Not Valid for Submission
O36 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of maternal care for other fetal problems. The code is NOT valid for the year 2021 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 for Maternal care for other fetal problems
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O36:
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- 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 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- encounter for suspected maternal and fetal conditions ruled out Z03.7
- placental transfusion syndromes O43.0
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- labor and delivery complicated by fetal stress O77
7th Character Note7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- One of the following 7th characters is to be assigned to each code under category O36. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30
7th Character7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- 0 - not applicable or unspecified
- 1 - fetus 1
- 2 - fetus 2
- 3 - fetus 3
- 4 - fetus 4
- 5 - fetus 5
- 9 - other fetus
Information for Patients
Fetal Health and Development
A normal pregnancy lasts nine months. Each three-month period of pregnancy is called a trimester. During each trimester, the fetus grows and develops. Regular medical checkups and prenatal tests are very important. They can
- Help keep you and your baby healthy
- Spot problems with your baby (if there are any). In some cases, health care professionals can treat the problem before your baby is born. But even when they cannot, it can still be helpful to know about the problem early on. That gives you time to learn about your baby's condition and prepare for any challenges you may face after the baby is born.
- Prevent problems during delivery. For example, if your baby is breech (bottom first or feet first, instead of head first), you may need to have a Cesarean section to avoid complications.
Besides getting medical care, there are other things you can do to keep your baby as healthy as possible. It's important not to drink or smoke. Try to eat a healthy diet and make sure to take care of any health problems you have during pregnancy.
- Fetal development (Medical Encyclopedia)
- Intrauterine growth restriction (Medical Encyclopedia)
Health Problems in Pregnancy
Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, substance abuse during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.
If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include
- High blood pressure
- Polycystic ovary syndrome
- Kidney problems
- Autoimmune disorders
Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.
Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.
- Bed rest during pregnancy (Medical Encyclopedia)
- Hydramnios (Medical Encyclopedia)
- Hyperemesis gravidarum (Medical Encyclopedia)
- Insufficient cervix (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta abruptio (Medical Encyclopedia)
- Placenta previa (Medical Encyclopedia)
- Vaginal bleeding in early pregnancy (Medical Encyclopedia)
- Vaginal bleeding in late pregnancy (Medical Encyclopedia)
- Vaginal bleeding in pregnancy (Medical Encyclopedia)