ICD-10 O34
Non-Billable HeaderMaternal care for abnormality of pelvic organs
About ICD-10-CM O34
ICD-10-CM code O34 represents Maternal care for abnormality of pelvic organs. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O34). The 2026 edition of ICD-10-CM O34 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for O34
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
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
When coding O34, also report these additional codes when applicable.
- code for specific condition
Coding Notes
Code First
- any associated obstructed labor (O65.5)
Medicare LCD Coverage for O34
Local Coverage Determinations (LCDs) from CMS MACs that list O34 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O34.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O34 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O34
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To O34
Other codes in section O30-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems).
ICD-10 O34, Billing FAQ
Is ICD-10 code O34 billable? +
No, O34 is a non-billable header code. Use a more specific child code from block O34 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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