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ICD-10 Guide
ICD-10 CodesO34.51

O34.51

Billable

Maternal care for incarceration of gravid uterus

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

Code Description

ICD-10 O34.51 is a billable code used to indicate a diagnosis of maternal care for incarceration of gravid uterus.

Key Diagnostic Point:

Incarceration of the gravid uterus refers to a condition where the uterus becomes trapped or fixed in the pelvis, often due to anatomical abnormalities or previous surgical interventions such as cesarean sections. This condition can lead to significant complications during pregnancy, including obstructed labor, fetal distress, and increased risk of uterine rupture. Maternal care for this condition involves careful monitoring and management of the pregnancy, including imaging studies to assess the position of the uterus and potential interventions to relieve the incarceration. Factors such as previous cesarean deliveries can contribute to uterine scarring and abnormal pelvic anatomy, increasing the risk of incarceration. Proper documentation of the patient's obstetric history, including any prior surgeries and current symptoms, is essential for accurate coding and management of this condition.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed knowledge of pelvic anatomy and previous surgical history.
  • Involves understanding of the implications of uterine scarring from prior cesarean sections.
  • May necessitate coordination with multiple specialties for management.
  • Documentation must be precise to reflect the severity and implications of the condition.

Audit Risk Factors

  • Inadequate documentation of previous surgical history.
  • Failure to note complications arising from incarceration.
  • Misclassification of the condition due to lack of specificity.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed obstetric history, including previous surgeries and current pregnancy complications.

Common Clinical Scenarios

Management of a pregnant patient with a history of cesarean delivery presenting with pelvic pain.

Billing Considerations

Consideration of the patient's previous obstetric history and current symptoms is crucial for accurate coding.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors and imaging studies.

Common Clinical Scenarios

Monitoring a high-risk pregnancy with suspected uterine incarceration.

Billing Considerations

High-risk pregnancies require additional documentation and coordination with specialists.

Coding Guidelines

Inclusion Criteria

Use O34.51 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring that all relevant details of the patient's history and current condition are documented
  • Specific criteria for coding incarceration of the gravid uterus must be met, including the presence of symptoms and imaging findings

Exclusion Criteria

Do NOT use O34.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive care of a patient with incarceration of the gravid uterus.

Documentation Requirements

Complete documentation of all visits, assessments, and interventions related to the condition.

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 conditions like incarceration of the gravid uterus, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like incarceration of the gravid uterus, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 common symptoms of incarceration of the gravid uterus?

Common symptoms include severe pelvic pain, difficulty in fetal movement, and signs of obstructed labor. Patients may also report back pain and contractions.