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 CodesO35.6

O35.6

Billable

Maternal care for (suspected) damage to fetus by radiation

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

Code Description

ICD-10 O35.6 is a billable code used to indicate a diagnosis of maternal care for (suspected) damage to fetus by radiation.

Key Diagnostic Point:

O35.6 is used to indicate maternal care for a fetus that is suspected to have been damaged by radiation exposure during pregnancy. This code is particularly relevant in cases where the mother has been exposed to radiation from medical procedures, environmental sources, or occupational hazards. The potential effects of radiation on fetal development can lead to a range of abnormalities, including growth restrictions, congenital malformations, and genetic conditions. Prenatal diagnosis may involve advanced imaging techniques and genetic testing to assess the fetus's health and identify any abnormalities. Maternal care in these cases often includes close monitoring, counseling regarding risks, and planning for delivery and postnatal care. It is crucial for healthcare providers to document the source and extent of radiation exposure, as well as any diagnostic tests performed to evaluate fetal health, to ensure accurate coding and appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the source and extent of radiation exposure
  • Differentiating between suspected and confirmed damage
  • Incorporating genetic testing results into the care plan
  • Documenting maternal and fetal health assessments accurately

Audit Risk Factors

  • Inadequate documentation of radiation exposure
  • Failure to document fetal assessments and outcomes
  • Misclassification of the severity of fetal damage
  • Lack of clarity in the maternal care plan

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of radiation exposure, maternal health assessments, and any prenatal diagnostic tests performed.

Common Clinical Scenarios

A pregnant woman undergoing radiation therapy for cancer, or a woman living near a nuclear facility.

Billing Considerations

Coders must ensure that all relevant details about the mother's exposure and the fetus's condition are documented to support the use of O35.6.

Maternal-Fetal Medicine

Documentation Requirements

High-risk pregnancy documentation must include comprehensive assessments of both maternal and fetal health, including imaging and genetic testing results.

Common Clinical Scenarios

Complex cases involving suspected fetal damage due to radiation exposure, requiring multidisciplinary care.

Billing Considerations

High-risk coding requires careful attention to detail and collaboration with specialists to ensure accurate documentation and coding.

Coding Guidelines

Inclusion Criteria

Use O35.6 When
  • According to official coding guidelines, O35
  • 6 should be used when there is a documented suspicion of fetal damage due to radiation exposure
  • Coders must ensure that the documentation supports the diagnosis and that all relevant details are included

Exclusion Criteria

Do NOT use O35.6 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 development in cases of suspected radiation damage.

Documentation Requirements

Documentation must include indications for ultrasound and findings related to fetal health.

Specialty Considerations

Obstetricians must ensure that ultrasound findings are clearly linked to the diagnosis of suspected radiation damage.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions related to maternal care and fetal damage, improving the accuracy of diagnoses and the ability to track outcomes related to radiation exposure.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions related to maternal care and fetal damage, improving the accuracy of diagnoses and the ability to track outcomes related to radiation exposure.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Radiation and Pregnancy

Coding & Billing References

  • •
    CDC Radiation and Pregnancy

Frequently Asked Questions

What should be documented to support the use of O35.6?

Documentation should include details of the radiation exposure, maternal health assessments, any prenatal diagnostic tests performed, and the results of fetal evaluations to support the diagnosis of suspected damage.