Maternal care for abnormality of vagina, first trimester
ICD-10 O34.61 is a billable code used to indicate a diagnosis of maternal care for abnormality of vagina, first trimester.
O34.61 refers to maternal care for abnormalities of the vagina during the first trimester of pregnancy. This code is utilized when a pregnant woman presents with congenital or acquired abnormalities of the vagina that may affect her pregnancy. Such abnormalities can include vaginal agenesis, septate vagina, or other structural issues that may complicate the pregnancy or delivery. The first trimester is a critical period for fetal development, and any abnormalities in the maternal pelvic organs can lead to increased risks for both the mother and the fetus. Careful monitoring and management are essential, especially in cases where there is a history of previous cesarean deliveries or uterine scarring, which may further complicate the clinical picture. The healthcare provider must document the specific nature of the vaginal abnormality, any associated symptoms, and the management plan to ensure appropriate coding and care.
Documentation must include the specific type of vaginal abnormality, any symptoms, and the treatment plan.
A patient with vaginal agenesis presenting for prenatal care, or a patient with a history of vaginal surgery seeking care during pregnancy.
Consideration of how the abnormality may affect labor and delivery, including potential need for cesarean delivery.
Detailed documentation of maternal-fetal risks associated with vaginal abnormalities, including imaging studies if performed.
Management of a high-risk pregnancy due to a significant vaginal anomaly or previous uterine surgery.
Focus on the implications of the abnormality for fetal development and delivery.
Used for comprehensive obstetric care for patients with vaginal abnormalities.
Complete documentation of all prenatal visits, delivery details, and postpartum follow-up.
Obstetricians must document any complications arising from vaginal abnormalities.
Documentation should include the specific type of vaginal abnormality, any associated symptoms, previous obstetric history, and the management plan for the pregnancy.