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v1.0.0
ICD-10 Guide
ICD-10 CodesO36.0932

O36.0932

Billable

Maternal care for other rhesus isoimmunization, third trimester (fetus 2)

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

Code Description

ICD-10 O36.0932 is a billable code used to indicate a diagnosis of maternal care for other rhesus isoimmunization, third trimester (fetus 2).

Key Diagnostic Point:

Maternal care for rhesus isoimmunization involves 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 may result in fetal anemia, jaundice, and other complications. In the third trimester, careful monitoring is crucial as the fetus may experience growth restriction due to anemia or other related issues. Maternal care includes regular ultrasounds to assess fetal growth, Doppler studies to evaluate blood flow, and possibly intrauterine transfusions if severe anemia is detected. The management plan may also involve administering Rh immunoglobulin (RhoGAM) to prevent further isoimmunization in future pregnancies. Close collaboration with maternal-fetal medicine specialists is often necessary to ensure optimal outcomes for both mother and fetus.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between types of isoimmunization and their implications.
  • Need for detailed documentation of fetal monitoring and interventions.
  • Understanding the implications of multiple gestations on coding.
  • Navigating the complexities of maternal-fetal medicine consultations.

Audit Risk Factors

  • Inadequate documentation of fetal monitoring.
  • Failure to capture all relevant complications.
  • Misclassification of isoimmunization types.
  • Lack of clarity in maternal-fetal medicine consultations.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed records of maternal health, fetal assessments, and interventions.

Common Clinical Scenarios

Management of fetal growth restriction, monitoring for fetal distress, and planning for delivery.

Billing Considerations

Ensure accurate coding for multiple fetuses and associated complications.

Maternal-Fetal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Complex cases involving fetal anemia, intrauterine transfusions, and multidisciplinary care.

Billing Considerations

Focus on high-risk management protocols and detailed fetal monitoring.

Coding Guidelines

Inclusion Criteria

Use O36.0932 When
  • Follow official ICD
  • 10 guidelines for obstetric coding, ensuring accurate documentation of maternal and fetal conditions
  • Specific criteria for coding isoimmunization and associated complications must be met, including gestational age and fetal status

Exclusion Criteria

Do NOT use O36.0932 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59000CPT Code

Ultrasound, pregnant uterus, transabdominal

Clinical Scenario

Used for monitoring fetal growth and well-being in cases of isoimmunization.

Documentation Requirements

Document findings, including fetal size and any signs of distress.

Specialty Considerations

Obstetricians should ensure accurate coding for ultrasound procedures.

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 capture the complexity of cases like rhesus isoimmunization. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to capture the complexity of cases like rhesus isoimmunization. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of obstetric conditions, improving the ability to capture the complexity of cases like rhesus isoimmunization. This specificity aids in better patient management and resource allocation.

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 O36.0932 accurately?

Accurate coding of O36.0932 is crucial for ensuring appropriate management of high-risk pregnancies, facilitating proper reimbursement, and providing data for quality improvement initiatives in maternal-fetal care.