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 CodesO36.0199

O36.0199

Billable

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

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

Code Description

ICD-10 O36.0199 is a billable code used to indicate a diagnosis of maternal care for anti-d [rh] antibodies, unspecified trimester (other fetus).

Key Diagnostic Point:

Maternal care for anti-D [Rh] antibodies is crucial in managing pregnancies where the mother has developed antibodies against Rh-positive blood. This condition can lead to hemolytic disease of the fetus and newborn (HDFN), which may result in fetal problems such as growth restriction, fetal distress, and even stillbirth. The management of this condition requires careful monitoring of the fetus's health throughout the pregnancy, including regular ultrasounds to assess fetal growth and well-being. In cases where fetal distress is detected, interventions may be necessary to ensure the safety of both the mother and the fetus. The unspecified trimester designation indicates that the coding does not specify whether the condition was identified in the first, second, or third trimester, which can complicate the management and documentation of care. Proper coding is essential for ensuring that the healthcare provider receives appropriate reimbursement and that the patient receives the necessary care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fetal response to maternal antibodies
  • Need for frequent monitoring and potential interventions
  • Documentation of trimester and fetal condition
  • Differentiation from other hemolytic conditions

Audit Risk Factors

  • Inadequate documentation of fetal monitoring
  • Failure to specify trimester of care
  • Misclassification of fetal distress severity
  • Lack of interdisciplinary communication records

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Documentation must include details of maternal antibody status, fetal monitoring results, and any interventions performed.

Common Clinical Scenarios

Management of a pregnant patient with known anti-D antibodies presenting for routine care or experiencing complications.

Billing Considerations

Consideration of the potential need for Rh immunoglobulin administration and its documentation.

Maternal-Fetal Medicine

Documentation Requirements

Detailed records of high-risk assessments, ultrasound findings, and any interventions related to fetal distress.

Common Clinical Scenarios

Monitoring a fetus with suspected growth restriction due to maternal anti-D antibodies.

Billing Considerations

High-risk pregnancies require thorough documentation of all assessments and interventions to ensure comprehensive care.

Coding Guidelines

Inclusion Criteria

Use O36.0199 When
  • According to ICD
  • 10 coding guidelines, O36
  • 0199 should be used when maternal care for anti
  • D antibodies is provided without specification of the trimester
  • Coders must ensure that documentation supports the diagnosis and any related fetal conditions

Exclusion Criteria

Do NOT use O36.0199 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetric care, antepartum

Clinical Scenario

Used for routine antepartum visits for patients with anti-D antibodies.

Documentation Requirements

Documentation of each visit must include maternal and fetal assessments.

Specialty Considerations

Obstetricians must ensure comprehensive records of fetal monitoring and maternal health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of maternal conditions, improving the accuracy of claims and ensuring that patients receive appropriate care based on their unique circumstances.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of maternal conditions, improving the accuracy of claims and ensuring that patients receive appropriate care based on their unique circumstances.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of maternal conditions, improving the accuracy of claims and ensuring that patients receive appropriate care based on their unique circumstances.

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 O36.0199?

Coding O36.0199 is significant as it captures the maternal care required for managing anti-D antibodies, which can have serious implications for fetal health. Accurate coding ensures appropriate care and reimbursement.