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ICD-10 Guide
ICD-10 CodesO34.512

O34.512

Billable

Maternal care for incarceration of gravid uterus, second trimester

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

Code Description

ICD-10 O34.512 is a billable code used to indicate a diagnosis of maternal care for incarceration of gravid uterus, second trimester.

Key Diagnostic Point:

Incarceration of the gravid uterus refers to a condition where the pregnant uterus becomes trapped or fixed in an abnormal position, often due to pelvic abnormalities or previous surgical interventions such as cesarean sections. This condition can lead to complications such as obstructed labor, fetal distress, and increased risk of uterine rupture. During the second trimester, the uterus is expanding and may become more susceptible to incarceration, particularly in patients with a history of pelvic organ abnormalities or scarring from previous surgeries. Maternal care for this condition involves careful monitoring and management to prevent complications, including potential surgical intervention if the incarceration leads to significant maternal or fetal distress. Proper documentation of the patient's obstetric history, including any previous cesarean deliveries and pelvic surgeries, is crucial for accurate coding and management of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and previous surgical history.
  • Involves assessment of maternal and fetal well-being.
  • Potential need for surgical intervention complicates management.
  • Documentation must be precise to reflect the condition accurately.

Audit Risk Factors

  • Inadequate documentation of previous cesarean sections.
  • Failure to note pelvic organ abnormalities.
  • Misclassification of incarceration versus other conditions.
  • Lack of detailed clinical notes on maternal and fetal monitoring.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed obstetric history, including previous surgeries and current symptoms.

Common Clinical Scenarios

Management of a pregnant patient with a history of pelvic surgery presenting with abdominal pain.

Billing Considerations

Consideration of the patient's obstetric history and potential need for surgical intervention.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of high-risk factors and fetal monitoring.

Common Clinical Scenarios

Monitoring a high-risk pregnancy with incarceration of the uterus and assessing for fetal distress.

Billing Considerations

Focus on the implications of incarceration on fetal health and potential interventions.

Coding Guidelines

Inclusion Criteria

Use O34.512 When
  • Follow the official ICD
  • CM coding guidelines for obstetric conditions, ensuring that all relevant clinical information is documented
  • Codes should reflect the trimester of pregnancy and any complications that arise

Exclusion Criteria

Do NOT use O34.512 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59510CPT Code

Cesarean delivery

Clinical Scenario

Used when a cesarean delivery is performed due to complications from uterine incarceration.

Documentation Requirements

Document the indication for cesarean delivery related to uterine incarceration.

Specialty Considerations

Obstetricians should ensure that the surgical notes reflect the urgency and necessity of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including incarceration of the gravid uterus, which enhances the ability to track and manage complications in pregnancy more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including incarceration of the gravid uterus, which enhances the ability to track and manage complications in pregnancy more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including incarceration of the gravid uterus, which enhances the ability to track and manage complications in pregnancy more effectively.

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 complications associated with incarceration of the gravid uterus?

Common complications include obstructed labor, fetal distress, and increased risk of uterine rupture. Close monitoring and potential surgical intervention may be necessary to manage these risks.