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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.531

O34.531

Billable

Maternal care for retroversion of gravid uterus, first trimester

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

Code Description

ICD-10 O34.531 is a billable code used to indicate a diagnosis of maternal care for retroversion of gravid uterus, first trimester.

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 the first trimester of pregnancy and may be associated with discomfort or complications in some cases. Maternal care for this condition involves monitoring the pregnancy closely, especially in women with a history of pelvic organ abnormalities, previous cesarean deliveries, or uterine scarring. These factors can increase the risk of complications such as uterine rupture or abnormal fetal positioning. Care providers may recommend pelvic rest and regular follow-ups to assess the position of the uterus and fetal development. In some cases, physical therapy or specific exercises may be suggested to help alleviate discomfort. It is crucial for healthcare providers to document any associated symptoms, previous obstetric history, and the management plan to ensure comprehensive care and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and its variations during pregnancy.
  • Involves consideration of previous obstetric history, including cesarean sections.
  • Documentation must reflect the impact of retroversion on maternal and fetal health.
  • Potential for associated complications that require careful monitoring.

Audit Risk Factors

  • Inadequate documentation of maternal history and previous surgeries.
  • Failure to note associated symptoms or complications.
  • Incorrect coding of the trimester or condition severity.
  • Lack of follow-up documentation for ongoing care.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of previous pregnancies, surgical history, and current symptoms.

Common Clinical Scenarios

Patients presenting with pelvic pain or discomfort in early pregnancy.

Billing Considerations

Consideration of the impact of retroversion on labor and delivery.

Maternal-Fetal Medicine

Documentation Requirements

Thorough assessment of high-risk factors and fetal monitoring.

Common Clinical Scenarios

Management of pregnancies with uterine anomalies or previous complications.

Billing Considerations

Focus on the implications of uterine position on fetal development and delivery.

Coding Guidelines

Inclusion Criteria

Use O34.531 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the trimester is accurately documented and that any associated conditions are coded appropriately
  • Use additional codes for complications if applicable

Exclusion Criteria

Do NOT use O34.531 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 diagnosed with retroversion during pregnancy.

Documentation Requirements

Complete documentation of all prenatal visits, assessments, 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 obstetric conditions, including retroversion of the uterus. This specificity helps in better tracking of maternal and fetal outcomes and improves the quality of care provided.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including retroversion of the uterus. This specificity helps in better tracking of maternal and fetal outcomes and improves the quality of care provided.

Reimbursement & Billing Impact

reimbursement and compliance.

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 a retroverted uterus during pregnancy?

A retroverted uterus can cause discomfort and may lead to complications such as abnormal fetal positioning. It is important for healthcare providers to monitor the condition closely and provide appropriate care.