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ICD-10 Guide
ICD-10 CodesO34.8

O34.8

Billable

Maternal care for other abnormalities of pelvic organs

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

Code Description

ICD-10 O34.8 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of pelvic organs.

Key Diagnostic Point:

O34.8 is used to classify maternal care for various abnormalities of pelvic organs that may affect pregnancy. This includes conditions such as pelvic organ prolapse, uterine fibroids, and other structural abnormalities that can complicate pregnancy and delivery. These abnormalities may lead to increased risks during labor, necessitating careful monitoring and management. For instance, a previous cesarean section may result in uterine scarring, which can complicate future pregnancies and deliveries. Proper documentation of these conditions is crucial, as they can influence the choice of delivery method, the need for additional interventions, and the overall management of the pregnancy. Maternal care for these abnormalities requires a multidisciplinary approach, often involving obstetricians, maternal-fetal medicine specialists, and possibly urologists or gynecologists to ensure optimal outcomes for both mother and child.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of pelvic organ abnormalities that can be present
  • Need for detailed documentation of previous surgeries (e.g., cesarean sections)
  • Potential for complications during labor and delivery
  • Variability in treatment approaches based on individual patient history

Audit Risk Factors

  • Inadequate documentation of pelvic organ abnormalities
  • Failure to note previous surgical history impacting current pregnancy
  • Misclassification of the type of abnormality present
  • Lack of clarity in the treatment plan for the abnormality

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed history of pelvic organ conditions, previous surgeries, and current treatment plans.

Common Clinical Scenarios

Pregnant patients with a history of pelvic organ prolapse or fibroids requiring monitoring during pregnancy.

Billing Considerations

Consideration of how pelvic organ abnormalities may affect labor and delivery options.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessment of high-risk factors associated with pelvic organ abnormalities.

Common Clinical Scenarios

Management of pregnancies complicated by significant uterine scarring or other pelvic organ issues.

Billing Considerations

Focus on the potential for complications and the need for specialized delivery planning.

Coding Guidelines

Inclusion Criteria

Use O34.8 When
  • Coders should adhere to official ICD
  • 10 guidelines, ensuring that all relevant clinical information is documented and that the code accurately reflects the patient's condition
  • Specific criteria for pregnancy
  • related conditions must be met, including the need for detailed descriptions of any pelvic organ abnormalities

Exclusion Criteria

Do NOT use O34.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59510CPT Code

Cesarean delivery

Clinical Scenario

Used when a cesarean delivery is performed due to complications from pelvic organ abnormalities.

Documentation Requirements

Detailed surgical notes and indications for cesarean delivery.

Specialty Considerations

Obstetricians must document the rationale for surgical intervention related to pelvic abnormalities.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pelvic organ abnormalities, improving the accuracy of patient records and facilitating better management of complex cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pelvic organ abnormalities, improving the accuracy of patient records and facilitating better management of complex cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pelvic organ abnormalities, improving the accuracy of patient records and facilitating better management of complex cases.

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 pelvic organ abnormalities are covered under O34.8?

O34.8 encompasses a range of pelvic organ abnormalities, including but not limited to pelvic organ prolapse, uterine fibroids, and other structural issues that may complicate pregnancy and delivery.