O35.05X3 — Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 3
O35.05X3 is a billable, specific ICD-10-CM code for maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 3. It is valid for submission on a claim.
7th character "3" — fetus 3
One of the following 7th characters is to be assigned to each code under category O35. 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 O35 that has a 7th character of 1 through 9.
- 0
- not applicable or unspecified
- 1
- fetus 1
- 2
- fetus 2
- 3
- fetus 3
- 4
- fetus 4
- 5
- fetus 5
- 9
- other fetus
Risk adjustment
O35.05X3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Related codes at this level
Codes that share O35.05. If O35.05X3 is not quite right, the correct code is usually one of these.
- O35.05X0Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, not applicable or unspecified
- O35.05X1Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 1
- O35.05X2Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 2
- O35.05X4Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 4
- O35.05X5Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, fetus 5
- O35.05X9Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephaly, other fetus
Questions about O35.05X3
- Is O35.05X3 a billable ICD-10-CM code?
- Yes. O35.05X3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O35.05X3 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48).