2021

  1. ICD-10-CM Codes
    2. ›
  2. O00-O9A Pregnancy, childbirth and the puerperium
    3. ›
  3. O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
    4. ›
  4. O35- Maternal care for known or suspected fetal abnormality and damage
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code O35.4

2021 ICD-10-CM Diagnosis Code O35.4

Maternal care for (suspected) damage to fetus from alcohol

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • O35.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM O35.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of O35.4 - other international versions of ICD-10 O35.4 may differ.
The following code(s) above O35.4 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 O35.4:
  • O00-O9A
    2021 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 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
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to O35.4:
  • Pregnancy (single) (uterine) Z33.1
    - see also Delivery and Puerperal
    ICD-10-CM Diagnosis Code Z33.1

    Pregnant state, incidental

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Maternity Dx (12-55 years)
    Applicable To
    • Pregnancy NOS
    • Pregnant state NOS
    Type 1 Excludes
    • complications of pregnancy (O00-O9A)
    • pregnant state, gestational carrier (Z33.3)

ICD-10-CM Codes Adjacent To O35.4
O35.2XX5 …… fetus 5
O35.2XX9 …… other fetus
O35.3 Maternal care for (suspected) damage to fetus from viral disease in mother
O35.3XX0 …… not applicable or unspecified
O35.3XX1 …… fetus 1
O35.3XX2 …… fetus 2
O35.3XX3 …… fetus 3
O35.3XX4 …… fetus 4
O35.3XX5 …… fetus 5
O35.3XX9 …… other fetus
O35.4 Maternal care for (suspected) damage to fetus from alcohol
O35.4XX0 …… not applicable or unspecified
O35.4XX1 …… fetus 1
O35.4XX2 …… fetus 2
O35.4XX3 …… fetus 3
O35.4XX4 …… fetus 4
O35.4XX5 …… fetus 5
O35.4XX9 …… other fetus
O35.5 Maternal care for (suspected) damage to fetus by drugs
O35.5XX0 …… not applicable or unspecified
O35.5XX1 …… fetus 1

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

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