O35.07X2 — Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 2
O35.07X2 is a billable, specific ICD-10-CM code for maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 2. It is valid for submission on a claim.
7th character "2" — fetus 2
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
O35.07X2 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.
Medicare coverage
O35.07X2 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share O35.07. If O35.07X2 is not quite right, the correct code is usually one of these.
- O35.07X0Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, not applicable or unspecified
- O35.07X1Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 1
- O35.07X3Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 3
- O35.07X4Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 4
- O35.07X5Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, fetus 5
- O35.07X9Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephaly, other fetus
Questions about O35.07X2
- Is O35.07X2 a billable ICD-10-CM code?
- Yes. O35.07X2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O35.07X2 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).