ICD-10 Code O34.219

Maternal care for unspecified type scar from previous cesarean delivery

Version 2019 Billable Code Maternity Diagnoses Diagnoses For Females Only
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

Valid for Submission

ICD-10 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 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

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 - Diagnoses for females only.

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). The diagnosis code O34.219 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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

Convert O34.219 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

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

Synonyms

The following clinical terms are approximate synonyms:

  • 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

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:


Replacement Code

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

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

Information for Patients


Cesarean Section

Also called: C-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

  • After a C-section - in the hospital (Medical Encyclopedia)
  • C-section (Medical Encyclopedia)
  • Going home after a C-section (Medical Encyclopedia)
  • Vaginal birth after C-section (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.