Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code O36.9

Maternal care for unspecified fetal problem.

Codes from Chapter XV (Pregnancy, childbirth, and the puerperium) are exclusively for maternal records, never for newborn records.Use additional code from category Z3A (Weeks of gestation) to specify the gestation week if known.

Medical necessity is established by the presence of a fetal problem requiring maternal intervention, which could include monitoring, treatment, or termination of pregnancy to safeguard maternal or fetal well-being.

Obstetrician-gynecologist, other relevant specialists based on the nature of the fetal issue.

IMPORTANT:O36.7 (Maternal care for viable fetus in abdominal pregnancy), O36.8 (Maternal care for other specified fetal problems).Consider Z03.7- (Encounter for suspected maternal and fetal conditions ruled out) if appropriate.

In simple words: This code means the mother received medical care because of a problem with her baby, but doctors didn't know exactly what the problem was.

This code signifies maternal medical care necessitated by an unspecified fetal problem.The care may include hospitalization, other obstetric interventions, or termination of pregnancy.It encompasses situations where the fetus's condition necessitates maternal medical attention but the specific fetal problem remains unidentified.

Example 1: A pregnant woman is hospitalized for monitoring due to suspected fetal distress, but the precise cause remains undetermined after multiple tests., A woman undergoes a termination of pregnancy due to a fetal anomaly detected during prenatal screening, with the exact nature of the anomaly remaining unclear., A pregnant patient presents with unexplained vaginal bleeding and fetal monitoring reveals abnormalities; however, the etiology of the issue is not determined.

Detailed maternal history, fetal monitoring data, laboratory results, ultrasound reports, and notes specifying why maternal care was necessary.

** This is a catch-all code for situations where maternal care is needed due to a fetal problem but a specific diagnosis is not established.Accurate documentation is crucial for proper coding and reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.