ICD-10 Coding for History of Gestational Hypertension(Z87.59, O13.9)
Complete ICD-10-CM coding and documentation guide for History of Gestational Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Gestational 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 |
|---|---|---|---|
| Z87.59 | Personal history of other diseases of the circulatory system | Use for patients with a history of gestational hypertension that has resolved postpartum. |
|
| O13.9 | Gestational hypertension without significant proteinuria, unspecified trimester | Use during pregnancy or up to 12 weeks postpartum if hypertension is active. |
|
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 history of gestational hypertension
Essential facts and insights about History of Gestational Hypertension
Primary ICD-10-CM Codes for history of gestational hypertension
Decision Criteria
clinical Criteria
- Hypertension resolved postpartum with normal BP readings
documentation Criteria
- Provider notes history and resolution of gestational hypertension
Applicable To
- History of gestational hypertension
Excludes
- Current gestational hypertension (O13.x)
Clinical Validation Requirements
- Resolved hypertension postpartum
- Normal blood pressure readings
- Absence of proteinuria
Code-Specific Risks
- Incorrectly using O13.x codes postpartum
Coding Notes
- Ensure documentation states 'resolved' to avoid using active condition codes.
O13.9 - Gestational hypertension without significant proteinuria, unspecified trimester
Use during pregnancy or up to 12 weeks postpartum if hypertension is active.
Applicable To
- Active gestational hypertension
Excludes
- Resolved gestational hypertension (Z87.59)
Clinical Validation Requirements
- Elevated blood pressure during pregnancy
- Absence of proteinuria
Coding Notes
Ensure the condition is active and within the specified timeframe.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 History of Gestational Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.59.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Ensure documentation includes resolution status., Regularly review coding guidelines.
Impact
Reimbursement: Incorrect coding may affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and risk assessments.
Mitigation Strategy
Use Z87.59 for resolved conditions postpartum.
Impact
Using active gestational hypertension codes after resolution.
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 History of Gestational Hypertension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Gestational Hypertension
Use these documentation templates to ensure complete and accurate documentation for History of Gestational Hypertension. These templates include all required elements for proper coding and billing.
Postpartum follow-up for resolved gestational hypertension
Specialty: OB/GYNRequired Elements
- Patient history of gestational hypertension
- Resolution status
- Current blood pressure readings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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