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ICD-10 Guide
ICD-10 CodesO34.29

O34.29

Billable

Maternal care due to uterine scar from other previous surgery

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

Code Description

ICD-10 O34.29 is a billable code used to indicate a diagnosis of maternal care due to uterine scar from other previous surgery.

Key Diagnostic Point:

O34.29 is used to indicate maternal care for women who have a uterine scar resulting from previous surgical interventions, such as myomectomy or other pelvic surgeries, which may impact pregnancy and delivery. The presence of a uterine scar can lead to complications such as uterine rupture, abnormal placentation, or increased risk of cesarean delivery. Careful monitoring and management are essential to ensure maternal and fetal safety. This code is particularly relevant for obstetricians and healthcare providers managing pregnancies in women with a history of uterine surgery, as it necessitates a tailored approach to prenatal care, labor, and delivery planning. Documentation should include details of the previous surgery, the nature of the uterine scar, and any associated risks identified during prenatal visits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed surgical history documentation
  • Assessment of potential complications related to uterine scarring
  • Coordination of care among multiple specialties (e.g., obstetrics, maternal-fetal medicine)
  • Variability in clinical presentation and management strategies

Audit Risk Factors

  • Inadequate documentation of previous surgeries
  • Failure to note complications arising from uterine scarring
  • Misclassification of the type of uterine scar
  • Lack of clear linkage between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of previous surgeries, current pregnancy complications, and management plans.

Common Clinical Scenarios

Pregnancy in women with a history of myomectomy, previous pelvic surgeries, or other uterine interventions.

Billing Considerations

Consideration of the type of surgery performed and its implications for labor and delivery.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Monitoring pregnancies with uterine scarring for signs of complications such as uterine rupture.

Billing Considerations

In-depth evaluation of maternal and fetal health, including imaging studies if necessary.

Coding Guidelines

Inclusion Criteria

Use O34.29 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring that the code is used in conjunction with appropriate documentation of the patient's surgical history and any complications that arise during pregnancy

Exclusion Criteria

Do NOT use O34.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with uterine scars.

Documentation Requirements

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

Specialty Considerations

Obstetricians should ensure thorough documentation of any complications related to uterine scarring.

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, improving the accuracy of patient records and facilitating better care management.

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, improving the accuracy of patient records and facilitating better care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including those related to uterine scarring, improving the accuracy of patient records and facilitating better care management.

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 types of surgeries can lead to the need for code O34.29?

Surgeries such as myomectomy, endometrial ablation, or other pelvic surgeries that result in uterine scarring can necessitate the use of O34.29. It is important to document the specific type of surgery and its implications for the current pregnancy.