2024 ICD-10-CM Diagnosis Code O10.92

Unspecified pre-existing hypertension complicating childbirth

ICD-10-CM Code:
O10.92
ICD-10 Code for:
Unsp pre-existing hypertension complicating childbirth
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Pregnancy, childbirth and the puerperium
    (O00-O9A)
    • Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
      (O10-O16)
      • Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
        (O10)

O10.92 is a billable diagnosis code used to specify a medical diagnosis of unspecified pre-existing hypertension complicating childbirth. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The code O10.92 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

Unspecified diagnosis codes like O10.92 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Eclampsia
  • Eclampsia added to pre-existing hypertension
  • Eclampsia in labor
  • Eclampsia with pre-existing hypertension in childbirth
  • Pre-existing hypertension complicating AND/OR reason for care during childbirth
  • Pre-existing hypertension complicating pregnancy, childbirth and puerperium

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Complications specified during childbirthPRG023N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Essential hypertensionCIR007N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Hypertension and hypertensive-related conditions complicating pregnancy; childbirth; and the puerperiumPRG020Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Eclampsia

    onset of hyperreflexia; seizures; or coma in a previously diagnosed pre-eclamptic patient (pre-eclampsia).
  • Pre-Eclampsia

    a complication of pregnancy, characterized by a complex of symptoms including maternal hypertension and proteinuria with or without pathological edema. symptoms may range between mild and severe. pre-eclampsia usually occurs after the 20th week of gestation, but may develop before this time in the presence of trophoblastic disease.
  • Chronic Maternal Hypertension with Superimposed Preeclampsia|Pre-existing hypertension with pre-eclampsia, unspecified trimester

    chronic hypertension in association with preeclampsia.
  • Eclampsia

    a potentially life-threatening pregnancy-related disorder characterized by tonic-clonic seizures in association with hypertension after the twentieth week of gestation and up to six weeks postpartum and in the absence of other potential causes of seizures.
  • GAIA Insufficient Evidence for Diagnosis of Preeclampsia with Severe Features|Global Alignment of Immunization safety Assessment in pregnancy Insufficient Evidence for Diagnosis of Preeclampsia with Severe Features|Insufficient Evidence for Preeclampsia with Severe Features

    gaia insufficient evidence for diagnosis of preeclampsia with severe features is a pregnancy with a gestational age greater than or equal to 20 weeks and the inability to measure blood pressure.
  • GAIA Insufficient Evidence for Diagnosis of Preeclampsia|Global Alignment of Immunization safety Assessment in pregnancy Insufficient Evidence for Diagnosis of Preeclampsia|Insufficient Evidence for Preeclampsia

    gaia insufficient evidence for diagnosis of preeclampsia is defined as a pregnancy with gestational age greater than or equal to 20 weeks and either a) the inability to measure blood pressure or b) the inability to evaluate for proteinuria.
  • GAIA Level 1 Preeclampsia with Severe Features|Global Alignment of Immunization safety Assessment in pregnancy Level 1 Preeclampsia with Severe Features|Level 1 Preeclampsia with Severe Features

    gaia level 1 preeclampsia with severe features is defined by three criteria: first, the gestational age of the pregnancy must be greater than or equal to 20 weeks; second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmhg and/or diastolic blood pressure greater than or equal to 90mmhg) that is sustained on two measurements over a minimum of one hour); third, the presence of one or more of the following requirements: a) systolic blood pressure greater than or equal to 160mmhg and/or diastolic blood pressure greater than or equal to 110mmhg, which is confirmed after only minutes; b) development of severe, persistent headache; c) development of visual changes; d) eclampsia; e) new onset thrombocytopenia (platelets less than 100,000/microliter); f) new onset unremitting epigastric pain; g) ast and alt elevated to twice the upper limit of normal; h) evidence of liver capsular hematoma or liver rupture (diagnosed on clinical exam or with imaging); i) worsening renal function, as evidenced by serum creatinine level greater than 1.1 mg/dl, a doubling of the serum creatinine (absent other renal disease), or oliguria (less than 500 cc/24 hours); j) pulmonary edema (confirmed on either imaging with chest x-ray or on clinical exam).
  • GAIA Level 1 Preeclampsia|Global Alignment of Immunization safety Assessment in pregnancy Level 1 Preeclampsia|Level 1 Preeclampsia

    gaia level 1 preeclampsia is defined by three criteria: first, the gestational age of the pregnancy must be greater than or equal to 20 weeks; second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmhg and/or diastolic blood pressure greater than or equal to 90mmhg) that is sustained on two measurements over a minimum of one hour; third, a diagnosis of new onset proteinuria that is a level one diagnostic certainty (proteinuria diagnosed with greater than or equal to 300 mg of protein during 24 hour urine collection or greater than or equal to 0.3 for spot protein:creatinine ratio.)
  • GAIA Level 2 Preeclampsia with Severe Features|Global Alignment of Immunization safety Assessment in pregnancy Level 2 Preeclampsia with Severe Features|Level 2 Preeclampsia with Severe Features

