2023 ICD-10-CM Diagnosis Code O35.00X5

Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified, fetus 5

    2023 - New Code Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O35.00X5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Mat care cnsl malf/damag fts, unspecified, fetus 5
  • ICD-10-CM O35.00X5 is a new 2023 ICD-10-CM code that became effective on October 1, 2022.
  • This is the American ICD-10-CM version of O35.00X5 - other international versions of ICD-10 O35.00X5 may differ.
ICD-10-CM Coding Rules
  • O35.00X5 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O35.00X5 is applicable to female patients.
The following code(s) above O35.00X5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O35.00X5:
  • O00-O9A
    2023 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
  • O35
    ICD-10-CM Diagnosis Code O35

    Maternal care for known or suspected fetal abnormality and damage

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code Also
    • any associated maternal condition
    Includes
    • the listed conditions in the fetus as a reason for hospitalization or other obstetric care to the mother, or for termination of pregnancy
    Type 1 Excludes
    • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
    Maternal care for known or suspected fetal abnormality and damage
  • O35.0
    ICD-10-CM Diagnosis Code O35.0

    Maternal care for (suspected) central nervous system malformation in fetus

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • chromosomal abnormality in fetus (O35.1-)
    Maternal care for (suspected) central nervous system malformation in fetus
ICD-10-CM O35.00X5 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 817 Other antepartum diagnoses with o.r. Procedures with mcc
  • 818 Other antepartum diagnoses with o.r. Procedures with cc
  • 819 Other antepartum diagnoses with o.r. Procedures without cc/mcc
  • 831 Other antepartum diagnoses without o.r. Procedures with mcc
  • 832 Other antepartum diagnoses without o.r. Procedures with cc
  • 833 Other antepartum diagnoses without o.r. Procedures without cc/mcc
Code History
  • 2023 (effective 10/1/2022): New code
ICD-10-CM Codes Adjacent To O35.00X5
O34.92 …… second trimester
O34.93 …… third trimester
O35 Maternal care for known or suspected fetal abnormality and damage
O35.0 Maternal care for (suspected) central nervous system malformation in fetus
O35.00 Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecified
O35.00X0 …… not applicable or unspecified
O35.00X1 …… fetus 1
O35.00X2 …… fetus 2
O35.00X3 …… fetus 3
O35.00X4 …… fetus 4
O35.00X5 …… fetus 5
O35.00X9 …… other fetus
O35.01 Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosum
O35.01X0 …… not applicable or unspecified
O35.01X1 …… fetus 1
O35.01X2 …… fetus 2
O35.01X3 …… fetus 3
O35.01X4 …… fetus 4
O35.01X5 …… fetus 5
O35.01X9 …… other fetus
O35.02 Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephaly

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.