Is Z36.1 a billable ICD-10-CM code?

Yes. Z36.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Z36.1 sit in the tabular list?

Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in circumstances related to reproduction (Z30-Z39).

Z36.1

Z36.1 — Encounter for antenatal screening for raised alphafetoprotein level

Billable / specific codeICD-10-CMPOA exempt

Z36.1 is a billable, specific ICD-10-CM code for encounter for antenatal screening for raised alphafetoprotein level. It is valid for submission on a claim.

Inclusion terms

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

Encounter for antenatal screening for elevated maternal serum alphafetoprotein level

Risk adjustment

Z36.1 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 Z36.1 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 Z36.1.

Encounter›antenatal screening›elevated maternal serum alphafetoprotein level
Encounter›antenatal screening›raised alphafetoprotein level

Related codes at this level

Codes that share Z36. If Z36.1 is not quite right, the correct code is usually one of these.

Questions about Z36.1

Is Z36.1 a billable ICD-10-CM code?: Yes. Z36.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Z36.1 sit in the tabular list?: Factors influencing health status and contact with health services (Z00-Z99), in the block Persons encountering health services in circumstances related to reproduction (Z30-Z39).