In simple words: This code is used when a pregnant woman receives care for a problem with her vagina.

Maternal care for abnormality of vagina.Conditions include previous surgery to the vagina, septate vagina, stenosis of the vagina (acquired or congenital), stricture of the vagina, and tumor of the vagina.

Example 1: A pregnant woman in her second trimester presents with a septate vagina causing discomfort. She is managed expectantly with regular follow-up by her obstetrician. Code O34.6., A pregnant woman with a history of vaginal surgery for stenosis experiences difficulty during labor due to the stricture. She requires a cesarean section. Code O34.6 and O65.5 (obstructed labor due to maternal pelvic abnormality)., A pregnant woman is diagnosed with a vaginal tumor during a routine ultrasound. She is referred to a gynecologic oncologist for further evaluation and management. Code O34.6 and the appropriate code for the vaginal tumor.

Documentation should include the specific abnormality of the vagina, any associated symptoms or complications, and the management plan. If a cesarean delivery is performed due to the vaginal abnormality, this should be clearly documented. Any additional conditions, such as obstructed labor, should also be coded.