O34.219 — Maternal care for unspecified type scar from previous cesarean delivery
Is O34.219 billable?
Yes, but O34.219 is an unspecified code. O34.219 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O34.219 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O34.219 — the more specific alternatives are listed below.
O34.219 at a glance
| Code | O34.219 |
|---|---|
| Description | Maternal care for unspecified type scar from previous cesarean delivery |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O34.219 group to?
O34.219 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O34.219 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O34.219. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cesarean delivery, previous, affecting management of pregnancy
- Delivery › vaginal, following previous cesarean delivery (childbirth) (labor)
- Delivery › cesarean › previous › cesarean delivery (childbirth) (labor)
- Delivery › cesarean › scar › cesarean delivery (childbirth) (labor)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O34.219 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Code first — inherited from O34
The underlying condition below must be sequenced before O34.219. O34.219 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any associated obstructed labor (O65.5)
Use additional code — inherited from Chapter 15
Report an additional code alongside O34.219 to fully describe the condition. O34.219 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Use additional code — inherited from O34
Report an additional code alongside O34.219 to fully describe the condition. O34.219 is sequenced first.
- code for specific condition
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O34.219, but a patient may have both at the same time. When documentation supports it, O34.219 and the excluded code may both be reported.
How long has O34.219 existed?
O34.219 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.