2019

  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. O36- Maternal care for other fetal problems
    5. ›

2019 ICD-10-CM Diagnosis Code O36.4

Maternal care for intrauterine death

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • O36.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM O36.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O36.4 - other international versions of ICD-10 O36.4 may differ.
Applicable To
  • Maternal care for intrauterine fetal death NOS
  • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
  • Maternal care for late fetal death
  • Maternal care for missed delivery
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 O36.4. 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.
  • missed abortion (
    ICD-10-CM Diagnosis Code O02.1

    Missed abortion

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus
    Type 1 Excludes
    • failed induced abortion (O07.-)
    • fetal death (intrauterine) (late) (O36.4)
    • missed abortion with blighted ovum (O02.0)
    • missed abortion with hydatidiform mole (O01.-)
    • missed abortion with nonhydatidiform (O02.0)
    • missed abortion with other abnormal products of conception (O02.8-)
    • missed delivery (O36.4)
    • stillbirth (P95)
    O02.1
    )
  • stillbirth (
    ICD-10-CM Diagnosis Code P95

    Stillbirth

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Deadborn fetus NOS
    • Fetal death of unspecified cause
    • Stillbirth NOS
    Type 1 Excludes
    P95
    )
The following code(s) above O36.4 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 O36.4:
  • O00-O9A
    2019 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 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
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
Code annotations containing back-references to O36.4:
  • Type 1 Excludes: O02.1
    , O02.1
    , P95
    , Z33.2
    ICD-10-CM Diagnosis Code O02.1

    Missed abortion

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus
    Type 1 Excludes
    • failed induced abortion (O07.-)
    • fetal death (intrauterine) (late) (O36.4)
    • missed abortion with blighted ovum (O02.0)
    • missed abortion with hydatidiform mole (O01.-)
    • missed abortion with nonhydatidiform (O02.0)
    • missed abortion with other abnormal products of conception (O02.8-)
    • missed delivery (O36.4)
    • stillbirth (P95)
    ICD-10-CM Diagnosis Code O02.1

    Missed abortion

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Early fetal death, before completion of 20 weeks of gestation, with retention of dead fetus
    Type 1 Excludes
    • failed induced abortion (O07.-)
    • fetal death (intrauterine) (late) (O36.4)
    • missed abortion with blighted ovum (O02.0)
    • missed abortion with hydatidiform mole (O01.-)
    • missed abortion with nonhydatidiform (O02.0)
    • missed abortion with other abnormal products of conception (O02.8-)
    • missed delivery (O36.4)
    • stillbirth (P95)
    ICD-10-CM Diagnosis Code P95

    Stillbirth

      2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    Applicable To
    • Deadborn fetus NOS
    • Fetal death of unspecified cause
    • Stillbirth NOS
    Type 1 Excludes
    ICD-10-CM Diagnosis Code Z33.2

    Encounter for elective termination of pregnancy

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Type 1 Excludes
    • early fetal death with retention of dead fetus (O02.1)
    • late fetal death (O36.4)
    • spontaneous abortion (O03)

Diagnosis Index entries containing back-references to O36.4:

ICD-10-CM Codes Adjacent To O36.4
O36.22X5 …… fetus 5
O36.22X9 …… other fetus
O36.23 Maternal care for hydrops fetalis, third trimester
O36.23X0 …… not applicable or unspecified
O36.23X1 …… fetus 1
O36.23X2 …… fetus 2
O36.23X3 …… fetus 3
O36.23X4 …… fetus 4
O36.23X5 …… fetus 5
O36.23X9 …… other fetus
O36.4 Maternal care for intrauterine death
O36.4XX0 …… not applicable or unspecified
O36.4XX1 …… fetus 1
O36.4XX2 …… fetus 2
O36.4XX3 …… fetus 3
O36.4XX4 …… fetus 4
O36.4XX5 …… fetus 5
O36.4XX9 …… other fetus
O36.5 Maternal care for known or suspected poor fetal growth
O36.51 Maternal care for known or suspected placental insufficiency
O36.511 Maternal care for known or suspected placental insufficiency, first trimester

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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