O36.5 Maternal care for known or suspected poor fetal growth

Non-billable header with 2 child codes.

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

Codes under O36.5

• O36.51 Maternal care for known or suspected placental insufficiency
• O36.59 Maternal care for other known or suspected poor fetal growth

Code annotations containing back-references to O36.5

Back-references to O36.5

• Type 2 Excludes: O43 Placental disorders ("maternal care for poor fetal growth due to placental insufficiency (O36.5-)")

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

• O36.4XX2 Maternal care for intrauterine death, fetus 2
• O36.4XX3 Maternal care for intrauterine death, fetus 3
• O36.4XX4 Maternal care for intrauterine death, fetus 4
• O36.4XX5 Maternal care for intrauterine death, fetus 5
• O36.4XX9 Maternal care for intrauterine death, other fetus
• O36.5 Maternal care for known or suspected poor fetal growth (this code)
• O36.51 Maternal care for known or suspected placental insufficiency
• O36.511 Maternal care for known or suspected placental insufficiency, first trimester
• O36.5110 Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified
• O36.5111 Maternal care for known or suspected placental insufficiency, first trimester, fetus 1
• O36.5112 Maternal care for known or suspected placental insufficiency, first trimester, fetus 2