O36.8191 Decreased fetal movements, unspecified trimester, fetus 1

Billable ICD-10-CM code, FY2026.

Built from O36.819 with 7th character 1 (fetus 1).

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

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 O36.8191

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

• O36.8134 Decreased fetal movements, third trimester, fetus 4
• O36.8135 Decreased fetal movements, third trimester, fetus 5
• O36.8139 Decreased fetal movements, third trimester, other fetus
• O36.819 Decreased fetal movements, unspecified trimester
• O36.8190 Decreased fetal movements, unspecified trimester, not applicable or unspecified
• O36.8191 Decreased fetal movements, unspecified trimester, fetus 1 (this code)
• O36.8192 Decreased fetal movements, unspecified trimester, fetus 2
• O36.8193 Decreased fetal movements, unspecified trimester, fetus 3
• O36.8194 Decreased fetal movements, unspecified trimester, fetus 4
• O36.8195 Decreased fetal movements, unspecified trimester, fetus 5
• O36.8199 Decreased fetal movements, unspecified trimester, other fetus