2025 ICD-10-CM code O12.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth, and the puerperium - Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium (O10-O16) Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A) Feed
Gestational edema with proteinuria.
The medical necessity for coding O12.2 is established by the presence of clinical findings suggestive of gestational edema with proteinuria, as confirmed by physical examination and laboratory tests.Documentation should support the clinical need for evaluation and management of this condition during pregnancy.
Obstetrician/Gynecologist
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O10-O16: Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
In simple words: This code describes swelling and protein in the urine during pregnancy, but without high blood pressure.It's only used for the mother's medical record.
This code is used to classify cases of gestational edema (swelling) accompanied by proteinuria (protein in the urine) during pregnancy.It is specifically for instances where these conditions occur without the presence of hypertension (high blood pressure).This diagnosis should only be applied to maternal records and not to newborn records.The presence and severity of edema and proteinuria should be documented.
Example 1: A 30-year-old pregnant woman at 26 weeks gestation presents with significant lower extremity edema and a urine dipstick showing 2+ protein. Blood pressure is within normal limits. Code O12.2 is appropriate., A 25-year-old pregnant woman at 32 weeks gestation reports mild ankle swelling and increased urination.Urinalysis reveals 1+ protein. Blood pressure is normal.Code O12.2 is assigned.Further monitoring is advised., A 35-year-old patient at 38 weeks gestation presents with facial swelling and generalized edema.Urinalysis shows moderate proteinuria.Blood pressure remains stable. Code O12.2 is assigned along with additional codes as clinically indicated to fully reflect the patient's condition.
Complete documentation of the physical examination focusing on edema (location, severity), urinalysis results with quantification of protein, blood pressure readings, and gestational age are necessary.Any other relevant findings or comorbidities should be documented.
** This code should be used cautiously and in conjunction with comprehensive clinical documentation.It's important to distinguish this code from conditions involving hypertension (O14) or pre-existing hypertension with superimposed proteinuria (O11).
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Birthing Center