2025 ICD-10-CM code O36.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Pregnancy, childbirth, and the puerperium - Maternal care related to the fetus and amniotic cavity and possible delivery problems XV. Pregnancy, childbirth and the puerperium Feed
Maternal care for unspecified fetal problem.
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.
- XV. Pregnancy, childbirth and the puerperium
- O30-O48 (Maternal care related to the fetus and amniotic cavity and possible delivery problems)
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.
- Payment Status: Active
- Specialties:Obstetrics, Gynecology, Maternal-Fetal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office