{"code":"O36.59","type":"code","title":"Maternal care for other known or suspected poor fetal growth","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":["O36.591","O36.5910","O36.5911","O36.5912","O36.5913","O36.5914","O36.5915","O36.5919","O36.592","O36.5920","O36.5921","O36.5922","O36.5923","O36.5924","O36.5925","O36.5929","O36.593","O36.5930","O36.5931","O36.5932","O36.5933","O36.5934","O36.5935","O36.5939","O36.599","O36.5990","O36.5991","O36.5992","O36.5993","O36.5994","O36.5995","O36.5999"],"inclusionTerms":["Maternal care for known or suspected light-for-dates NOS","Maternal care for known or suspected small-for-dates NOS"],"sibling_titles":{"code":"O36.5999","title":"Maternal care for other known or suspected poor fetal growth, unspecified trimester, other fetus","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Maternal care for other known or suspected poor fetal growth is a non-billable ICD-10-CM category code (O36.59). 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. Inclusion terms: Maternal care for known or suspected light-for-dates NOS; Maternal care for known or suspected small-for-dates NOS.","officialDefinition":"Maternal care for other known or suspected poor fetal growth is a non-billable ICD-10-CM category code (O36.59). 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. Inclusion terms: Maternal care for known or suspected light-for-dates NOS; Maternal care for known or suspected small-for-dates NOS. 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":""}