O41.92 ICD-10-CM Code: Disorder of amniotic fluid and membranes, unspecified, second trimester
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for O41.92 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- encounter for suspected maternal and fetal conditions ruled out (Z03.7-) Compare O41.92 vs Z03.7 →
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: O41.92X0, O41.92X1, O41.92X2, O41.92X3, O41.92X4.
- Requires a 7th character. "One of the following 7th characters is to be assigned to each code under category O41. 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 O41 that has a 7th character of 1 through 9." Options: O41.92X0, O41.92X1, O41.92X2, O41.92X3, O41.92X4, O41.92X5
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of O41.92 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- O00-O9A — Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A) (O00-O9A) [Hierarchy]
- O30-O48 — Maternal care related to the fetus and amniotic cavity and possible delivery problems [Hierarchy]
- O41 — Clinical Diagnosis [Hierarchy]
- O41.9 — Clinical Diagnosis [Hierarchy]
Referenced by Excludes1 notes
- Z03.7 — Encounter for suspected maternal and fetal conditions ruled out [Excludes1](via O41.-): “known or suspected fetal anomalies affecting management of mother, not ruled out (O26.-, O35.-, O36.-, O40.-, O41.-)” · check together
Nearest codes (40)
- O41 — Other disorders of amniotic fluid and membranes [Sibling]
- O41.8X9 — Other specified disorders of amniotic fluid and membranes, unspecified trimester [Sibling]
- O41.8X90 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, not applicable or unspecified [Sibling]
- O41.8X91 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 1 [Sibling]
- O41.8X92 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 2 [Sibling]
- O41.8X93 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 3 [Sibling]
- O41.8X94 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 4 [Sibling]
- O41.8X95 — Other specified disorders of amniotic fluid and membranes, unspecified trimester, fetus 5 [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name O41.92 or its code family.
1 Excludes1 notes: Z03.7 (via O41.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can O41.92 be billed directly?
No. O41.92 (Disorder of amniotic fluid and membranes, unspecified, second trimester) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does O41.92 require a 7th character?
Yes. One of the following 7th characters is to be assigned to each code under category O41. 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 O41 that has a 7th character of 1 through 9..
Nearest Codes in This Family
Official ICD-10-CM classifications closest to O41.92 in its code family, with their registry titles.
- O41.91X2 — Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 2
- O41.91X3 — Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 3
- O41.91X4 — Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 4
- O41.91X5 — Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 5
- O41.91X9 — Disorder of amniotic fluid and membranes, unspecified, first trimester, other fetus
- O41.92X0 — Disorder of amniotic fluid and membranes, unspecified, second trimester, not applicable or unspecified
- O41.92X1 — Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 1
- O41.92X2 — Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 2
- O41.92X3 — Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 3
- O41.92X4 — Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 4