Maternal care for cervical incompetence, third trimester
ICD-10 O34.33 is a billable code used to indicate a diagnosis of maternal care for cervical incompetence, third trimester.
Cervical incompetence, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely, often leading to preterm birth or pregnancy loss. In the third trimester, maternal care for cervical incompetence is critical as it poses significant risks to both the mother and fetus. This condition may be associated with abnormalities of the pelvic organs, such as uterine anomalies or previous cervical surgeries, including cone biopsies or LEEP procedures, which can weaken cervical integrity. Additionally, a history of cesarean deliveries may contribute to uterine scarring, further complicating the pregnancy. Management often involves close monitoring, potential cervical cerclage placement, and patient education regarding signs of preterm labor. Accurate coding for cervical incompetence requires thorough documentation of the patient's obstetric history, including any previous interventions and current pregnancy complications.
Detailed obstetric history, including previous pregnancies, surgeries, and current symptoms.
Patients with a history of cervical surgeries presenting with symptoms of cervical incompetence.
Consideration of the patient's obstetric history and any interventions that may affect cervical integrity.
Comprehensive documentation of high-risk factors and management strategies.
Management of patients with multiple risk factors for preterm birth due to cervical incompetence.
Focus on high-risk monitoring and interventions such as cervical cerclage.
Performed for patients diagnosed with cervical incompetence to prevent preterm birth.
Document indication for cerclage, procedure details, and follow-up care.
Obstetricians should ensure clear documentation of the rationale for the procedure.
Accurate coding of O34.33 is crucial for proper reimbursement, tracking of maternal and fetal outcomes, and ensuring that patients receive appropriate care for cervical incompetence during the critical third trimester.
