Z36Not billable, use a more specific code below

Encounter for antenatal screening of mother

In Persons encountering health services in circumstances related to reproduction (Z30-Z39), chapter 21: Factors Influencing Health Status and Contact with Health Services

17 billable codes under Z36: none are a CC or MCC; none map to an HCC.

Instructional notes

Includes: conditions that are coded here

  • 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.

Excludes1: not coded here, use a different code

  • 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, code separately if applicable

  • abnormal findings on antenatal screening of mother (O28.-)
  • genetic counseling and testing (Z31.43-, Z31.5)
  • routine prenatal care (Z34)

MS-DRGs

As the principal diagnosis, all 17 billable codes under Z36 group to these MS-DRGs (v44.0).

Other codes that refer to Z36

Notes on these codes point to Z36.

  • Z00-Z13 Excludes2: examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Prenatal Testing

Prenatal testing provides information about the health of your fetus before the baby is born. Some routine tests during pregnancy also check your health. The prenatal test may use a sample of your blood, urine or fluid from your vagina, cervix, or rectum.

Read more about prenatal testing on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015.

  • FY2018: Subcodes were added, so Z36 is no longer billable on its own. New codes for cases coded here before: Z36.0 (Encounter for antenatal screening for chromosomal anomalies), Z36.1 (Encounter for antenatal screening for raised alphafetoprotein level), Z36.2 (Encounter for other antenatal screening follow-up), Z36.3 (Encounter for antenatal screening for malformations), Z36.4 (Encounter for antenatal screening for fetal growth retardation), Z36.5 (Encounter for antenatal screening for isoimmunization), Z36.81 (Encounter for antenatal screening for hydrops fetalis), Z36.82 (Encounter for antenatal screening for nuchal translucency), and 9 more.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • V28.9 Unspecified antenatal screening (approximate)
ICD-9 to ICD-10 converter