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O11.5

Billable

Pre-existing hypertension with pre-eclampsia, complicating the puerperium

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

What This Code Means

A condition where a pregnant woman who already had high blood pressure before pregnancy develops pre-eclampsia (dangerously high blood pressure with protein in urine) after delivery.

Coding Tips

  • This code is specific to the postpartum period; verify delivery has occurred before assigning
  • Requires documentation of both pre-existing hypertension and pre-eclampsia development

Code Hierarchy

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