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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.592

O34.592

Billable

Maternal care for other abnormalities of gravid uterus, second trimester

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

Code Description

ICD-10 O34.592 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of gravid uterus, second trimester.

Key Diagnostic Point:

O34.592 refers to maternal care for abnormalities of the gravid uterus during the second trimester of pregnancy. This code encompasses various conditions that may affect the uterus, including abnormalities of pelvic organs, previous cesarean deliveries, and uterine scarring. Abnormalities of pelvic organs can lead to complications such as abnormal fetal positioning, increased risk of preterm labor, or difficulties during delivery. Previous cesarean sections may result in uterine scarring, which can complicate future pregnancies and deliveries, necessitating careful monitoring and management. Maternal care in this context involves regular assessments, imaging studies, and possibly consultations with specialists to ensure both maternal and fetal well-being. The second trimester is a critical period for monitoring these conditions, as they can significantly impact pregnancy outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of previous cesarean sections and uterine scarring.
  • Need for detailed imaging reports to confirm abnormalities.
  • Potential for multiple comorbidities affecting pregnancy.
  • Variability in clinical management based on the type of abnormality.

Audit Risk Factors

  • Inadequate documentation of maternal history, including previous surgeries.
  • Failure to document the specifics of the abnormality.
  • Lack of clear clinical rationale for the chosen management plan.
  • Inconsistent coding of related conditions or complications.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed maternal history, including previous obstetric history and current pregnancy complications.

Common Clinical Scenarios

Management of pregnancies with uterine fibroids, previous cesarean sections, or pelvic organ abnormalities.

Billing Considerations

Accurate coding requires thorough documentation of all relevant maternal and fetal assessments.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including imaging studies and specialist consultations.

Common Clinical Scenarios

Monitoring pregnancies with significant uterine abnormalities or previous surgical history.

Billing Considerations

High-risk pregnancies require detailed tracking of maternal and fetal health indicators.

Coding Guidelines

Inclusion Criteria

Use O34.592 When
  • According to ICD
  • 10 coding guidelines, O34
  • 592 should be used when there is documented evidence of abnormalities of the gravid uterus during the second trimester
  • Coders must ensure that the documentation supports the diagnosis and reflects the complexity of care provided

Exclusion Criteria

Do NOT use O34.592 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care including antepartum, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with uterine abnormalities.

Documentation Requirements

Complete documentation of all prenatal visits, assessments, and delivery details.

Specialty Considerations

Obstetricians must ensure that all aspects of care are documented to support billing.

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 billing. O34.592 provides a clear framework for coding abnormalities of the gravid uterus, enhancing the ability to track and manage these conditions effectively.

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 billing. O34.592 provides a clear framework for coding abnormalities of the gravid uterus, enhancing the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

billing. O34.592 provides a clear framework for coding abnormalities of the gravid uterus, enhancing the ability to track and manage these conditions effectively.

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 documentation is required to support the use of O34.592?

Documentation must include a detailed maternal history, evidence of any uterine abnormalities, and a clear management plan that reflects the complexity of care provided during the second trimester.