ICD Code O36.4

ICD code O36.4 is maternal care for intrauterine death, used when a provider is managing a pregnancy where fetal death has occurred but the fetus has not yet been delivered.

1. Evidence of maternal care for suspected fetal damage or abnormality

2. No confirmation of fetal damage or abnormality after diagnostic evaluation

3. Pregnancy ongoing with continued monitoring for potential fetal issues

4. Absence of clinical or laboratory findings confirming fetal compromise

5. Maternal concern or clinical suspicion based on risk factors, history, or screening results

6. No other specific diagnosis explaining the concern for fetal abnormality

Relevant CPT codes that may be used to treat ICD code O36.4 include:

76801 – Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester

76805 – Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester

76815 – Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses

99201–99215 – Evaluation and management (E/M) office or other outpatient services

59400 – Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps), and postpartum care

59425 – Antepartum care only; 4-6 visits

59426 – Antepartum care only; 7 or more visits

59510 – Routine obstetric care including antepartum care, cesarean delivery, and postpartum care

59610 – Routine obstetric care including antepartum care, vaginal delivery (after previous cesarean delivery) and postpartum care

59618 – Routine obstetric care including antepartum care, cesarean delivery (after previous cesarean delivery) and postpartum care

Schedule a demo to see how MD Clarity’s RevFind software can read your contracts and automatically detect underpayments for CPT codes related to ICD code O36.4. Ensure your organization is capturing every dollar it’s owed—discover the power of automated contract analysis with RevFind today.