Z36 — Encounter for antenatal screening of mother
Is Z36 billable?
No — Z36 is a non-billable header code. Z36 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 17 billable codes beneath Z36.
Billable codes under this header
- Z36.0Encounter for antenatal screening for chromosomal anomalies
- Z36.1Encounter for antenatal screening for raised alphafetoprotein level
- Z36.2Encounter for other antenatal screening follow-up
- Z36.3Encounter for antenatal screening for malformations
- Z36.4Encounter for antenatal screening for fetal growth retardation
- Z36.5Encounter for antenatal screening for isoimmunization
- Z36.9Encounter for antenatal screening, unspecified
- Z36.81Encounter for antenatal screening for hydrops fetalis
- Z36.82Encounter for antenatal screening for nuchal translucency
- Z36.83Encounter for fetal screening for congenital cardiac abnormalities
- Z36.84Encounter for antenatal screening for fetal lung maturity
- Z36.85Encounter for antenatal screening for Streptococcus B
- Z36.86Encounter for antenatal screening for cervical length
- Z36.87Encounter for antenatal screening for uncertain dates
- Z36.88Encounter for antenatal screening for fetal macrosomia
- Z36.89Encounter for other specified antenatal screening
- Z36.8AEncounter for antenatal screening for other genetic defects
Z36 at a glance
| Code | Z36 |
|---|---|
| Description | Encounter for antenatal screening of mother |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with Z36 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- diagnostic examination- code to sign or symptom
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15
Excludes2 — not included here
The conditions below are not part of Z36, but a patient may have both at the same time. When documentation supports it, Z36 and the excluded code may both be reported.
Includes
Conditions classified to Z36.
- Encounter for placental sample (taken vaginally)
- Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
What codes fall under Z36? (8)
- Z36.0Encounter for antenatal screening for chromosomal anomalies
- Z36.1Encounter for antenatal screening for raised alphafetoprotein level
- Z36.2Encounter for other antenatal screening follow-up
- Z36.3Encounter for antenatal screening for malformations
- Z36.4Encounter for antenatal screening for fetal growth retardation
- Z36.5Encounter for antenatal screening for isoimmunization
- Z36.8Encounter for other antenatal screeningnot billable
- Z36.9Encounter for antenatal screening, unspecified
How long has Z36 existed?
Z36 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018: Z36 stopped being billable
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.