O34.91 Maternal care for abnormality of pelvic organ, unspecified, first trimester

Billable ICD-10-CM code, FY2026.

Applies from O34 Maternal care for abnormality of pelvic organs

Includes

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

Code first

• any associated obstructed labor (O65.5)

Use additional code

• code for specific condition

MS-DRG index

Defines the logic of DRG(s) 817-819 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 654.91 Other and unspecified abnormality of organs and soft tissues of pelvis, delivered, with or without mention of antepartum condition (approximate)
• 654.92 Other and unspecified abnormality of organs and soft tissues of pelvis, delivered, with mention of postpartum complication (approximate)
• 654.93 Other and unspecified abnormality of organs and soft tissues of pelvis, antepartum condition or complication (approximate)
• 654.94 Other and unspecified abnormality of organs and soft tissues of pelvis, postpartum condition or complication (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O34.91

Back-references to O34

• Use Additional: O65.5 Obstructed labor due to abnormality of maternal pelvic organs ("code to identify abnormality of pelvic organs O34.-")
• Type 2 Excludes: O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium ("maternal care for known or suspected abnormality of maternal pelvic organs (O34.-)")

Nearby codes

• O34.81 Maternal care for other abnormalities of pelvic organs, first trimester
• O34.82 Maternal care for other abnormalities of pelvic organs, second trimester
• O34.83 Maternal care for other abnormalities of pelvic organs, third trimester
• O34.9 Maternal care for abnormality of pelvic organ, unspecified
• O34.90 Maternal care for abnormality of pelvic organ, unspecified, unspecified trimester
• O34.91 Maternal care for abnormality of pelvic organ, unspecified, first trimester (this code)
• O34.92 Maternal care for abnormality of pelvic organ, unspecified, second trimester
• O34.93 Maternal care for abnormality of pelvic organ, unspecified, third trimester