2027 ICD-10-CM Diagnosis Code O36.90X0Maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified
O36.90X0 is a billable ICD-10-CM diagnosis code for maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified. The 7th character 0 shows this applies to a single gestation, or that the affected fetus is not identified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O36.90X0.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Complication of manipulation procedure
- Fetal AND/OR placental disorder affecting management of mother
- Fetal condition affecting obstetrical care of mother
- Fetal disorder due to abnormal maternal blood chemistry
- Fetal disorder due to abnormality of chorion
- Fetal disorder due to abnormality of maternal soft tissue
- Fetal disorder due to acute hydramnios
- Fetal disorder due to amnionitis
- Fetal disorder due to amniotic band syndrome
- Fetal disorder due to anomaly of placenta
- Fetal disorder due to breech delivery
- Fetal disorder due to chorioamnionitis
- Fetal disorder due to chronic hydramnios
- Fetal disorder due to chronic maternal cardiovascular disease
- Fetal disorder due to chronic maternal respiratory disease
- Fetal disorder due to deficiency of placental function
- Fetal disorder due to disorder of amniotic cavity and/or membrane
- Fetal disorder due to external version before labor
- Fetal disorder due to face presentation during labor
- Fetal disorder due to face presentation during prelabor
- Fetal disorder due to fetal-maternal hemorrhage
- Fetal disorder due to hypertonic uterine dysfunction
- Fetal disorder due to hypotonic uterine dysfunction
- Fetal disorder due to incompetent cervix
- Fetal disorder due to injury of placenta following amniocentesis
- Fetal disorder due to injury of placenta following surgical induction
- Fetal disorder due to large placenta
- Fetal disorder due to long labor
- Fetal disorder due to malposition during delivery
- Fetal disorder due to malposition during labor
- Fetal disorder due to malpresentation during labor
- Fetal disorder due to malpresentation during prelabor
- Fetal disorder due to maternal autoimmune disease
- Fetal disorder due to maternal bony pelvic abnormality during labor
- Fetal disorder due to maternal contracted pelvis during labor
- Fetal disorder due to maternal contraction ring
- Fetal disorder due to maternal disorder during pregnancy
- Fetal disorder due to maternal disorder of delivery
- Fetal disorder due to maternal disorder of labor
- Fetal disorder due to maternal disorder of urinary tract
- Fetal disorder due to maternal gestational edema and proteinuria without hypertension
- Fetal disorder due to maternal hemorrhage during pregnancy
- Fetal disorder due to maternal hypertension
- Fetal disorder due to maternal nutritional disorder
- Fetal disorder due to maternal obesity
- Fetal disorder due to maternal obesity with adult body mass index 30 or greater but less than 40
- Fetal disorder due to maternal obesity with adult body mass index equal to or greater than 40
- Fetal disorder due to maternal overweight
- Fetal disorder due to maternal periodontal disease
- Fetal disorder due to maternal pre-eclampsia
- Fetal disorder due to maternal renal disease
- Fetal disorder due to maternal respiratory disease
- Fetal disorder due to maternal traumatic injury
- Fetal disorder due to maternofetal transfusion
- Fetal disorder due to meconium passage during delivery
- Fetal disorder due to multiple pregnancy
- Fetal disorder due to oblique lie before labor
- Fetal disorder due to oligohydramnios
- Fetal disorder due to pelvic size and disproportion during delivery
- Fetal disorder due to pelvic size and disproportion during labor
- Fetal disorder due to persistent occipito-posterior malposition during labor
- Fetal disorder due to placental disorder
- Fetal disorder due to placental edema
- Fetal disorder due to placental hemorrhage
- Fetal disorder due to placental infarction
- Fetal disorder due to placental transfusion syndrome
- Fetal disorder due to placentitis
- Fetal disorder due to polyhydramnios
- Fetal disorder due to precipitate delivery
- Fetal disorder due to premature rupture of membranes
- Fetal disorder due to previous maternal pelvic surgery
- Fetal disorder due to previous maternal uterine surgery
- Fetal disorder due to rupture of marginal sinus of placenta
- Fetal disorder due to shoulder presentation during labor
- Fetal disorder due to small placenta
- Fetal disorder due to transverse lie
- Fetal disorder due to transverse lie before labor
- Fetal disorder due to transverse lie during labor
- Fetal disorder due to triplet pregnancy
- Fetal disorder due to twin pregnancy
- Fetal disorder due to twin-to-twin transfusion syndrome
- Fetal disorder due to unstable lie before labor
- Fetal disorder due to uterine dystocia
- Fetal disorder due to uterine inertia
- Fetal size does not accord with dates
- Obstetric problem affecting fetus
- Relation of fetal size to dates - finding
- Size of fetus - finding
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O36.90X0: its own notes plus those printed at O36 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives 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
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- labor and delivery complicated by fetal stress (O77.-)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Notes
General instructions on how these codes are used.
- CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
- Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
- Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
- 1st trimester- less than 14 weeks 0 days
- 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
- 3rd trimester- 28 weeks 0 days until delivery
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- 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, Multiple gestation, must also be assigned when assigning a code from category O36 that has a 7th character of 1 through 9.
- 0not applicable or unspecified this code
- 1fetus 1
- 2fetus 2
- 3fetus 3
- 4fetus 4
- 5fetus 5
- 9other fetus
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name O36.90X0, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming O36.90X0: they are not reported together with it, unless the two conditions are unrelated.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Health Problems in Pregnancy
A health problem in pregnancy is any disease or condition that could affect your health or the health of your fetus. Some health problems may make it more likely that you will have a high-risk pregnancy. A high-risk pregnancy is one in which you, your fetus, or both are at higher risk for health problems than in a typical pregnancy.
The full article covers:
- What are health problems in pregnancy?
- What raises my risk for health problems during pregnancy?
- Can chronic health conditions cause problems in pregnancy?
- Can health problems in pregnancy be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert O36.90X0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About O36.90X0Overview
Is O36.90X0 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character 0 in O36.90X0 mean?
The final character 0 shows the maternal care for fetal problem, unspecified, unspecified trimester applies to a single gestation, or that the affected fetus cannot be identified.
What MS-DRG does O36.90X0 group to?
When maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 833, 832, 831, 819, 818, 817, with relative weights from 0.5000 to 1.7586 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can O36.90X0 be reported for?
The Medicare Code Editor checks maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
Can O36.90X0 be reported with a code from Z03.7?
Not as a rule. The Excludes1 note at O36, which applies to O36.90X0, lists "encounter for suspected maternal and fetal conditions ruled out (Z03.7-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
