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ICD-10 Guide
ICD-10 CodesO34.10

O34.10

Billable

Maternal care for benign tumor of corpus uteri, unspecified trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O34.10 is a billable code used to indicate a diagnosis of maternal care for benign tumor of corpus uteri, unspecified trimester.

Key Diagnostic Point:

O34.10 refers to maternal care for benign tumors located in the corpus uteri during pregnancy, without specification of the trimester. These tumors, often referred to as uterine leiomyomas or fibroids, can impact pregnancy outcomes depending on their size, location, and the presence of any associated complications. While many women with benign tumors can have healthy pregnancies, the presence of these tumors may necessitate careful monitoring and management to prevent complications such as preterm labor, placental abruption, or obstructed labor, particularly in cases of previous cesarean deliveries or uterine scarring. The management of these conditions requires a multidisciplinary approach, often involving obstetricians and maternal-fetal medicine specialists, to ensure both maternal and fetal health are prioritized throughout the pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor size and location affecting pregnancy management
  • Potential for complications related to previous cesarean sections
  • Need for careful monitoring of maternal and fetal health
  • Documentation of tumor characteristics and their impact on pregnancy

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to note previous cesarean history
  • Lack of clarity on the impact of the tumor on pregnancy outcomes
  • Misclassification of the tumor type or location

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the tumor's size, location, and any symptoms experienced by the patient, along with a thorough obstetric history.

Common Clinical Scenarios

Management of a pregnant patient with a known history of uterine fibroids presenting for routine prenatal care.

Billing Considerations

Consideration of the potential for complications such as obstructed labor or placental issues, especially in patients with a history of cesarean delivery.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive records of maternal-fetal assessments, including ultrasound findings and any interventions planned or performed.

Common Clinical Scenarios

High-risk pregnancies involving large fibroids that may impact fetal positioning or maternal health.

Billing Considerations

Close monitoring of fetal growth and maternal symptoms, with a focus on potential surgical interventions if necessary.

Coding Guidelines

Inclusion Criteria

Use O34.10 When
  • According to ICD
  • 10 coding guidelines, O34
  • 10 should be used when there is a documented benign tumor of the corpus uteri during pregnancy, with no specific trimester indicated
  • Coders must ensure that the diagnosis is supported by clinical documentation and that any relevant complications are also coded appropriately

Exclusion Criteria

Do NOT use O34.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care of a patient with a benign tumor during pregnancy.

Documentation Requirements

Complete documentation of all prenatal visits, assessments, and any complications related to the tumor.

Specialty Considerations

Obstetricians should ensure that all relevant findings related to the tumor are documented in the patient's chart.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including benign tumors of the corpus uteri. This specificity aids in better tracking of outcomes and resource allocation in obstetric care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including benign tumors of the corpus uteri. This specificity aids in better tracking of outcomes and resource allocation in obstetric care.

Reimbursement & Billing Impact

reimbursement and quality reporting.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented when coding O34.10?

Documentation should include the size and location of the tumor, any symptoms experienced by the patient, previous obstetric history, and any complications that arise during the pregnancy.