2022 ICD-10-CM Code O33.4XX0
Maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified
Code Classification
O33.4XX0 is a billable diagnosis code used to specify a medical diagnosis of maternal care for disproportion of mixed maternal and fetal origin, not applicable or unspecified. The code O33.4XX0 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 O33.4XX0 might also be used to specify conditions or terms like mixed feto-pelvic disproportion, mixed feto-pelvic disproportion - delivered or mixed feto-pelvic disproportion with antenatal problem.
The code O33.4XX0 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.
Unspecified diagnosis codes like O33.4XX0 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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:
- Mixed feto-pelvic disproportion
- Mixed feto-pelvic disproportion - delivered
- Mixed feto-pelvic disproportion with antenatal problem
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code O33.4XX0 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 O33.4XX0 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O33.4XX0 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]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
O33 | Maternal care for disproportion | NON-BILLABLE CODE |
O33.0 | Maternal care for disproportion due to deformity of maternal pelvic bones | BILLABLE CODE |
O33.1 | Maternal care for disproportion due to generally contracted pelvis | BILLABLE CODE |
O33.2 | Maternal care for disproportion due to inlet contraction of pelvis | BILLABLE CODE |
O33.3 | Maternal care for disproportion due to outlet contraction of pelvis | NON-BILLABLE CODE |
O33.3XX0 | Maternal care for disproportion due to outlet contraction of pelvis, not applicable or unspecified | BILLABLE CODE |
O33.3XX1 | Maternal care for disproportion due to outlet contraction of pelvis, fetus 1 | BILLABLE CODE |
O33.3XX2 | Maternal care for disproportion due to outlet contraction of pelvis, fetus 2 | BILLABLE CODE |
O33.3XX3 | Maternal care for disproportion due to outlet contraction of pelvis, fetus 3 | BILLABLE CODE |
O33.3XX4 | Maternal care for disproportion due to outlet contraction of pelvis, fetus 4 | BILLABLE CODE |
O33.3XX5 | Maternal care for disproportion due to outlet contraction of pelvis, fetus 5 | BILLABLE CODE |
O33.3XX9 | Maternal care for disproportion due to outlet contraction of pelvis, other fetus | BILLABLE CODE |
O33.4 | Maternal care for disproportion of mixed maternal and fetal origin | NON-BILLABLE CODE |
O33.4XX1 | Maternal care for disproportion of mixed maternal and fetal origin, fetus 1 | BILLABLE CODE |
O33.4XX2 | Maternal care for disproportion of mixed maternal and fetal origin, fetus 2 | BILLABLE CODE |
O33.4XX3 | Maternal care for disproportion of mixed maternal and fetal origin, fetus 3 | BILLABLE CODE |
O33.4XX4 | Maternal care for disproportion of mixed maternal and fetal origin, fetus 4 | BILLABLE CODE |
O33.4XX5 | Maternal care for disproportion of mixed maternal and fetal origin, fetus 5 | BILLABLE CODE |
O33.4XX9 | Maternal care for disproportion of mixed maternal and fetal origin, other fetus | BILLABLE CODE |
O33.5 | Maternal care for disproportion due to unusually large fetus | NON-BILLABLE CODE |
O33.5XX0 | Maternal care for disproportion due to unusually large fetus, not applicable or unspecified | BILLABLE CODE |
O33.5XX1 | Maternal care for disproportion due to unusually large fetus, fetus 1 | BILLABLE CODE |
O33.5XX2 | Maternal care for disproportion due to unusually large fetus, fetus 2 | BILLABLE CODE |
O33.5XX3 | Maternal care for disproportion due to unusually large fetus, fetus 3 | BILLABLE CODE |
O33.5XX4 | Maternal care for disproportion due to unusually large fetus, fetus 4 | BILLABLE CODE |
O33.5XX5 | Maternal care for disproportion due to unusually large fetus, fetus 5 | BILLABLE CODE |
O33.5XX9 | Maternal care for disproportion due to unusually large fetus, other fetus | BILLABLE CODE |
O33.6 | Maternal care for disproportion due to hydrocephalic fetus | NON-BILLABLE CODE |
O33.6XX0 | Maternal care for disproportion due to hydrocephalic fetus, not applicable or unspecified | BILLABLE CODE |
O33.6XX1 | Maternal care for disproportion due to hydrocephalic fetus, fetus 1 | BILLABLE CODE |
O33.6XX2 | Maternal care for disproportion due to hydrocephalic fetus, fetus 2 | BILLABLE CODE |
O33.6XX3 | Maternal care for disproportion due to hydrocephalic fetus, fetus 3 | BILLABLE CODE |
O33.6XX4 | Maternal care for disproportion due to hydrocephalic fetus, fetus 4 | BILLABLE CODE |
O33.6XX5 | Maternal care for disproportion due to hydrocephalic fetus, fetus 5 | BILLABLE CODE |
O33.6XX9 | Maternal care for disproportion due to hydrocephalic fetus, other fetus | BILLABLE CODE |
O33.7 | Maternal care for disproportion due to other fetal deformities | NON-BILLABLE CODE |
O33.7XX0 | Maternal care for disproportion due to other fetal deformities, not applicable or unspecified | BILLABLE CODE |
O33.7XX1 | Maternal care for disproportion due to other fetal deformities, fetus 1 | BILLABLE CODE |
O33.7XX2 | Maternal care for disproportion due to other fetal deformities, fetus 2 | BILLABLE CODE |
O33.7XX3 | Maternal care for disproportion due to other fetal deformities, fetus 3 | BILLABLE CODE |
O33.7XX4 | Maternal care for disproportion due to other fetal deformities, fetus 4 | BILLABLE CODE |
O33.7XX5 | Maternal care for disproportion due to other fetal deformities, fetus 5 | BILLABLE CODE |
O33.7XX9 | Maternal care for disproportion due to other fetal deformities, other fetus | BILLABLE CODE |
O33.8 | Maternal care for disproportion of other origin | BILLABLE CODE |
O33.9 | Maternal care for disproportion, unspecified | BILLABLE CODE |
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)