2025 ICD-10-CM code O14.13
Severe pre-eclampsia, third trimester.
The medical necessity for this code stems from the potentially life-threatening complications of severe pre-eclampsia for both the mother and the fetus.These complications can include stroke, seizures (eclampsia), HELLP syndrome, kidney failure, and placental abruption.Prompt diagnosis and treatment are essential to mitigate these risks. Treatment is medically necessary to prevent serious complications such as seizures, stroke, organ damage in the mother, and fetal growth restriction or death.
Obstetricians and other healthcare professionals managing pregnancies are responsible for diagnosing and managing this condition.It involves monitoring blood pressure, urine protein levels, and assessing for signs of organ damage. Treatment typically includes magnesium sulfate to prevent seizures and delivery of the baby, often prematurely depending on the severity.
In simple words: This code indicates a pregnant woman has severe pre-eclampsia in the last three months of her pregnancy.
Severe pre-eclampsia diagnosed during the third trimester of pregnancy (28 weeks or more).
Example 1: A 32-week pregnant woman presents with a blood pressure of 170/110 mmHg, proteinuria, and headaches. She is diagnosed with severe pre-eclampsia and admitted for management, ultimately requiring delivery at 34 weeks., A woman at 36 weeks gestation develops sudden onset of elevated blood pressure, swelling in her hands and feet, and protein in her urine. Further tests reveal impaired liver function, leading to a diagnosis of severe pre-eclampsia and the decision to induce labor., A pregnant woman in her third trimester experiences persistent headaches, visual disturbances, and swelling.Her blood pressure is consistently elevated above 160/110 mmHg, and lab tests confirm proteinuria and elevated liver enzymes, indicative of severe pre-eclampsia.She is hospitalized for close monitoring and receives magnesium sulfate.Labor is induced for the safety of both mother and baby.
Documentation should include blood pressure readings (two readings at least four hours apart), urine protein levels (either 24-hour urine collection or protein/creatinine ratio), and assessment of symptoms such as headache, visual changes, and right upper quadrant pain.Lab results showing evidence of end-organ damage (e.g., elevated liver enzymes, low platelets) should also be documented.The trimester of pregnancy at the time of diagnosis is crucial.
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine, Hospitalists
- Place of Service:Inpatient Hospital, Office