HELLP syndrome, complicating childbirth

This code identifies HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count) occurring during the postpartum period. It represents a severe, life-threatening obstetric complication characterized by microangiopathic hemolytic anemia, hepatic dysfunction, and thrombocytopenia, typically manifesting after delivery.

Assign this code when documentation clearly indicates a diagnosis of HELLP syndrome in a patient who has recently given birth. The medical record should specify the presence of hemolysis, elevated liver enzymes, and low platelet count, and confirm the timing of the syndrome's onset as complicating childbirth.

• Ensure documentation explicitly states "HELLP syndrome" and confirms its occurrence in the postpartum period.
• Do not confuse with pre-eclampsia or eclampsia without the specific HELLP criteria.
• Sequence this code as a principal diagnosis if it is the primary reason for the encounter, or as a secondary diagnosis if it is a co-morbidity affecting care during the childbirth encounter.