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ICD-10 Guide
ICD-10 CodesO34.92

O34.92

Billable

Maternal care for abnormality of pelvic organ, unspecified, second trimester

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

Code Description

ICD-10 O34.92 is a billable code used to indicate a diagnosis of maternal care for abnormality of pelvic organ, unspecified, second trimester.

Key Diagnostic Point:

O34.92 refers to maternal care for unspecified abnormalities of pelvic organs during the second trimester of pregnancy. This code is utilized when a pregnant woman presents with issues related to her pelvic organs, which may include conditions such as uterine fibroids, pelvic organ prolapse, or other structural abnormalities that could impact pregnancy. These conditions can lead to complications such as abnormal fetal positioning, increased risk of cesarean delivery, or other obstetric complications. The second trimester is a critical period for monitoring these abnormalities, as they may affect the course of the pregnancy and the delivery method. Careful assessment and management are essential to ensure both maternal and fetal well-being, especially in cases where there is a history of previous cesarean sections or uterine scarring, which may complicate the delivery process. Documentation should include the nature of the abnormality, any symptoms experienced by the patient, and the management plan established by the healthcare provider.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in pelvic organ abnormalities and their implications for pregnancy
  • Need for detailed documentation of previous obstetric history, including cesarean sections
  • Potential for multiple co-existing conditions affecting coding
  • Variability in clinical presentation and management strategies

Audit Risk Factors

  • Inadequate documentation of the specific pelvic organ abnormality
  • Failure to document the patient's obstetric history, including previous cesarean deliveries
  • Lack of clear management plans or follow-up care notes
  • Misclassification of the abnormality leading to incorrect coding

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of the pelvic organ abnormality, including imaging studies and clinical findings.

Common Clinical Scenarios

Management of fibroids during pregnancy, monitoring for signs of pelvic organ prolapse.

Billing Considerations

Consideration of the impact of previous cesarean sections on current pregnancy management.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Assessment of uterine scarring and its implications for delivery method.

Billing Considerations

Close monitoring of fetal development and maternal health in the presence of pelvic organ abnormalities.

Coding Guidelines

Inclusion Criteria

Use O34.92 When
  • According to ICD
  • 10 coding guidelines, this code should be used when there is a documented abnormality of the pelvic organ that is not specified
  • It is essential to ensure that the documentation supports the use of this code and that it is used in conjunction with other relevant codes that describe the patient's condition

Exclusion Criteria

Do NOT use O34.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care including antepartum care, delivery, and postpartum care

Clinical Scenario

Used in conjunction with O34.92 when managing a patient with pelvic organ abnormalities.

Documentation Requirements

Complete documentation of all antepartum visits, delivery details, and postpartum follow-up.

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 helps in better tracking of maternal health outcomes and improves the quality of care provided.

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 helps in better tracking of maternal health outcomes and improves the quality of care provided.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, including pelvic organ abnormalities. This specificity helps in better tracking of maternal health outcomes and improves the quality of care provided.

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 be documented to support the use of O34.92?

Documentation should include the specific pelvic organ abnormality, any symptoms the patient is experiencing, the management plan, and the patient's obstetric history, particularly regarding previous cesarean sections.