Severe pre-eclampsia, complicating the puerperium

This code signifies a severe form of pre-eclampsia that develops or persists during the postpartum period. It is characterized by new-onset or worsening hypertension and proteinuria, often with signs of end-organ dysfunction, occurring after childbirth.

Apply this code when documentation clearly indicates severe pre-eclampsia manifesting or continuing during the puerperium (typically up to six weeks postpartum). Documentation should specify the severity of the pre-eclampsia and its occurrence within the postpartum timeframe.

• Always confirm the severity of the pre-eclampsia (e.g., blood pressure readings, presence of severe features) and the timing relative to delivery.
• Distinguish from gestational hypertension or pre-eclampsia without severe features occurring in the puerperium.
• Sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis when it is a co-morbidity.