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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.80

O34.80

Billable

Maternal care for other abnormalities of pelvic organs, unspecified trimester

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

Code Description

ICD-10 O34.80 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of pelvic organs, unspecified trimester.

Key Diagnostic Point:

O34.80 refers to maternal care for abnormalities of pelvic organs that do not fall under more specific categories. This code is utilized when a pregnant patient presents with conditions such as uterine fibroids, pelvic organ prolapse, or other structural abnormalities that may impact pregnancy or delivery. These abnormalities can lead to complications such as obstructed labor, increased risk of cesarean delivery, or postpartum complications. The unspecified trimester designation indicates that the condition may be relevant at any stage of pregnancy, necessitating careful monitoring and management by healthcare providers. It is crucial for clinicians to document the specific nature of the pelvic abnormality, any previous surgical history such as cesarean sections, and the implications for the current pregnancy to ensure accurate coding and optimal patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of pelvic organ abnormalities that can affect pregnancy outcomes.
  • Need for detailed documentation of previous surgical history, including cesarean sections.
  • Potential for complications requiring multidisciplinary management.
  • Variability in clinical presentation and management strategies.

Audit Risk Factors

  • Inadequate documentation of the specific pelvic abnormality.
  • Failure to note previous cesarean sections or uterine scarring.
  • Lack of clarity on the impact of the abnormality on the current pregnancy.
  • Misclassification of the trimester in which care is provided.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of pelvic organ abnormalities, previous surgeries, and their implications for pregnancy.

Common Clinical Scenarios

Management of a pregnant patient with a history of uterine fibroids or pelvic organ prolapse.

Billing Considerations

Consideration of how pelvic abnormalities may affect labor and delivery plans.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of high-risk factors associated with pelvic organ abnormalities.

Common Clinical Scenarios

Monitoring and managing pregnancies complicated by significant pelvic organ abnormalities.

Billing Considerations

Focus on the potential for complications and the need for specialized care.

Coding Guidelines

Inclusion Criteria

Use O34.80 When
  • According to official coding guidelines, O34
  • 80 should be used when there is documentation of a pelvic organ abnormality impacting maternal care, without a more specific code available
  • It is essential to document the nature of the abnormality and its implications for the pregnancy

Exclusion Criteria

Do NOT use O34.80 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 pelvic abnormalities.

Documentation Requirements

Complete documentation of all prenatal visits and any complications.

Specialty Considerations

Obstetricians should ensure all relevant conditions 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 pelvic organ abnormalities, improving the accuracy of maternal care documentation and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pelvic organ abnormalities, improving the accuracy of maternal care documentation and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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

When should O34.80 be used?

O34.80 should be used when a patient presents with a pelvic organ abnormality impacting pregnancy, and no more specific code is applicable. Detailed documentation of the abnormality and its implications for care is essential.