Maternal care for abnormality of pelvic organs
In Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48), chapter 15: Pregnancy, Childbirth and the Puerperium
54 billable codes under O34: 3 are an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Includes: conditions that are coded here
- the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Code first: code the underlying condition first, then this code
- any associated obstructed labor (O65.5)
Use additional code: add a second code for this, listed after this one
- code for specific condition
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.
- General Rules for Obstetric Cases (page 63)
- Selection of OB Principal or First-listed Diagnosis (page 64)
- Pre-existing conditions versus conditions due to the pregnancy (page 65)
- Pre-existing hypertension in pregnancy (page 66)
- Fetal Conditions Affecting the Management of the Mother (page 66)
- HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
- Diabetes mellitus in pregnancy (page 66)
- Long term use of insulin and oral hypoglycemics (page 67)
All codes under O34
O34 can't be used on a claim. Pick a billable code below; grey headings group them.
- O34.0Maternal care for congenital malformation of uterus
- O34.00Maternal care for unspecified congenital malformation of uterus, unspecified trimester
- O34.01Maternal care for unspecified congenital malformation of uterus, first trimester
- O34.02Maternal care for unspecified congenital malformation of uterus, second trimester
- O34.03Maternal care for unspecified congenital malformation of uterus, third trimester
- O34.1Maternal care for benign tumor of corpus uteri
- O34.10Maternal care for benign tumor of corpus uteri, unspecified trimester
- O34.11Maternal care for benign tumor of corpus uteri, first trimester
- O34.12Maternal care for benign tumor of corpus uteri, second trimester
- O34.13Maternal care for benign tumor of corpus uteri, third trimester
- O34.2Maternal care due to uterine scar from previous surgery
- O34.21Maternal care for scar from previous cesarean delivery
- O34.211Maternal care for low transverse scar from previous cesarean delivery
- O34.212Maternal care for vertical scar from previous cesarean delivery
- O34.218Maternal care for other type scar from previous cesarean delivery
- O34.219Maternal care for unspecified type scar from previous cesarean delivery
- O34.22Maternal care for cesarean scar defect (isthmocele)
- O34.29Maternal care due to uterine scar from other previous surgery
- O34.3Maternal care for cervical incompetence
- O34.30Maternal care for cervical incompetence, unspecified trimester
- O34.31Maternal care for cervical incompetence, first trimester
- O34.32Maternal care for cervical incompetence, second trimester
- O34.33Maternal care for cervical incompetence, third trimester
- O34.4Maternal care for other abnormalities of cervix
- O34.40Maternal care for other abnormalities of cervix, unspecified trimester
- O34.41Maternal care for other abnormalities of cervix, first trimester
- O34.42Maternal care for other abnormalities of cervix, second trimester
- O34.43Maternal care for other abnormalities of cervix, third trimester
- O34.5Maternal care for other abnormalities of gravid uterus
- O34.51Maternal care for incarceration of gravid uterus
- O34.511Maternal care for incarceration of gravid uterus, first trimester
- O34.512Maternal care for incarceration of gravid uterus, second trimester
- O34.513Maternal care for incarceration of gravid uterus, third trimester
- O34.519Maternal care for incarceration of gravid uterus, unspecified trimester
- O34.52Maternal care for prolapse of gravid uterus
- O34.521Maternal care for prolapse of gravid uterus, first trimester
- O34.522Maternal care for prolapse of gravid uterus, second trimester
- O34.523Maternal care for prolapse of gravid uterus, third trimester
- O34.529Maternal care for prolapse of gravid uterus, unspecified trimester
- O34.53Maternal care for retroversion of gravid uterus
- O34.531Maternal care for retroversion of gravid uterus, first trimester
- O34.532Maternal care for retroversion of gravid uterus, second trimester
- O34.533Maternal care for retroversion of gravid uterus, third trimester
- O34.539Maternal care for retroversion of gravid uterus, unspecified trimester
- O34.59Maternal care for other abnormalities of gravid uterus
- O34.591Maternal care for other abnormalities of gravid uterus, first trimester
- O34.592Maternal care for other abnormalities of gravid uterus, second trimester
- O34.593Maternal care for other abnormalities of gravid uterus, third trimester
- O34.599Maternal care for other abnormalities of gravid uterus, unspecified trimester
- O34.6Maternal care for abnormality of vagina
- O34.60Maternal care for abnormality of vagina, unspecified trimester
- O34.61Maternal care for abnormality of vagina, first trimester
- O34.62Maternal care for abnormality of vagina, second trimester
- O34.63Maternal care for abnormality of vagina, third trimester
- O34.7Maternal care for abnormality of vulva and perineum
- O34.70Maternal care for abnormality of vulva and perineum, unspecified trimester
- O34.71Maternal care for abnormality of vulva and perineum, first trimester
- O34.72Maternal care for abnormality of vulva and perineum, second trimester
- O34.73Maternal care for abnormality of vulva and perineum, third trimester
- O34.8Maternal care for other abnormalities of pelvic organs
- O34.80Maternal care for other abnormalities of pelvic organs, unspecified trimester
- O34.81Maternal care for other abnormalities of pelvic organs, first trimester
- O34.82Maternal care for other abnormalities of pelvic organs, second trimester
- O34.83Maternal care for other abnormalities of pelvic organs, third trimester
- O34.9Maternal care for abnormality of pelvic organ, unspecified
- O34.90Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
- O34.91Maternal care for abnormality of pelvic organ, unspecified, first trimester
- O34.92Maternal care for abnormality of pelvic organ, unspecified, second trimester
- O34.93Maternal care for abnormality of pelvic organ, unspecified, third trimester
O34 MS-DRGs
As the principal diagnosis, all 54 billable codes under O34 group to MS-DRG 817, 818, 819, 831, 832, or 833 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 817 Other Antepartum Diagnoses with O.R. Procedures with MCC
- DRG 818 Other Antepartum Diagnoses with O.R. Procedures with CC
- DRG 819 Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
- DRG 831 Other Antepartum Diagnoses without O.R. Procedures with MCC
- DRG 832 Other Antepartum Diagnoses without O.R. Procedures with CC
- DRG 833 Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
Other codes that refer to O34
Notes on these codes point to O34.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Childbirth Problems
Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:
Read more about childbirth problems on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
