Wiki ICD-10 O34.21 Maternal care for previous c-section delivery

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Code: O34.211

Code Name: ICD-10 Code for Matern care for low transverse scar from prev cesarean del

Block: Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

Details: Maternal care for low transverse scar from previous cesarean delivery

O34

Code first any associated obstructed labor (O65.5)

Use additional code for specific condition

Includes: the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor

Guidelines: Pregnancy, childbirth and the puerperium (O00-O9A)

Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
Trimesters are counted from the first day of the last menstrual period. They are defined as follows:1st trimester- less than 14 weeks 0 days
2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
3rd trimester- 28 weeks 0 days until delivery


Use additional code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy

Excludes 1: supervision of normal pregnancy (Z34.-)

Excludes 2: mental and behavioral disorders associated with the puerperium (F53)
obstetrical tetanus (A34)
postpartum necrosis of pituitary gland (E23.0)
puerperal osteomalacia (M83.0)

For more details on O34.211 , ICD-10 Code for Matern care for low transverse scar from prev cesarean del , visit: https://www.aapc.com/codes/icd-10-codes-range/
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Location
Medford, OR
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I have a question about the use of icd-10 code O34.21. Our providers are using this diagnosis due to our EMR computer system being set up with synonyms linked to icd-10 codes. When they use the synonym: maternal care for patient with previous c-section, it pulls in code O34.21. I am questioning this use since the ICD-10 coding book lists the description as "maternal care for scar from previous cesarean delivery", which isn't actually what they seeing the patient for. Also, if the provider is treating the scar, payers don't want to reimburse the visit due to it not being medically necessary. If I check a crosswalk from icd-9 to icd-10, the icd-9 for maternal care for previous c-section links to O34.21 too. Has anyone else had any issues with the use of this code and if so, how have you been able to resolve the issue?
 

mitchellde

True Blue
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13,505
Location
Columbia, MO
Best answers
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It is referencing the uterine scar from the previous csection, which can be a complicating factor and this is the appropriate code. It should not cause any issues.
 
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