2024 ICD-10-CM Diagnosis Code O36.519

Maternal care for known or suspected placental insufficiency, unspecified trimester

ICD-10-CM Code:
O36.519
ICD-10 Code for:
Maternal care for known or susp placntl insuff, unsp tri
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)

O36.519 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 placental insufficiency, unspecified trimester. 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.

Unspecified diagnosis codes like O36.519 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding Applicable to Maternal care for known or susp placntl insuff, unsp tri

Non-specific codes like O36.519 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 susp placntl insuff, unsp tri:

  • 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

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.