2023

  1. ICD-10-CM Codes
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  2. O00-O9A
    3. ›
  3. O30-O48
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  4. O35-
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  5. 2023 ICD-10-CM Diagnosis Code O35.5XX0

2023 ICD-10-CM Diagnosis Code O35.5XX0

Maternal care for (suspected) damage to fetus by drugs, not applicable or unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O35.5XX0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Maternal care for (suspected) damage to fetus by drugs, unsp
  • The 2023 edition of ICD-10-CM O35.5XX0 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of O35.5XX0 - other international versions of ICD-10 O35.5XX0 may differ.
ICD-10-CM Coding Rules
  • O35.5XX0 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O35.5XX0 is applicable to female patients.
The following code(s) above O35.5XX0 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 O35.5XX0:
  • 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
  • O35.5
    ICD-10-CM Diagnosis Code O35.5

    Maternal care for (suspected) damage to fetus by drugs

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Maternal care for damage to fetus from drug addiction
    Maternal care for (suspected) damage to fetus by drugs
Approximate Synonyms
  • Suspected fetal damage from maternal drug use
ICD-10-CM O35.5XX0 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

Convert O35.5XX0 to ICD-9-CM

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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To O35.5XX0
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
O35.5XX2 …… fetus 2
O35.5XX3 …… fetus 3
O35.5XX4 …… fetus 4
O35.5XX5 …… fetus 5
O35.5XX9 …… other fetus
O35.6 Maternal care for (suspected) damage to fetus by radiation
O35.6XX0 …… not applicable or unspecified
O35.6XX1 …… fetus 1
O35.6XX2 …… fetus 2

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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