ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO34.6

O34.6

Billable

Maternal care for abnormality of vagina

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

Code Description

ICD-10 O34.6 is a billable code used to indicate a diagnosis of maternal care for abnormality of vagina.

Key Diagnostic Point:

Maternal care for abnormality of the vagina encompasses a range of conditions that may affect the vaginal anatomy and function during pregnancy. These abnormalities can include congenital malformations, acquired conditions such as vaginal scarring from previous surgeries or trauma, and other structural issues that may complicate pregnancy and delivery. Women with a history of cesarean sections may also present with scarring that can impact vaginal delivery options. Proper management of these conditions is crucial to ensure maternal and fetal safety. Care may involve multidisciplinary approaches, including obstetricians, gynecologists, and maternal-fetal medicine specialists, to assess the risks and plan for delivery. The presence of vaginal abnormalities can lead to complications such as obstructed labor, increased risk of cesarean delivery, and potential for postpartum complications. Therefore, thorough documentation and careful coding are essential to reflect the complexity of care provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in types of vaginal abnormalities and their implications for pregnancy.
  • Need for detailed documentation of previous surgeries and their impact on current pregnancy.
  • Potential for complications during labor and delivery requiring careful planning.
  • Interdisciplinary collaboration needed for comprehensive care.

Audit Risk Factors

  • Inadequate documentation of vaginal abnormalities and their impact on pregnancy.
  • Failure to document previous cesarean sections or surgical history.
  • Misclassification of the type of vaginal abnormality.
  • Lack of interdisciplinary notes that support the complexity of care.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of vaginal abnormalities, previous surgeries, and current pregnancy complications.

Common Clinical Scenarios

Management of labor in patients with vaginal scarring or congenital abnormalities.

Billing Considerations

Consideration of delivery method based on vaginal anatomy and previous obstetric history.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive risk assessment and management plans for high-risk pregnancies.

Common Clinical Scenarios

Monitoring and intervention strategies for patients with significant vaginal abnormalities.

Billing Considerations

Coordination of care with obstetricians and other specialists to ensure optimal outcomes.

Coding Guidelines

Inclusion Criteria

Use O34.6 When
  • According to the official ICD
  • 10 coding guidelines, O34
  • 6 should be used when there is a documented abnormality of the vagina that may affect maternal care during pregnancy
  • Coders should ensure that the condition is clearly documented in the medical record, including any relevant surgical history and its implications for the current pregnancy

Exclusion Criteria

Do NOT use O34.6 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 care of a patient with vaginal abnormalities during pregnancy.

Documentation Requirements

Complete documentation of all prenatal visits, delivery details, and postpartum follow-up.

Specialty Considerations

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vaginal abnormalities, improving the accuracy of maternal care documentation. This specificity helps in better understanding the complexities involved in managing pregnancies with vaginal abnormalities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vaginal abnormalities, improving the accuracy of maternal care documentation. This specificity helps in better understanding the complexities involved in managing pregnancies with vaginal abnormalities.

Reimbursement & Billing Impact

impact on pregnancy, and the care provided. Coders should ensure that all relevant details are captured to support the medical necessity of services rendered.

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 patients with vaginal abnormalities?

Documentation should include the type of vaginal abnormality, any previous surgeries, the impact on the current pregnancy, and the management plan. This information is crucial for accurate coding and billing.