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ICD-10-CM · FY 2026 APRIL UPDATE

O36.51

Maternal care for known or suspected placental insufficiency

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
O36.511Maternal care for known or suspected placental insufficiency, first trimesterCategory
O36.5110Maternal care for known or suspected placental insufficiency, first trimester, not applicable or unspecifiedBillable
O36.5111Maternal care for known or suspected placental insufficiency, first trimester, fetus 1Billable
O36.5112Maternal care for known or suspected placental insufficiency, first trimester, fetus 2Billable
O36.5113Maternal care for known or suspected placental insufficiency, first trimester, fetus 3Billable
O36.5114Maternal care for known or suspected placental insufficiency, first trimester, fetus 4Billable
O36.5115Maternal care for known or suspected placental insufficiency, first trimester, fetus 5Billable
O36.5119Maternal care for known or suspected placental insufficiency, first trimester, other fetusBillable
O36.512Maternal care for known or suspected placental insufficiency, second trimesterCategory
O36.5120Maternal care for known or suspected placental insufficiency, second trimester, not applicable or unspecifiedBillable
O36.5121Maternal care for known or suspected placental insufficiency, second trimester, fetus 1Billable
O36.5122Maternal care for known or suspected placental insufficiency, second trimester, fetus 2Billable
O36.5123Maternal care for known or suspected placental insufficiency, second trimester, fetus 3Billable
O36.5124Maternal care for known or suspected placental insufficiency, second trimester, fetus 4Billable
O36.5125Maternal care for known or suspected placental insufficiency, second trimester, fetus 5Billable
O36.5129Maternal care for known or suspected placental insufficiency, second trimester, other fetusBillable
O36.513Maternal care for known or suspected placental insufficiency, third trimesterCategory
O36.5130Maternal care for known or suspected placental insufficiency, third trimester, not applicable or unspecifiedBillable
O36.5131Maternal care for known or suspected placental insufficiency, third trimester, fetus 1Billable
O36.5132Maternal care for known or suspected placental insufficiency, third trimester, fetus 2Billable
O36.5133Maternal care for known or suspected placental insufficiency, third trimester, fetus 3Billable
O36.5134Maternal care for known or suspected placental insufficiency, third trimester, fetus 4Billable
O36.5135Maternal care for known or suspected placental insufficiency, third trimester, fetus 5Billable
O36.5139Maternal care for known or suspected placental insufficiency, third trimester, other fetusBillable
O36.519Maternal care for known or suspected placental insufficiency, unspecified trimesterCategory
O36.5190Maternal care for known or suspected placental insufficiency, unspecified trimester, not applicable or unspecifiedBillable
O36.5191Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 1Billable
O36.5192Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 2Billable
O36.5193Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 3Billable
O36.5194Maternal care for known or suspected placental insufficiency, unspecified trimester, fetus 4Billable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.