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ICD-10 Guide
ICD-10 CodesO34.83

O34.83

Billable

Maternal care for other abnormalities of pelvic organs, third trimester

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

Code Description

ICD-10 O34.83 is a billable code used to indicate a diagnosis of maternal care for other abnormalities of pelvic organs, third trimester.

Key Diagnostic Point:

O34.83 is used to classify maternal care for abnormalities of pelvic organs during the third trimester of pregnancy. This code encompasses a range of conditions that may affect the pelvic organs, including uterine fibroids, pelvic organ prolapse, and other structural abnormalities that can complicate pregnancy. In particular, women with a history of cesarean delivery may experience uterine scarring, which can lead to complications such as abnormal placentation or uterine rupture. Careful monitoring and management are essential to ensure maternal and fetal well-being. Healthcare providers must assess the impact of these abnormalities on labor and delivery, as they may necessitate a planned cesarean section or other interventions. Documentation should include the specific abnormality, its implications for the pregnancy, and the management plan, including any referrals to specialists if necessary.

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 cesarean and uterine scarring
  • Potential for multiple comorbidities affecting pregnancy
  • Variability in clinical management based on specific abnormalities

Audit Risk Factors

  • Inadequate documentation of the specific pelvic organ abnormality
  • Failure to document the impact of the abnormality on the pregnancy
  • Misclassification of the condition leading to incorrect coding
  • Lack of follow-up documentation for management plans

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the pelvic organ abnormality, its implications for the pregnancy, and any interventions planned or performed.

Common Clinical Scenarios

Management of a pregnant patient with a history of uterine fibroids or pelvic organ prolapse requiring monitoring and potential surgical intervention.

Billing Considerations

Consideration of the patient's obstetric history, including previous cesarean deliveries and any complications arising from pelvic organ abnormalities.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including detailed ultrasound findings and assessments of fetal well-being.

Common Clinical Scenarios

Monitoring a patient with significant uterine scarring and assessing risks for uterine rupture during labor.

Billing Considerations

Focus on high-risk management strategies and potential need for cesarean delivery.

Coding Guidelines

Inclusion Criteria

Use O34.83 When
  • According to ICD
  • 10 coding guidelines, O34
  • 83 should be used when there is clear documentation of a pelvic organ abnormality affecting the pregnancy, particularly in the third trimester
  • Coders must ensure that the condition is well
  • documented and that it directly impacts the management of the pregnancy

Exclusion Criteria

Do NOT use O34.83 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

Documentation must include the reason for cesarean delivery and any complications related to pelvic organ abnormalities.

Specialty Considerations

Obstetricians must ensure that the indication for cesarean delivery is clearly linked to the pelvic organ condition.

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 outcomes and resource allocation for high-risk pregnancies.

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 outcomes and resource allocation for high-risk pregnancies.

Reimbursement & Billing Impact

impact on the pregnancy, and any interventions planned or performed. Providers must ensure that all relevant clinical information is included to support the medical necessity of the 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 types of pelvic organ abnormalities are covered under O34.83?

O34.83 covers a variety of pelvic organ abnormalities, including uterine fibroids, pelvic organ prolapse, and other structural issues that may complicate pregnancy. Each case should be documented thoroughly to reflect the specific abnormality and its implications for maternal care.