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 an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O36.4XX0

O36.4XX0 — Maternal care for intrauterine death, not applicable or unspecified

Billable / specific codeICD-10-CM

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.

missed abortion (O02.1)
stillbirth (P95)

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

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.

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.

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 an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.