Z36.0

Z36.0: Encounter for antenatal screening for chromosomal anomalies

Billable / specific codeICD-10-CMPOA exempt

Z36.0 is a billable, specific ICD-10-CM code for encounter for antenatal screening for chromosomal anomalies. It is valid for submission on a claim.

Check Z36.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Encounter for antenatal screening for Down syndrome
Encounter for antenatal screening for fetal aneuploidy
Encounter for antenatal screening for Patau syndrome
Encounter for antenatal screening for Trisomy 13
Encounter for antenatal screening for Trisomy 21

Excludes1 inherited from the categories above Z36.0

A category’s note binds every code beneath it.

Written on Z36: Encounter for antenatal screening of mother

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 inherited from the categories above Z36.0

Not part of this code, but both may be coded when both are present.

Written on Z36: Encounter for antenatal screening of mother

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z36.0 is named in 2 Medicare coverage policies: 0 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A56199Billing and Coding: Molecular Pathology Proceduresnot covered
A60409Billing and Coding: Molecular Pathology Proceduresnot covered

Alphabetic index entries that lead here

Encounter›antenatal screening›chromosomal anomalies
Encounter›antenatal screening›Down syndrome
Encounter›antenatal screening›fetal aneuploidy
Encounter›antenatal screening›Patau syndrome
Encounter›antenatal screening›Trisomy 13
Encounter›antenatal screening›Trisomy 21

Code history

Unchanged in every release from FY2024 to FY2027.