Maternal care for cervical incompetence, second trimester
ICD-10 O34.32 is a billable code used to indicate a diagnosis of maternal care for cervical incompetence, second trimester.
Cervical incompetence, also known as cervical insufficiency, is a condition characterized by the premature dilation of the cervix during the second trimester of pregnancy, which can lead to preterm birth or pregnancy loss. This condition is often associated with structural abnormalities of the cervix or uterus, such as previous cervical surgeries, uterine scarring from prior cesarean sections, or congenital anomalies. Maternal care for cervical incompetence involves close monitoring and may include interventions such as cervical cerclage, which is a surgical procedure to reinforce the cervix. The second trimester is a critical period for managing this condition, as timely intervention can significantly improve pregnancy outcomes. Care providers must assess the patient's obstetric history, including any previous cesarean deliveries or pelvic organ abnormalities, to tailor the management plan effectively. Regular ultrasounds and assessments of cervical length are essential components of care during this period.
Detailed obstetric history, including previous surgeries and complications.
Patients with a history of cervical surgeries or multiple cesarean sections presenting with cervical incompetence.
Consideration of the patient's overall obstetric risk profile and the need for multidisciplinary care.
Comprehensive documentation of high-risk factors and management plans.
Management of pregnancies complicated by cervical incompetence and other high-risk factors.
Coordination with obstetricians for surgical interventions and ongoing monitoring.
Performed for patients diagnosed with cervical incompetence to prevent preterm birth.
Documentation of the indication for the procedure and any pre-operative assessments.
Obstetricians should document the patient's history and any risk factors that necessitate the procedure.
Accurate coding of O34.32 is crucial for ensuring appropriate management of patients with cervical incompetence, as it directly impacts treatment decisions and reimbursement for care provided.