    gaia level 2 preeclampsia with severe features is defined by three criteria: first, the gestational age of the pregnancy must be greater than or equal to 20 weeks; second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmhg and/or diastolic blood pressure greater than or equal to 90mmhg) that is sustained on two measurements for a minimum of one hour; third, the diagnosis of new onset nausea and vomiting.
  • GAIA Level 2 Preeclampsia|Global Alignment of Immunization safety Assessment in pregnancy Level 2 Preeclampsia|Level 2 Preeclampsia

    gaia level 2 preeclampsia is defined by three criteria: first, the gestational age of the pregnancy must be greater than or equal to 20 weeks; second, a diagnosis of new onset maternal hypertension (systolic blood pressure greater than or equal to 140mmhg and/or diastolic blood pressure greater than or equal to 90mmhg) that is sustained on two measurements for a minimum of one hour; third, a diagnosis of new onset proteinuria that is a level 2 diagnostic certainty (proteinuria diagnosed with greater than or equal to 1+ protein on urine dipstick).
  • GAIA Preeclampsia Level of Diagnostic Certainty Terminology|Global Alignment of Immunization safety Assessment in pregnancy Preeclampsia Level of Diagnostic Certainty Terminology

    a subset of terminology related to preeclampsia, developed by the global alignment of immunization safety assessment in pregnancy consortium to aid in monitoring and improving fetal and maternal outcomes.
  • GAIA Preeclampsia Level of Diagnostic Certainty|Global Alignment of Immunization safety Assessment in pregnancy Preeclampsia Level of Diagnostic Certainty|Preeclampsia Level of Diagnostic Certainty

    a classification of maternal and fetal outcomes relating to preeclampsia, developed by the global alignment of immunization safety assessment in pregnancy, based on the extent to which the diagnosis has been confirmed.
  • Preeclampsia

    a systolic blood pressure of 140 mmhg or higher, or a diastolic blood pressure of 90 mmhg or higher on two occasions at least 4 hours apart (or greater than or equal to 160/110 mmhg within a short interval) after 20 weeks of gestation in a woman with previously normal blood pressure. it may present with proteinuria but if not, it may be associated with thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema, or new-onset cerebral or visual disturbances.
  • Pre-Existing Hypertension with Pre-Eclampsia, Complicating Childbirth|Pre-existing hypertension with pre-eclampsia, complicating childbirth

    evidence of pre-existing hypertension with pre-eclampsia, complicating childbirth.
  • Pre-Existing Hypertension with Pre-Eclampsia, Complicating the Puerperium|Pre-existing hypertension with pre-eclampsia, complicating the puerperium

    evidence of pre-existing hypertension with pre-eclampsia, complicating the puerperium.
  • Pre-Existing Hypertension with Pre-Eclampsia, First Trimester|Pre-existing hypertension with pre-eclampsia, first trimester

    evidence of pre-existing hypertension with pre-eclampsia in the first trimester.
  • Pre-Existing Hypertension with Pre-Eclampsia, Second Trimester|Pre-existing hypertension with pre-eclampsia, second trimester

    evidence of pre-existing hypertension with pre-eclampsia in the second trimester.
  • Pre-Existing Hypertension with Pre-Eclampsia, Third Trimester|Pre-existing hypertension with pre-eclampsia, third trimester

    evidence of pre-existing hypertension with pre-eclampsia in the third trimester.
  • Severe Preeclampsia|Preeclampsia with Severe Features|Preeclampsia with Severe Features

    preeclampsia with a systolic blood pressure of 160 mmhg or higher, or a diastolic blood pressure of 110 mmhg or higher on two occasions at least 4 hours apart while on bedrest. it is associated with thrombocytopenia (platelets less than 100,000 per microliter), impaired liver function (twice normal elevation of hepatic transaminases; severe, persistent right upper quadrant or epigastric pain), progressive renal insufficiency (serum creatinine greater than 1.1 mg/dl or doubling of baseline in the absence of other renal disease), pulmonary edema, or new-onset cerebral or visual disturbances.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Convert O10.92 to ICD-9-CM

  • ICD-9-CM Code: 642.01 - Essen hyperten-delivered
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

  • Preterm (premature) labor, when your labor starts before 37 completed weeks of pregnancy
  • Premature rupture of membranes (PROM), when your water breaks too early. If labor does not start soon afterwards, this can raise the risk of infection.
  • Problems with the placenta, such as the placenta covering the cervix, separating from the uterus before birth, or being attached too firmly to the uterus
  • Labor that does not progress, meaning that labor is stalled. This can happen when
    • Your contractions weaken
    • Your cervix does not dilate (open) enough or is taking too long to dilate
    • The baby is not in the right position
    • The baby is too big or your pelvis is too small for the baby to move through the birth canal
  • Abnormal heart rate of the baby. Often, an abnormal heart rate is not a problem. But if the heart rate gets very fast or very slow, it can be a sign that your baby is not getting enough oxygen or that there are other problems.
  • Problems with the umbilical cord, such as the cord getting caught on the baby's arm, leg, or neck. It's also a problem if cord comes out before the baby does.
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Shoulder dystocia, when the baby's head comes out, but the shoulder gets stuck
  • Perinatal asphyxia, which happens when the baby does not get enough oxygen in the uterus, during labor or delivery, or just after birth
  • Perineal tears, tearing of your vagina and the surrounding tissues
  • Excessive bleeding, which can happen when the delivery causes tears to the uterus or if you are not able to deliver the placenta after you give birth to the baby
  • Post-term pregnancy, when your pregnancy lasts more than 42 weeks

If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section.

