O35.06 — Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly
Is O35.06 billable?
No — O35.06 is a non-billable header code. O35.06 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 7 billable codes beneath O35.06.
Billable codes under this header
- O35.06X0Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, not applicable or unspecified
- O35.06X1Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 1
- O35.06X2Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 2
- O35.06X3Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 3
- O35.06X4Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 4
- O35.06X5Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 5
- O35.06X9Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, other fetus
O35.06 at a glance
| Code | O35.06 |
|---|---|
| Description | Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is O35.06 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O35.06. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pregnancy › complicated by › fetal › hydrocephalus (single) (uterine)
- Pregnancy › complicated by › fetal › hydrocephaly (single) (uterine)
Inclusion terms
Alternative wording in documentation that is classified to O35.06.
- Maternal care for fetal hydrocephalus
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O35.06 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Excludes1 — never code together — inherited from O35
The conditions below can never be reported together with O35.06 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O35.06 to fully describe the condition. O35.06 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O35.06, but a patient may have both at the same time. When documentation supports it, O35.06 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O35.0
The conditions below are not part of O35.06, but a patient may have both at the same time. When documentation supports it, O35.06 and the excluded code may both be reported.
- chromosomal abnormality in fetus (O35.1-)
Code also — inherited from O35
Two codes may be needed to describe the condition fully. Whether O35.06 is sequenced first depends on the reason for the encounter.
- any associated maternal condition
What codes fall under O35.06? (7)
- O35.06X0Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, not applicable or unspecified
- O35.06X1Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 1
- O35.06X2Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 2
- O35.06X3Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 3
- O35.06X4Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 4
- O35.06X5Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, fetus 5
- O35.06X9Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephaly, other fetus
How long has O35.06 existed?
O35.06 first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the O35.0 family? (9)
- O35.00Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecifiednot billable
- O35.01Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosumnot billable
- O35.02Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephalynot billable
- O35.03Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cystsnot billable
- O35.04Maternal care for (suspected) central nervous system malformation or damage in fetus, encephalocelenot billable
- O35.05Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephalynot billable
- O35.07Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephalynot billable
- O35.08Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifidanot billable
- O35.09Maternal care for (suspected) other central nervous system malformation or damage in fetusnot billable