2026 ICD-10-CM Diagnosis Code O36.8214Fetal anemia and thrombocytopenia, first trimester, fetus 4

ICD-10-CM Codes›O00-O9A›O30-O48›O36

ICD-10-CM O36.8214
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O36.8214 is a billable ICD-10-CM diagnosis code for fetal anemia and thrombocytopenia, first trimester, fetus 4. The 7th character 4 identifies fetus 4 in a multiple gestation pregnancy. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Maternal care related to fetal conditions.

Code Identity

ICD-10-CM Code
O36.8214
Billable Status
Yes — Valid for Submission
Code Describes
Fetal anemia and thrombocytopenia, first trimester, fetus 4
Short Description
Fetal anemia and thrombocytopenia, first trimester, fetus 4
Same as the full description in the CMS dataset.
Parent Code
O36.821
Fetal anemia and thrombocytopenia, first trimester

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems
CategoryO36Maternal care for other fetal problems
This CodeO36.8214Fetal anemia and thrombocytopenia, first trimester, fetus 4

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O36.8214.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG013
Maternal care related to fetal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Anemia

If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O36.8214 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
678.01 Fetal hematologic-deliv
Approximate The match is approximate rather than exact.
ICD-9-CM
678.03 Fetal hematologic-ante
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O36.8214Overview

Is O36.8214 (Fetal anemia and thrombocytopenia, first trimester) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fetal anemia and thrombocytopenia, first trimester, fetus 4 on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character 4 in O36.8214 mean?

The final character 4 identifies the fetus in a multiple gestation pregnancy: this code reports fetal anemia and thrombocytopenia, first trimester for fetus 4.

What MS-DRG does O36.8214 group to?

When fetal anemia and thrombocytopenia, first trimester, fetus 4 is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O36.8214 be reported for?

The Medicare Code Editor checks fetal anemia and thrombocytopenia, first trimester, fetus 4 against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O36.8214?

Under the General Equivalence Mappings, fetal anemia and thrombocytopenia, first trimester, fetus 4 converts to ICD-9-CM 678.01 (fetal hematologic-deliv) and 678.03 (fetal hematologic-ante). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.