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ICD-10-CM Codes
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O00-O9A
Pregnancy, childbirth and the puerperium
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O30-O48
Maternal care related to the fetus and amniotic cavity and possible delivery problems
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O35-
Maternal care for known or suspected fetal abnormality and damage
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2020 ICD-10-CM Diagnosis Code O35.5XX9
Maternal care for (suspected) damage to fetus by drugs, other fetus
2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
- O35.5XX9 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, oth
- The 2020 edition of ICD-10-CM O35.5XX9 became effective on October 1, 2019.
- This is the American ICD-10-CM version of O35.5XX9 - other international versions of ICD-10 O35.5XX9 may differ.
ICD-10-CM Coding Rules
- O35.5XX9 is applicable to maternity patients aged 12 - 55 years inclusive.
The following code(s) above
O35.5XX9 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
O35.5XX9:
- O00-O9A
2020 ICD-10-CM Range O00-O9A
Pregnancy, childbirth and the puerperiumNote- 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.
- O35
ICD-10-CM Diagnosis Code O35
Maternal care for known or suspected fetal abnormality and damage
2016 2017 2018 2019 2020 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-)
- O35.5
ICD-10-CM Diagnosis Code O35.5
Maternal care for (suspected) damage to fetus by drugs
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To- Maternal care for damage to fetus from drug addiction
- 817 Other antepartum diagnoses with o.r. Procedure with mcc
- 818 Other antepartum diagnoses with o.r. Procedure with cc
- 819 Other antepartum diagnoses with o.r. Procedure without cc/mcc
- 831 Other antepartum diagnoses without o.r. Procedure with mcc
- 832 Other antepartum diagnoses without o.r. Procedure with cc
- 833 Other antepartum diagnoses without o.r. Procedure without cc/mcc
Convert O35.5XX9 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
ICD-10-CM Codes Adjacent To O35.5XX9
O35.5 Maternal care for (suspected) damage to fetus by drugs
O35.5XX0 …… not applicable or unspecified
O35.5XX9
…… other fetus
O35.6 Maternal care for (suspected) damage to fetus by radiation
O35.6XX0 …… not applicable or unspecified
O35.7 Maternal care for (suspected) damage to fetus by other medical procedures
O35.7XX0 …… not applicable or unspecified
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
