ICD-10-CM Code O36.513
Maternal care for known or suspected placental insufficiency, third trimester
NON-BILLABLE
7th Character Required
Third Trimester
|
ICD-10 from 2011 - 2016
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."Third Trimester Only
Code is only used for patients in the third trimester of pregnancy (27 to 40 weeks).ICD Code O36.513 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'maternal care for known or susp placntl insuff, third tri' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| 0 | O36.5130 | not applicable or unspecified |
| 1 | O36.5131 | fetus 1 |
| 2 | O36.5132 | fetus 2 |
| 3 | O36.5133 | fetus 3 |
| 4 | O36.5134 | fetus 4 |
| 5 | O36.5135 | fetus 5 |
| 9 | O36.5139 | other fetus |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoParent Code: O36.51 - Maternal care for known or suspected placental insufficiency