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O12.13

Billable

Gestational proteinuria, third trimester

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

What This Code Means

Protein in the urine during the third trimester of pregnancy that develops due to pregnancy itself, without other complications.

Coding Tips

  • •Confirm the trimester is documented as third trimester (weeks 21 through delivery) in the medical record
  • •Distinguish from pre-eclampsia which would require a different code

Code Hierarchy

└O12Gestational [pregnancy-induced] edema and proteinuria without hypertension└O12.1Gestational proteinuria└O12.13Gestational proteinuria, third trimester
└O12.13Gestational proteinuria, third trimester

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