O36.0134 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 4

Billable ICD-10-CM code, FY2026.

Built from O36.013 with 7th character 4 (fetus 4).

Applies from O36 Maternal care for other fetal problems

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 (never code together)

• encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
• placental transfusion syndromes (O43.0-)

Excludes2 (not included here)

• labor and delivery complicated by fetal stress (O77.-)

7th character note

• One of the following 7th characters is to be assigned to each code under category O36. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O36 that has a 7th character of 1 through 9.

7th character required

• 0 — not applicable or unspecified
• 1 — fetus 1
• 2 — fetus 2
• 3 — fetus 3
• 4 — fetus 4
• 5 — fetus 5
• 9 — other fetus

Applies from O36.0 Maternal care for rhesus isoimmunization

Applicable to

• Maternal care for Rh incompatibility (with hydrops fetalis)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O36.0134

Back-references to O36.0

• Type 1 Excludes: O36.2 Maternal care for hydrops fetalis ("hydrops fetalis associated with rhesus isoimmunization (O36.0-)")
• Type 1 Excludes: R76.0 Raised antibody titer ("isoimmunization in pregnancy (O36.0-O36.1)")

Back-references to O36

• Type 2 Excludes: O98 Maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium ("when the reason for maternal care is that the disease is known or suspected to have affected the fetus (O35-O36)")
• Type 2 Excludes: O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium ("when the reason for maternal care is that the condition is known or suspected to have affected the fetus (O35-O36)")
• Type 1 Excludes: Z03.7 Encounter for suspected maternal and fetal conditions ruled out ("known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)")

Nearby codes

• O36.013 Maternal care for anti-D [Rh] antibodies, third trimester
• O36.0130 Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified
• O36.0131 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1
• O36.0132 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 2
• O36.0133 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 3
• O36.0134 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 4 (this code)
• O36.0135 Maternal care for anti-D [Rh] antibodies, third trimester, fetus 5
• O36.0139 Maternal care for anti-D [Rh] antibodies, third trimester, other fetus
• O36.019 Maternal care for anti-D [Rh] antibodies, unspecified trimester
• O36.0190 Maternal care for anti-D [Rh] antibodies, unspecified trimester, not applicable or unspecified
• O36.0191 Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1