2022 ICD-10-CM Code O33.0
Maternal care for disproportion due to deformity of maternal pelvic bones
Valid for Submission
| ICD-10: | O33.0 |
| Short Description: | Matern care for disproprtn d/t deformity of matern pelv bone |
| Long Description: | Maternal care for disproportion due to deformity of maternal pelvic bones |
Code Classification
O33.0 is a billable diagnosis code used to specify a medical diagnosis of maternal care for disproportion due to deformity of maternal pelvic bones. The code O33.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O33.0 might also be used to specify conditions or terms like disproportion - major pelvic abnormality, disproportion - major pelvic abnormality - delivered, disproportion - major pelvic abnormality with antenatal problem, pelvis not adequate for delivery or problem of pelvis for delivery.
The code O33.0 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O33.0:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Maternal care for disproportion due to pelvic deformity causing disproportion NOS
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O33.0 are found in the index:
- - Anthropoid pelvis - Q74.2
- - with disproportion (fetopelvic) - O33.0
- - Cretin, cretinism (congenital) (endemic) (nongoitrous) (sporadic) - E00.9
- - pelvis
- - with disproportion (fetopelvic) - O33.0
- - pelvis
- - Flat
- - pelvis - M95.5
- - with disproportion (fetopelvic) - O33.0
- - pelvis - M95.5
- - Nägele's pelvis - M95.5
- - with disproportion (fetopelvic) - O33.0
- - Pithecoid pelvis - Q74.2
- - with disproportion (fetopelvic) - O33.0
- - Platypelloid pelvis - M95.5
- - with disproportion (fetopelvic) - O33.0
- - Pregnancy (single) (uterine) - See Also: Delivery and Puerperal; - Z33.1
- - Rachitic - See Also: condition;
- - Robert's pelvis - Q74.2
- - with disproportion (fetopelvic) - O33.0
- - Scoliotic pelvis
- - with disproportion (fetopelvic) - O33.0
- - Spondylolysis (acquired) - M43.00
- - lumbosacral region - M43.07
- - with disproportion (fetopelvic) - O33.0
- - lumbosacral region - M43.07
- - Spondylosis - M47.9
- - with
- - disproportion (fetopelvic) - O33.0
- - with
- - Tipping
- - pelvis - M95.5
- - with disproportion (fetopelvic) - O33.0
- - pelvis - M95.5
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disproportion - major pelvic abnormality
- Disproportion - major pelvic abnormality - delivered
- Disproportion - major pelvic abnormality with antenatal problem
- Pelvis not adequate for delivery
- Problem of pelvis for delivery
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O33.0 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | 14 | 2.3018 |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | 14 | 1.3165 |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | 14 | 0.9979 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert O33.0 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O33.0 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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
- Preterm (premature) labor, when your labor starts before 37 completed weeks of pregnancy
- Premature rupture of membranes (PROM), when your water breaks too early. If labor does not start soon afterwards, this can raise the risk of infection.
- Problems with the placenta, such as the placenta covering the cervix, separating from the uterus before birth, or being attached too firmly to the uterus
- Labor that does not progress, meaning that labor is stalled. This can happen when
- Your contractions weaken
- Your cervix does not dilate (open) enough or is taking too long to dilate
- The baby is not in the right position
- The baby is too big or your pelvis is too small for the baby to move through the birth canal
- Abnormal heart rate of the baby. Often, an abnormal heart rate is not a problem. But if the heart rate gets very fast or very slow, it can be a sign that your baby is not getting enough oxygen or that there are other problems.
- Problems with the umbilical cord, such as the cord getting caught on the baby's arm, leg, or neck. It's also a problem if cord comes out before the baby does.
- Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
- Shoulder dystocia, when the baby's head comes out, but the shoulder gets stuck
- Perinatal asphyxia, which happens when the baby does not get enough oxygen in the uterus, during labor or delivery, or just after birth
- Perineal tears, tearing of your vagina and the surrounding tissues
- Excessive bleeding, which can happen when the delivery causes tears to the uterus or if you are not able to deliver the placenta after you give birth to the baby
- Post-term pregnancy, when your pregnancy lasts more than 42 weeks
If you have problems in childbirth, your health care provider may need to give you medicines to induce or speed up labor, use tools to help guide the baby out of the birth canal, or deliver the baby by Cesarean section.
NIH: National Institute of Child Health and Human Development
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)