The only real cure for preeclampsia is delivery. It can also result in death to either the mother or the baby. Selection of Trimester for Inpatient Admissions that Encompass More than One Trimester This new guideline for selection of trimester for inpatient admissions that encompass more than one trimester is applicable for those situations in which a patient is admitted to the hospital for pregnancy complication s during one trimester and remains in the hospital into a subsequent trimester. For instance: An example of a final, complete code is O10. A note at the beginning of Chapter 15 defines the timeframes for the three trimesters. When you report a code from O11. If left untreated, it may result in seizures at which point it is known as eclampsia.
For example, a patient at 27 weeks and five days gestation is admitted to the hospital with complications from a bladder infection and pre-existing essential hypertension. In severe disease there may be red blood cell breakdown, a low blood platelet count, impaired liver function, kidney dysfunction, swelling, shortness of breath due to fluid in the lungs, or visual disturbances. The center for disease Control and prevention puts the number of Americans who suffer from hypertension at 67 million translating to 31% of all adults. And once you use a code from O10. Note: benign or unspecified preexisting hypertension in pregnancy is classified to code 642.
The other one is known as secondary hypertension. The patient is treated and remains in the hospital for four days. The other categories in the range include O14. Scenario 2 Premature delivery at 33 weeks; face presentation; cord around neck without compression; single liveborn. Several abnormal readings need to be recorded before the physician will diagnose the condition. There are two main types of hypertension, primary hypertension which has been known to grow gradually with time.
Hypertension causes the heart to work harder to pump blood to the entire body which most of the time result in left sided heart failure. A secondary code from category F17, Nicotine dependence, should also be assigned to identify the type of nicotine dependence. It is estimated that more women than men suffer from Hypertensive condition with a high prevalence in people above the ages of 65. You can use additional code 150 to identify heart failure. Urine tests are also performed to check for the presence of excess protein.
Pregnancy, delivered at 39 weeks of gestation; single liveborn; alcohol abuse. In this situation, the trimester character for the antepartum complication code should be assigned based on the trimester when the complication developed, not the trimester of discharge. The patient is 28 weeks and two days gestation at the time of discharge. Pre-eclampsia and eclampsia are disorders of pregnancy involving high blood pressure and organ damage. . Term tips: Pre-existing means that the mother had the condition prior to pregnancy.
National Center for Health Statistics. Possible causes of preeclampsia include poor nutrition, high body fat, and insufficient blood flow to the uterus. Coding and sequencing for pregnancy-related hypertension are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. Kidney damage is often detected after testing for proteinuria, or urine in the blood. The following diagnoses are included in code 642. Diagnosis Preeclampsia is most frequently diagnosed during a routine prenatal checkup.
The answer will lead you to the correct additional characters required to make your code reportable and valid. Hypertension is a common diagnosis, so a lot of specialties have to understand the rules for coding this condition. Two codes are needed for the cord around neck without compression since the documentation indicates that both fetus one and fetus two were affected by the complication. More information about 3M Health Information Systems is available at or by calling 800-367-2447. Both types of hypertension are known to considerably hurt the arteries acting as a major cause for strokes, heart attacks, kidney failure and blindness.
It can permanently damage vital organs, cause brain damage, or cause the patient to slip into a coma. If a patient with preexisting hypertension develops preeclampsia or eclampsia during the current pregnancy, code 642. The appropriate code assignment for chronic hypertension in pregnancy depends on the type of hypertension. Scenario 2 This scenario offers an additional example of how to code encounters following this guideline. The elevated blood pressure is mild and typically occurs in the later stages of pregnancy.
How did you learn the coding rules for your specialty? A secondary code from category F10, Alcohol related disorders, is also assigned to identify manifestations of the alcohol use. The disorder usually occurs in the third trimester of pregnancy and worsens over time. Pregnancy, delivered at 39 weeks of gestation; single liveborn; tobacco dependence; patient smokes two packs of cigarettes daily. Eclampsia is defined as preeclampsia plus seizures. Eclampsia without mention of preexisting hypertension is classified to code 642. Also called toxemia, this condition typically occurs in the second half of pregnancy and can be classified as mild or severe.