O36.72X5 ICD-10-CM Code: Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 5
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 817 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 818 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 819 — OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
- MS-DRG 831 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC (MDC 14)
- MS-DRG 832 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC (MDC 14)
- MS-DRG 833 — OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC (MDC 14)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O36.72X5 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
Conditions that can never be reported with this code; the two are mutually exclusive.
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-)
- placental transfusion syndromes (O43.0-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- labor and delivery complicated by fetal stress (O77.-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does O36.72X5 require a 7th character?
Yes. 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..
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O36.72X5 in its code family, with their registry titles.
- O36.72X0 — Maternal care for viable fetus in abdominal pregnancy, second trimester, not applicable or unspecified
- O36.72X1 — Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 1
- O36.72X2 — Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 2
- O36.72X3 — Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 3
- O36.72X4 — Maternal care for viable fetus in abdominal pregnancy, second trimester, fetus 4
- O36.72X9 — Maternal care for viable fetus in abdominal pregnancy, second trimester, other fetus
- O36.73 — Maternal care for viable fetus in abdominal pregnancy, third trimester
- O36.73X0 — Maternal care for viable fetus in abdominal pregnancy, third trimester, not applicable or unspecified
- O36.73X1 — Maternal care for viable fetus in abdominal pregnancy, third trimester, fetus 1
- O36.73X2 — Maternal care for viable fetus in abdominal pregnancy, third trimester, fetus 2