ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO34.2

O34.2

Billable

Maternal care due to uterine scar from previous surgery

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

Code Description

ICD-10 O34.2 is a billable code used to indicate a diagnosis of maternal care due to uterine scar from previous surgery.

Key Diagnostic Point:

O34.2 is used to indicate maternal care for women who have a uterine scar resulting from previous surgical interventions, such as cesarean sections or myomectomies. The presence of a uterine scar can significantly impact the management of pregnancy, as it may increase the risk of complications such as uterine rupture, abnormal placentation, and preterm labor. Careful monitoring and planning are essential for these patients, often involving a multidisciplinary approach to ensure both maternal and fetal safety. Obstetricians must assess the type and extent of the scar, the number of previous surgeries, and any associated complications. This code is crucial for documenting the need for specialized care and interventions during pregnancy, labor, and delivery, as well as for ensuring appropriate reimbursement for the additional resources required to manage these high-risk pregnancies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in surgical history and types of uterine scars.
  • Need for detailed documentation of previous surgeries.
  • Potential for complications requiring additional monitoring.
  • Variations in clinical management based on the type of scar.

Audit Risk Factors

  • Inadequate documentation of previous surgeries.
  • Failure to note complications arising from the scar.
  • Misclassification of the type of uterine scar.
  • Lack of clear treatment plans or follow-up care.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of previous surgeries, including dates and types, and any complications experienced.

Common Clinical Scenarios

A patient with a history of cesarean delivery presenting for a new pregnancy, requiring careful monitoring.

Billing Considerations

Consideration of the patient's obstetric history and the implications of the uterine scar on delivery method.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive risk assessment and management plans for high-risk pregnancies.

Common Clinical Scenarios

Management of a patient with multiple previous cesarean sections and a history of uterine rupture.

Billing Considerations

In-depth evaluation of maternal and fetal risks associated with uterine scarring.

Coding Guidelines

Inclusion Criteria

Use O34.2 When
  • According to the official ICD
  • 10 coding guidelines, O34
  • 2 should be used when there is a documented history of uterine surgery that has resulted in a scar, and it is essential to provide detailed clinical information to support the use of this code
  • The guidelines emphasize the importance of accurate documentation of the surgical history and any related complications

Exclusion Criteria

Do NOT use O34.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59510CPT Code

Cesarean delivery

Clinical Scenario

Used when a patient with a uterine scar requires a cesarean delivery.

Documentation Requirements

Document the indication for cesarean delivery related to the uterine scar.

Specialty Considerations

Obstetricians should ensure that the surgical history is clearly documented to justify 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 conditions, including those related to uterine scarring. This specificity aids in 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 conditions, including those related to uterine scarring. This specificity aids in 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 conditions, including those related to uterine scarring. This specificity aids in 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 required to support the use of O34.2?

To support the use of O34.2, coders should ensure that there is a clear record of the patient's surgical history, including the type of surgery, dates, and any complications that may arise from the uterine scar. Additionally, any management plans or interventions related to the pregnancy should be documented.