ICDcodes.org
FY2027

O36.4 — Maternal care for intrauterine death

Not billable

Is O36.4 billable?

No — O36.4 is a non-billable header code. O36.4 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 O36.4.

O36.4 at a glance

CodeO36.4
DescriptionMaternal care for intrauterine death
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is O36.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to O36.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Dead › fetus, retained
  • Delivery › missed (childbirth) (labor)
  • Missed › delivery
  • Pregnancy › complicated by › death of fetus (single) (uterine)
  • Pregnancy › complicated by › intrauterine fetal death (single) (uterine)
  • Retention › dead › fetus
  • Retention › fetus › dead
  • Pregnancy › complicated by › fetal › death (single) (uterine)
  • Pregnancy › complicated by › fetal › intrauterine death (single) (uterine)
  • Pregnancy › complicated by › missed › delivery (single) (uterine)

Excludes1 — never code together

The conditions below can never be reported together with O36.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Inclusion terms

Alternative wording in documentation that is classified to O36.4.

  • Maternal care for intrauterine fetal death NOS
  • Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
  • Maternal care for late fetal death
  • Maternal care for missed delivery

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O36.4 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 O36

The conditions below can never be reported together with O36.4 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-)

Use additional code — inherited from Chapter 15

Report an additional code alongside O36.4 to fully describe the condition. O36.4 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 O36.4, but a patient may have both at the same time. When documentation supports it, O36.4 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)

Excludes2 — not included here — inherited from O36

The conditions below are not part of O36.4, but a patient may have both at the same time. When documentation supports it, O36.4 and the excluded code may both be reported.

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

What codes fall under O36.4? (7)

How long has O36.4 existed?

O36.4 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 O36.4?

ICD-10-CM declares these codes mutually exclusive with O36.4 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to O36.4?

What other codes are in the O36 family? (8)