Gestational edema with proteinuria, unspecified trimester

This code signifies the presence of swelling (edema) and protein in the urine (proteinuria) during pregnancy, without a definitive diagnosis of pre-eclampsia. It indicates a pregnancy-induced hypertensive disorder where the specific trimester of onset or diagnosis is not documented.

Use this code when the medical record clearly documents gestational edema and proteinuria, but the provider has not specified the trimester. This code is appropriate when pre-eclampsia has been ruled out or is not yet confirmed, and the documentation does not indicate severe features or other complications.

• Do not use this code if the documentation specifies the trimester; instead, use the more specific O12.21- or O12.23-.
• Distinguish carefully from pre-eclampsia (O14.-) which involves hypertension in addition to edema and proteinuria.
• Ensure documentation supports both edema and proteinuria; if only one is present, a different code may be more appropriate.