O36

Non-Billable
ChapterO00–O9A
Rankcategory
Official Description

Maternal care for other fetal problems

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • supervision of normal pregnancy (Z34.-)
Excludes2(Not included here. Code separately if applicable.)
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
Use Additional Code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Instructional Notes

Includes
  • the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy
Excludes1(Not coded here. Use a different code.)
  • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
  • placental transfusion syndromes (O43.0-)
Excludes2(Not included here. Code separately if applicable.)
  • labor and delivery complicated by fetal stress (O77.-)

Clinical Hierarchy

BillableHas subcodes
CH15Pregnancy, childbirth and the puerperium (O00-O9A)
O30-O48Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
O36Maternal care for other fetal problemsNot billable
O36.0Maternal care for rhesus isoimmunizationSubcodes
O36.1Maternal care for other isoimmunizationSubcodes
O36.2Maternal care for hydrops fetalisSubcodes
O36.4Maternal care for intrauterine deathBillable
O36.5Maternal care for known or suspected poor fetal growthSubcodes
O36.6Maternal care for excessive fetal growthSubcodes
O36.7Maternal care for viable fetus in abdominal pregnancySubcodes
O36.8Maternal care for other specified fetal problemsSubcodes
O36.9Maternal care for fetal problem, unspecifiedSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O36:

chapterCH15
Pregnancy, childbirth and the puerperium (O00-O9A)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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