ICD-10-CM › O00-O9A › O30-O48 › O36.5 Maternal care for known or... › O36.59

O36.59

Maternal care for other known or suspected poor fetal growth

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 4 more specific codes instead:

  • O36.591 Maternal care for other known or suspected poor fetal growth, first trimester (also a header)
  • O36.592 Maternal care for other known or suspected poor fetal growth, second trimester (also a header)
  • O36.593 Maternal care for other known or suspected poor fetal growth, third trimester (also a header)
  • O36.599 Maternal care for other known or suspected poor fetal growth, unspecified trimester (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Maternal care for other known or suspected poor fetal growth

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from O36 Maternal care for other fetal problems

Seventh character required

  • 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.

Excludes1 - never coded here

  • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
  • placental transfusion syndromes (O43.0-)

Excludes2 - not included here

  • labor and delivery complicated by fetal stress (O77.-)

Includes

  • the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
O36.51 Maternal care for known or suspected placental insufficiency Not billable