O34.93
BillableMaternal care for abnormality of pelvic organ, unspecified, third trimester
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is O34.93 an HCC code?
No. O34.93 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
O34.93 is the ICD-10-CM diagnosis code for maternal care for abnormality of pelvic organ, unspecified, third trimester. A pregnant woman in her third trimester has an unspecified abnormality or problem with a pelvic organ that requires medical attention. O34.93 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).
O34.93 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Third trimester begins at week 21 and continues through delivery; confirm gestational age documentation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O34.93 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Third trimester begins at week 21 and continues through delivery; confirm gestational age documentation
- •This code is appropriate when the specific pelvic organ abnormality is not documented or identified