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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.73

O34.73

Billable

Maternal care for abnormality of vulva and perineum, third trimester

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

Code Description

ICD-10 O34.73 is a billable code used to indicate a diagnosis of maternal care for abnormality of vulva and perineum, third trimester.

Key Diagnostic Point:

O34.73 refers to maternal care provided for abnormalities of the vulva and perineum during the third trimester of pregnancy. This condition may arise due to various factors, including congenital anomalies, infections, or trauma. Abnormalities in the vulva and perineum can lead to complications such as pain, discomfort, and potential delivery challenges. In cases of previous cesarean deliveries, scarring of the uterus may also contribute to abnormal pelvic organ positioning or function, necessitating careful monitoring and management. Maternal care in this context involves a multidisciplinary approach, including obstetricians, gynecologists, and maternal-fetal medicine specialists, to ensure both maternal and fetal well-being. Regular assessments, imaging studies, and appropriate interventions are critical to managing these abnormalities effectively, particularly as the pregnancy progresses into the third trimester, where the risk of complications may increase.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of vulvar and perineal abnormalities.
  • Need for detailed documentation of previous cesarean and uterine scarring.
  • Potential for overlapping diagnoses requiring careful differentiation.
  • Variations in treatment protocols based on the specific abnormality.

Audit Risk Factors

  • Inadequate documentation of the specific abnormality.
  • Failure to note previous surgical history, such as cesarean sections.
  • Misclassification of the condition leading to incorrect coding.
  • Lack of clarity in the treatment plan or follow-up care.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes describing the nature of the abnormality, treatment plans, and any complications.

Common Clinical Scenarios

Management of vulvar varicosities, perineal tears, or infections during the third trimester.

Billing Considerations

Consideration of how the abnormality may affect delivery method and maternal comfort.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of maternal and fetal assessments, including imaging studies.

Common Clinical Scenarios

Monitoring high-risk pregnancies with known vulvar or perineal abnormalities.

Billing Considerations

Focus on the implications of the abnormality for fetal health and delivery outcomes.

Coding Guidelines

Inclusion Criteria

Use O34.73 When
  • According to ICD
  • 10 coding guidelines, O34
  • 73 should be used when there is clear documentation of the abnormality and its impact on maternal care during the third trimester
  • Coders must ensure that the diagnosis is supported by clinical findings and that any related conditions are also documented

Exclusion Criteria

Do NOT use O34.73 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 in conjunction with O34.73 when managing a patient with vulvar abnormalities during pregnancy.

Documentation Requirements

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

Specialty Considerations

Obstetricians should ensure that all aspects of care related to the abnormality are documented.

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 vulvar and perineal abnormalities. 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 vulvar and perineal abnormalities. 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 vulvar and perineal abnormalities. 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 documentation is necessary to support the use of O34.73?

Documentation must include a clear description of the abnormality, its impact on the patient's pregnancy, and any treatment provided. Additionally, previous surgical history, such as cesarean sections, should be noted to provide context for the patient's care.