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O12.21

Billable

Gestational edema with proteinuria, first 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 the first trimester of pregnancy that develops due to pregnancy itself.

Coding Tips

  • •Verify the trimester is documented as first trimester (weeks 1-13) in the medical record
  • •Document both edema and proteinuria are present to justify this combination code

Code Hierarchy

└O12Gestational [pregnancy-induced] edema and proteinuria without hypertension└O12.2Gestational edema with proteinuria└O12.21Gestational edema with proteinuria, first trimester
└O12.21Gestational edema with proteinuria, first trimester

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