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ICD-10 Guide
ICD-10 CodesO34.522

O34.522

Billable

Maternal care for prolapse of gravid uterus, second trimester

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

Code Description

ICD-10 O34.522 is a billable code used to indicate a diagnosis of maternal care for prolapse of gravid uterus, second trimester.

Key Diagnostic Point:

Maternal care for prolapse of the gravid uterus during the second trimester is a condition where the uterus descends into the vaginal canal due to weakened pelvic support structures. This condition can arise from various factors, including previous cesarean deliveries that may have led to uterine scarring or pelvic floor dysfunction. The second trimester is a critical period for monitoring this condition, as it can affect the pregnancy's progression and the mother's health. Care involves regular assessments, pelvic floor exercises, and possibly the use of supportive devices. Close monitoring is essential to prevent complications such as preterm labor or delivery. The management plan should be tailored to the individual, considering the severity of the prolapse, the presence of any associated symptoms, and the patient's obstetric history.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and its implications during pregnancy.
  • Involves assessment of previous obstetric history, particularly cesarean sections.
  • Management may require interdisciplinary collaboration with physical therapists or maternal-fetal medicine specialists.
  • Documentation must clearly reflect the severity and impact of the prolapse on the pregnancy.

Audit Risk Factors

  • Inadequate documentation of the severity of the prolapse.
  • Failure to note previous cesarean deliveries and their implications.
  • Lack of clear treatment plans or follow-up assessments.
  • Misclassification of the trimester of pregnancy.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed obstetric history, including previous surgeries and current symptoms.

Common Clinical Scenarios

Management of prolapse in pregnant patients, monitoring for complications.

Billing Considerations

Consideration of pelvic floor rehabilitation and potential surgical interventions.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Monitoring of high-risk patients with uterine prolapse and other comorbidities.

Billing Considerations

Coordination of care with obstetricians and physical therapists.

Coding Guidelines

Inclusion Criteria

Use O34.522 When
  • According to the official ICD
  • CM coding guidelines, O34
  • 522 should be used when documenting maternal care for prolapse of the gravid uterus specifically during the second trimester
  • Coders must ensure accurate trimester documentation and consider any associated conditions that may affect the pregnancy

Exclusion Criteria

Do NOT use O34.522 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care for patients with prolapse.

Documentation Requirements

Complete documentation of all prenatal visits and delivery details.

Specialty Considerations

Obstetricians should document any complications related to prolapse.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including prolapse of the gravid uterus. This specificity aids in better tracking of maternal health 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 obstetric conditions, including prolapse of the gravid uterus. This specificity aids in better tracking of maternal health outcomes and resource allocation for high-risk pregnancies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including prolapse of the gravid uterus. This specificity aids in better tracking of maternal health 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 are the common symptoms of uterine prolapse during pregnancy?

Common symptoms include pelvic pressure, urinary incontinence, and vaginal bulging. Patients may also report discomfort during physical activity or prolonged standing.