ICD-10-CM Code Z36

Encounter for antenatal screening of mother

Version 2020 Replaced Code Non-Billable Code

Not Valid for Submission

Z36 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of encounter for antenatal screening of mother. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:Z36
Short Description:Encounter for antenatal screening of mother
Long Description:Encounter for antenatal screening of mother

Consider the following ICD-10 codes with a higher level of specificity:

  • Z36.0 - Encounter for antenatal screening for chromosomal anomalies
  • Z36.1 - Encounter for antenatal screening for raised alphafetoprotein level
  • Z36.2 - Encounter for other antenatal screening follow-up
  • Z36.3 - Encounter for antenatal screening for malformations
  • Z36.4 - Encounter for antenatal screening for fetal growth retardation
  • Z36.5 - Encounter for antenatal screening for isoimmunization
  • Z36.8 - Encounter for other antenatal screening
  • Z36.81 - Encounter for antenatal screening for hydrops fetalis
  • Z36.82 - Encounter for antenatal screening for nuchal translucency
  • Z36.83 - Encounter for fetal screening for congenital cardiac abnormalities
  • Z36.84 - Encounter for antenatal screening for fetal lung maturity
  • Z36.85 - Encounter for antenatal screening for Streptococcus B
  • Z36.86 - Encounter for antenatal screening for cervical length
  • Z36.87 - Encounter for antenatal screening for uncertain dates
  • Z36.88 - Encounter for antenatal screening for fetal macrosomia
  • Z36.89 - Encounter for other specified antenatal screening
  • Z36.8A - Encounter for antenatal screening for other genetic defects
  • Z36.9 - Encounter for antenatal screening, unspecified

Replaced Code

This code was replaced in the 2020 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This code was replaced for the FY 2020 (October 1, 2019 - September 30, 2020).

  • Z36.0 - Encounter for antenatal screening for chromosomal anomalies
  • Z36.1 - Enctr for antenat screen for raised alphafetoprotein level
  • Z36.2 - Encounter for other antenatal screening follow-up
  • Z36.3 - Encounter for antenatal screening for malformations
  • Z36.4 - Enctr for antenatal screening for fetal growth retardation
  • Z36.5 - Encounter for antenatal screening for isoimmunization
  • Z36.81 - Encounter for antenatal screening for hydrops fetalis
  • Z36.82 - Encounter for antenatal screening for nuchal translucency
  • Z36.83 - Encounter for fetal screening for congenital cardiac abnlt
  • Z36.84 - Encounter for antenatal screening for fetal lung maturity
  • Z36.85 - Encounter for antenatal screening for Streptococcus B
  • Z36.86 - Encounter for antenatal screening for cervical length
  • Z36.87 - Encounter for antenatal screening for uncertain dates
  • Z36.88 - Encounter for antenatal screening for fetal macrosomia
  • Z36.89 - Encounter for other specified antenatal screening
  • Z36.8A - Encounter for antenatal screening for other genetic defects
  • Z36.9 - Encounter for antenatal screening, unspecified

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 Z36:

Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Encounter for placental sample (taken vaginally)
  • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

Type 1 Excludes

Type 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.
  • diagnostic examination- code to sign or symptom
  • encounter for suspected maternal and fetal conditions ruled out Z03.7
  • suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15

Type 2 Excludes

Type 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.
  • abnormal findings on antenatal screening of mother O28
  • genetic counseling and testing Z31.43 Z31.5
  • routine prenatal care Z34

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in circumstances related to reproduction (Z30-Z39)
      • Encounter for antenatal screening of mother (Z36)

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 - Code Deleted, 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


Prenatal Testing

Prenatal testing provides information about your baby's health before he or she is born. Some routine tests during pregnancy also check on your health. At your first prenatal visit, your health care provider will test for a number of things, including problems with your blood, signs of infections, and whether you are immune to rubella (German measles) and chickenpox.

Throughout your pregnancy, your health care provider may suggest a number of other tests, too. Some tests are suggested for all women, such as screenings for gestational diabetes, Down syndrome, and HIV. Other tests might be offered based on your

  • Age
  • Personal or family medical history
  • Ethnic background
  • Results of routine tests

There are two types of tests:

  • Screening tests are tests that are done to see if you or your baby might have certain problems. They evaluate risk, but do not diagnose problems. If your screening test result is abnormal, it does not mean that there is a problem. It means that more information is needed. Your health care provider can explain what the test results mean and possible next steps. You may need diagnostic testing.
  • Diagnostic tests show whether or not you or your baby have a certain problem.

It is your choice whether or not to get the prenatal tests. You and your health care provider can discuss the risks and benefits of the tests, and what kind of information the tests can give you. Then you can decide which ones are right for you.

Dept. of Health and Human Services Office on Women's Health


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