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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.529

O34.529

Billable

Maternal care for prolapse of gravid uterus, unspecified trimester

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

Code Description

ICD-10 O34.529 is a billable code used to indicate a diagnosis of maternal care for prolapse of gravid uterus, unspecified trimester.

Key Diagnostic Point:

Maternal care for prolapse of the gravid uterus refers to the management and monitoring of a condition where the uterus descends into the vaginal canal during pregnancy. This condition can arise due to various factors, including weakened pelvic support structures, previous cesarean deliveries, or uterine scarring from prior surgeries. The prolapse may lead to complications such as urinary incontinence, pelvic pressure, and discomfort. Care for this condition typically involves a multidisciplinary approach, including obstetricians and physical therapists specializing in pelvic floor rehabilitation. The unspecified trimester designation indicates that the condition can occur at any stage of pregnancy, necessitating careful assessment and tailored management strategies to ensure maternal and fetal well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of prolapse.
  • Need for detailed documentation of previous obstetric history, including cesarean sections.
  • Potential for coexisting pelvic organ prolapse conditions.
  • Variability in treatment approaches based on trimester and patient symptoms.

Audit Risk Factors

  • Inadequate documentation of the patient's obstetric history.
  • Failure to specify the trimester of care.
  • Misclassification of the severity of prolapse.
  • Inconsistent coding of associated conditions or complications.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of previous pregnancies, surgical history, and current symptoms.

Common Clinical Scenarios

Management of pelvic pressure and urinary symptoms in pregnant patients.

Billing Considerations

Consideration of the impact of previous cesarean deliveries on pelvic support.

Maternal-Fetal Medicine

Documentation Requirements

Thorough assessment of maternal-fetal risks associated with uterine prolapse.

Common Clinical Scenarios

Monitoring high-risk pregnancies with uterine abnormalities.

Billing Considerations

Focus on fetal well-being and potential delivery complications.

Coding Guidelines

Inclusion Criteria

Use O34.529 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring accurate documentation of the patient's history, current symptoms, and trimester of care
  • Use additional codes for any associated conditions

Exclusion Criteria

Do NOT use O34.529 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 in patients with uterine 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 uterine prolapse, which enhances the accuracy of patient records and facilitates better care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including uterine prolapse, which enhances the accuracy of patient records and facilitates better care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including uterine prolapse, which enhances the accuracy of patient records and facilitates 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 should be documented for O34.529?

Documentation should include the patient's obstetric history, current symptoms, trimester of care, and any previous surgeries, especially cesarean sections, to support the diagnosis of uterine prolapse.