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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.62

O34.62

Billable

Maternal care for abnormality of vagina, second trimester

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

Code Description

ICD-10 O34.62 is a billable code used to indicate a diagnosis of maternal care for abnormality of vagina, second trimester.

Key Diagnostic Point:

O34.62 refers to maternal care for abnormalities of the vagina during the second trimester of pregnancy. This code is utilized when there are identified congenital or acquired abnormalities of the vagina that may impact the pregnancy or delivery process. Such abnormalities can include vaginal agenesis, septate vagina, or other structural anomalies that may complicate labor and delivery. The presence of these conditions necessitates careful monitoring and management by healthcare providers to ensure the safety of both the mother and the fetus. Additionally, if the patient has a history of cesarean delivery or uterine scarring, these factors must be considered in the management plan, as they may influence the mode of delivery and the overall obstetric care strategy. Proper documentation of the specific vaginal abnormality, its implications for the pregnancy, and any previous surgical history is crucial for accurate coding and optimal patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in types of vaginal abnormalities and their implications
  • Need for detailed documentation of previous obstetric history
  • Potential for multiple co-existing conditions affecting care
  • Variations in management protocols based on specific abnormalities

Audit Risk Factors

  • Inadequate documentation of the specific vaginal abnormality
  • Failure to note previous cesarean or uterine scarring
  • Misclassification of the type of abnormality
  • Lack of interdisciplinary notes in the medical record

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include detailed descriptions of the vaginal abnormality, any associated symptoms, and the impact on pregnancy and delivery.

Common Clinical Scenarios

Patients with vaginal agenesis requiring assisted reproductive technologies, or those with septate vaginas needing surgical intervention prior to delivery.

Billing Considerations

Consideration of the patient's obstetric history, including previous cesarean deliveries and uterine scarring, is essential for planning delivery.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include comprehensive assessments of the vaginal abnormality and its potential impact on fetal health.

Common Clinical Scenarios

Management of pregnancies complicated by significant vaginal anomalies, requiring specialized monitoring and potential surgical interventions.

Billing Considerations

Close monitoring for complications such as preterm labor or delivery, and planning for potential cesarean delivery if indicated.

Coding Guidelines

Inclusion Criteria

Use O34.62 When
  • According to official coding guidelines, O34
  • 62 should be used when there is clear documentation of a vaginal abnormality impacting the pregnancy
  • Coders must ensure that the condition is well
  • documented in the medical record and that any associated risks are noted

Exclusion Criteria

Do NOT use O34.62 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 obstetric care of patients with vaginal abnormalities.

Documentation Requirements

Complete documentation of all prenatal visits, delivery details, and postpartum follow-up.

Specialty Considerations

Obstetricians must ensure that all aspects of care are documented to support the coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vaginal abnormalities, improving the accuracy of claims and facilitating better patient management. The granularity of ICD-10 codes helps in capturing the complexity of obstetric cases more effectively than ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vaginal abnormalities, improving the accuracy of claims and facilitating better patient management. The granularity of ICD-10 codes helps in capturing the complexity of obstetric cases more effectively than ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vaginal abnormalities, improving the accuracy of claims and facilitating better patient management. The granularity of ICD-10 codes helps in capturing the complexity of obstetric cases more effectively than ICD-9.

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 documentation is required for O34.62?

Documentation must include a clear description of the vaginal abnormality, its impact on the pregnancy, and any relevant obstetric history, including previous cesarean deliveries or uterine scarring.