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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.72

O34.72

Billable

Maternal care for abnormality of vulva and perineum, second trimester

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

Code Description

ICD-10 O34.72 is a billable code used to indicate a diagnosis of maternal care for abnormality of vulva and perineum, second trimester.

Key Diagnostic Point:

O34.72 refers to maternal care for abnormalities of the vulva and perineum during the second trimester of pregnancy. This code is utilized when a pregnant patient presents with conditions affecting the vulva or perineum, which may include congenital anomalies, infections, or other pathological changes. Such abnormalities can lead to complications during pregnancy and childbirth, necessitating careful monitoring and management. In cases where there is a history of previous cesarean deliveries or uterine scarring, the risk of complications may be heightened, requiring additional maternal care. The management of these conditions often involves a multidisciplinary approach, including obstetricians, gynecologists, and maternal-fetal medicine specialists, to ensure optimal outcomes for both the mother and the fetus. Documentation should reflect the nature of the abnormality, any associated symptoms, and the care plan established to address these issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in types of vulvar and perineal abnormalities
  • Need for detailed documentation of previous obstetric history
  • Potential for complications related to uterine scarring
  • Interdisciplinary collaboration required for management

Audit Risk Factors

  • Inadequate documentation of the specific abnormality
  • Failure to note previous cesarean history
  • Lack of clear treatment plans in medical records
  • Misclassification of the type of abnormality

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include detailed descriptions of the vulvar and perineal conditions, treatment plans, and any relevant obstetric history.

Common Clinical Scenarios

Common scenarios include managing vulvar varicosities, infections, or congenital abnormalities during routine prenatal visits.

Billing Considerations

Consideration must be given to the potential impact of these abnormalities on labor and delivery, especially in patients with a history of cesarean sections.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation should include assessments of how vulvar and perineal abnormalities may affect fetal well-being and delivery outcomes.

Common Clinical Scenarios

Complex maternal-fetal scenarios may involve managing patients with significant scarring or previous surgical interventions.

Billing Considerations

High-risk coding considerations include the need for additional monitoring and potential interventions during labor.

Coding Guidelines

Inclusion Criteria

Use O34.72 When
  • According to official coding guidelines, O34
  • 72 should be used when there is clear documentation of the abnormality and its management during the second trimester
  • Coders should ensure that the diagnosis is supported by clinical findings and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use O34.72 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 in patients with vulvar abnormalities.

Documentation Requirements

Documentation must include details of the abnormality and the care provided throughout the pregnancy.

Specialty Considerations

Obstetricians should 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 maternal conditions, including those affecting the vulva and perineum. This specificity aids in better tracking of maternal health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including those affecting the vulva and perineum. This specificity aids in better tracking of maternal health outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including those affecting the vulva and perineum. This specificity aids in better tracking of maternal health outcomes and resource allocation.

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 should be documented to support the use of O34.72?

Documentation should include a detailed description of the vulvar or perineal abnormality, any symptoms experienced by the patient, the treatment plan, and the patient's obstetric history, particularly any previous cesarean deliveries.