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O11.1

Billable

Pre-existing hypertension with pre-eclampsia, first trimester

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

What This Code Means

A pregnant woman in her first trimester who has pre-existing high blood pressure and develops pre-eclampsia (a serious pregnancy complication with high blood pressure and protein in urine).

Coding Tips

  • Confirm both pre-existing hypertension and pre-eclampsia are documented; pre-eclampsia requires specific clinical findings
  • Verify first trimester timing and ensure pre-eclampsia diagnosis is clearly stated in clinical documentation

Code Hierarchy

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