ICD-10 Coding for Large Uterine Window(O34.22, O34.72)
Complete ICD-10-CM coding and documentation guide for Large Uterine Window. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Large Uterine Window
O34.2-O34.29Primary Range
Maternal care for scar from previous cesarean delivery
This range includes codes for complications related to uterine scars from previous cesarean deliveries, including uterine windows.
Maternal care for other abnormalities of uterus
This range includes codes for other uterine abnormalities that may accompany a uterine window.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| O34.22 | Maternal care for scar from previous cesarean delivery | Use when a uterine window is identified during the current pregnancy and impacts management. |
|
| O34.72 | Maternal care for other abnormalities of uterus | Use when uterine window is accompanied by other structural defects. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for large uterine window
Essential facts and insights about Large Uterine Window
Primary ICD-10-CM Codes for large uterine window
Decision Criteria
clinical Criteria
- Presence of a uterine window with intact serosa
documentation Criteria
- Imaging report confirming myometrial thickness ≤2.3 mm
Applicable To
- Uterine window during current pregnancy
Excludes
- Uterine rupture (O71.0)
Clinical Validation Requirements
- Ultrasound or MRI showing myometrial thickness ≤2.3 mm
- Documentation of intact serosa
Code-Specific Risks
- Misclassification as uterine rupture
- Omission of gestational age code
Coding Notes
- Ensure documentation specifies 'uterine window' and includes imaging findings.
O34.72 - Maternal care for other abnormalities of uterus
Use when uterine window is accompanied by other structural defects.
Applicable To
- Additional structural defects with uterine window
Excludes
- Uterine rupture (O71.0)
Clinical Validation Requirements
- Imaging showing additional uterine abnormalities
Coding Notes
Ensure documentation includes details of all uterine abnormalities.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right lower quadrant pain
R10.31Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Uterine rupture during labor
O71.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Large Uterine Window to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code O34.22.
Impact
Clinical: Misinterpretation of the condition severity., Regulatory: Potential for audit issues., Financial: Incorrect coding leading to reimbursement errors.
Mitigation Strategy
Use specific terms like 'uterine window' and provide imaging details.
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use O34.22 when uterine window is the reason for cesarean.
Impact
Using incorrect codes can lead to wrong DRG and reimbursement.
Mitigation Strategy
Ensure accurate documentation and code selection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Large Uterine Window, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Large Uterine Window
Use these documentation templates to ensure complete and accurate documentation for Large Uterine Window. These templates include all required elements for proper coding and billing.
Prenatal visit with identified uterine window
Specialty: ObstetricsRequired Elements
- Imaging findings
- Myometrial thickness
- Serosal integrity
- Delivery plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Large Uterine Window? Ask your questions below.