O36.5 — Maternal care for known or suspected poor fetal growth
Not billable
Is O36.5 billable?
No — O36.5 is a non-billable header code. O36.5 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 56 billable codes beneath O36.5.
Billable codes under this header
- O36.5110Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified
- O36.5111Maternal care for known or suspected placental insufficiency, first trimester, fetus 1
- O36.5112Maternal care for known or suspected placental insufficiency, first trimester, fetus 2
- O36.5113Maternal care for known or suspected placental insufficiency, first trimester, fetus 3
- O36.5114Maternal care for known or suspected placental insufficiency, first trimester, fetus 4
- O36.5115Maternal care for known or suspected placental insufficiency, first trimester, fetus 5
- O36.5119Maternal care for known or suspected placental insufficiency, first trimester, other fetus
- O36.5120Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecified
- O36.5121Maternal care for known or suspected placental insufficiency, second trimester, fetus 1
- O36.5122Maternal care for known or suspected placental insufficiency, second trimester, fetus 2
- O36.5123Maternal care for known or suspected placental insufficiency, second trimester, fetus 3
- O36.5124Maternal care for known or suspected placental insufficiency, second trimester, fetus 4
- O36.5125Maternal care for known or suspected placental insufficiency, second trimester, fetus 5
- O36.5129Maternal care for known or suspected placental insufficiency, second trimester, other fetus
- O36.5130Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecified
- O36.5131Maternal care for known or suspected placental insufficiency, third trimester, fetus 1
- O36.5132Maternal care for known or suspected placental insufficiency, third trimester, fetus 2
- O36.5133Maternal care for known or suspected placental insufficiency, third trimester, fetus 3
- O36.5134Maternal care for known or suspected placental insufficiency, third trimester, fetus 4
- O36.5135Maternal care for known or suspected placental insufficiency, third trimester, fetus 5
- O36.5139Maternal care for known or suspected placental insufficiency, third trimester, other fetus
- O36.5190Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecified
- O36.5191Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 1
- O36.5192Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 2
- O36.5193Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 3
- O36.5194Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 4
- O36.5195Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 5
- O36.5199Maternal care for known or suspected placental insufficiency, unspecified trimester, other fetus
- O36.5910Maternal care for other known or suspected poor fetal growth, first trimester, not applicable or unspecified
- O36.5911Maternal care for other known or suspected poor fetal growth, first trimester, fetus 1
- O36.5912Maternal care for other known or suspected poor fetal growth, first trimester, fetus 2
- O36.5913Maternal care for other known or suspected poor fetal growth, first trimester, fetus 3
- O36.5914Maternal care for other known or suspected poor fetal growth, first trimester, fetus 4
- O36.5915Maternal care for other known or suspected poor fetal growth, first trimester, fetus 5
- O36.5919Maternal care for other known or suspected poor fetal growth, first trimester, other fetus
- O36.5920Maternal care for other known or suspected poor fetal growth, second trimester, not applicable or unspecified
- O36.5921Maternal care for other known or suspected poor fetal growth, second trimester, fetus 1
- O36.5922Maternal care for other known or suspected poor fetal growth, second trimester, fetus 2
- O36.5923Maternal care for other known or suspected poor fetal growth, second trimester, fetus 3
- O36.5924Maternal care for other known or suspected poor fetal growth, second trimester, fetus 4
- O36.5925Maternal care for other known or suspected poor fetal growth, second trimester, fetus 5
- O36.5929Maternal care for other known or suspected poor fetal growth, second trimester, other fetus
- O36.5930Maternal care for other known or suspected poor fetal growth, third trimester, not applicable or unspecified
- O36.5931Maternal care for other known or suspected poor fetal growth, third trimester, fetus 1
- O36.5932Maternal care for other known or suspected poor fetal growth, third trimester, fetus 2
- O36.5933Maternal care for other known or suspected poor fetal growth, third trimester, fetus 3
- O36.5934Maternal care for other known or suspected poor fetal growth, third trimester, fetus 4
- O36.5935Maternal care for other known or suspected poor fetal growth, third trimester, fetus 5
- O36.5939Maternal care for other known or suspected poor fetal growth, third trimester, other fetus
- O36.5990Maternal care for other known or suspected poor fetal growth, unspecified trimester, not applicable or unspecified
- O36.5991Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 1
- O36.5992Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 2
- O36.5993Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 3
- O36.5994Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 4
- O36.5995Maternal care for other known or suspected poor fetal growth, unspecified trimester, fetus 5
- O36.5999Maternal care for other known or suspected poor fetal growth, unspecified trimester, other fetus
O36.5 at a glance
| Code | O36.5 |
|---|---|
| Description | Maternal care for known or suspected poor fetal growth |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O36.5 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 O36.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 15
Report an additional code alongside O36.5 to fully describe the condition. O36.5 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 O36.5, but a patient may have both at the same time. When documentation supports it, O36.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O36
The conditions below are not part of O36.5, but a patient may have both at the same time. When documentation supports it, O36.5 and the excluded code may both be reported.
- labor and delivery complicated by fetal stress (O77.-)
What codes fall under O36.5? (2)
How long has O36.5 existed?
O36.5 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.
What other codes are in the O36 family? (8)
- O36.0Maternal care for rhesus isoimmunizationnot billable
- O36.1Maternal care for other isoimmunizationnot billable
- O36.2Maternal care for hydrops fetalisnot billable
- O36.4Maternal care for intrauterine deathnot billable
- O36.6Maternal care for excessive fetal growthnot billable
- O36.7Maternal care for viable fetus in abdominal pregnancynot billable
- O36.8Maternal care for other specified fetal problemsnot billable
- O36.9Maternal care for fetal problem, unspecifiednot billable