Pre-exist hyp heart and chronic kidney disease comp chldbrth

This code signifies a pregnant patient with a pre-existing history of both hypertensive heart disease and chronic kidney disease who is currently experiencing childbirth. It indicates that these pre-existing conditions are actively complicating the delivery process.

Apply this code when documentation clearly states a patient with established hypertensive heart disease and chronic kidney disease is undergoing labor and delivery, and these conditions are noted as impacting the childbirth. Supporting documentation would include physician notes detailing the pre-existing conditions and their influence on the current delivery.

• Ensure documentation explicitly links the pre-existing hypertensive heart and chronic kidney disease to complications during childbirth, not just their presence.
• Do not use this code for gestational hypertension or new-onset kidney disease during pregnancy; these have separate codes.
• Sequence this code as a primary diagnosis when it is the main reason for the encounter, or as a secondary diagnosis if another obstetric complication takes precedence but these conditions are still complicating factors.