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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.70

O34.70

Billable

Maternal care for abnormality of vulva and perineum, unspecified trimester

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

Code Description

ICD-10 O34.70 is a billable code used to indicate a diagnosis of maternal care for abnormality of vulva and perineum, unspecified trimester.

Key Diagnostic Point:

O34.70 refers to maternal care for abnormalities of the vulva and perineum that may arise during pregnancy. These abnormalities can include congenital malformations, acquired conditions such as lichen sclerosus, or trauma-related changes. The vulva and perineum play crucial roles in childbirth and can impact delivery methods, especially in women with a history of cesarean sections or uterine scarring. Careful monitoring and management of these conditions are essential to prevent complications during labor and delivery. The unspecified trimester designation indicates that the condition may be present at any stage of pregnancy, necessitating ongoing assessment and tailored care plans. Providers must document the nature of the abnormality, any associated symptoms, and the management strategies employed to ensure comprehensive care and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation of vulvar and perineal abnormalities.
  • Need for detailed documentation of the specific abnormality.
  • Potential for complications affecting delivery method.
  • History of previous cesarean sections or uterine scarring complicating care.

Audit Risk Factors

  • Inadequate documentation of the abnormality's nature and impact.
  • Failure to specify the trimester when applicable.
  • Misclassification of the condition leading to incorrect coding.
  • Lack of follow-up documentation on management and outcomes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed descriptions of the vulvar and perineal conditions, including any treatments or interventions.

Common Clinical Scenarios

Management of vulvar varicosities, lichen sclerosus, or perineal tears.

Billing Considerations

Consideration of the impact of these conditions on delivery methods and postpartum recovery.

Maternal-Fetal Medicine

Documentation Requirements

Thorough documentation of high-risk factors associated with vulvar and perineal abnormalities.

Common Clinical Scenarios

Monitoring and managing high-risk pregnancies with significant pelvic organ abnormalities.

Billing Considerations

Focus on the implications of these conditions for fetal health and delivery outcomes.

Coding Guidelines

Inclusion Criteria

Use O34.70 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the documentation supports the diagnosis and reflects the care provided
  • Specific criteria for trimester designation should be adhered to, and any associated conditions should be coded appropriately

Exclusion Criteria

Do NOT use O34.70 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 vulvar abnormalities during the course of pregnancy.

Documentation Requirements

Complete documentation of all visits, assessments, and interventions related to the condition.

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 maternal conditions, improving the accuracy of data collection and reimbursement processes. O34.70 provides a clear framework for documenting vulvar and perineal abnormalities, which were less distinctly categorized in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, improving the accuracy of data collection and reimbursement processes. O34.70 provides a clear framework for documenting vulvar and perineal abnormalities, which were less distinctly categorized in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. O34.70 provides a clear framework for documenting vulvar and perineal abnormalities, which were less distinctly categorized in ICD-9.

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 I document when coding O34.70?

Document the specific type of abnormality, any symptoms experienced by the patient, the trimester of pregnancy, and the management plan. This information is crucial for accurate coding and reimbursement.