causing adverse effects on both mother and fetus. Chronic hypertension while pregnant may lead to impairment of the fetus’ growth, a higher risk of the placenta separating from the uterus, problems breathing during labor, and other side effects.
Gestational hypertension is a hypertensive disorder that develops about halfway through pregnancy. It occurs in about 5 to 8 percent of all pregnancies and usually goes away after pregnancy. If it does not, the diagnosis is changed to chronic hypertension. Gestational hypertension can develop into preeclampsia.
9: Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester.
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).
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 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.
Pregnancy-induced hypertension is also called toxemia or preeclampsia. It occurs most often in young women with a first pregnancy. It is more common in twin pregnancies, and in women who had PIH in a previous pregnancy.
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.
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.
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.
Pregnancy-induced hypertension (PIH) is defined as hypertension (blood pressure ≥ 140/90 mmHg) with or without proteinuria (≥300 mg/24 h) emerging after 20 weeks of gestation.
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.
In women with mild gestational hypertension, induction on or after 37 weeks leads to a decreased risk of a composite of maternal morbidity and mortality compared with expectant management (SOR: B, randomized controlled trial).
Gestational [pregnancy-induced] hypertension without significant proteinuria O13- 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.
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.
Code 642.9x is assigned if hypertension is documented during the current pregnancy, but it is not specified as transient/gestational or preexisting.
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. An additional code may also be assigned to identify the type of renal failure present, if any.
Eclampsia without mention of preexisting hypertension is classified to code 642.6x. Gestational hypertension may be diagnosed when the patient experiences elevated blood pressure without proteinuria. The elevated blood pressure is mild and typically occurs in the later stages of pregnancy.
Vol. 19 No. 3 P. 32. Preeclampsia is defined as a patient experiencing elevated blood pressure with excess protein in the urine after 20 weeks of pregnancy. Also called toxemia, this condition typically occurs in the second half of pregnancy and can be classified as mild or severe.
Chronic hypertension is elevated blood pressure that appears before 20 weeks of pregnancy and lasts more than 12 weeks after delivery. This type of hypertension is not typically caused by pregnancy but may not be diagnosed until the hypertension doesn’t resolve after delivery.
A normal blood pressure reading is typically less than 130/85 millimeters of mercury (mm/Hg). Therefore, 140/90 mmHg is above normal. Urine tests are also performed to check for the presence of excess protein. Complications.
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. In this situation ICD-1O code P04.3 will be used to specify the condition. If a new born is born with low weight, P07.16 will be used in this case while P96.1 will be used for any form of Neonatal withdrawal symptoms from maternal use of drugs and addiction.
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.
O20–O29, Other maternal disorders predominantly related to pregnancy.
ICD-10 codes are the latest version of codes for medical billing and coding that are set to take over from ICD-9 as of the 1st of October 2014. There has been an expansion in the codes with ICD-10 set to boost of 68,000 codes as compared to 13000 in ICD-9.
There was need to revise the ICD codes to reflect the advances in medicine and medical technology to capture more health conditions affecting different patients. ICD-10 is especially beneficial for obstetrics and gynecology coding as it provides more clarity. Some of the obstetrical coding that will be evident in ICD-10 includes the elimination of episodes of care for obstetric codes and changes in time frames:
O13.9 is a valid billable ICD-10 diagnosis code for Gestational [pregnancy-induced] hypertension without significant proteinuria, unspecified trimester . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: