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O34 ICD-10-CM Code: Maternal care for abnormality of pelvic organs

ICD-10-CM Code View

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)

O34

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Maternal care for abnormality of pelvic organs

Maternal care for abnormality of pelvic organs

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
O3Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
O34Maternal care for abnormality of pelvic organs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O34 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O34 in this effective period.

Related Child Codes

Official
O34.0Maternal care for congenital malformation of uterus
O34.1Maternal care for benign tumor of corpus uteri
O34.2Maternal care due to uterine scar from previous surgery
O34.3Maternal care for cervical incompetence
O34.4Maternal care for other abnormalities of cervix

Includes

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

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O34 in this effective period.

Code First

Official
  • any associated obstructed labor (O65.5)

Use Additional

Official
  • code for specific condition

Code Also

Official

ICD-10-CM does not list Code Also instructions for O34 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

O34 is the ICD-10-CM diagnosis code for maternal care for abnormality of pelvic organs. O34 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering maternal care related to the fetus and amniotic cavity and possible delivery problems (o30-o48).

Header codes like O34 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O34's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

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

Use Additional Code

  • code for specific condition

Code First

  • any associated obstructed labor (O65.5)

Child Codes

Code Hierarchy

O34Maternal care for abnormality of pelvic organs
O34Maternal care for abnormality of pelvic organs

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