2024 ICD-10-CM Diagnosis Code O36.90X0

Maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified

ICD-10-CM Code:
O36.90X0
ICD-10 Code for:
Maternal care for fetal problem, unsp, unsp trimester, unsp
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Pregnancy, childbirth and the puerperium
    (O00-O9A)
    • Maternal care related to the fetus and amniotic cavity and possible delivery problems
      (O30-O48)
      • Maternal care for other fetal problems
        (O36)

O36.90X0 is a billable diagnosis code used to specify a medical diagnosis of maternal care for fetal problem, unspecified, unspecified trimester, not applicable or unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The code O36.90X0 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.

Unspecified diagnosis codes like O36.90X0 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis 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 anomaly of placenta
  • Fetal disorder due to breech delivery
  • 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 external version before labor
  • Fetal disorder due to fetal-maternal hemorrhage
  • 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 malpresentation during prelabor
  • Fetal disorder due to maternal autoimmune disease
  • 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 hypertension
  • 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 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 placental transfusion syndrome
  • Fetal disorder due to placental transfusion syndrome
  • Fetal disorder due to placentitis
  • Fetal disorder due to rupture of marginal sinus of placenta
  • Fetal disorder due to small placenta
  • Fetal disorder due to twin-to-twin transfusion syndrome
  • Fetal size does not accord with dates
  • Obstetric problem affecting fetus
  • Relation of fetal size to dates - finding
  • Size of fetus - finding

Clinical Classification

Code Edits

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

  • 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).
  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Convert O36.90X0 to ICD-9-CM

  • ICD-9-CM Code: 656.90 - Fet/plac prob NOS-unspec
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.