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O34.32 ICD-10-CM Code: Maternal care for cervical incompetence, second trimester

Compare with another code for O34.32Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 1 use-additional code · 1 code-first instruction

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Code firstSequence the underlying condition before this code
  • any associated obstructed labor (O65.5)
Use additional codeReport with this code when documented
  • Use additional code for specific condition
IncludesWhat this code covers
  • the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor

Where it sits Source: CMS/NCHS

Under:Chapter 15: Pregnancy, Childbirth and the PuerperiumO30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problemsO34 Maternal care for abnormality of pelvic organsO34.3 Maternal care for cervical incompetence

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 817 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC (MDC 14)
  • MS-DRG 818 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC (MDC 14)
  • MS-DRG 819 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
  • MS-DRG 831 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC (MDC 14)
  • MS-DRG 832 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC (MDC 14)
  • MS-DRG 833 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for O34.32 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on O34.32 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor

Source: inherited from O34

Code First

Underlying conditions that must be sequenced before this code.

  • any associated obstructed labor (O65.5)

Source: inherited from O34

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for specific condition

Source: inherited from O34

Coder workflow for O34.32

MedCoder structured workflow — derived from this code’s own official record

Before you code O34.32

  1. Confirm the condition is documented as complicating the pregnancy, childbirth, or the puerperium, and check the trimester where the code carries one and the fetus character where the category requires it. Chapter 15 codes belong on the maternal record only and take sequencing priority over codes from other chapters. It is the provider’s responsibility to state that a condition is not affecting the pregnancy; the trimester is assigned from the documentation (Guidelines I.C.15.a, I.C.15.a.1, I.C.15.a.3).

    Guide: How to choose an ICD-10-CM code →

Choose the right path

  1. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then O34.32.
    No → Continue; do not add an underlying condition the record does not document.

    ReviewO65.5

Consider O34.32. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Trimester
Assigned from the documented trimester at the encounter, or the trimester in which the condition developed for inpatient stays (Guidelines I.C.15.a.3).
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Code First — sequencing check(1 note)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before O34.32. Do not add an underlying condition the record does not document.

    ReviewO65.5

    See the official tabular notes · Guidelines I.A.13

  • Use Additional Code — after identifying O34.32(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with O34.32 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewO65.5

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with O34.32?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse O34.32 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of O34.32 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • O34.30— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Maternal care for cervical incompetence, unspecified trimester” takes O34.30; specificity in the record moves it back here.

    Full comparison: O34.32 vs O34.30 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Maternal care for cervical incompetence, second trimester is a billable ICD-10-CM diagnosis code (O34.32).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • Age-restricted: the Medicare Code Editor lists this as a maternity (age 9-64) diagnosis; other ages are presumed incorrect.
  • MCC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name O34.32 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: N88.3 — Incompetence of cervix uteri (via O34.3.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 11 Excludes2 notes: O20 — Hemorrhage in early pregnancy (via O34.-), O20-O29 — Other maternal disorders predominantly related to pregnancy (O20-O29) (via O34.-), O21 — Excessive vomiting in pregnancy (via O34.-), O22 — Venous complications and hemorrhoids in pregnancy (via O34.-), O23 — Infections of genitourinary tract in pregnancy (via O34.-), O24 — Diabetes mellitus in pregnancy, childbirth, and the puerperium (via O34.-), O25 — Malnutrition in pregnancy, childbirth and the puerperium (via O34.-), O26 — Maternal care for other conditions predominantly related to pregnancy (via O34.-), O28 — Abnormal findings on antenatal screening of mother (via O34.-), O29 — Complications of anesthesia during pregnancy (via O34.-), O99.8 — Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium (via O34.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 6 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 6 MS-DRGs: DRG 817 (MDC 14), DRG 818 (MDC 14), DRG 819 (MDC 14), DRG 831 (MDC 14), DRG 832 (MDC 14), DRG 833 (MDC 14).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):PRG011 — Early or threatened labor (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

O26.872 — Cervical shortening, second trimester, O26.873 — Cervical shortening, third trimester, O26.879 — Cervical shortening, unspecified trimester, O34.31 — Maternal care for cervical incompetence, first trimester, O34.33 — Maternal care for cervical incompetence, third trimester

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Early or threatened labor).

