Maternal care for abnormality of vulva and perineum, first trimester
ICD-10 O34.71 is a billable code used to indicate a diagnosis of maternal care for abnormality of vulva and perineum, first trimester.
O34.71 refers to maternal care for abnormalities of the vulva and perineum during the first trimester of pregnancy. This condition may include congenital malformations, acquired lesions, or infections affecting the vulvar and perineal regions. Such abnormalities can lead to complications during pregnancy, including discomfort, pain, and potential risks during delivery, especially in women with a history of cesarean sections or uterine scarring. Careful monitoring and management are essential to ensure maternal and fetal well-being. Healthcare providers must assess the severity of the abnormality, consider the implications for delivery, and provide appropriate interventions. This may involve multidisciplinary care, including obstetricians, gynecologists, and maternal-fetal medicine specialists, to address both the maternal condition and any potential fetal implications.
Detailed clinical notes describing the abnormality, treatment plans, and any interventions performed.
Management of vulvar varicosities, lichen sclerosus, or perineal tears.
Consideration of how the abnormality may affect delivery method and maternal comfort.
Thorough documentation of maternal-fetal interactions and any additional risks posed by the abnormality.
Monitoring high-risk pregnancies with vulvar abnormalities and assessing potential impacts on fetal health.
Focus on the implications of the abnormality for both maternal and fetal outcomes.
Used when managing a patient with vulvar abnormalities throughout pregnancy.
Complete documentation of all prenatal visits, assessments, and any interventions.
Obstetricians should ensure that all aspects of care are documented to support coding.
Documentation should include a detailed description of the abnormality, any symptoms experienced by the patient, treatment plans, and relevant obstetric history, including previous cesarean sections or uterine scarring.