Z03.74 Encounter for suspected problem with fetal growth ruled out

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from Z03 Encounter for medical observation for suspected diseases and conditions ruled out

Applicable to

• This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled out. This category is also for use for administrative and legal observation status.

Excludes1 (never code together)

• contact with and (suspected) exposures hazardous to health (Z77.-)
• encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05.-)
• person with feared complaint in whom no diagnosis is made (Z71.1)
• signs or symptoms under study- code to signs or symptoms

Applies from Z03.7 Encounter for suspected maternal and fetal conditions ruled out

Applicable to

• Encounter for suspected maternal and fetal conditions not found

Excludes1 (never code together)

• known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V89.04 Suspected problem with fetal growth not found

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.
• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z03.74

Back-references to Z03.74

• Type 1 Excludes: O26.84 Uterine size-date discrepancy complicating pregnancy ("encounter for suspected problem with fetal growth ruled out (Z03.74)")

Back-references to Z03.7

• Type 1 Excludes: O35 Maternal care for known or suspected fetal abnormality and damage ("encounter for suspected maternal and fetal conditions ruled out (Z03.7-)")
• Type 1 Excludes: O36 Maternal care for other fetal problems ("encounter for suspected maternal and fetal conditions ruled out (Z03.7-)")
• Type 1 Excludes: O40 Polyhydramnios ("encounter for suspected maternal and fetal conditions ruled out (Z03.7-)")
• Type 1 Excludes: O41 Other disorders of amniotic fluid and membranes ("encounter for suspected maternal and fetal conditions ruled out (Z03.7-)")
• Type 1 Excludes: Z36 Encounter for antenatal screening of mother ("encounter for suspected maternal and fetal conditions ruled out (Z03.7-)")

Back-references to Z03

• Type 1 Excludes: Z01 Encounter for other special examination without complaint, suspected or reported diagnosis ("encounter for examination for suspected conditions, proven not to exist (Z03.-)")
• Type 1 Excludes: Z71.1 Person with feared health complaint in whom no diagnosis is made ("medical observation for suspected diseases and conditions proven not to exist (Z03.-)")

Diagnosis Index entries for Z03.74

• Encounter (with health service) (for) › suspected condition, ruled out › fetal growth
• Suspected condition, ruled out › fetal growth

Nearby codes

• Z03.6 Encounter for observation for suspected toxic effect from ingested substance ruled out
• Z03.7 Encounter for suspected maternal and fetal conditions ruled out
• Z03.71 Encounter for suspected problem with amniotic cavity and membrane ruled out
• Z03.72 Encounter for suspected placental problem ruled out
• Z03.73 Encounter for suspected fetal anomaly ruled out
• Z03.74 Encounter for suspected problem with fetal growth ruled out (this code)
• Z03.75 Encounter for suspected cervical shortening ruled out
• Z03.79 Encounter for other suspected maternal and fetal conditions ruled out
• Z03.8 Encounter for observation for other suspected diseases and conditions ruled out
• Z03.81 Encounter for observation for suspected exposure to biological agents ruled out
• Z03.810 Encounter for observation for suspected exposure to anthrax ruled out