ICD-10 Coding for HELLP Syndrome(O14.2, O14.22, O14.23, O14.24, O14.25)
Complete ICD-10-CM coding and documentation guide for HELLP Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to HELLP Syndrome
O14.20-O14.25Primary Range
HELLP syndrome complicating pregnancy, childbirth, and the puerperium
This range includes codes for HELLP syndrome based on the trimester and whether it complicates childbirth or the puerperium.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O14.2 | HELLP syndrome | Use when HELLP syndrome is confirmed by lab criteria and documented in the medical record. |
|
| O14.22 | HELLP syndrome, second trimester | Use when HELLP syndrome occurs in the second trimester. |
|
| O14.23 | HELLP syndrome, third trimester | Use when HELLP syndrome occurs in the third trimester. |
|
| O14.24 | HELLP syndrome complicating childbirth | Use when HELLP syndrome complicates childbirth. |
|
| O14.25 | HELLP syndrome complicating the puerperium | Use when HELLP syndrome complicates the puerperium. |
|
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 HELLP syndrome
Essential facts and insights about HELLP Syndrome
Primary ICD-10-CM Codes for hellp syndrome
Decision Criteria
clinical Criteria
- Presence of hemolysis, elevated liver enzymes, and low platelets
coding Criteria
- Do not code O14.1 with O14.2
Applicable To
- Severe pre-eclampsia
Excludes
- O14.1 (Severe pre-eclampsia without HELLP)
Clinical Validation Requirements
- LDH >600 IU/L
- AST ≥70 IU/L
- Platelets <100k/mm³
Code-Specific Risks
- Incorrectly coding both O14.1 and O14.2
Coding Notes
- Ensure documentation specifies the trimester and any complications such as DIC or acute kidney injury.
O14.22 - HELLP syndrome, second trimester
Use when HELLP syndrome occurs in the second trimester.
Clinical Validation Requirements
- Gestational age between 14 and 27 weeks + 6 days
Coding Notes
Ensure gestational age is documented accurately.
O14.23 - HELLP syndrome, third trimester
Use when HELLP syndrome occurs in the third trimester.
Clinical Validation Requirements
- Gestational age 28 weeks or more
Coding Notes
Ensure trimester is documented accurately.
O14.24 - HELLP syndrome complicating childbirth
Use when HELLP syndrome complicates childbirth.
Clinical Validation Requirements
- HELLP syndrome onset during labor or delivery
Coding Notes
Ensure onset timing is documented accurately.
O14.25 - HELLP syndrome complicating the puerperium
Use when HELLP syndrome complicates the puerperium.
Clinical Validation Requirements
- HELLP syndrome onset within 48 hours postpartum
Coding Notes
Ensure postpartum timing is documented accurately.
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 HELLP Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O14.2.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure lab results are documented in the patient's record., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates ICD-10 coding guidelines., Data Quality: Leads to inaccurate clinical data.
Mitigation Strategy
Use only O14.2 as it includes severe pre-eclampsia.
Impact
Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Inaccurate data on pregnancy complications.
Mitigation Strategy
Ensure documentation specifies the trimester or postpartum status.
Impact
Coding both O14.1 and O14.2 or missing trimester/postpartum status.
Mitigation Strategy
Educate coders on updated guidelines and ensure complete documentation.
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 HELLP Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for HELLP Syndrome
Use these documentation templates to ensure complete and accurate documentation for HELLP Syndrome. These templates include all required elements for proper coding and billing.
HELLP syndrome diagnosis
Specialty: ObstetricsRequired Elements
- Gestational age
- Blood pressure readings
- Lab results (LDH, AST, platelets)
- Differential diagnosis considerations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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