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 CodesZ36

Z36

Encounter for antenatal screening of mother

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 Z36 is a used to indicate a diagnosis of encounter for antenatal screening of mother.

Key Diagnostic Point:

The ICD-10 code Z36 represents encounters for antenatal screening of the mother, which is an essential component of prenatal care. This category encompasses various screening tests and assessments conducted during pregnancy to monitor the health of both the mother and the fetus. These screenings may include evaluations for conditions such as gestational diabetes, hypertension, and infections, as well as assessments of fetal growth and development. The significance of these screenings lies in their ability to identify potential complications early, allowing for timely interventions that can improve maternal and fetal outcomes.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Limited number of specific conditions covered
  • Standardized screening protocols
  • Routine nature of antenatal visits

Audit Risk Factors

  • Inadequate documentation of screening results
  • Misuse of codes for non-antenatal encounters
  • Failure to follow up on abnormal screening results

Specialty Focus

Medical Specialties

Obstetrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Family Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

17 codes
Z36.0
Encounter for antenatal screening for chromosomal anomalies
Z36.1
Encounter for antenatal screening for raised alphafetoprotein level
Z36.2
Encounter for other antenatal screening follow-up
Z36.3
Encounter for antenatal screening for malformations
Z36.4
Encounter for antenatal screening for fetal growth retardation
Z36.5
Encounter for antenatal screening for isoimmunization
Z36.8
Encounter for other antenatal screening
Z36.81
Encounter for antenatal screening for hydrops fetalis
Z36.82
Encounter for antenatal screening for nuchal translucency
Z36.83
Encounter for fetal screening for congenital cardiac abnormalities
Z36.84
Encounter for antenatal screening for fetal lung maturity
Z36.85
Encounter for antenatal screening for Streptococcus B
Z36.86
Encounter for antenatal screening for cervical length
Z36.87
Encounter for antenatal screening for uncertain dates
Z36.88
Encounter for antenatal screening for fetal macrosomia
Z36.89
Encounter for other specified antenatal screening
Z36.9
Encounter for antenatal screening, unspecified

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the Z36 category is significant, as it promotes early detection of potential health issues during pregnancy, which can lead to improved outcomes for both mothers and infants. From an administrative perspective, proper use of Z36 codes can enhance quality measures related to prenatal care and maternal health, contributing to better population health metrics. As healthcare trends increasingly emphasize preventive care and early intervention, the relevance of Z36 in coding practices will likely continue to grow, aligning with broader initiatives aimed at improving maternal and child health.

ICD-9 vs ICD-10

The clinical impact of the Z36 category is significant, as it promotes early detection of potential health issues during pregnancy, which can lead to improved outcomes for both mothers and infants. From an administrative perspective, proper use of Z36 codes can enhance quality measures related to prenatal care and maternal health, contributing to better population health metrics. As healthcare trends increasingly emphasize preventive care and early intervention, the relevance of Z36 in coding practices will likely continue to grow, aligning with broader initiatives aimed at improving maternal and child health.

Reimbursement & Billing Impact

Reimbursement considerations may vary by payer, so it is advisable to check with individual insurance providers for their specific billing requirements. Additionally, practices should maintain clear records of all screenings and results to facilitate smooth claims processing and minimize the risk of denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Z36

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Z36

Frequently Asked Questions

What conditions are included in Z36?

Z36 covers various antenatal screenings, including assessments for gestational diabetes, hypertension, and other conditions that may affect maternal or fetal health during pregnancy.

When should I use Z36 codes?

Z36 codes should be used during encounters specifically for antenatal screening, typically during routine prenatal visits when screenings are performed.

What documentation is required for Z36?

Documentation should include the type of screening performed, results of the screening, and any follow-up actions taken based on those results to ensure compliance and support the use of the Z36 code.