NIH: National Institute of Child Health and Human Development


[Learn More in MedlinePlus]

High Blood Pressure in Pregnancy

What is high blood pressure in pregnancy?

Blood pressure is the force of your blood pushing against the walls of your arteries as your heart pumps blood. High blood pressure, or hypertension, is when this force against your artery walls is too high. There are different types of high blood pressure in pregnancy:

  • Gestational hypertension is high blood pressure that you develop while you are pregnant. It starts after you are 20 weeks pregnant. You usually don't have any other symptoms. In many cases, it does not harm you or your baby, and it goes away within 12 weeks after childbirth. But it does raise your risk of high blood pressure in the future. It sometimes can be severe, which may lead to low birth weight or preterm birth. Some women with gestational hypertension do go on to develop preeclampsia.
  • Chronic hypertension is high blood pressure that started before the 20th week of pregnancy or before you became pregnant. Some women may have had it long before becoming pregnant but didn't know it until they got their blood pressure checked at their prenatal visit. Sometimes chronic hypertension can also lead to preeclampsia.
  • Preeclampsia is a sudden increase in blood pressure after the 20th week of pregnancy. It usually happens in the last trimester. In rare cases, symptoms may not start until after delivery. This is called postpartum preeclampsia. Preeclampsia also includes signs of damage to some of your organs, such as your liver or kidney. The signs may include protein in the urine and very high blood pressure. Preeclampsia can be serious or even life-threatening for both you and your baby.

What causes preeclampsia?

The cause of preeclampsia is unknown.

Who is at risk for preeclampsia?

You are at higher risk of preeclampsia if you:

  • Had chronic high blood pressure or chronic kidney disease before pregnancy
  • Had high blood pressure or preeclampsia in a previous pregnancy
  • Have obesity
  • Are over age 40
  • Are pregnant with more than one baby
  • Are African American
  • Have a family history of preeclampsia
  • Have certain health conditions, such as diabetes, lupus, or thrombophilia (a disorder which raises your risk of blood clots)
  • Used in vitro fertilization, egg donation, or donor insemination

What problems can preeclampsia cause?

Preeclampsia can cause:

  • Placental abruption, where the placenta separates from the uterus
  • Poor fetal growth, caused by a lack of nutrients and oxygen
  • Preterm birth
  • A low birth weight baby
  • Stillbirth
  • Damage to your kidneys, liver, brain, and other organ and blood systems
  • A higher risk of heart disease for you
  • Eclampsia, which happens when preeclampsia is severe enough to affect brain function, causing seizures or coma
  • HELLP syndrome, which happens when a woman with preeclampsia or eclampsia has damage to the liver and blood cells. It is rare, but very serious.

What are the symptoms of preeclampsia?

Possible symptoms of preeclampsia include:

  • High blood pressure
  • Too much protein in your urine (called proteinuria)
  • Swelling in your face and hands. Your feet may also swell, but many women have swollen feet during pregnancy. So swollen feet by themselves may not be a sign of a problem.
  • Headache that does not go away
  • Vision problems, including blurred vision or seeing spots
  • Pain in your upper right abdomen
  • Trouble breathing

Eclampsia can also cause seizures, nausea and/or vomiting, and low urine output. If you go on to develop HELLP syndrome, you may also have bleeding or bruising easily, extreme fatigue, and liver failure.

How is preeclampsia diagnosed?

Your health care provider will check your blood pressure and urine at each prenatal visit. If your blood pressure reading is high (140/90 or higher), especially after the 20th week of pregnancy, your provider will likely want to run some tests. They may include blood tests other lab tests to look for extra protein in the urine as well as other symptoms.

What are the treatments for preeclampsia?

Delivering the baby can often cure preeclampsia. When making a decision about treatment, your provider take into account several factors. They include how severe it is, how many weeks pregnant you are, and what the potential risks to you and your baby are:

  • If you are more than 37 weeks pregnant, your provider will likely want to deliver the baby.
  • If you are less than 37 weeks pregnant, your health care provider will closely monitor you and your baby. This includes blood and urine tests for you. Monitoring for the baby often involves ultrasound, heart rate monitoring, and checking on the baby's growth. You may need to take medicines, to control your blood pressure and to prevent seizures. Some women also get steroid injections, to help the baby's lungs mature faster. If the preeclampsia is severe, you provider may want you to deliver the baby early.

The symptoms usually go away within 6 weeks of delivery. In rare cases, symptoms may not go away, or they may not start until after delivery (postpartum preeclampsia). This can be very serious, and it needs to be treated right away.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.