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ICD-10 Guide
ICD-10 CodesO34.533

O34.533

Billable

Maternal care for retroversion of gravid uterus, third trimester

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

Code Description

ICD-10 O34.533 is a billable code used to indicate a diagnosis of maternal care for retroversion of gravid uterus, third trimester.

Key Diagnostic Point:

Retroversion of the gravid uterus refers to a condition where the uterus is tilted backward instead of its normal forward position. This condition can occur during pregnancy, particularly in the third trimester, when the growing uterus may shift position due to increased size and weight. Maternal care for this condition involves monitoring for potential complications such as urinary retention, discomfort, and the risk of obstructed labor. It is crucial for healthcare providers to assess the patient's history, especially regarding previous cesarean deliveries or uterine scarring, as these factors can complicate the management of retroversion. Care may include physical examinations, imaging studies, and possibly interventions to alleviate symptoms. The goal is to ensure the safety of both the mother and the fetus while addressing any discomfort or complications arising from the retroverted position of the uterus.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of pelvic anatomy and uterine positioning.
  • Involves assessment of previous obstetric history, including cesarean sections.
  • Potential for complications that require careful monitoring.
  • Need for accurate documentation of maternal symptoms and interventions.

Audit Risk Factors

  • Inadequate documentation of maternal symptoms related to retroversion.
  • Failure to note previous cesarean sections or uterine scarring.
  • Misclassification of the condition as a normal variant.
  • Lack of follow-up documentation on management and outcomes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of maternal history, physical examination findings, and any interventions performed.

Common Clinical Scenarios

Management of discomfort due to retroversion, monitoring for urinary complications, and planning for delivery.

Billing Considerations

Consideration of the patient's obstetric history, including previous surgeries and their implications for current pregnancy.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal comorbidities and fetal monitoring.

Common Clinical Scenarios

Assessment of fetal position and well-being in the context of maternal retroversion.

Billing Considerations

Focus on high-risk management strategies and potential interventions to optimize outcomes.

Coding Guidelines

Inclusion Criteria

Use O34.533 When
  • According to ICD
  • 10 coding guidelines, O34
  • 533 should be used when there is clear documentation of retroversion in the third trimester
  • Coders must ensure that the condition is not a normal variant and that it is impacting maternal care

Exclusion Criteria

Do NOT use O34.533 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum, delivery, and postpartum care

Clinical Scenario

Used when managing a patient with retroversion during the course of pregnancy.

Documentation Requirements

Complete documentation of all prenatal visits, assessments, and interventions.

Specialty Considerations

Obstetricians should note any complications arising from retroversion.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like retroversion, improving the accuracy of maternal care documentation and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like retroversion, improving the accuracy of maternal care documentation and facilitating better patient management.

Reimbursement & Billing Impact

reimbursement and compliance.

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 associated with retroversion of the gravid uterus?

Common symptoms include back pain, urinary retention, and pelvic discomfort. It is important to monitor these symptoms closely, especially in the third trimester.