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    OpenPayerBilling CodesEdema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperiumICD-10-CM o15-eclampsia
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    ICD-10-CM Code For Eclampsia: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group O15 includes diagnoses of eclampsia, which are seizures or convulsions occurring in pregnancy, labor, delivery, or the postpartum period typically associated with preeclampsia and severe gestational hypertension. These ICD-10-CM diagnosis codes are used to document maternal seizures related to hypertensive disorders of pregnancy, capturing severity, timing, and maternal neurologic involvement. Accurate coding within the ICD-10-CM O15 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM O15: Eclampsia Overview

    This group includes conditions characterized by new-onset convulsions or seizures in pregnancy, childbirth, or the puerperium that are associated with preeclampsia or hypertensive disorders. These diagnoses target the nervous system complications arising from severe hypertensive disease of pregnancy. Accurate coding matters for reimbursement because it captures severity, guides appropriate DRG assignment, and supports clinically complete claims.

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    When to Use

    Assign a code from this group when a pregnant or postpartum patient experiences new-onset seizures attributable to preeclampsia or hypertensive disorders of pregnancy. Use these codes to indicate the presence of maternal neurologic complications related to hypertension and to document timing relative to pregnancy, labor, delivery, or the postpartum period.

    ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    O15.00Eclampsia complicating pregnancy, unspecified trimester
    O15.02Eclampsia complicating pregnancy, second trimester
    O15.03Eclampsia complicating pregnancy, third trimester
    O15.1Eclampsia complicating labor
    O15.2Eclampsia complicating the puerperium
    O15.9Eclampsia, unspecified as to time period

    DRG Codes

    8 rows

    DRG CodeDescription
    769Postpartum and Post Abortion Diagnoses with O.R. Procedures
    776Postpartum and Post Abortion Diagnoses without O.R. Procedures
    817Other Antepartum Diagnoses with O.R. Procedures with MCC
    818Other Antepartum Diagnoses with O.R. Procedures with CC
    819Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
    831Other Antepartum Diagnoses without O.R. Procedures with MCC
    832Other Antepartum Diagnoses without O.R. Procedures with CC
    833Other Antepartum Diagnoses without O.R. Procedures without CC/MCC

    Typical Clinical Scenarios

    • A 28-year-old primigravida at 36 weeks’ gestation presents to the emergency department with new-onset generalized tonic-clonic seizures preceded by severe headache and visual changes. Blood pressure is markedly elevated and urinalysis shows proteinuria; seizures are attributed to pregnancy-related hypertensive crisis with eclampsia, requiring urgent stabilization and delivery planning. Typical codes: O15.1, O15.9
    • A 34-year-old postpartum patient on day 2 after cesarean delivery develops recurrent seizures despite antihypertensive therapy; she has persistent severe hypertension and proteinuria documented during the antepartum period. The seizures represent a puerperal complication of preexisting preeclampsia that progressed to eclampsia and require inpatient management for seizure control and blood pressure stabilization. Typical codes: O15.2, O15.9
    • A 22-year-old woman at 30 weeks’ gestation with known chronic hypertension presents acutely with status epilepticus and marked peripheral edema; she had intermittent prenatal care and now shows sudden worsening of blood pressure and proteinuria consistent with superimposed preeclampsia complicated by eclampsia. Because seizures occur in the setting of hypertensive disorder of pregnancy requiring emergent obstetric and neurologic care, this group of codes is assigned. Typical codes: O15.00, O15.03

    Related Codes

    O10-PRE-EXISTING-HYPERTENSION-COMPLICATING-PREGNANCY

    ICD-10-CM Code For Pre-existing Hypertension Complicating Pregnancy Childbirth And The Puerperium: Group Overview

    O11-PRE-EXISTING-HYPERTENSION-WITH-PRE-ECLAMPSIA

    ICD-10-CM Code For Pre Existing Hypertension With Pre Eclampsia: Group Overview

    O12-GESTATIONAL-EDEMA-AND-PROTEINURIA

    ICD-10-CM Code For Gestational Edema And Proteinuria Without Hypertension: Group Overview

    O13-GESTATIONAL-HYPERTENSION-WITHOUT-PROTEINURIA

    ICD-10-CM Code For Gestational Hypertension Without Significant Proteinuria: Group Overview

    O14-PRE-ECLAMPSIA

    ICD-10-CM Code For Pre Eclampsia: Group Overview

    O16-UNSPECIFIED-MATERNAL-HYPERTENSION

    ICD-10-CM Code For Unspecified Maternal Hypertension: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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