ICD-10-CM Codes
O00-O9A Pregnancy, childbirth and the puerperium
O30-O48 Maternal care related to the fetus and amniotic cavity and possible delivery problems
O36- Maternal care for other fetal problems

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
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
Applicable To
- Deadborn fetus NOS
- Fetal death of unspecified cause
- Stillbirth NOS
Type 1 Excludes
- maternal care for intrauterine death (O36.4)
- missed abortion (O02.1)
- outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
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
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
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
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
Applicable To
- Deadborn fetus NOS
- Fetal death of unspecified cause
- Stillbirth NOS
Type 1 Excludes
- maternal care for intrauterine death (O36.4)
- missed abortion (O02.1)
- outcome of delivery, stillbirth (Z37.1, Z37.3, Z37.4, Z37.7)
ICD-10-CM Diagnosis Code Z33.2
Encounter for elective termination of pregnancy
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:

Dead
- fetus, retained (mother) O36.4
Delivery (childbirth) (labor)
- missed O36.4 (at or near term)
Missed
- delivery O36.4
Pregnancy (single) (uterine) - see also Delivery and Puerperal
- complicated by (care of) (management affected by)
  - death of fetus (near term) O36.4
  - fetal (maternal care for)
    - death (near term) O36.4
    - intrauterine death O36.4
  - intrauterine fetal death (near term) O36.4
  - missed
    - delivery O36.4
Retention - see also Retained
- dead
  - fetus (at or near term) (mother) O36.4
- fetus
  - dead 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.

2019 ICD-10-CM Diagnosis Code O36.4

Maternal care for intrauterine death

Missed abortion

Stillbirth

Pregnancy, childbirth and the puerperium

Maternal care for other fetal problems

Missed abortion

Missed abortion

Stillbirth

Encounter for elective termination of pregnancy