2023 ICD-10-CM Diagnosis Code O36

Maternal care for other fetal problems

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • O36 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM O36 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of O36 - other international versions of ICD-10 O36 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O36. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • encounter for suspected maternal and fetal conditions ruled out (
    ICD-10-CM Diagnosis Code Z03.7

    Encounter for suspected maternal and fetal conditions ruled out

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for suspected maternal and fetal conditions not found
    Type 1 Excludes
    Z03.7-
    )
  • placental transfusion syndromes (
    ICD-10-CM Diagnosis Code O43.0

    Placental transfusion syndromes

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    O43.0-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (O36) and the excluded code together.
  • labor and delivery complicated by fetal stress (
    ICD-10-CM Diagnosis Code O77
    • O77 Other fetal stress complicating labor and del...
      • O77.0 Labor and delivery complicated by meconium in...
      • O77.1 Fetal stress in labor or delivery due to drug...
      • O77.8 Labor and delivery complicated by other evide...
      • O77.9 Labor and delivery complicated by fetal stres...
    O77.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
The following code(s) above O36 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 O36:
  • 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
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
Code annotations containing back-references to O36:
  • Type 1 Excludes: Z03.7
    ICD-10-CM Diagnosis Code Z03.7

    Encounter for suspected maternal and fetal conditions ruled out

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Encounter for suspected maternal and fetal conditions not found
    Type 1 Excludes
ICD-10-CM Codes Adjacent To O36
O35.8XX5 …… fetus 5
O35.8XX9 …… other fetus
O35.9 Maternal care for (suspected) fetal abnormality and damage, unspecified
O35.9XX0 …… not applicable or unspecified
O35.9XX1 …… fetus 1
O35.9XX2 …… fetus 2
O35.9XX3 …… fetus 3
O35.9XX4 …… fetus 4
O35.9XX5 …… fetus 5
O35.9XX9 …… other fetus
O36 Maternal care for other fetal problems
O36.0 Maternal care for rhesus isoimmunization
O36.01 Maternal care for anti-D [Rh] antibodies
O36.011 Maternal care for anti-D [Rh] antibodies, first trimester
O36.0110 …… not applicable or unspecified
O36.0111 …… fetus 1
O36.0112 …… fetus 2
O36.0113 …… fetus 3
O36.0114 …… fetus 4
O36.0115 …… fetus 5
O36.0119 …… other fetus

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