O36.013 — Maternal care for anti-D [Rh] antibodies, third trimester
O36.013 is a non-billable header ICD-10-CM code for maternal care for anti-d [rh] antibodies, third trimester. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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.
- 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
O36.013 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.
Code to one of these instead O36.013
7 child codes. Green means billable.
- O36.0130Maternal care for anti-D [Rh] antibodies, third trimester, not applicable or unspecified
- O36.0131Maternal care for anti-D [Rh] antibodies, third trimester, fetus 1
- O36.0132Maternal care for anti-D [Rh] antibodies, third trimester, fetus 2
- O36.0133Maternal care for anti-D [Rh] antibodies, third trimester, fetus 3
- O36.0134Maternal care for anti-D [Rh] antibodies, third trimester, fetus 4
- O36.0135Maternal care for anti-D [Rh] antibodies, third trimester, fetus 5
- O36.0139Maternal care for anti-D [Rh] antibodies, third trimester, other fetus
Related codes at this level
Codes that share O36.01. If O36.013 is not quite right, the correct code is usually one of these.
Questions about O36.013
- Is O36.013 a billable ICD-10-CM code?
- No. O36.013 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O36.013 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).