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v1.0.0
ICD-10 Guide
DiagnosesRepeat C Section

Repeat C Section

ICD-10 Coding for Repeat Cesarean Section(O34.212, O82)

PRIMARY SPECIALTYObstetrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Repeat C Section?
Essential facts and insights about Repeat Cesarean Section

Key Clinical Considerations:

  • Previous cesarean delivery
  • Indications for repeat cesarean (e.g., previous uterine incision type, maternal request)
  • Potential complications (e.g., uterine rupture, placenta previa)

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's obstetric history including previous cesarean details
  • Indications for repeat cesarean documented clearly
  • Informed consent for repeat cesarean procedure

Coding Guidelines

Usage Guidelines & Examples

  • Follow ACOG guidelines for cesarean delivery coding.
  • Common errors include incorrect coding of complications or failing to document previous surgeries.

Code Exclusions

Important Exclusions

  • Vaginal birth after cesarean (VBAC) cases
  • Conditions that may require alternative delivery methods

Related ICD-10 Codes

Primary Codes
O34.21
Maternal care for previous cesarean delivery, in pregnancy, labor, and delivery
O82
Delivery by cesarean section
Ancillary Codes
Z37.0
Differential Codes
O34.211
O34.21-

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Obstetrics

Specialty Applications

  • Pregnant women with a history of cesarean delivery
  • Obstetric clinics and hospitals performing cesarean sections

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document previous cesarean details, current pregnancy complications, and informed consent.

What are the billing considerations?

Ensure accurate coding of indications and complications to avoid denials.