2025 ICD-10-CM code Z36.2
Encounter for other antenatal screening follow-up.This code is used when a pregnant woman visits a healthcare provider specifically for follow-up after an initial antenatal screening.
Medical necessity for the use of Z36.2 is established by the need to discuss and manage findings from a previous antenatal screening test.The specific clinical indication for the initial screening, along with the results and the plan for further management, should be documented to support medical necessity.
The healthcare provider is responsible for reviewing the results of the previous antenatal screening, discussing them with the patient, and recommending any further actions based on the findings. This may involve additional testing, specialist referrals, or counseling.
- 21. Factors influencing health status and contact with health services (Z00-Z99)
- Persons encountering health services in circumstances related to reproduction (Z30-Z3A)
In simple words: A follow-up visit during pregnancy related to a previous screening test.
Encounter for other antenatal screening follow-up. Non-visualized anatomy on a previous scan.This code is specifically used for follow-up visits after an initial screening and not for the initial screening itself. Antenatal screening refers to tests performed during pregnancy to assess the health of both the mother and the developing fetus.It aims to identify potential risks or complications, allowing for early intervention if necessary.
Example 1: A pregnant woman has a follow-up appointment to discuss the results of a previous non-invasive prenatal testing (NIPT) blood test., A pregnant woman has a follow-up ultrasound to re-evaluate fetal anatomy that was not clearly visualized on a prior scan., A pregnant woman has a consultation to discuss management options based on the results of a previous antenatal screening test for gestational diabetes.
Documentation should clearly indicate the reason for the encounter as a follow-up to a specific prior antenatal screening.The results of the previous screening should be noted, as well as any recommendations or actions taken based on those results.
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home