O36.4XX0 — Maternal care for intrauterine death, not applicable or unspecified
O36.4XX0 is a billable, specific ICD-10-CM code for maternal care for intrauterine death, not applicable or unspecified. It is valid for submission on a claim.
7th character "0" — not applicable or unspecified
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
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Maternal care for intrauterine fetal death NOS
- Maternal care for intrauterine fetal death after completion of 20 weeks of gestation
- Maternal care for late fetal death
- Maternal care for missed delivery
Excludes1 inherited from the categories above O36.4XX0
These are not written on O36.4XX0, but they bind it: a note on a category applies to every code beneath it. Billing O36.4XX0 with anything listed here is a denial.
Excludes2 inherited from the categories above O36.4XX0
Also inherited, and the opposite of Excludes1: these conditions are not part of O36.4XX0, but a patient can have both, so you may code both.
Other codes that can never be billed with O36.4XX0
These codes carry an Excludes1 note pointing at O36.4XX0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O36.4XX0 alone.
- Z03.7Encounter for suspected maternal and fetal conditions ruled out
Risk adjustment
O36.4XX0 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 history
O36.4XX0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share O36.4. If O36.4XX0 is not quite right, the correct code is usually one of these.
- O36.4XX1Maternal care for intrauterine death, fetus 1
- O36.4XX2Maternal care for intrauterine death, fetus 2
- O36.4XX3Maternal care for intrauterine death, fetus 3
- O36.4XX4Maternal care for intrauterine death, fetus 4
- O36.4XX5Maternal care for intrauterine death, fetus 5
- O36.4XX9Maternal care for intrauterine death, other fetus
Questions about O36.4XX0
- Is O36.4XX0 a billable ICD-10-CM code?
- Yes. O36.4XX0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O36.4XX0 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).
- What cannot be coded together with O36.4XX0?
- O36.4XX0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above O36.4XX0 (O36.4, O36) and apply to it just the same.