ICD-10 Coding for Postpartum Preeclampsia(O14.95, O14.25, O15.2)
Complete ICD-10-CM coding and documentation guide for Postpartum Preeclampsia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Postpartum Preeclampsia
O14.9-O15.2Primary Range
Hypertensive disorders in pregnancy, childbirth, and the puerperium
This range includes codes for preeclampsia and eclampsia during the postpartum period.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O14.95 | Unspecified pre-eclampsia, complicating the puerperium | Use when postpartum preeclampsia is diagnosed without HELLP syndrome. |
|
| O14.25 | HELLP syndrome, complicating the puerperium | Use when HELLP syndrome is diagnosed postpartum. |
|
| O15.2 | Eclampsia complicating the puerperium | Use when seizures occur postpartum with preeclampsia. |
|
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 postpartum preeclampsia
Essential facts and insights about Postpartum Preeclampsia
Primary ICD-10-CM Codes for postpartum preeclampsia
Decision Criteria
clinical Criteria
- BP ≥140/90 mmHg and proteinuria postpartum
Applicable To
- Postpartum preeclampsia without HELLP syndrome
Clinical Validation Requirements
- BP ≥140/90 mmHg postpartum
- Proteinuria (dipstick ≥1+ or 24h ≥300 mg)
Code-Specific Risks
- Incorrectly using O14.90 for postpartum cases
Coding Notes
- Ensure documentation specifies 'postpartum' or 'puerperium'.
O14.25 - HELLP syndrome, complicating the puerperium
Use when HELLP syndrome is diagnosed postpartum.
Applicable To
- Postpartum HELLP syndrome
Excludes
- Eclampsia (O15.2)
Clinical Validation Requirements
- Platelets <100,000/μL
- AST/ALT >70 U/L
- LDH >600 U/L
Coding Notes
Document all three HELLP criteria for accurate coding.
O15.2 - Eclampsia complicating the puerperium
Use when seizures occur postpartum with preeclampsia.
Applicable To
- Postpartum eclampsia
Excludes
- HELLP syndrome (O14.25)
Clinical Validation Requirements
- Seizures postpartum
- Preeclampsia criteria
Coding Notes
Ensure documentation includes seizure activity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for routine postpartum follow-up
Z39.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Postpartum Preeclampsia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O14.95.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use specific templates for postpartum conditions., Educate staff on documentation requirements.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'postpartum' or 'puerperium'.
Impact
Using codes not specific to postpartum period.
Mitigation Strategy
Regular training on postpartum coding guidelines.
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 Postpartum Preeclampsia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Postpartum Preeclampsia
Use these documentation templates to ensure complete and accurate documentation for Postpartum Preeclampsia. These templates include all required elements for proper coding and billing.
Postpartum Preeclampsia Diagnosis
Specialty: ObstetricsRequired Elements
- Blood pressure readings
- Proteinuria test results
- Symptoms such as headache or visual changes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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