2020 ICD-10-CM Diagnosis Code O36.011

Maternal care for anti-D [Rh] antibodies, first trimester

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code 1st Trimester (< 14 weeks)
  • O36.011 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM O36.011 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O36.011 - other international versions of ICD-10 O36.011 may differ.
ICD-10-CM Coding Rules
  • O36.011 is applicable to mothers in the first trimester of pregnancy, which is defined as less than 14 weeks since the first day of the last menstrual period.
The following code(s) above O36.011 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 O36.011:
  • O00-O9A
    2020 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
  • O36
    ICD-10-CM Diagnosis Code O36

    Maternal care for other fetal problems

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
    Type 1 Excludes
    • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
    • placental transfusion syndromes (O43.0-)
    Type 2 Excludes
    • labor and delivery complicated by fetal stress (O77.-)
    Maternal care for other fetal problems
  • O36.0
    ICD-10-CM Diagnosis Code O36.0

    Maternal care for rhesus isoimmunization

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Maternal care for Rh incompatibility (with hydrops fetalis)
    Maternal care for rhesus isoimmunization
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 O36.011
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
O36.012 Maternal care for anti-D [Rh] antibodies, second trimester
O36.0120 …… not applicable or unspecified
O36.0121 …… fetus 1

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