2025 ICD-10-CM code O35.G
Maternal care for suspected fetal abnormality of the upper extremities.
The 7th character of the code specifies the fetus affected in the case of multiple gestations: 0 = not applicable or unspecified, 1 = fetus 1, 2 = fetus 2, etc.The appropriate code from category O30 (Multiple gestation) must also be assigned when a 7th character of 1 through 9 is used.
Medical necessity is established by the presence of a suspected fetal abnormality impacting the upper extremities, requiring specialized maternal care.
The physician is responsible for providing care to the pregnant woman due to the suspected fetal anomaly. This may include ordering diagnostic tests (such as ultrasound), consultations with specialists, and counseling the patient on management options.
In simple words: This code indicates that a pregnant woman is receiving care because there is a suspicion that the fetus may have a problem with its upper limbs, such as arms or hands.
Maternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomalies. This code is used when a pregnant woman receives care due to a suspected abnormality or damage to the fetus's upper extremities.It is used only on the maternal record, not the newborn's record.
Example 1: A pregnant woman undergoes a routine ultrasound at 20 weeks gestation. The ultrasound reveals possible shortening of the fetal humerus. The physician documents suspected fetal upper extremity anomaly and provides additional counseling and follow-up ultrasounds to monitor the situation. Code O35.G is assigned to the maternal record., A pregnant woman has a history of exposure to a teratogen known to affect limb development. She is receiving specialized prenatal care that includes serial ultrasounds to monitor fetal growth. At 28 weeks, the ultrasound suggests possible abnormalities of the fetal hand.Code O35.G is assigned., During a routine prenatal visit, a woman reports decreased fetal movement. The physician orders an ultrasound which demonstrates possible underdevelopment of one of the fetal forearms. Further investigation is planned, and code O35.G is assigned.
Documentation should include details of the suspected fetal anomaly, such as the findings from imaging studies (ultrasound, MRI), relevant history (e.g., exposure to teratogens, genetic predisposition), and plan for further investigation or management.
** The code O35.G refers to *suspected* fetal abnormality. If the abnormality is confirmed, the appropriate code should be used after delivery on the infant's record.
- Specialties:Obstetrics, Maternal-Fetal Medicine, Radiology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital