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ICD10BillableValid for clinical use

ICD-10 Code O16.2: Unspecified maternal hypertension, second trimester

O16.2 is a billable ICD-10 diagnosis code used to classify Unspecified maternal hypertension, second trimester in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

đź“‹Clinical overview

This ICD-10 code is commonly used when documentation describes maternal hypertension during pregnancy, childbirth, or the puerperium without enough detail to classify it more specifically. The most accurate code depends on whether the chart later identifies chronic hypertension, gestational hypertension, or preeclampsia-spectrum disease.

When is it used?

  • May be used when a clinician documents unspecified maternal hypertension, second trimester in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

đź©şClinical context

When commonly used
  • Obstetric, inpatient, and prenatal documentation where elevated maternal blood pressure is present but the record has not yet defined a more specific hypertension subtype.
  • Coding and utilization-review workflows where maternal timing is known but hypertension subtype detail remains incomplete at the time of documentation.
Common management context
  • Unspecified maternal-hypertension follow-up often includes blood-pressure monitoring, urine protein assessment context, fetal surveillance, and ongoing evaluation for clearer maternal-risk classification.
  • Documentation usually becomes more specific when the chart identifies chronic hypertension, gestational hypertension, preeclampsia features, or the exact pregnancy, childbirth, or puerperium timing.
  • Specialist context already linked on this page includes Obstetrician, Gynecologist, Cardiologist.

🔍Key distinctions

Important notes
  • This ICD-10 family is used when maternal hypertension is documented but not yet classified more specifically as chronic hypertension, gestational hypertension, or preeclampsia-spectrum disease.
  • Trimester and delivery timing still matter, but the main documentation gap in this family is the missing hypertension subtype detail.
  • This title reflects maternal hypertension without further specificity, so clearer chart language about chronic hypertension, gestational hypertension, or preeclampsia can lead to a more specific code.
  • Trimester detail still matters for unspecified maternal-hypertension coding, even when the chart does not yet provide a more specific hypertension subtype.
Related codes to consider
O16.1Unspecified maternal hypertension, first trimester
Related unspecified maternal-hypertension ICD-10 code; documentation often becomes more specific when the chart identifies hypertension subtype or clearer pregnancy, delivery, or puerperium timing.
O16.3Unspecified maternal hypertension, third trimester
Related unspecified maternal-hypertension ICD-10 code; documentation often becomes more specific when the chart identifies hypertension subtype or clearer pregnancy, delivery, or puerperium timing.
O16.4Unspecified maternal hypertension, complicating childbirth
Related unspecified maternal-hypertension ICD-10 code; documentation often becomes more specific when the chart identifies hypertension subtype or clearer pregnancy, delivery, or puerperium timing.
O16.5Unspecified maternal hypertension, complicating the puerperium
Related unspecified maternal-hypertension ICD-10 code; documentation often becomes more specific when the chart identifies hypertension subtype or clearer pregnancy, delivery, or puerperium timing.

Code hierarchy

chapter
15Pregnancy, childbirth and the puerperium (O00-O9A)
block
O10-O16Edema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium
category
O16Unspecified maternal hypertension
currentO16

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

ObstetricianGynecologistCardiologist

Coding guidelines

Common synonyms

Unspecified maternal hypertension, second trimester

Frequently asked questions

Code details

CodeO16.2
SystemICD10
Display nameUnspecified maternal hypertension, second trimester
ChapterPregnancy, childbirth and the puerperium (O00-O9A)
BlockEdema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.