O35
Non-Billable

Maternal care for known or suspected fetal abnormality and damage

Non-Billable / Non-Specific Code

What is Maternal care for known or suspected fetal abnormality and damage?

ICD-10-CM O35 is the diagnosis code for Maternal care for known or suspected fetal abnormality and damage. This code falls under the section "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for O35

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as O35. They are mutually exclusive:

  • encounter for suspected maternal and fetal conditions ruled out (Z03.7-)

ICD-10-CM Code Hierarchy

Understanding where O35 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 18 entries
O35.0Maternal care for (suspected) central nervous system malformation in fetusNon-BillableO35.00Maternal care for (suspected) central nervous system malformation or damage in fetus, unspecifiedBillableO35.01Maternal care for (suspected) central nervous system malformation or damage in fetus, agenesis of the corpus callosumBillableO35.02Maternal care for (suspected) central nervous system malformation or damage in fetus, anencephalyBillableO35.03Maternal care for (suspected) central nervous system malformation or damage in fetus, choroid plexus cystsBillableO35.04Maternal care for (suspected) central nervous system malformation or damage in fetus, encephaloceleBillableO35.05Maternal care for (suspected) central nervous system malformation or damage in fetus, holoprosencephalyBillableO35.06Maternal care for (suspected) central nervous system malformation or damage in fetus, hydrocephalyBillableO35.07Maternal care for (suspected) central nervous system malformation or damage in fetus, microcephalyBillableO35.08Maternal care for (suspected) central nervous system malformation or damage in fetus, spina bifidaBillableO35.09Maternal care for (suspected) other central nervous system malformation or damage in fetusBillableO35.1Maternal care for (suspected) chromosomal abnormality in fetusNon-BillableO35.10Maternal care for (suspected) chromosomal abnormality in fetus, unspecifiedBillableO35.11Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 13BillableO35.12Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 18BillableO35.13Maternal care for (suspected) chromosomal abnormality in fetus, Trisomy 21BillableO35.14Maternal care for (suspected) chromosomal abnormality in fetus, Turner SyndromeBillableO35.15Maternal care for (suspected) chromosomal abnormality in fetus, sex chromosome abnormalityBillableO35.19Maternal care for (suspected) chromosomal abnormality in fetus, other chromosomal abnormalityBillableO35.2Maternal care for (suspected) hereditary disease in fetusBillableO35.3Maternal care for (suspected) damage to fetus from viral disease in motherBillableO35.4Maternal care for (suspected) damage to fetus from alcoholBillableO35.5Maternal care for (suspected) damage to fetus by drugsBillableO35.6Maternal care for (suspected) damage to fetus by radiationBillableO35.7Maternal care for (suspected) damage to fetus by other medical proceduresBillableO35.8Maternal care for other (suspected) fetal abnormality and damageBillableO35.9Maternal care for (suspected) fetal abnormality and damage, unspecifiedBillableO35.AMaternal care for other (suspected) fetal abnormality and damage, fetal facial anomaliesBillableO35.BMaternal care for other (suspected) fetal abnormality and damage, fetal cardiac anomaliesBillableO35.CMaternal care for other (suspected) fetal abnormality and damage, fetal pulmonary anomaliesBillableO35.DMaternal care for other (suspected) fetal abnormality and damage, fetal gastrointestinal anomaliesBillableO35.EMaternal care for other (suspected) fetal abnormality and damage, fetal genitourinary anomaliesBillableO35.FMaternal care for other (suspected) fetal abnormality and damage, fetal musculoskeletal anomalies of trunkBillableO35.GMaternal care for other (suspected) fetal abnormality and damage, fetal upper extremities anomaliesBillableO35.HMaternal care for other (suspected) fetal abnormality and damage, fetal lower extremities anomaliesBillable
Related Codes

Frequently Asked Questions

Is O35 a billable ICD-10-CM code?

No, O35 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does O35 mean?

O35 is the ICD-10-CM diagnosis code for "Maternal care for known or suspected fetal abnormality and damage". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is O35 in?

O35 is located in Section O30-O48 — "Maternal care related to the fetus and amniotic cavity and possible delivery problems" within Chapter 15 of the ICD-10-CM Tabular List.

What are the sub-codes of O35?

O35 has 18 sub-code(s) that provide more specific detail: O35.0, O35.1, O35.2, O35.3, O35.4 and more.

When should I use O35?

Use O35 when the patients documented diagnosis matches "Maternal care for known or suspected fetal abnormality and damage" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Maternal care for known or suspected fetal abnormality and damage?

The ICD-10-CM code for Maternal care for known or suspected fetal abnormality and damage is O35.

Can O35 be used for primary diagnosis?

No, O35 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is O35 in?

O35 is in Chapter 15 of the ICD-10-CM Tabular List.

What conditions are excluded from O35?

Type 1 Excludes for O35 include: encounter for suspected maternal and fetal conditions ruled out (Z03.7-).

Is O35 valid for 2026?

Yes, O35 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousO34.93Maternal care for abnormality of pelvic organ, unspecified, third trimesterNext →O35.0Maternal care for (suspected) central nervous system malformation in fetus
Code Details
O35
Maternal care for known or suspected fetal abnormality and damage
Non-Billable / Non-Specific Code
15 — Pregnancy, childbirth and the puerperium (O00-O9A)
O30-O48 — Maternal care related to the fetus and amniotic cavity and possible delivery problems
2026 ICD-10-CM