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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.30

O34.30

Billable

Maternal care for cervical incompetence, unspecified trimester

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

Code Description

ICD-10 O34.30 is a billable code used to indicate a diagnosis of maternal care for cervical incompetence, unspecified trimester.

Key Diagnostic Point:

Cervical incompetence, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely, often leading to preterm birth or pregnancy loss. This condition can be particularly concerning in women with a history of cervical surgery, such as cone biopsies or previous cesarean deliveries, which may compromise cervical integrity. Maternal care for cervical incompetence involves close monitoring and may include interventions such as cervical cerclage, where a stitch is placed to support the cervix. The unspecified trimester designation indicates that the exact timing of the diagnosis within the pregnancy is not documented, which can complicate management and coding. Proper documentation of the patient's obstetric history, including any previous cesarean sections or pelvic organ abnormalities, is crucial for effective management and accurate coding. This code is essential for tracking maternal health and ensuring appropriate care is provided throughout the pregnancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of cervical incompetence across different trimesters.
  • Need for detailed obstetric history, including previous surgeries and complications.
  • Potential for overlapping diagnoses with other obstetric conditions.
  • Variability in treatment approaches and their documentation.

Audit Risk Factors

  • Inadequate documentation of the patient's obstetric history.
  • Failure to specify the trimester of diagnosis.
  • Lack of clarity in treatment plans and interventions.
  • Misalignment between diagnosis and procedural codes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed obstetric history, including previous pregnancies, surgeries, and complications.

Common Clinical Scenarios

Patients with a history of cervical surgery presenting with symptoms of cervical incompetence.

Billing Considerations

Consideration of the patient's overall risk factors and previous obstetric outcomes.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors and management plans.

Common Clinical Scenarios

Management of pregnancies complicated by cervical incompetence and other high-risk factors.

Billing Considerations

Coordination of care with other specialists and detailed monitoring protocols.

Coding Guidelines

Inclusion Criteria

Use O34.30 When
  • According to official coding guidelines, O34
  • 30 should be used when there is documentation of cervical incompetence without specification of the trimester
  • Coders should ensure that the diagnosis aligns with the clinical documentation and that any relevant procedures are coded appropriately

Exclusion Criteria

Do NOT use O34.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59300CPT Code

Cervical cerclage

Clinical Scenario

Performed for patients diagnosed with cervical incompetence to prevent preterm birth.

Documentation Requirements

Document indication for cerclage, including cervical length measurements and obstetric history.

Specialty Considerations

Obstetricians should ensure that the procedure is justified based on clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical incompetence, enabling better tracking of maternal health outcomes and more tailored management strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical incompetence, enabling better tracking of maternal health outcomes and more tailored management strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cervical incompetence, enabling better tracking of maternal health outcomes and more tailored management strategies.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is the significance of specifying the trimester for cervical incompetence?

Specifying the trimester is crucial for determining the appropriate management and interventions for cervical incompetence, as treatment options may vary significantly depending on the timing of the diagnosis within the pregnancy.