O36.7 — Maternal care for viable fetus in abdominal pregnancy
O36.7 is a non-billable header ICD-10-CM code for maternal care for viable fetus in abdominal pregnancy. 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
Other codes that can never be billed with O36.7
These codes carry an Excludes1 note pointing at O36.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O36.7 alone.
- O00.0Abdominal pregnancy
Risk adjustment
O36.7 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 O36.7
4 child codes. Green means billable.
- O36.70Maternal care for viable fetus in abdominal pregnancy, unspecified trimester
- O36.71Maternal care for viable fetus in abdominal pregnancy, first trimester
- O36.72Maternal care for viable fetus in abdominal pregnancy, second trimester
- O36.73Maternal care for viable fetus in abdominal pregnancy, third trimester
Related codes at this level
Codes that share O36. If O36.7 is not quite right, the correct code is usually one of these.
- O36.0Maternal care for rhesus isoimmunization
- O36.1Maternal care for other isoimmunization
- O36.2Maternal care for hydrops fetalis
- O36.4Maternal care for intrauterine death
- O36.5Maternal care for known or suspected poor fetal growth
- O36.6Maternal care for excessive fetal growth
- O36.8Maternal care for other specified fetal problems
- O36.9Maternal care for fetal problem, unspecified
Questions about O36.7
- Is O36.7 a billable ICD-10-CM code?
- No. O36.7 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O36.7 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).