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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.60

O34.60

Billable

Maternal care for abnormality of vagina, unspecified trimester

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

Code Description

ICD-10 O34.60 is a billable code used to indicate a diagnosis of maternal care for abnormality of vagina, unspecified trimester.

Key Diagnostic Point:

O34.60 refers to maternal care for abnormalities of the vagina that are not specified by trimester. This code encompasses a range of conditions affecting the vagina, which may include congenital anomalies, acquired conditions, or abnormalities resulting from previous surgical interventions such as cesarean sections. These abnormalities can impact pregnancy outcomes and may necessitate specialized care or monitoring. For instance, women with a history of uterine scarring or previous cesarean deliveries may experience complications such as uterine rupture or abnormal placentation. Proper management of these conditions is crucial to ensure maternal and fetal safety throughout pregnancy, labor, and delivery. Care providers must assess the nature of the vaginal abnormality, its implications for the pregnancy, and any necessary interventions to mitigate risks associated with childbirth.

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 surgical history, particularly cesarean sections.
  • Potential for complications requiring interdisciplinary care.
  • Variability in clinical presentation and management strategies.

Audit Risk Factors

  • Inadequate documentation of the vaginal abnormality and its impact on pregnancy.
  • Failure to document previous surgical history accurately.
  • Lack of clear clinical rationale for the use of this code.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the type of vaginal abnormality, its history, and any interventions performed.

Common Clinical Scenarios

Management of a pregnant patient with a history of vaginal surgery or congenital vaginal anomalies.

Billing Considerations

Consideration of how the vaginal abnormality may affect labor and delivery, including the need for potential surgical intervention.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors associated with vaginal abnormalities.

Common Clinical Scenarios

Monitoring of pregnancies complicated by uterine scarring or previous cesarean deliveries.

Billing Considerations

Focus on the potential for complications such as uterine rupture or abnormal placentation.

Coding Guidelines

Inclusion Criteria

Use O34.60 When
  • According to official coding guidelines, O34
  • 60 should be used when there is documentation of a vaginal abnormality affecting maternal care but without specification of the trimester
  • Coders should ensure that the documentation supports the use of this code and that it aligns with the clinical scenario

Exclusion Criteria

Do NOT use O34.60 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, and postpartum care.

Specialty Considerations

Obstetricians should 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 maternal conditions, including vaginal abnormalities. This specificity aids in better tracking of maternal health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including vaginal abnormalities. This specificity aids in better tracking of maternal health outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including vaginal abnormalities. This specificity aids in better tracking of maternal health outcomes 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 types of vaginal abnormalities are covered under O34.60?

O34.60 covers a range of vaginal abnormalities, including congenital anomalies, acquired conditions, and those resulting from previous surgeries. Each case should be evaluated individually to determine the appropriate management and documentation.