O26.872 — Cervical shortening, second trimester, O26.873 — Cervical shortening, third trimester, O26.879 — Cervical shortening, unspecified trimester, O34.30 — Maternal care for cervical incompetence, unspecified trimester, O34.31 — Maternal care for cervical incompetence, first trimester, O34.33 — Maternal care for cervical incompetence, third trimester, O42.00 — Premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified weeks of gestation, O42.011 — Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, first trimester, O42.012 — Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, second trimester, O42.013 — Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, third trimester, O42.019 — Preterm premature rupture of membranes, onset of labor within 24 hours of rupture, unspecified trimester, O42.10 — Premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified weeks of gestation, O42.111 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, first trimester, O42.112 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, second trimester, O42.113 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, third trimester, O42.119 — Preterm premature rupture of membranes, onset of labor more than 24 hours following rupture, unspecified trimester, O42.90 — Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation, O42.911 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, first trimester, O42.912 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, second trimester, O42.913 — Preterm premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, third trimester, +58 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Delivery”; these codes share that main term but sit in a different category of the Tabular List.

O32.4 — Maternal care for high head at term (cesarean, high head at term), O32.6 — Maternal care for compound presentation (complicated, by, malposition, malpresentation, without obstruction, compound), O32.8 — Maternal care for other malpresentation of fetus (complicated, by, prolapse, foot or leg), O32.9 — Maternal care for malpresentation of fetus, unspecified (cesarean, mal lie), O33.0 — Maternal care for disproportion due to deformity of maternal pelvic bones (cesarean, abnormal, pelvis), O33.2 — Maternal care for disproportion due to inlet contraction of pelvis (cesarean, contracted pelvis, inlet), O33.3 — Maternal care for disproportion due to outlet contraction of pelvis (cesarean, contracted pelvis, outlet), O33.5 — Maternal care for disproportion due to unusually large fetus (cesarean, oversize fetus), O33.6 — Maternal care for disproportion due to hydrocephalic fetus (cesarean, hydrocephalic fetus), O33.9 — Maternal care for disproportion, unspecified (cesarean, disproportion NOS), O36.4 — Maternal care for intrauterine death (missed), O36.51 — Maternal care for known or suspected placental insufficiency (cesarean, placental insufficiency), O42.90 — Premature rupture of membranes, unspecified as to length of time between rupture and onset of labor, unspecified weeks of gestation (complicated, by, premature rupture, membranes), O43.01 — Fetomaternal placental transfusion syndrome (cesarean, fetal-maternal hemorrhage), O43.10 — Malformation of placenta, unspecified (complicated, by, placenta, placental, malformation), O43.12 — Velamentous insertion of umbilical cord (complicated, by, velamentous insertion of cord), O43.21 — Placenta accreta (complicated, by, placenta, placental, accreta), O43.22 — Placenta increta (complicated, by, placenta, placental, increta), O43.23 — Placenta percreta (complicated, by, placenta, placental, percreta), O43.89 — Other placental disorders (complicated, by, placenta, placental, disorder, specified NEC), +177 more

Contextual Map

Every relationship of O34.32 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run O34.32 with these 9 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes (11)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 14 — Pregnancy, Childbirth and the Puerperium[MDC crossing]: “Pregnancy, Childbirth and the Puerperium — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 94 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "O34.32 — Maternal care for cervical incompetence, second trimester." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/o34.32-maternal-care-for-cervical-incompetence-second-trimester

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Maternal care for cervical incompetence, second trimester

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to O34.32 in its code family, with their registry titles.

View all codes in the O34 family