Z36

Z36: Encounter for antenatal screening of mother

Non-billable headerICD-10-CM

Z36 is a non-billable header ICD-10-CM code for encounter for antenatal screening of mother. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

diagnostic examination- code to sign or symptom
encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
suspected fetal condition affecting management of pregnancy - code to condition in Chapter 15

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

abnormal findings on antenatal screening of mother (O28.-)
genetic counseling and testing (Z31.43-, Z31.5)
routine prenatal care (Z34)

Includes

Conditions this code covers.

Encounter for placental sample (taken vaginally)
Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

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.

Code to one of these instead Z36

8 child codes. Green means billable.