O11.4 Pre-existing hypertension with pre-eclampsia, complicating childbirth

ICD10CM code

#### Name of the Condition
- Pre-existing hypertension with pre-eclampsia, complicating childbirth
- **ICD Code:** O11.4

#### Summary
Pre-existing hypertension with pre-eclampsia is a condition where a pregnant woman with pre-existing high blood pressure develops pre-eclampsia during childbirth. Pre-eclampsia is characterized by increased blood pressure and proteinuria (excess protein in urine) and can pose serious risks to both the mother and baby.

#### Causes
- Pre-existing high blood pressure before pregnancy.
- The exact cause of pre-eclampsia is not fully understood but is believed to involve abnormal development of the placenta and immune system factors.

#### Risk Factors
- History of high blood pressure.
- Previous pregnancies with pre-eclampsia.
- Obesity or excessive weight gain during pregnancy.
- Maternal age above 35 or under 18.
- Multiple gestation (twins or more).

#### Symptoms
- High blood pressure.
- Protein in the urine.
- Swelling in hands, feet, and face.
- Severe headaches and vision changes.
- Abdominal pain, especially under the ribs.

#### Diagnosis
- Regular monitoring of blood pressure and urine protein levels during prenatal visits.
- Blood tests to assess kidney and liver function.
- Ultrasound to monitor the baby's growth and amniotic fluid levels.

#### Treatment Options
- Antihypertensive medications to manage blood pressure.
- Corticosteroids for lung development in the baby if early delivery is necessary.
- Careful monitoring of both the mother and the fetus, possibly including hospitalization.
- Delivery of the baby is the definitive treatment for pre-eclampsia and may be necessary if symptoms are severe or worsen.

#### Prognosis and Follow-Up
- With proper management, most women can deliver healthy babies.
- Regular follow-up is crucial postpartum to monitor blood pressure and assess for complications.
- Long-term monitoring for cardiovascular health may be recommended.

#### Complications
- Eclampsia (seizures) if pre-eclampsia worsens.
- HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count).
- Increased risk for placental abruption, premature birth, and stillbirth.

#### Lifestyle & Prevention
- Maintain a healthy weight and diet before and during pregnancy.
- Moderate exercise, as advised by a healthcare provider.
- Regular prenatal appointments for early detection and management.

#### When to Seek Professional Help
- Persistent severe headaches or vision problems.
- Sudden, severe swelling, particularly if accompanied by a rapid weight gain.
- Reduced fetal movements.

#### Additional Resources
- [Preeclampsia Foundation](https://www.preeclampsia.org/)
- [American College of Obstetricians and Gynecologists](https://www.acog.org/)

#### Tips for Medical Coders
- Ensure the coding reflects both the pre-existing hypertension and the development of pre-eclampsia.
- Verify the coding accurately captures the complication during childbirth.
- Double-check for additional codes if other maternal or fetal complications are present.

Medical Policies and Guidelines for Pre-existing hypertension with pre-eclampsia, complicating childbirth

Related policies from health plans

Similar Codes