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ICD-10 Guide
ICD-10 CodesO34.513

O34.513

Billable

Maternal care for incarceration of gravid uterus, third trimester

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

Code Description

ICD-10 O34.513 is a billable code used to indicate a diagnosis of maternal care for incarceration of gravid uterus, third trimester.

Key Diagnostic Point:

Incarceration of the gravid uterus refers to a condition where the uterus becomes trapped or incarcerated within the pelvis, often due to abnormal pelvic anatomy or previous surgical interventions such as cesarean sections. This condition is particularly concerning in the third trimester of pregnancy, as it can lead to complications such as obstructed labor, fetal distress, and increased risk of uterine rupture. Maternal care for this condition involves careful monitoring and management, including imaging studies to assess the position of the uterus and the surrounding pelvic organs. The presence of uterine scarring from previous cesarean deliveries can contribute to the risk of incarceration, as can abnormalities in pelvic organ structure. Management may require a multidisciplinary approach, including obstetricians and maternal-fetal medicine specialists, to ensure both maternal and fetal safety during labor and delivery.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and its variations.
  • Involves assessment of previous surgical history, particularly cesarean sections.
  • Management may necessitate coordination with multiple specialties.
  • Potential for acute complications requiring immediate intervention.

Audit Risk Factors

  • Inadequate documentation of the patient's obstetric history.
  • Failure to document the clinical rationale for the diagnosis.
  • Lack of detailed notes on the management plan and interventions.
  • Inconsistent coding of related conditions or complications.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Management of labor in patients with a history of cesarean sections and pelvic abnormalities.

Billing Considerations

Accurate coding requires thorough documentation of the patient's pelvic anatomy and any interventions performed.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of high-risk factors, including imaging studies and multidisciplinary consultations.

Common Clinical Scenarios

Monitoring and managing pregnancies complicated by uterine incarceration and other pelvic abnormalities.

Billing Considerations

High-risk pregnancies necessitate detailed documentation of fetal monitoring and maternal health status.

Coding Guidelines

Inclusion Criteria

Use O34.513 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the code reflects the specific trimester and any complications present
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use O34.513 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with incarceration of the uterus.

Documentation Requirements

Complete documentation of all visits, assessments, and interventions.

Specialty Considerations

Obstetricians should document any complications or special management required.

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 capture the complexity of maternal care and improve patient outcomes.

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 capture the complexity of maternal care and improve patient outcomes.

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 capture the complexity of maternal care and improve patient outcomes.

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, especially in patients with a history of cesarean deliveries or pelvic abnormalities.