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2025 ICD-10-CM code O15.02

Eclampsia complicating pregnancy, second trimester.

Code O15.02 should only be used on the maternal record, never on the newborn record.Use additional code, if applicable, from category Z3A (Weeks of gestation) to identify the specific week of the pregnancy, if known.If there is documentation of pre-eclampsia along with the eclampsia, assign a code from category O14 as an additional diagnosis.

Eclampsia is a serious medical emergency that can have significant negative impacts on both the mother and the developing fetus. Therefore, immediate medical intervention is necessary to stabilize the patient and prevent further complications such as stroke, placental abruption, or even death.

The healthcare provider managing the pregnancy is responsible for diagnosing and treating eclampsia. This often involves an obstetrician, maternal-fetal medicine specialist, or other healthcare professionals specializing in high-risk pregnancies.Treatment includes managing seizures, controlling blood pressure, and potentially delivering the baby, depending on the severity of the condition and gestational age.

In simple words: This code indicates that the patient, who is in her second trimester of pregnancy (between week 14 and week 28), experienced seizures due to a severe form of pregnancy-induced high blood pressure called eclampsia.

Eclampsia is a severe complication of preeclampsia characterized by seizures. This code specifies that the eclampsia is occurring during the second trimester of pregnancy (14 weeks 0 days to less than 28 weeks 0 days).

Example 1: A 22-year-old pregnant woman at 20 weeks gestation presents to the emergency room with a blood pressure of 180/120 mmHg, severe headache, and visual disturbances. She begins experiencing generalized tonic-clonic seizures. She is diagnosed with eclampsia in the second trimester (O15.02) and preeclampsia (O14.1), A pregnant woman at 16 weeks gestation, with known chronic hypertension, arrives at the hospital with a blood pressure of 160/110 and protein in her urine. After admission, she develops a seizure, which is diagnosed as eclampsia and treated with magnesium sulfate., A 30-year-old woman, G2P1, at 25 weeks gestation develops sudden onset seizures at home. Upon arrival at the hospital, her blood pressure is 170/110. Blood tests reveal elevated liver enzymes and low platelets. She is diagnosed with HELLP syndrome (O14.13) and eclampsia.

Documentation should include the following:* Elevated blood pressure readings.* Presence of proteinuria.* Description of seizure activity.* Other symptoms such as headache, visual changes, or right upper quadrant pain.* Laboratory findings.* Treatment provided, including medication administration and fetal monitoring.

** This code is specifically for eclampsia occurring in the second trimester. It's important to distinguish this from eclampsia occurring at other times during pregnancy (O15.01, O15.03, O15.9).

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