2025 ICD-10-CM code O34.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth, and the puerperium - Maternal care for other abnormalities of gravid uterus Chapter 15: Pregnancy, childbirth and the puerperium Feed
Maternal care for other abnormalities of the gravid uterus.
Modifiers may be applicable depending on the specific circumstances of the care provided.Consult appropriate modifier guidelines for details.
Medical necessity is established by the presence of an abnormality of the gravid uterus that requires medical attention to ensure maternal and fetal well-being.The severity of the condition and the need for intervention to prevent complications determine the necessity for care.
Obstetrician-gynecologist or other qualified healthcare professional providing prenatal and/or postpartum care.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O34- Maternal care for known or suspected abnormality of pelvic organs
In simple words: This code describes the medical care a pregnant woman receives for problems with her uterus that aren't covered by other specific codes.Examples include the uterus being in the wrong position, or other unusual issues.
This code is used for maternal care related to other specified abnormalities of the gravid uterus during pregnancy.It encompasses conditions not otherwise specified within the O34 code range, requiring maternal medical attention. This might include uterine incarceration, prolapse, or retroversion of the gravid uterus.Code first any associated obstructed labor (O65.5).
Example 1: A pregnant woman at 32 weeks gestation presents with uterine prolapse.She requires medical management and close monitoring, necessitating this code., A pregnant woman experiences uterine incarceration at 36 weeks.This requires hospitalization and medical intervention for which O34.5 is appropriate., A patient undergoes a cesarean section due to an unexpected uterine abnormality discovered during labor; this code would reflect the maternal care related to the unexpected condition.
Detailed documentation of the identified abnormality of the gravid uterus, the reason for maternal care (e.g., hospitalization, procedures, medications), and the course of management are required for proper coding.Gestational age should also be documented.
** This code is for other specified abnormalities;ensure that no other more specific code is available before using O34.5.Always confirm the clinical documentation supports the code selected.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center