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2025 ICD-10-CM code O34.00

Maternal care for unspecified congenital malformation of uterus, unspecified trimester.

This code is only for use on the maternal record, never on the newborn record.

The medical necessity for this code is based on the presence of a congenital uterine malformation that requires ongoing monitoring and management during pregnancy.

The physician providing obstetric care to the pregnant woman is responsible for assigning this code.This may include obstetricians, maternal-fetal medicine specialists, or other healthcare professionals involved in the woman's prenatal care.

IMPORTANT If the specific congenital malformation is known, a more specific code from category O34 should be used. If obstructed labor is also present, code O65.5 should be used first, followed by O34.00.Use additional code Z3A to identify the specific week of the pregnancy, if known.

In simple words: This code indicates that a pregnant woman is receiving care for a birth defect of the uterus during her pregnancy. The specific type of birth defect and the stage of pregnancy are not specified by this code.

This code is used to document maternal care provided for an unspecified congenital malformation of the uterus during an unspecified trimester of pregnancy.It includes scenarios where the malformation necessitates hospitalization, other obstetric care, or cesarean delivery before labor begins.

Example 1: A 25-year-old woman in her second trimester presents for routine prenatal care.Ultrasound reveals a uterine anomaly that is suspected to be congenital but the specific type cannot be determined.The patient is otherwise healthy and the pregnancy is progressing normally. O34.00 is assigned., A 30-year-old pregnant woman in her third trimester with a known uterine malformation is admitted to the hospital for observation due to concerns about premature labor.O34.00 is assigned along with the code for threatened preterm labor., A 35-year-old woman in her first trimester is diagnosed with a bicornuate uterus. Because this is specified malformation, code O34.01, is used instead of O34.00

Documentation should include the type of congenital malformation (if known), the trimester of pregnancy, and any associated complications. Imaging reports (e.g., ultrasound) confirming the diagnosis should also be included.

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