O34 ICD-10-CM Code: Maternal care for abnormality of pelvic organs
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
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 guidanceMaternal 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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for O34 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for O34 in this effective period.
Related Child Codes
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
OfficialICD-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
OfficialICD-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)