ICD-10 Coding for Pregnancy Complicated by Hypotension(O26.51, O26.52, O26.53)
Complete ICD-10-CM coding and documentation guide for Pregnancy Complicated by Hypotension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pregnancy Complicated by Hypotension
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O26.51 | Maternal hypotension syndrome, first trimester | Use when hypotension is documented in the first trimester with appropriate symptoms. |
|
| O26.52 | Maternal hypotension syndrome, second trimester | Use when hypotension is documented in the second trimester with appropriate symptoms. |
|
| O26.53 | Maternal hypotension syndrome, third trimester | Use when hypotension is documented in the third trimester with appropriate symptoms. |
|
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 pregnancy complicated by hypotension
Essential facts and insights about Pregnancy Complicated by Hypotension
Primary ICD-10-CM Codes for pregnancy complicated by hypotension
Decision Criteria
clinical Criteria
- BP <100/60 mmHg with symptoms in the first trimester
Applicable To
- Hypotension in the first trimester of pregnancy
Excludes
- Chronic hypotension (I95.1)
Clinical Validation Requirements
- BP <100/60 mmHg documented in the first trimester
- Symptoms such as dizziness or syncope
Code-Specific Risks
- Misclassification if trimester is not specified
Coding Notes
- Ensure trimester and symptoms are clearly documented.
O26.52 - Maternal hypotension syndrome, second trimester
Use when hypotension is documented in the second trimester with appropriate symptoms.
Applicable To
- Hypotension in the second trimester of pregnancy
Excludes
- Chronic hypotension (I95.1)
Clinical Validation Requirements
- BP <100/60 mmHg documented in the second trimester
- Symptoms such as dizziness or syncope
Coding Notes
Ensure trimester and symptoms are clearly documented.
O26.53 - Maternal hypotension syndrome, third trimester
Use when hypotension is documented in the third trimester with appropriate symptoms.
Applicable To
- Hypotension in the third trimester of pregnancy
Excludes
- Chronic hypotension (I95.1)
Clinical Validation Requirements
- BP <100/60 mmHg documented in the third trimester
- Symptoms such as dizziness or syncope
Coding Notes
Ensure trimester and symptoms are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Weeks of gestation
Z3A.XXDifferential 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 Pregnancy Complicated by Hypotension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O26.51.
Impact
Clinical: Incomplete clinical picture of pregnancy status., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always include Z3A code with trimester-specific hypotension codes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always use O26.5x for hypotension during pregnancy with trimester specificity.
Impact
Failure to sequence O26.5x before Z3A can lead to audit issues.
Mitigation Strategy
Educate coding staff on correct sequencing rules.
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 Pregnancy Complicated by Hypotension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pregnancy Complicated by Hypotension
Use these documentation templates to ensure complete and accurate documentation for Pregnancy Complicated by Hypotension. These templates include all required elements for proper coding and billing.
Pregnancy with hypotension in third trimester
Specialty: ObstetricsRequired Elements
- BP readings
- Symptoms
- Gestational age
- Fetal monitoring results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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