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ICD-10 Guide
ICD-10 CodesO34.53

O34.53

Billable

Maternal care for retroversion of gravid uterus

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

Code Description

ICD-10 O34.53 is a billable code used to indicate a diagnosis of maternal care for retroversion of gravid uterus.

Key Diagnostic Point:

Retroversion of the gravid uterus refers to a condition where the uterus is tilted backward instead of its normal forward position. This condition can occur during pregnancy and may lead to complications such as urinary retention, pelvic pain, and discomfort. Maternal care for retroversion involves careful monitoring and management to ensure the health of both the mother and the fetus. It is particularly important in cases where the mother has a history of pelvic organ abnormalities, previous cesarean deliveries, or uterine scarring, as these factors can complicate the pregnancy and delivery process. Healthcare providers may recommend specific exercises, positional changes, or interventions to alleviate symptoms and prevent complications. Regular prenatal visits are essential for assessing the position of the uterus and addressing any arising issues promptly. The management plan should be tailored to the individual needs of the patient, considering her obstetric history and any associated risks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and its implications during pregnancy.
  • Involves consideration of previous obstetric history, including cesarean sections.
  • May require additional imaging or assessments to evaluate uterine position.
  • Documentation must clearly reflect the impact of retroversion on maternal and fetal health.

Audit Risk Factors

  • Inadequate documentation of the patient's obstetric history.
  • Failure to note associated symptoms or complications.
  • Incorrect coding of the condition due to misunderstanding of the anatomy.
  • Lack of follow-up documentation on the management of retroversion.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of previous pregnancies, surgical history, and current symptoms related to retroversion.

Common Clinical Scenarios

Management of pelvic pain in a pregnant patient with a history of uterine surgery.

Billing Considerations

Consideration of how retroversion may affect labor and delivery plans.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of high-risk factors, including uterine anomalies and previous cesarean deliveries.

Common Clinical Scenarios

Monitoring a high-risk pregnancy where retroversion may complicate fetal positioning.

Billing Considerations

In-depth evaluation of maternal-fetal interactions and potential interventions.

Coding Guidelines

Inclusion Criteria

Use O34.53 When
  • According to ICD
  • 10 coding guidelines, O34
  • 53 should be used when there is clear documentation of retroversion affecting maternal care during pregnancy
  • It is essential to ensure that the diagnosis is supported by clinical findings and that any associated complications are also documented

Exclusion Criteria

Do NOT use O34.53 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 a patient with retroversion.

Documentation Requirements

Complete documentation of all prenatal visits and any complications.

Specialty Considerations

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

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 retroversion, improving the accuracy of patient records and facilitating better care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like retroversion, improving the accuracy of patient records and facilitating better care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like retroversion, improving the accuracy of patient records and facilitating better care management.

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 is the significance of coding O34.53?

Coding O34.53 is significant as it reflects the management of a specific condition that can impact pregnancy outcomes. Accurate coding ensures that healthcare providers can track and manage complications effectively.