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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.593

O34.593

Billable

Maternal care for other abnormalities of gravid uterus, third trimester

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

Code Description

ICD-10 O34.593 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of gravid uterus, third trimester.

Key Diagnostic Point:

O34.593 refers to maternal care for abnormalities of the gravid uterus during the third trimester of pregnancy. This code encompasses various conditions that may affect the uterus, including abnormalities of pelvic organs, previous cesarean deliveries, and uterine scarring. These conditions can complicate the 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 placenta accreta, necessitating careful surveillance. Abnormalities of pelvic organs, such as fibroids or congenital malformations, can also impact the pregnancy's progression and delivery method. Proper documentation of these conditions is crucial for ensuring appropriate care and coding accuracy, as they can significantly influence maternal and fetal outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions affecting the uterus
  • Need for detailed patient history regarding previous surgeries
  • Variability in clinical presentation and management strategies
  • Potential for multiple coexisting conditions requiring differentiation

Audit Risk Factors

  • Inadequate documentation of previous cesarean sections
  • Failure to specify the type of uterine abnormality
  • Lack of clarity on the management plan for the abnormality
  • Misclassification of the condition leading to incorrect coding

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the patient's obstetric history, including previous surgeries and current complications.

Common Clinical Scenarios

Management of a pregnant patient with a history of multiple cesarean sections presenting with uterine scarring.

Billing Considerations

Consideration of the risks associated with uterine abnormalities and the need for multidisciplinary care.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of high-risk factors, including maternal history and current fetal assessments.

Common Clinical Scenarios

Monitoring a patient with fibroids affecting the uterine cavity during the third trimester.

Billing Considerations

Focus on the implications of uterine abnormalities on fetal development and delivery options.

Coding Guidelines

Inclusion Criteria

Use O34.593 When
  • According to official coding guidelines, O34
  • 593 should be used when there is clear documentation of an abnormality of the gravid uterus in the third trimester
  • Coders should ensure that the documentation supports the diagnosis and reflects the complexity of the patient's condition

Exclusion Criteria

Do NOT use O34.593 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical delivery, vaginal

Clinical Scenario

Used when a patient with uterine abnormalities delivers vaginally.

Documentation Requirements

Documentation of the delivery method and any complications encountered.

Specialty Considerations

Obstetricians should note any specific risks associated with the patient's uterine condition.

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 O34.593, which provides better granularity in capturing maternal care complexities. This specificity aids in improved patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including O34.593, which provides better granularity in capturing maternal care complexities. This specificity aids in improved patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, including O34.593, which provides better granularity in capturing maternal care complexities. This specificity aids in improved patient management and resource allocation.

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 for coding O34.593?

Documentation must include a detailed obstetric history, specific details about the uterine abnormality, and any management strategies employed during the third trimester.