ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO34.9

O34.9

Billable

Maternal care for abnormality of pelvic organ, unspecified

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

Code Description

ICD-10 O34.9 is a billable code used to indicate a diagnosis of maternal care for abnormality of pelvic organ, unspecified.

Key Diagnostic Point:

O34.9 refers to maternal care for unspecified abnormalities of pelvic organs during pregnancy. This code encompasses a range of conditions that may affect the pelvic organs, including the uterus, ovaries, and surrounding structures. Abnormalities can arise from congenital issues, previous surgeries such as cesarean sections, or conditions like uterine scarring (Asherman's syndrome). These abnormalities may lead to complications during pregnancy, such as abnormal fetal positioning, increased risk of preterm labor, or difficulties during delivery. Proper management and monitoring are essential to ensure maternal and fetal health. Healthcare providers must document any identified abnormalities, their implications for pregnancy, and the care provided to manage these conditions effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the types of pelvic organ abnormalities
  • Need for detailed documentation of previous surgeries
  • Potential for complications affecting delivery methods
  • Interdisciplinary communication required for high-risk cases

Audit Risk Factors

  • Insufficient documentation of pelvic organ abnormalities
  • Failure to note previous cesarean sections or surgeries
  • Inadequate follow-up on complications related to abnormalities
  • Misclassification of the type of abnormality

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of pelvic examinations, imaging studies, and surgical history are essential.

Common Clinical Scenarios

Patients with a history of pelvic surgeries presenting for prenatal care, or those with known pelvic organ abnormalities.

Billing Considerations

Coders must ensure that all relevant clinical findings are documented to support the use of O34.9.

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 uterine anomalies or previous cesarean deliveries.

Billing Considerations

High-risk pregnancies require careful monitoring and documentation of any changes in maternal or fetal status.

Coding Guidelines

Inclusion Criteria

Use O34.9 When
  • According to ICD
  • 10 guidelines, O34
  • 9 should be used when there is a documented abnormality of the pelvic organ that does not have a more specific code
  • Coders should ensure that the documentation supports the diagnosis and reflects the complexity of care provided

Exclusion Criteria

Do NOT use O34.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care, global

Clinical Scenario

Used for comprehensive obstetric care including prenatal visits, delivery, and postpartum care.

Documentation Requirements

Complete documentation of all prenatal visits and any complications related to pelvic organ abnormalities.

Specialty Considerations

Obstetricians must ensure that all relevant conditions are documented to support the global billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding maternal conditions, including pelvic organ abnormalities. This has improved the ability to track and manage complications associated with these conditions, although it has also increased the complexity of coding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding maternal conditions, including pelvic organ abnormalities. This has improved the ability to track and manage complications associated with these conditions, although it has also increased the complexity of coding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding maternal conditions, including pelvic organ abnormalities. This has improved the ability to track and manage complications associated with these conditions, although it has also increased the complexity of coding.

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

When should O34.9 be used?

O34.9 should be used when there is a documented abnormality of the pelvic organ that does not have a more specific code. It is important to ensure that the documentation supports the diagnosis and reflects the complexity of care provided.