Understanding Pregnancy Hypertension: Find information on gestational hypertension, preeclampsia, eclampsia, chronic hypertension in pregnancy, and blood pressure management during pregnancy. This resource covers clinical documentation, medical coding (ICD-10 codes O10, O11, O13, O14, O15, O16), diagnostic criteria, and treatment guidelines for healthcare professionals. Learn about pregnancy-induced hypertension, severe preeclampsia symptoms, and postpartum preeclampsia management for optimal patient care.
Also known as
Pre-existing hypertension complicating pregnancy
High blood pressure present before pregnancy or diagnosed within the first 20 weeks.
Gestational hypertension with proteinuria
High blood pressure developing after 20 weeks of pregnancy with protein in urine.
Pre-eclampsia
Pregnancy-specific high blood pressure with organ damage, often involving kidneys.
Eclampsia
Most severe form of pregnancy hypertension, involving seizures.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hypertension chronic?
Yes
Superimposed preeclampsia?
No
Gestational hypertension?
When to use each related code
| Description |
|---|
| Pregnancy-induced hypertension |
| Gestational hypertension with proteinuria |
| Chronic hypertension complicating pregnancy |
Coding hypertension without specifying pre-existing, gestational, or pre-eclampsia risks incorrect reimbursement and quality metrics.
Failing to distinguish pre-eclampsia superimposed on chronic hypertension leads to underreporting severity and impacts patient safety.
Miscoding transient gestational hypertension as chronic hypertension can affect long-term patient care and research data accuracy.
Patient presents with pregnancy-induced hypertension (PIH), also known as gestational hypertension. Onset of elevated blood pressure (BP) documented after 20 weeks gestation, with readings consistently at or above 140 systolic andor 90 diastolic. No proteinuria or other signs or symptoms of preeclampsia currently noted. Patient denies headaches, visual disturbances, or right upper quadrant pain. Prior to 20 weeks, blood pressure was consistently within normal limits. Family history includes hypertension in mother and maternal grandmother. Medical history is significant for seasonal allergies, managed with over-the-counter antihistamines. Current medications include prenatal vitamins. Physical examination reveals normal fetal heart tones and fundal height appropriate for gestational age. Differential diagnoses considered include chronic hypertension, preeclampsia, and gestational transient hypertension. Plan includes close monitoring of blood pressure, both at home and during prenatal visits. Patient educated on symptoms of preeclampsia and instructed to report any changes immediately. Repeat blood pressure measurements scheduled in one week. Laboratory testing ordered: complete blood count (CBC), comprehensive metabolic panel (CMP), and 24-hour urine protein. ICD-10 code O13.9, Pregnancy-induced hypertension, unspecified, assigned. Monitoring for progression to preeclampsia or eclampsia is crucial for appropriate management and billing and coding. Treatment plan will be adjusted based on laboratory results and ongoing blood pressure readings. Patient counseled on the importance of lifestyle modifications, including sodium restriction and increased rest. Follow-up appointment scheduled in one week to review lab results and reassess blood pressure.