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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.4

O34.4

Billable

Maternal care for other abnormalities of cervix

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

Code Description

ICD-10 O34.4 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of cervix.

Key Diagnostic Point:

O34.4 refers to maternal care for abnormalities of the cervix that may impact pregnancy and delivery. These abnormalities can include cervical incompetence, cervical polyps, or other structural anomalies that may necessitate close monitoring or intervention during pregnancy. Women with a history of cervical surgery, such as conization or LEEP procedures, may be at increased risk for complications such as preterm labor or cervical insufficiency. Additionally, previous cesarean deliveries may lead to scarring that can affect the cervix's ability to dilate properly during labor. Careful assessment and management of these conditions are crucial to ensure maternal and fetal safety, often involving a multidisciplinary approach that includes obstetricians, maternal-fetal medicine specialists, and possibly gynecologists. Regular ultrasounds and cervical length assessments may be employed to monitor the condition throughout pregnancy, and interventions such as cervical cerclage may be indicated in cases of significant cervical insufficiency.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of cervical abnormalities
  • Need for detailed history of previous cervical surgeries
  • Assessment of risk factors related to previous cesarean deliveries
  • Potential for multiple concurrent obstetric conditions

Audit Risk Factors

  • Inadequate documentation of cervical abnormalities
  • Failure to document previous surgical history
  • Misclassification of cervical conditions
  • Inconsistent coding of concurrent obstetric conditions

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of cervical examinations, history of cervical surgeries, and any interventions performed.

Common Clinical Scenarios

Monitoring of cervical length in high-risk pregnancies, management of cervical polyps during pregnancy.

Billing Considerations

Consideration of the impact of cervical abnormalities on labor and delivery, including the potential need for cesarean delivery.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of maternal and fetal assessments, including ultrasound findings and management plans.

Common Clinical Scenarios

Management of pregnancies complicated by cervical insufficiency or previous cervical surgeries.

Billing Considerations

Focus on high-risk factors and tailored management strategies to optimize outcomes for both mother and fetus.

Coding Guidelines

Inclusion Criteria

Use O34.4 When
  • Follow official ICD
  • 10 guidelines for coding obstetric conditions, ensuring that all relevant clinical information is documented
  • Specific criteria for cervical abnormalities should be met, including detailed descriptions of the condition and its implications for pregnancy

Exclusion Criteria

Do NOT use O34.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with cervical abnormalities.

Documentation Requirements

Complete documentation of all prenatal visits, assessments, and interventions.

Specialty Considerations

Obstetricians should ensure that all aspects of care are documented to support the coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical abnormalities, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation to support the complexity of obstetric care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical abnormalities, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of detailed documentation to support the complexity of obstetric care.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of detailed documentation to support the complexity of obstetric care.

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 are the implications of cervical abnormalities during pregnancy?

Cervical abnormalities can lead to complications such as preterm labor, necessitating close monitoring and potential interventions like cervical cerclage. Accurate coding and documentation are essential to ensure appropriate management and care.