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v1.0.0
ICD-10 Guide
ICD-10 CodesO33.7

O33.7

Billable

Maternal care for disproportion due to other fetal deformities

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

Code Description

ICD-10 O33.7 is a billable code used to indicate a diagnosis of maternal care for disproportion due to other fetal deformities.

Key Diagnostic Point:

Maternal care for disproportion due to other fetal deformities refers to the clinical management of pregnant women experiencing cephalopelvic disproportion (CPD) resulting from fetal anomalies. This condition arises when the size or shape of the fetal head is incompatible with the maternal pelvis, often due to structural deformities such as hydrocephalus, craniosynostosis, or other congenital malformations. The management of this condition is critical as it can lead to complications during labor, necessitating careful planning for delivery. Healthcare providers must assess the degree of disproportion through imaging studies and clinical evaluations. Cesarean delivery is often planned to mitigate risks associated with obstructed labor, fetal distress, and maternal injury. Continuous monitoring and interdisciplinary collaboration are essential to optimize maternal and fetal outcomes, ensuring that the delivery plan is tailored to the specific deformities present.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of fetal deformities leading to disproportion
  • Need for detailed imaging and assessment
  • Interdisciplinary coordination for delivery planning
  • Potential for emergency interventions

Audit Risk Factors

  • Inadequate documentation of fetal deformities
  • Failure to specify the type of disproportion
  • Lack of evidence for cesarean planning
  • Misclassification of the delivery method

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of maternal and fetal assessments, imaging results, and delivery plans.

Common Clinical Scenarios

Management of labor in women with known fetal deformities, planning for cesarean delivery due to CPD.

Billing Considerations

Accurate coding requires clear documentation of the specific fetal deformity and its implications for delivery.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive records of high-risk assessments, consultations, and management plans.

Common Clinical Scenarios

Monitoring and managing pregnancies complicated by significant fetal anomalies.

Billing Considerations

High-risk scenarios necessitate thorough documentation of multidisciplinary approaches and interventions.

Coding Guidelines

Inclusion Criteria

Use O33.7 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring that all relevant clinical details are documented
  • Specific criteria for coding maternal care for disproportion must be met, including the identification of the fetal deformity and its impact on delivery

Exclusion Criteria

Do NOT use O33.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59510CPT Code

Cesarean delivery

Clinical Scenario

Used when a cesarean delivery is planned due to CPD from fetal deformities.

Documentation Requirements

Document the indication for cesarean delivery, including fetal deformities and assessment findings.

Specialty Considerations

Obstetricians must ensure that all clinical findings are well-documented to support the necessity of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of maternal care for disproportion, enabling better tracking of outcomes and resource allocation for high-risk pregnancies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal care for disproportion, enabling better tracking of outcomes and resource allocation for high-risk pregnancies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal care for disproportion, enabling better tracking of outcomes and resource allocation for high-risk pregnancies.

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 for coding O33.7?

Documentation must include the specific fetal deformity, assessments performed, and the rationale for any planned cesarean delivery. Clear links between diagnosis and treatment are essential.