ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO36.0129

O36.0129

Billable

Maternal care for anti-D [Rh] antibodies, second trimester (other fetus)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O36.0129 is a billable code used to indicate a diagnosis of maternal care for anti-d [rh] antibodies, second trimester (other fetus).

Key Diagnostic Point:

Maternal care for anti-D [Rh] antibodies during the second trimester is critical for managing potential fetal complications arising from Rh incompatibility. This condition occurs when an Rh-negative mother carries an Rh-positive fetus, leading to the production of anti-D antibodies that can cross the placenta and affect the fetus. The presence of these antibodies can lead to hemolytic disease of the newborn (HDN), characterized by fetal anemia, jaundice, and potential growth restriction. Monitoring during this period is essential to assess fetal well-being, including growth parameters and signs of distress. Regular ultrasounds and Doppler studies may be employed to evaluate fetal blood flow and overall health. The management plan may involve administering Rh immunoglobulin (RhoGAM) to prevent antibody formation in future pregnancies, and close monitoring of fetal development is crucial to mitigate risks associated with fetal distress and growth restriction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between maternal and fetal conditions related to Rh incompatibility.
  • Understanding the implications of anti-D antibody levels on fetal health.
  • Navigating the documentation requirements for high-risk pregnancies.
  • Coordinating care among multiple specialties, including obstetrics and maternal-fetal medicine.

Audit Risk Factors

  • Inadequate documentation of maternal antibody screening results.
  • Failure to document fetal monitoring and assessment findings.
  • Misclassification of fetal conditions related to Rh incompatibility.
  • Lack of clear treatment plans for managing anti-D antibodies.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal blood type, antibody screening results, and fetal monitoring.

Common Clinical Scenarios

Management of Rh incompatibility in a pregnant patient with a history of anti-D antibodies.

Billing Considerations

Ensure accurate coding of maternal and fetal conditions, and document any interventions or treatments provided.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive assessments of fetal growth, well-being, and any interventions required.

Common Clinical Scenarios

Monitoring a fetus with suspected hemolytic disease due to maternal anti-D antibodies.

Billing Considerations

Focus on high-risk factors and ensure all relevant diagnostic tests are documented.

Coding Guidelines

Inclusion Criteria

Use O36.0129 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the trimester and specific conditions are accurately documented
  • Pay attention to the guidelines regarding the use of additional codes for fetal conditions

Exclusion Criteria

Do NOT use O36.0129 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76801CPT Code

Ultrasound, pregnant uterus, transabdominal, real-time with image documentation

Clinical Scenario

Used to monitor fetal growth and well-being in patients with anti-D antibodies.

Documentation Requirements

Document indications for ultrasound and findings related to fetal health.

Specialty Considerations

Ensure that the ultrasound report includes details relevant to Rh incompatibility.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track and manage high-risk pregnancies such as those involving anti-D antibodies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track and manage high-risk pregnancies such as those involving anti-D antibodies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to track and manage high-risk pregnancies such as those involving anti-D antibodies.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding O36.0129 accurately?

Accurate coding of O36.0129 is crucial for ensuring appropriate management of pregnancies complicated by anti-D antibodies. It helps in tracking maternal and fetal health, guiding treatment decisions, and ensuring proper reimbursement for the care provided.