O36.80 — Pregnancy with inconclusive fetal viability
O36.80 is a non-billable header ICD-10-CM code for pregnancy with inconclusive fetal viability. 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Encounter to determine fetal viability of pregnancy
Risk adjustment
O36.80 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.
How O36.80 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O36.80.
- Encounter›to determine fetal viability of pregnancy
- Pregnancy›complicated by›inconclusive fetal viability
Code to one of these instead O36.80
7 child codes. Green means billable.
- O36.80X0Pregnancy with inconclusive fetal viability, not applicable or unspecified
- O36.80X1Pregnancy with inconclusive fetal viability, fetus 1
- O36.80X2Pregnancy with inconclusive fetal viability, fetus 2
- O36.80X3Pregnancy with inconclusive fetal viability, fetus 3
- O36.80X4Pregnancy with inconclusive fetal viability, fetus 4
- O36.80X5Pregnancy with inconclusive fetal viability, fetus 5
- O36.80X9Pregnancy with inconclusive fetal viability, other fetus
Related codes at this level
Codes that share O36.8. If O36.80 is not quite right, the correct code is usually one of these.
Questions about O36.80
- Is O36.80 a billable ICD-10-CM code?
- No. O36.80 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O36.80 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).