O36.51 — Maternal care for known or suspected placental insufficiency
Is O36.51 billable?
No — O36.51 is a non-billable header code. O36.51 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 28 billable codes beneath O36.51.
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
O36.51 at a glance
| Code | O36.51 |
|---|---|
| Description | Maternal care for known or suspected placental insufficiency |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is O36.51 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O36.51. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Insufficiency, insufficient › placental
- Delivery › cesarean › placental insufficiency (childbirth) (labor)
- Pregnancy › complicated by › placental insufficiency (single) (uterine)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O36.51 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 O36.51 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 O36.51 to fully describe the condition. O36.51 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 O36.51, but a patient may have both at the same time. When documentation supports it, O36.51 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O36
The conditions below are not part of O36.51, but a patient may have both at the same time. When documentation supports it, O36.51 and the excluded code may both be reported.
- labor and delivery complicated by fetal stress (O77.-)
What codes fall under O36.51? (4)
- O36.511Maternal care for known or suspected placental insufficiency, first trimesternot billable
- O36.512Maternal care for known or suspected placental insufficiency, second trimesternot billable
- O36.513Maternal care for known or suspected placental insufficiency, third trimesternot billable
- O36.519Maternal care for known or suspected placental insufficiency, unspecified trimesternot billable
How long has O36.51 existed?
O36.51 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.