{"code":"O36.511","type":"category","title":"Maternal care for known or suspected placental insufficiency, first trimester","codeAlso":[],"includes":["the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy"],"modern_v":"official26","codeFirst":[],"excludes1":["encounter for suspected maternal and fetal conditions ruled out (Z03.7-)","placental transfusion syndromes (O43.0-)"],"excludes2":["labor and delivery complicated by fetal stress (O77.-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["O36.5110","O36.5111","O36.5112","O36.5113","O36.5114","O36.5115","O36.5119"],"inclusionTerms":[],"sibling_titles":{"code":"O36.5119","title":"Maternal care for known or suspected placental insufficiency, first trimester, other fetus","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Maternal care for known or suspected placental insufficiency, first trimester is a non-billable ICD-10-CM category code (O36.511). A more specific billable subcode must be selected for claims submission. Includes: the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy. Excludes1 (not coded here): encounter for suspected maternal and fetal conditions ruled out (Z03.7-); placental transfusion syndromes (O43.0-).","officialDefinition":"Maternal care for known or suspected placental insufficiency, first trimester is a non-billable ICD-10-CM category code (O36.511). A more specific billable subcode must be selected for claims submission. Includes: the listed conditions in the fetus as a reason for hospitalization or other obstetric care of the mother, or for termination of pregnancy. Excludes1 (not coded here): encounter for suspected maternal and fetal conditions ruled out (Z03.7-); placental transfusion syndromes (O43.0-). Excludes2 (not included here): labor and delivery complicated by fetal stress (O77.-). 7th character: One of the following 7th characters is to be assigned to each code under category O36.  7th character 0 is for single gestations and multiple gestations where the fetus is unspecified.  7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O36 that has a 7th character of 1 through 9..","seventhCharacterInstructions":["One of the following 7th characters is to be assigned to each code under category O36.  7th character 0 is for single gestations and multiple gestations where the fetus is unspecified.  7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning a code from category O36 that has a 7th character of 1 through 9."],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}