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O34.22

Billable

Maternal care for cesarean scar defect (isthmocele)

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pregnant patient with a defect in the cesarean scar (isthmocele), which is a cavity or weakness in the lower uterine segment from previous cesarean delivery.

Coding Tips

  • Isthmocele is a specific complication of cesarean scar; document presence of defect clearly
  • This code does not require trimester specification as written, but verify payer requirements

Code Hierarchy

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