AHA Coding Clinic® for ICD-9 - 1984 November - December

HELLP Syndrome

The code assigned for HELLP syndrome is 642.5, Severe pre-eclampsia (the code requires a fifth digit to show the episode of care). HELLP syndrome occurs in obstetric patients. It is a group of symptoms that appear to be part of the disease process involved in pre-eclampsia or eclampsia. The H is for hemolysis, EL for elevated liver function tests, and LP for low platelet counts. The usual clinical findings of pre-eclampsia involve the presence of one or more symptoms of elevated blood pressure, proteinuria, oliguria, cerebral or visual disturbances, or pulmonary edema. HELLP can be added to that...

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