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O10.13

Billable

Pre-existing hypertensive heart disease complicating the puerperium

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A pregnant woman who had high blood pressure with heart disease before pregnancy, and this condition persists after delivery during the recovery period.

Coding Tips

  • The puerperium period extends up to 42 days after delivery; ensure documentation specifies postpartum timeframe
  • Do not use this code if the hypertensive heart disease developed during pregnancy rather than pre-existing

Code Hierarchy

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