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O12.20

Billable

Gestational edema with proteinuria, unspecified trimester

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

What This Code Means

Swelling and protein in the urine during pregnancy due to pregnancy itself, but the specific trimester is not documented.

Coding Tips

  • •Use this code only when the trimester cannot be determined from the medical record
  • •If trimester information becomes available, assign a more specific code (O12.21-O12.25)

Code Hierarchy

└O12Gestational [pregnancy-induced] edema and proteinuria without hypertension└O12.2Gestational edema with proteinuria└O12.20Gestational edema with proteinuria, unspecified trimester
└O12.20Gestational edema with proteinuria, unspecified trimester

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