2022 ICD-10-CM Diagnosis Code O36.511

Maternal care for known or suspected placental insufficiency, first trimester

    2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code 1st Trimester (< 14 weeks)
  • O36.511 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Maternal care for known or susp placntl insuff, first tri
  • The 2022 edition of ICD-10-CM O36.511 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of O36.511 - other international versions of ICD-10 O36.511 may differ.
ICD-10-CM Coding Rules
  • O36.511 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 O36.511 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 O36.511:
  • O00-O9A
    2022 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 2021 2022 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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
ICD-10-CM Codes Adjacent To O36.511
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
O36.5110 …… not applicable or unspecified
O36.5111 …… fetus 1
O36.5112 …… fetus 2
O36.5113 …… fetus 3
O36.5114 …… fetus 4
O36.5115 …… fetus 5
O36.5119 …… other fetus
O36.512 Maternal care for known or suspected placental insufficiency, second trimester
O36.5120 …… not applicable or unspecified
O36.5121 …… fetus 1

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