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v1.0.0
ICD-10 Guide
ICD-10 CodesO34.82

O34.82

Billable

Maternal care for other abnormalities of pelvic organs, second trimester

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

Code Description

ICD-10 O34.82 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of pelvic organs, second trimester.

Key Diagnostic Point:

O34.82 refers to maternal care for abnormalities of pelvic organs during the second trimester of pregnancy. This code encompasses a range of conditions affecting the pelvic organs, which may include uterine fibroids, pelvic organ prolapse, or other structural abnormalities that can impact pregnancy. These conditions can lead to complications such as abnormal fetal positioning, increased risk of cesarean delivery, or other obstetric complications. In cases where there is a history of previous cesarean sections or uterine scarring, careful monitoring and management are essential to mitigate risks associated with uterine rupture or placental abnormalities. The second trimester is a critical period for assessing these conditions, as they may influence the course of the pregnancy and delivery method. Proper documentation of the specific pelvic abnormalities, their implications for the pregnancy, and any interventions or monitoring performed is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of pelvic organ abnormalities that may require specific documentation.
  • Need for detailed history regarding previous cesarean sections and uterine scarring.
  • Potential for complications that necessitate multidisciplinary care.
  • Variability in clinical presentation and management strategies.

Audit Risk Factors

  • Inadequate documentation of the specific pelvic abnormalities.
  • Failure to document the impact of previous cesarean sections.
  • Lack of clear treatment plans or monitoring protocols.
  • Misclassification of the type of pelvic organ abnormality.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of pelvic organ abnormalities, previous surgical history, and any interventions performed.

Common Clinical Scenarios

Management of fibroids during pregnancy, monitoring of pelvic organ prolapse, and planning for delivery in patients with uterine scarring.

Billing Considerations

Consideration of the potential for complications such as uterine rupture or abnormal fetal positioning.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal history and current pregnancy complications.

Common Clinical Scenarios

Management of pregnancies complicated by significant pelvic organ abnormalities and previous cesarean deliveries.

Billing Considerations

Focus on multidisciplinary care and the need for specialized monitoring and intervention.

Coding Guidelines

Inclusion Criteria

Use O34.82 When
  • According to the official ICD
  • CM coding guidelines, O34
  • 82 should be used when there is clear documentation of pelvic organ abnormalities impacting the pregnancy
  • Coders must ensure that the condition is documented as affecting the current pregnancy and that it is specified as occurring in the second trimester

Exclusion Criteria

Do NOT use O34.82 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 obstetric care in patients with pelvic organ abnormalities.

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 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, including pelvic organ 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 pelvic organ 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 pelvic organ 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 documentation is required for using O34.82?

To use O34.82, documentation must include specific details about the pelvic organ abnormalities, their impact on the pregnancy, and any relevant history such as previous cesarean sections or surgeries. Regular monitoring and any interventions should also be documented.