O36.0934 Maternal care for other rhesus isoimmunization, third trimester, fetus 4

Billable ICD-10-CM code, FY2026.

Built from O36.093 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 O36.0934

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

• O36.093 Maternal care for other rhesus isoimmunization, third trimester
• O36.0930 Maternal care for other rhesus isoimmunization, third trimester, not applicable or unspecified
• O36.0931 Maternal care for other rhesus isoimmunization, third trimester, fetus 1
• O36.0932 Maternal care for other rhesus isoimmunization, third trimester, fetus 2
• O36.0933 Maternal care for other rhesus isoimmunization, third trimester, fetus 3
• O36.0934 Maternal care for other rhesus isoimmunization, third trimester, fetus 4 (this code)
• O36.0935 Maternal care for other rhesus isoimmunization, third trimester, fetus 5
• O36.0939 Maternal care for other rhesus isoimmunization, third trimester, other fetus
• O36.099 Maternal care for other rhesus isoimmunization, unspecified trimester
• O36.0990 Maternal care for other rhesus isoimmunization, unspecified trimester, not applicable or unspecified
• O36.0991 Maternal care for other rhesus isoimmunization, unspecified trimester, fetus 1