O36.8319 — Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus
O36.8319 is a billable, specific ICD-10-CM code for maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus. It is valid for submission on a claim.
7th character "9" — other fetus
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
Risk adjustment
O36.8319 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 O36.831. If O36.8319 is not quite right, the correct code is usually one of these.
- O36.8310Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified
- O36.8311Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1
- O36.8312Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 2
- O36.8313Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 3
- O36.8314Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 4
- O36.8315Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5
Questions about O36.8319
- Is O36.8319 a billable ICD-10-CM code?
- Yes. O36.8319 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O36.8319 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).