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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.59

O34.59

Billable

Maternal care for other abnormalities of gravid uterus

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

Code Description

ICD-10 O34.59 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of gravid uterus.

Key Diagnostic Point:

O34.59 refers to maternal care for various abnormalities of the gravid uterus that do not fall under more specific categories. This includes conditions such as abnormalities of the pelvic organs, previous cesarean deliveries, and uterine scarring. These conditions can complicate pregnancy and may require specialized monitoring and management. For instance, women with a history of cesarean sections may face risks such as uterine rupture or abnormal placentation, necessitating careful planning for delivery. Abnormalities of the pelvic organs, such as fibroids or congenital malformations, can also impact the course of pregnancy and may require surgical intervention or close observation. The management of these conditions often involves a multidisciplinary approach, including obstetricians, maternal-fetal medicine specialists, and possibly urologists or gynecologists, to ensure optimal outcomes for both mother and child.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of previous obstetric history.
  • Need for detailed descriptions of pelvic organ abnormalities.
  • Potential for multiple comorbid conditions affecting pregnancy.
  • Differentiation between normal and abnormal findings on imaging.

Audit Risk Factors

  • Inadequate documentation of previous surgeries.
  • Failure to specify the type of pelvic organ abnormality.
  • Misclassification of the severity of the condition.
  • Lack of follow-up documentation for ongoing maternal care.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

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

Common Clinical Scenarios

Management of pregnancies complicated by fibroids, previous cesarean sections, or pelvic organ abnormalities.

Billing Considerations

Ensure accurate coding of any interventions or monitoring related to the abnormalities.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of maternal and fetal health, including imaging studies and consultations.

Common Clinical Scenarios

High-risk pregnancies due to uterine abnormalities or previous surgical history.

Billing Considerations

Focus on the implications of the abnormalities for both maternal and fetal outcomes.

Coding Guidelines

Inclusion Criteria

Use O34.59 When
  • Follow official ICD
  • CM guidelines for obstetric coding, ensuring that all relevant conditions are documented and coded accurately, particularly in cases of multiple abnormalities

Exclusion Criteria

Do NOT use O34.59 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 when managing a patient with a history of uterine abnormalities throughout pregnancy.

Documentation Requirements

Complete documentation of all visits, assessments, and any interventions performed.

Specialty Considerations

Obstetricians should ensure that all aspects of care are documented to support the coding.

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, 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 obstetric conditions, improving the accuracy of maternal care documentation and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of maternal care documentation and facilitating better patient 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 types of abnormalities are covered under O34.59?

O34.59 covers a range of abnormalities of the gravid uterus, including pelvic organ abnormalities, previous cesarean sections, and uterine scarring. Each case requires careful documentation to ensure appropriate management and coding.