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 CodesO36.0915

O36.0915

Billable

Maternal care for other rhesus isoimmunization, first trimester (fetus 5)

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

Code Description

ICD-10 O36.0915 is a billable code used to indicate a diagnosis of maternal care for other rhesus isoimmunization, first trimester (fetus 5).

Key Diagnostic Point:

Maternal care for rhesus isoimmunization refers to the management of a condition where the mother's immune system produces antibodies against the Rh factor present in the fetus's blood. This condition can lead to hemolytic disease of the newborn, which can cause serious complications such as fetal anemia, jaundice, and even fetal distress. In the first trimester, careful monitoring and management are crucial to prevent adverse outcomes. This includes regular ultrasound assessments to evaluate fetal growth and well-being, as well as laboratory tests to monitor maternal antibody levels. The healthcare provider may also consider interventions such as Rh immunoglobulin administration to prevent the development of antibodies if the mother is Rh-negative. Close observation for signs of fetal growth restriction or distress is essential, as these can indicate the need for more intensive management or early delivery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of isoimmunization and their implications.
  • Understanding the timing of interventions and their impact 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 testing results.
  • Failure to document fetal monitoring and growth assessments.
  • Misclassification of the type of isoimmunization.
  • Lack of clear treatment plans or follow-up care notes.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal health, fetal assessments, and treatment plans.

Common Clinical Scenarios

Routine prenatal visits, management of Rh-negative mothers, and monitoring for fetal distress.

Billing Considerations

Ensure accurate coding based on the trimester and specific maternal-fetal interactions.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, ultrasound findings, and interventions.

Common Clinical Scenarios

Management of complex pregnancies with isoimmunization, fetal growth restriction, and potential complications.

Billing Considerations

Focus on detailed assessments and interdisciplinary communication for optimal patient outcomes.

Coding Guidelines

Inclusion Criteria

Use O36.0915 When
  • Follow the official ICD
  • CM guidelines for obstetric coding, ensuring that the code reflects the specific trimester and the nature of the isoimmunization
  • Document all relevant clinical findings and interventions to support the coding choice

Exclusion Criteria

Do NOT use O36.0915 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 for monitoring fetal growth and well-being in cases of isoimmunization.

Documentation Requirements

Document the reason for the ultrasound, findings, and any follow-up plans.

Specialty Considerations

Ensure that the ultrasound is performed by qualified personnel and that results are communicated effectively.

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 accuracy of data collection and reimbursement processes. O36.0915 provides a clear framework for documenting maternal care for rhesus isoimmunization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the accuracy of data collection and reimbursement processes. O36.0915 provides a clear framework for documenting maternal care for rhesus isoimmunization.

Reimbursement & Billing Impact

reimbursement processes. O36.0915 provides a clear framework for documenting maternal care for rhesus isoimmunization.

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 O36.0915 accurately?

Accurate coding of O36.0915 is crucial for ensuring appropriate management of the pregnancy, facilitating proper reimbursement, and maintaining comprehensive patient records. It helps in tracking maternal-fetal outcomes and ensuring that necessary interventions are provided in a timely manner.