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  2. ICD-10-CM Codes
  3. O00-O9A
  4. O30-O48
  5. O36
  6. 2024 ICD-10-CM Code O36.5
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code O36.5

Maternal care for known or suspected poor fetal growth

ICD-10-CM Code:
O36.5
ICD-10 Code for:
Maternal care for known or suspected poor fetal growth
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Pregnancy, childbirth and the puerperium
    (O00-O9A)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems
      (O30-O48)
      • Maternal care for other fetal problems
        (O36)

O36.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of maternal care for known or suspected poor fetal growth. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Maternal care for known or suspected poor fetal growth

Non-specific codes like O36.5 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for maternal care for known or suspected poor fetal growth:

  • O36.51 for Maternal care for known or suspected placental insufficiency - NON-BILLABLE CODE

  • O36.511 for Maternal care for known or suspected placental insufficiency, first trimester - NON-BILLABLE CODE

  • Use O36.5110 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5111 for fetus 1 - BILLABLE CODE

  • Use O36.5112 for fetus 2 - BILLABLE CODE

  • Use O36.5113 for fetus 3 - BILLABLE CODE

  • Use O36.5114 for fetus 4 - BILLABLE CODE

  • Use O36.5115 for fetus 5 - BILLABLE CODE

  • Use O36.5119 for other fetus - BILLABLE CODE

  • O36.512 for Maternal care for known or suspected placental insufficiency, second trimester - NON-BILLABLE CODE

  • Use O36.5120 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5121 for fetus 1 - BILLABLE CODE

  • Use O36.5122 for fetus 2 - BILLABLE CODE

  • Use O36.5123 for fetus 3 - BILLABLE CODE

  • Use O36.5124 for fetus 4 - BILLABLE CODE

  • Use O36.5125 for fetus 5 - BILLABLE CODE

  • Use O36.5129 for other fetus - BILLABLE CODE

  • O36.513 for Maternal care for known or suspected placental insufficiency, third trimester - NON-BILLABLE CODE

  • Use O36.5130 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5131 for fetus 1 - BILLABLE CODE

  • Use O36.5132 for fetus 2 - BILLABLE CODE

  • Use O36.5133 for fetus 3 - BILLABLE CODE

  • Use O36.5134 for fetus 4 - BILLABLE CODE

  • Use O36.5135 for fetus 5 - BILLABLE CODE

  • Use O36.5139 for other fetus - BILLABLE CODE

  • O36.519 for Maternal care for known or suspected placental insufficiency, unspecified trimester - NON-BILLABLE CODE

  • Use O36.5190 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5191 for fetus 1 - BILLABLE CODE

  • Use O36.5192 for fetus 2 - BILLABLE CODE

  • Use O36.5193 for fetus 3 - BILLABLE CODE

  • Use O36.5194 for fetus 4 - BILLABLE CODE

  • Use O36.5195 for fetus 5 - BILLABLE CODE

  • Use O36.5199 for other fetus - BILLABLE CODE

  • O36.59 for Maternal care for other known or suspected poor fetal growth - NON-BILLABLE CODE

  • O36.591 for Maternal care for other known or suspected poor fetal growth, first trimester - NON-BILLABLE CODE

  • Use O36.5910 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5911 for fetus 1 - BILLABLE CODE

  • Use O36.5912 for fetus 2 - BILLABLE CODE

  • Use O36.5913 for fetus 3 - BILLABLE CODE

  • Use O36.5914 for fetus 4 - BILLABLE CODE

  • Use O36.5915 for fetus 5 - BILLABLE CODE

  • Use O36.5919 for other fetus - BILLABLE CODE

  • O36.592 for Maternal care for other known or suspected poor fetal growth, second trimester - NON-BILLABLE CODE

  • Use O36.5920 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5921 for fetus 1 - BILLABLE CODE

  • Use O36.5922 for fetus 2 - BILLABLE CODE

  • Use O36.5923 for fetus 3 - BILLABLE CODE

  • Use O36.5924 for fetus 4 - BILLABLE CODE

  • Use O36.5925 for fetus 5 - BILLABLE CODE

  • Use O36.5929 for other fetus - BILLABLE CODE

  • O36.593 for Maternal care for other known or suspected poor fetal growth, third trimester - NON-BILLABLE CODE

  • Use O36.5930 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5931 for fetus 1 - BILLABLE CODE

  • Use O36.5932 for fetus 2 - BILLABLE CODE

  • Use O36.5933 for fetus 3 - BILLABLE CODE

  • Use O36.5934 for fetus 4 - BILLABLE CODE

  • Use O36.5935 for fetus 5 - BILLABLE CODE

  • Use O36.5939 for other fetus - BILLABLE CODE

  • O36.599 for Maternal care for other known or suspected poor fetal growth, unspecified trimester - NON-BILLABLE CODE

  • Use O36.5990 for not applicable or unspecified - BILLABLE CODE

  • Use O36.5991 for fetus 1 - BILLABLE CODE

  • Use O36.5992 for fetus 2 - BILLABLE CODE

  • Use O36.5993 for fetus 3 - BILLABLE CODE

  • Use O36.5994 for fetus 4 - BILLABLE CODE

  • Use O36.5995 for fetus 5 - BILLABLE CODE

  • Use O36.5999 for other fetus - BILLABLE CODE

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.