ICD-10 Coding for Elevated Blood Pressure in Pregnancy(O13.9, O10.0)
Complete ICD-10-CM coding and documentation guide for Elevated Blood Pressure in Pregnancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Blood Pressure in Pregnancy
O10-O16Primary Range
Hypertensive disorders in pregnancy, childbirth, and the puerperium
This range includes all hypertensive conditions related to pregnancy, including gestational hypertension and pre-existing hypertension.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O13.9 | Gestational hypertension without significant proteinuria, unspecified trimester | Use when a pregnant patient develops hypertension after 20 weeks without proteinuria. |
|
| O10.0 | Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium | Use for patients with a history of hypertension prior to pregnancy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for elevated blood pressure in pregnancy
Essential facts and insights about Elevated Blood Pressure in Pregnancy
Primary ICD-10-CM Codes for elevated blood pressure in pregnancy
Decision Criteria
clinical Criteria
- BP readings ≥140/90 mmHg on two occasions at least 4 hours apart after 20 weeks.
documentation Criteria
- Document absence of proteinuria and specify gestational age.
Applicable To
- Gestational hypertension
- Pregnancy-induced hypertension
Clinical Validation Requirements
- BP ≥140/90 mmHg after 20 weeks of gestation
- No significant proteinuria (urine protein <300mg/24hr)
Code-Specific Risks
- Misclassification if proteinuria is present
- Incorrect trimester documentation
Coding Notes
- Ensure accurate documentation of BP readings and absence of proteinuria.
O10.0 - Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium
Use for patients with a history of hypertension prior to pregnancy.
Applicable To
- Chronic hypertension
- Essential hypertension
Excludes
- Gestational hypertension (O13.-)
- Pre-eclampsia (O14.-)
Clinical Validation Requirements
- Hypertension diagnosed before pregnancy or before 20 weeks of gestation
Coding Notes
Ensure documentation of hypertension history and any related complications.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Blood Pressure in Pregnancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O13.9.
Impact
Clinical: Inaccurate clinical assessment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include Z3A code for gestational age, Verify documentation completeness
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O14.- for pre-eclampsia if proteinuria ≥300mg/24hr is present.
Impact
Using O13.9 without proper documentation of BP and proteinuria.
Mitigation Strategy
Implement regular training on documentation standards.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Elevated Blood Pressure in Pregnancy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Blood Pressure in Pregnancy
Use these documentation templates to ensure complete and accurate documentation for Elevated Blood Pressure in Pregnancy. These templates include all required elements for proper coding and billing.
Gestational Hypertension Documentation
Specialty: ObstetricsRequired Elements
- BP readings
- Proteinuria test results
- Gestational age
- Symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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