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O11.3

Billable

Pre-existing hypertension with pre-eclampsia, third 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 third trimester who has pre-existing high blood pressure and develops pre-eclampsia.

Coding Tips

  • •This is a high-risk combination requiring close monitoring; document all blood pressure readings and lab results
  • •Assess for severe features of pre-eclampsia which may necessitate delivery and additional coding

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