O36.5113: Maternal care for known or suspected placental insufficiency, first trimester, fetus 3
O36.5113 is a billable, specific ICD-10-CM code for maternal care for known or suspected placental insufficiency, first trimester, fetus 3. It is valid for submission on a claim.
Check O36.5113 with the rest of the claim: free scrubber7th character "3": fetus 3
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 inherited from the categories above O36.5113
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above O36.5113
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with O36.5113
Their own Excludes1 notes name this code, so the conflict is not listed above.
- Z03.7Encounter for suspected maternal and fetal conditions ruled out
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under O36.511
- O36.5110Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecified
- O36.5111Maternal care for known or suspected placental insufficiency, first trimester, fetus 1
- O36.5112Maternal care for known or suspected placental insufficiency, first trimester, fetus 2
- O36.5114Maternal care for known or suspected placental insufficiency, first trimester, fetus 4
- O36.5115Maternal care for known or suspected placental insufficiency, first trimester, fetus 5
- O36.5119Maternal care for known or suspected placental insufficiency, first trimester, other fetus