ICD-10-CM Code O36.72X5

Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only Second Trimester (14 to 27 Weeks)

Valid for Submission

O36.72X5 is a billable code used to specify a medical diagnosis of maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The code O36.72X5 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O36.72X5
Short Description:Matern care for viable fetus in abd preg, second tri, fts5
Long Description:Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Diagnostic Related Groups

The ICD-10 code O36.72X5 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 817 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH MCC
  • 818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH CC
  • 819 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT CC/MCC

Convert O36.72X5 to ICD-9

  • 656.81 - Fet/plac prob NEC-deliv (Approximate Flag)
  • 656.83 - Fet/plac prob NEC-antepa (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
      • Maternal care for other fetal problems (O36)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pregnancy

You're going to have a baby! It's an exciting time, but it can also feel a bit overwhelming. You may have a lot of questions, including what you can do to give your baby a healthy start. To keep you and your baby healthy during pregnancy, it is important to

  • Have regular visits with your health care provider. These prenatal care visits help make sure that you and your baby are healthy. And if there are any health problems, your provider can find them early. Getting treatment right away can cure many problems and prevent others.
  • Eat healthy and drink plenty of water. Good nutrition during pregnancy includes eating a variety of
    • Fruits
    • Vegetables
    • Whole grains
    • Lean meats or other protein sources
    • Low-fat dairy products
  • Take prenatal vitamins. Pregnant women need higher amounts of certain vitamins and minerals, such as folic acid and iron.
  • Be careful with medicines. Always check with your health care provider before you start or stop any medicine. This includes over-the-counter medicines and dietary or herbal supplements.
  • Stay active. Physical activity can help you stay strong, feel and sleep better, and prepare your body for birth. Check with your provider about which types of activities are right for you.
  • Avoid substances that could hurt your baby, such as alcohol, drugs, and tobacco.

Your body will keep changing as your baby grows. It can be hard to know whether a new symptom is normal or could be a sign of a problem. Check with your health care provider if something is bothering or worrying you.


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