ICD-10-CM Code Z36.89

Encounter for other specified antenatal screening

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only POA Exempt

Valid for Submission

Z36.89 is a billable code used to specify a medical diagnosis of encounter for other specified antenatal screening. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z36.89 might also be used to specify conditions or terms like antenatal hepatitis b blood screening test sent, antenatal hepatitis b blood screening test status, antenatal hiv blood screening test requested, antenatal hiv blood screening test sent, antenatal hiv blood screening test status, antenatal hiv blood screening test status, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

The code Z36.89 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:Z36.89
Short Description:Encounter for other specified antenatal screening
Long Description:Encounter for other specified antenatal screening

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code Z36.89 are found in the index:


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 .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Antenatal hepatitis B blood screening test sent
  • Antenatal hepatitis B blood screening test status
  • Antenatal HIV blood screening test requested
  • Antenatal HIV blood screening test sent
  • Antenatal HIV blood screening test status
  • Antenatal HIV blood screening test status
  • Antenatal thalassemia blood screening test requested
  • Antenatal thalassemia blood screening test sent
  • Antenatal thalassemia blood screening test status
  • Antenatal thalassemia blood screening test status

Present on Admission (POA)

Z36.89 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Replacement Code

Z3689 replaces the following previously assigned ICD-10 code(s):

  • Z36 - Encounter for antenatal screening of mother

Convert Z36.89 to ICD-9

  • V28.89 - Antenatal screening NEC (Approximate Flag)

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 2018 - Code Added, 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 Care

Prenatal care is the health care you get while you are pregnant. It includes your checkups and prenatal testing. Prenatal care can help keep you and your baby healthy. It lets your health care provider spot health problems early. Early treatment can cure many problems and prevent others.

Your doctor or midwife will give you a schedule for your prenatal visits. If you are over 35 years old or your pregnancy is high risk because of health problems like diabetes or high blood pressure, your doctor or midwife will probably want to see you more often. You can also expect to see your health care provider more often as your due date gets closer.

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


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