ICDcodes.org
FY2027

O36Maternal care for other fetal problems

Not billable

Is O36 billable?

No — O36 is a non-billable header code. O36 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 60 billable codes beneath O36.

Billable codes under this header

O36 at a glance

CodeO36
DescriptionMaternal care for other fetal problems
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with O36 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-)
  • placental transfusion syndromes (O43.0-)

Excludes2 — not included here

The conditions below are not part of O36, but a patient may have both at the same time. When documentation supports it, O36 and the excluded code may both be reported.

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

Includes

Conditions classified to O36.

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

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O36 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.-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O36 to fully describe the condition. O36 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 O36, but a patient may have both at the same time. When documentation supports it, O36 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

What codes fall under O36? (9)

How long has O36 existed?

O36 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with O36?

ICD-10-CM declares these codes mutually exclusive with O36 — exactly one of each pair can be correct for a given encounter.