ICD-10-CM Code O34.219

Maternal care for unspecified type scar from previous cesarean delivery

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O34.219 is a billable code used to specify a medical diagnosis of maternal care for unspecified type scar from previous cesarean delivery. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O34.219 might also be used to specify conditions or terms like cesarean section following previous cesarean section, delivered by cesarean delivery following previous cesarean delivery, deliveries by cesarean, deliveries by cesarean, supervision of high risk pregnancy done, supervision of high risk pregnancy with history of previous cesarean section done, etc

The code O34.219 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.

ICD-10:O34.219
Short Description:Maternal care for unsp type scar from previous cesarean del
Long Description:Maternal care for unspecified type scar from previous cesarean delivery

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 O34.219 are found in the index:


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 - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cesarean section following previous cesarean section
  • Delivered by cesarean delivery following previous cesarean delivery
  • Deliveries by cesarean
  • Deliveries by cesarean
  • Supervision of high risk pregnancy done
  • Supervision of high risk pregnancy with history of previous cesarean section done
  • Vaginal delivery
  • Vaginal delivery following previous cesarean section

Diagnostic Related Groups

The ICD-10 code O34.219 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH MCC
  • 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH CC
  • 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT CC/MCC

Replacement Code

O34219 replaces the following previously assigned ICD-10 code(s):

  • O34.21 - Maternal care for scar from previous cesarean delivery

Convert O34.219 to ICD-9

  • 654.21 - Prev c-delivery-delivrd (Approximate Flag)
  • 654.23 - Prev c-delivery-antepart (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
      • Maternal care for abnormality of pelvic organs (O34)

Code History

  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Cesarean Section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, almost one in three women has their babies this way. Some C-sections are planned, but many are done when unexpected problems happen during delivery. Reasons for a C-section may include

  • Health problems in the mother
  • The mother carrying more than one baby
  • The size or position of the baby
  • The baby's health is in danger
  • Labor is not moving along as it should

The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also takes longer to recover from a C-section than from vaginal birth. It can raise the risk of having difficulties with future pregnancies. Some women may have problems attempting a vaginal birth later. Still, many women are able to have a vaginal birth after cesarean (VBAC).

NIH: National Institute of Child Health and Human Development


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