ICD-10 Coding for Preeclampsia with Severe Features(O14.1, O14.13)
Complete ICD-10-CM coding and documentation guide for Preeclampsia with Severe Features. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Preeclampsia with Severe Features
O14.1-O14.15Primary Range
Severe pre-eclampsia and its complications
This range includes codes for severe pre-eclampsia with trimester and postpartum specificity.
Pre-existing hypertension with pre-eclampsia
Used when chronic hypertension is present with superimposed pre-eclampsia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O14.1 | Severe pre-eclampsia | Use when severe pre-eclampsia is diagnosed with specific organ dysfunction criteria. |
|
| O14.13 | Severe pre-eclampsia, third trimester | Use for severe pre-eclampsia diagnosed in the third trimester. |
|
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 preeclampsia with severe features
Essential facts and insights about Preeclampsia with Severe Features
Primary ICD-10-CM Codes for preeclampsia with severe features
Decision Criteria
clinical Criteria
- BP ≥160/110 mmHg confirmed on two readings
documentation Criteria
- Document specific lab values and symptoms
Applicable To
- Severe pre-eclampsia with organ dysfunction
Clinical Validation Requirements
- BP ≥160/110 mmHg
- Platelets <100 x10³/µL
- AST/ALT >2x normal
- Creatinine >1.1 mg/dL
Code-Specific Risks
- Confusion with HELLP syndrome
- Omitting trimester specificity
Coding Notes
- Ensure documentation of specific organ dysfunction to support severe classification.
O14.13 - Severe pre-eclampsia, third trimester
Use for severe pre-eclampsia diagnosed in the third trimester.
Applicable To
- Severe pre-eclampsia in the third trimester
Excludes
- HELLP syndrome (O14.2)
- Pre-existing hypertension with pre-eclampsia (O11)
Clinical Validation Requirements
- BP ≥160/110 mmHg
- Platelets <100 x10³/µL
- AST/ALT >2x normal
- Creatinine >1.1 mg/dL
Coding Notes
Ensure trimester is correctly documented and coded.
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 Preeclampsia with Severe Features to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O14.1.
Impact
Clinical: Misrepresents patient's condition, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Verify patient's hypertension history, Use O11 if chronic hypertension is present
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in audit flags for incorrect coding., Data Quality: Affects clinical data accuracy and patient records.
Mitigation Strategy
Verify lab results for hemolysis, elevated liver enzymes, and low platelets.
Impact
Reimbursement: Missing codes can affect DRG and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Incomplete patient records.
Mitigation Strategy
Always include Z3A.XX for gestational age unless postpartum.
Impact
Incorrect trimester coding can lead to audit flags.
Mitigation Strategy
Ensure documentation clearly states trimester.
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 Preeclampsia with Severe Features, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Preeclampsia with Severe Features
Use these documentation templates to ensure complete and accurate documentation for Preeclampsia with Severe Features. These templates include all required elements for proper coding and billing.
Severe pre-eclampsia in third trimester
Specialty: ObstetricsRequired Elements
- BP readings
- Lab results
- Symptoms
- Fetal monitoring
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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