Gestational edema with proteinuria, second trimester

This code signifies the presence of swelling (edema) and elevated protein levels in the urine (proteinuria) occurring during the second trimester of pregnancy. It represents a specific form of gestational hypertension characterized by these two symptoms, without meeting the full criteria for pre-eclampsia.

Apply this code when documentation clearly indicates a pregnant patient in her second trimester experiencing both edema and proteinuria. This diagnosis is typically made after excluding other causes of edema and proteinuria, and when blood pressure readings do not yet meet the diagnostic criteria for gestational hypertension or pre-eclampsia.

• Ensure the documentation explicitly states "second trimester" for accurate code assignment.
• Distinguish this from pre-eclampsia, which involves hypertension in addition to edema and proteinuria.
• Do not use if the edema and proteinuria are due to pre-existing renal disease or other non-gestational causes.